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283 AHERN ST - ROOF , LA'J'J�i. 4' riii-, CITY OF ATLANTIC BEACH err `� 800 SEMINOLE ROAD ;_,,, s> ,� v~ ATLANTIC BEACH, FL 32233 dtri;l �%' INSPECTION PHONE LINE 247-5814 REROOF SHINGLE - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RERF17-0183 Description: Estimated Value: 7244 Issue Date: 11/16/2017 Expiration Date: 5/15/2018 PROPERTY ADDRESS: Address: 283 AHERN ST RE Number: 172535 0000 PROPERTY OWNER: Name: GUINN ORVILLE W JR Address: PO BOX 331396 ATLANTIC BEACH, FL 32233-1396 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$7,500. �,,,,,Tr.,,,, Building Permit Application ,iirr '_ �: City of Atlantic Beach n F' 800 Seminole Road,Atlantic Beach, FL 32233 "_9r Phone: (904) 247-5826 Fax: (904)247-5845 Job Address: 283 AHERN ST. Permit Number: hiiF—f 11—6 13 3 Legal Description 15-34 21-2S-29E ATLANTIC BEACH TERR S/D LOT 8 RE# Valuation of Work(Replacement Cost)$ 7,244 Heated/Cooled SF 2928 Non-Heated/Cooled 196 • Class of Work(Circle one): New AdditionIteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s) (Circle one): Commercial Cjesidentialp • 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#FL10674-R12 (shingles) FL17420-R2 (felt) for multiple products use product approval form Property Owner Information Name: ORVILLE WAYNE GUINN Address: PO BOX 331396 City ATLANTIC BEACH State FL Zip 32233 Phone 904-234-7777 E-Mail guinnwayne@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. 1-11/18 870-040093/3EE6142 _ 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. / , ‘,4401011"r c:j- 11A4, LO, ))------ 'l -1 (Signature of Owner or Agent including Contractor) (Sig olgrContractor) Signed _d/sworn to(or affirmed)befFre me this jday of ed an sworn to 4or of i •ped) befoo e me this lay of , 00)1 , by OrYI'1tl W &u , 2 / ,� A4 .. .. L.. .... ISG... �I� �. / L' At ••:u atur- ill;. !'yI. I° (Signature of Notary) 2IN ..0.- 13'.4,i. COMMISSION I FF160849 ..+ma.. ' EXPIRES: Sept. 17, 2018 '��¢� Andrew D. Davis -\7;7,4„A: :- WWW.AARONNOTARY.COM C `,• !�' ��.fi'. [personally Known OR "'��` �rersonally Known OR _`2' 414 7" COMMISSION I FF160849 [ ]Produced Identification [ ]Produced Identification -��,�,: EXPIRES: Sept. 17, 2018 Type of Identification: Type of Identification: �'O (YR ��` WWW.AARONN4TARY.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 be 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'('ERR S/D LOT 8 Address of property being improved: 283 AHERN ST Atlantic Beach FL 32233 General description of improvements: Re-root Owner ORVILLE WAYNE GUINN Address PO BOX 331396 ATLAN'T'IC BEACH,FL 32233-1396 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name \)''\ Address Q. Contractor Prime Roof Contracting,LLC [U Address 13725 Beach Blvd Suite 13,Jacksonville,FL 32224 Phone No. (904)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 yy QI, OVMER Signed: - r DATE 1,14a Before me this 12.hday of in the Co xo.f tCvat�l,State,of Flo' a.has ersonaliy appeared p hi s I?f,`her?and affirms that statements an��t0j60y4'.1*- - herein Andrew D. Davis Doc#2017264639,OR BK 18190 Page 1763, are true and accurate "' �� F''' COMMISSION#FF160849 Number Pages:1 — ' Recorded 11/16/2017 01:46 PM, ��,,� EXPIRES: Sept. 17, 2018 RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL �/l.. '' OF � \ WWW.AAR0NN0TARY.COM COUNTY RECORDING $10.00 Notary Public at Large.Stat o County of pus/ My commission expires: .__ _Personally Known or Produced Identification