42 CORAL ST - ROOF CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
*P; c-) INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0117
Description: RE ROOF SHINGLES
Estimated Value: 5997
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 42 CORAL ST
RE Number: 169566 0510
PROPERTY OWNER:
Name: WHITE ROBERT T
Address: 42 CORAL ST
ATLANTIC BEACH, FL 32233-5816
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: AMERICAN ROOFING OF JACKSONVILLE
Address: 1720 Wildwood Creek LN
JACKSONVILLE, FL 32246
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$7,500.
`` 'l''6y Building Permit Application
City of Atlantic Beach
` 800 Seminole Road, Atlantic Beach, FL 32233
:!So,-ttJ:�f
Phone: (904) 247-5826 Fax: (904) 247-5845 (��--
42 Coral St,Atlantic Beach, FL 32233 R E fV ( 7_ O ( 1 7
Job Address: Permit Number:
Legal Description 15-82 09-2S-29E OCEAN GROVE UNIT NO 1 N 54.45FT LOT 3 BLK 6 RE# 169566-0510
Valuation of Work(Replacement Cost)$ 5,997.00 Heated/Cooled SF 1,691 Non-Heated/Cooled 1,845
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Residential
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No N/A
• 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: Complete Tear off and replacement of existing roof. Aproximately 16 squares.
Pitch is 9/12
Florida Product Approval# Atlas Shingles FL16305,with Underlayment FL16226 for multiple products use product approval form
Property Owner Information
Name: Robert&Susan White Address: 42 Coral St
City Atlantic Beach State FL Zip 32233 Phone (404)401-9851
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: American Roofing of Jacksonville Qualifying Agent: Daniel P. Kinkel
Address 3047 St Johns Bluff Road 5,Ste 7 City Jacksonville State FL Zip 32246
Office Phone 904-385-4375 Job Site/Contact Number Chris Dennis,904-626-4636
State Certification/Registration# RC90227546 E-Mail dan@americanroofingjax.com
Architect Name&Phone# NA
Engineer's Name&Phone# NA
Workers Compensation Plymouth Insurance Agency,WC71949,expires 01/01/2018
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. /
/
l
(Signature of Owner or Agent including Contractor) (Signature o Contractor)
Signed and sworn to(or affirmed)before me thiscA day • Signed and sworn to(or affirmed)before me this I t day of
Qkr� DOC*,, D% , by..1512 in Wh SL Ubr-
OC} C , (I ,byy I
` „" ELLEN R.THIGPEN Si:n. ure of�. .ry) (Signature of Notary)
`,.z ooze(',.
,:.�. Notary Public-State of Florida ,
' -•1 A\ :• My Comm.Expires Oct 23,2017 '""''' SARA STREET
5V• illi ♦�: .`g,oua'.
;,�.�•p;- Commission#FF 065638 ;:°0I 4. State of Florida-Notary Public
4' ''"C; on p stational Notary Assn. ZQ.Personally Known A t' '= Commission#GG 1 10741
I-w u .,u" dnuiY ''- [ j Produced identifickcXoff?'`� My Commission Expires
Type of Identification: Type of Identification:
"' " June 01, 2021
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No. 169566-0510
State of Florida,County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance
with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
1. Description of property(legal description of property and address if available):
15-82 09-2S-29E OCEAN GROVE UNIT NO 1 N 54.45FT LOT 3 BLK 6
• 42 Coral Street, Atlantic Beach, FL 32233
2. General Description of improvements: ,
Complete Tear-Off and Re-Roof
3. Owner Information:
a)Name and Address: Susan & Robert White, 42 Coral St, Atlantic Beach, FL 32233
b)Interest in 100%
c)Name and address of simple titleholder(if other than owner):
NA
4. Contractor Information:
a)Name and Address: American Roofing of Jacksonville
3047 St Johns Bluff Rd, Ste 7, Jacksonville, FL 32246
\-)1(Li
b)Phone Number: (904) 385-4375
5. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction
and final payment to the contractor,but will be one(1)year from the date of recording unless a different date is
specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I,
SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR 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 COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated
therein re true to the best of my knowledge and belief.
• . -./�J 5uSei -k tt ve, Ouydr-c
ignature of Owner or owners Authorized Officer/Director/Partner/Manager Signatory's Printed Name&-*itle/Office
The foregoing instrument was acknowledged before me this day of r14 f1, �
,20 � -
by 5U.S .h W/KA. as 0 (�"�/� for jJ .
(Name of Person) (Type of"Authty,i.e.Officcer/Attorney) (Name of Party Instrument was Executed for)
I ,.1pRV,,,ei, ELLEN R.THIGPEN 1 NOTARY PUBLIC, ST OF FLORIDA
I po. *� Notary Public-State of Florida 1`e Q -tT_
. ''' .•?My Comm.Expires Oct 23,2017 Print Name: E, sil r I
Commission#FF 065638 I
p ,N'''f,,`°`,, Bonded Through National Notary Assn. y �vl
® Personally Known
— — —� ® Identification'Type: FL. j)I..—.
Doc#2017233519,OR BK 18148 Page 2085,
Number Pages:1
Recorded 10/11/201701:39 PM, Revised 2/01/16
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00