343 BEACH AVE - ROOF ,� , ,„ CITY OF ATLANTIC BEACH
-_ �:. sl 800 SEMINOLE ROAD
\,, _
,� yr ATLANTIC BEACH, FL 32233
at
: r ;3 > INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0217
Description: SHINGLE ROOF
Estimated Value: 4660
Issue Date: 12/14/2017
Expiration Date: 6/12/2018
PROPERTY ADDRESS:
Address: 343 BEACH AVE
RE Number: 170186 0000
PROPERTY OWNER:
Name: LAS GOLONDRINAS LLC
Address: CIO WADDELL REALTY CO LLC1 BRADLEY PARK CT
COLUMBUS, GA 31904-9207
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: THE FLORIDA ROOF COMPANY
Address:
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$7,500.
Building Permit Application Updated 12/8/17
741,
City of Atlantic Beach
'Wnter 800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
Job Address: 343 Beach Ave.Atlantic Beach, FL 32233 Permit Number: C R r i 7_ 0z• 1 7
Legal Description 5-69 16-2S-29E ATLANTIC BEACH LOTS 3,4 BLK 26 RE# 170186-0000
Valuation of Work(Replacement Cost)$ $4,660.05 Heated/Cooled SF 3038 Non-Heated/Cooled 3908
• Class of Work(Circle one): New Addition Alteration Repair Move Dem. Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Residentia
• 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:
APARTMENT(at road)-Remove and replace roofing on second story only.Clean deck install.Renail to code if required.Replace drip edge and
accessories.Install synthetic underlayment.FL15216.Install GAF Architectural Shingles FL10124-R18 MAIN HOUSE-remove and replace 4OLF of cracked
ridge cap Hand Seal Flashings on dormer and chimney.Replace 4 damaged shingles.
Florida Product Approval# Synthetic FL15216 Shingle FL10124-R18 for multiple products use product approval form
Property Owner Information
Name: Las Golondrinas LLC Address: 1 Bradley Park Ct.
City Columbus State GA Zip 31904 Phone (706) 575-6565
E-Mail Richard(c�waddellholdinq.com
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Richard Waddell
Contractor Information
Name of Company: The Florida Roof Company Qualifying Agent: Ryan McMichael
Address 11516 West Ride Dr. City Jacksonville State FL Zip 32223
Office Phone (904)435-7626 Job Site/Contact Number Ryan McMichael (904)622-6040
State Certification/Registration# CCC1330192 E-Mail InfocFlorida-Roof.com
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Frank Crum Insurance Agency WC201700000 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. NOTICE:In addition to the requirements of this
permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and
there may be additional permits required from other governmental entities such as water management districts,state agencies,or
federal agencies.
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",U INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY B f;RE
ECORDING YO NOTICE OF COMMENCEMENT.
Air
(Signature of Owner or Agent) (Signat e of Contractor)
(including contractor)
Signed and sworn to(or affirmed)before me this jot.day of SiNed and sworn to(or: I m-d)b- ore me this/ day of
I t�c�mhcn • _ . Jam., • �, n . ri}SIU✓ CL , 2cC(�� •y a cz.4 AAc nAtehQe
• (S gnat r. of Notary) (Signature of N. ary) ;:I ++.
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i rsonali Known OR ,,,,'"1, SANDRA D HAS K I N l ersonally Known OR
Producad identfication P - Notary Public, Georgia roduced Identification
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Doc#2017285834,OR BK 18219 Page 2055,
Number Pages:3
Recorded 12/14/2017 12:53 PM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $27.00
State of T\ Tax Folio
No.
County of Oove..1
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:
5-(, s-r-2c1 E.: ,Akka.,--A A c s
Address of property being improved:
;LA 3 2,e.e.x.-6 Avc. c
General description of improvements:
A . .1 (1r , _ 4-• c• er,,r1
ae_ck tr4(1.1 R4.evA cect c.. 1r eploc.c 813 eJ5c. c44 as4.4s5 ancs•
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Owner Ls G r s 1-1-C- Addr
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Owner's 'interest in site of the improvement:
5\-,%4^,3i
Fee Simple Titleholder(if other than owner):
Name:
Contractor;
-The f\or i60.. 17-cc-C. Rlar,
Address:
1‘516 Vie s+ g-tC Dr, -50,C,Ic So"%/111c-
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Telephone No.: qC -i H 3S - 76 2 , Fax No:
Surety (if any)
Address:
Amount of Bond $
Telephone 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:
Telephone 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
Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement (the expiration date is one
l ttgs.irctmi) s/Doct,h e;s1Ce«ter,llo el ieva 3 ftci 127122117,1:.16 PM
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(1) year from the date of recording unless a different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signet '
............... nate:) � a`
(X ig i* Before me this ta. ...day of h j,c . in the County of Duval,State
.4�aj�%'tit.t a m So f `x Of Florida,baa personally appeared..y5a ndj'i 1). .ak In r+
P� .• h'•Y C;J,�e�� �y1'r Notary Public at Large,State G rc,U(LI',P1 --WI�S c��,�\ C L•
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ej � ,` P?E SANDRA D HASKIN
e•. _ ?otM 'y Notary Public, Georgia
=':---:.= MuscogeeCounty
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-�cFono`Pcr My Commission Expires
°lra,rro` November 07,2021
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