259 AHERN ST - ROOF , 4 ,,,„
,, r `
„ CITY OF ATLANTIC BEACH
4 f 800 SEMINOLE ROAD
xATLANTIC BEACH, FL 32233
'"Lv;3 v%'' INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0184
Description:
Estimated Value: 7244
Issue Date: 11/16/2017
Expiration Date: 5/15/2018
PROPERTY ADDRESS:
Address: 259-65 AHERN ST
RE Number: 172534 0000
PROPERTY OWNER:
Name: GUINN ORVILLE WAYNE JR
Address: 259 AHERN ST
ATLANTIC BEACH, FL 32233-5245
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: PRIME ROOF CONTRACTING LLC
Address: 13792 HERONS LANDING WAY APT 9 QA MARK ANDREW
YOUNG
JACKSONVILLE, FL 32224
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
.;` v s, Building Permit Application
4,46 City of Atlantic Beach
\ ; : 800 Seminole Road,Atlantic Beach, FL 32233
'''9:r* Phone: (904) 247-5826 Fax: (904)247-5845
Job Address: 259 Ahern St. Permit Number: icagFi--) - Di Sy
Legal Description 15-34 21-2S-29E ATLANTIC BEACH TERR S/D PT OF LOT 7 RE#
Valuation of Work(Replacement Cost)$ 7,244 Heated/Cooled SF 2928 Non-Heated/Cooled 300
• Class of Work(Circle one): New Addition Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s) (Circle one): Commercial cesidentia
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No 0
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed: Replace asphalt shingle roof
Florida Product Approval#FL10574_R12 (shingles) FL17420-R2 (felt) for multiple products use product approval form
Property Owner Information
Name: ORVILLE WAYNE GUINN Address: 259 AHERN ST.
City ATLANTIC BEACH State FL Zip 32233 Phone 904-234-7777
E-Mail quinnwayne@bellsouth.net
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: Prime Roof Contracting, LLC Qualifying Agent: Mark Young
Address 13725 Beach Blvd Suite 13 City Jacksonville State FL Zip 32224
Office Phone (904) 530-1446 Job Site/Contact Number (904) 860-0230
State Certification/Registration# CCC1329505 E-Mail office@primeroofingfl.com
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation FRSA Self Insurers Fund Inc. 1/1/18 870-040093/3EE6142 _
Exempt/Insurer/Lease Employees/Expiration Date
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulationg
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS, POOLS, FURNACES,BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
C5lAikas‘
19%-,k_.---,,
- W4 d lam.
(Signature of Owner or Agent incl Contractor) Win. re C. tractor)
Si ned a d sworn to(or affirmed)before me thisjZ day of Si ned d sworn t. o .ffirm•d) ,efore e this�ay of
Si
Zan ,by_�llv% kL ui 6-vi\ty II Ad , by 1J (kA,
Af[k
(Signature of Notary) (Signature of No ary)
�.� %��.'p;,�''o Andrew D. Davis
:�e�...aa An rew avls
'�4• "!► Jam' COMMISSION#FF160849 ..?4:' I$ `- COMMISSION l FF160849
(Personally Known OR = EXPIRES: Sept. 17, 2018 (}'Personally Known OR c jj a►_
`' .r.'�..: = EXPIRES: Sept. 17, 2018
( I Produced Identification WWW.AARONNOTARY.COM
I ]Produced Identification �;
Type of Identification: �i4ry0�R"sp Type of Identification: �'7,,, ;;``" WWW.AARONNOTARY.COM
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of Florida County of Duval
To whom it may concern:
The undersigned hereby informs you that improvements will he made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: 15-34 21-2S-29E ATLAN'T'IC BEACH'I'ERR S/D Fr OF LOT 7
Address of property being improved: 259 AHERN ST ATLANTIC BEACH,FL 32233-5245
General description of improvements: Re-root
Owner ORVILLE WAYNE GUINN
Address 259 AHERN ST Atlantic Beach FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder Of other than owner)
Name
Address
„fit
`{//( (_(,.i Contractor Prime Roof Contracting,LLC
ce` Address 13725 Beach Blvd Suite 13,Jacksonville,FL 32224
Phone No. (soa)625-1446 Fax No.
Surety(if any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
Address
Phone No. Fax No.
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other
documents may be served:
Name
Address
Phone No. Fax No.
In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone No. _ Fax No.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY C LI)
�L OWNER
Signed: 2 t" DATE i I-i 1 7
Before me this day of. � in the
County of uval. ate of Flo da. as persona ly appeared
v(lirU herein by J
Doc#2017264640,OR BK 18190 Page 1764, himself.-hersel and of rims that el statements and dec``v�� fri_tin Andrew D. Davis
Number Pages:1 g i are true and accurate _`y$' •►� ('' COMMISSION#FF160849
Recorded 11/16/2017 01:46 PM, = COMMISSION
Sept. 17, 2018
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL :`' ""c>z��`` EXPIRE Sept.T 2018
COUNTY ''hgOFPN�`�
RECORDING $10.00 N any Public at Large.State of County of 15 .41—
My commission expires:/
Personally Known or
Produced Identification