1852 BEACHSIDE CT - ROOF le)..
�� t �` - CITY OF ATLANTIC BEACH
1 �� 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0147
Description: re-roof FL10674-R12 & FL17420-R2
Estimated Value: 9423
Issue Date: 10/18/2017
Expiration Date: 4/16/2018
PROPERTY ADDRESS:
Address: 1852 BEACHSIDE CT
RE Number: 169542 0554
PROPERTY OWNER:
Name: REICH JOHN M
Address: 1852 BEACHSIDE CT
ATLANTIC BEACH, FL 32233
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$7,500.
Building Permit Application
74174;) City of Atlantic Beach
800 Seminole Road, Atlantic Beach, FL 32233
`f_ `�0' Phone: (904) 247-5826 Fax: (904) 247-5845
Job Address: 1852 BEACHSIDE CT. Permit Number: 2_L R-Fl 0 i LI-9,
Legal Description 42-14 09-2S-29E BEACHSIDE LOT 7 BLK 1 RE#
Valuation of Work(Replacement Cost)$ $9,423 Heated/Cooled SF 2592 Non- Heated/Cooled 888
• Class of Work(Circle one): New AdditionIteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s) (Circle one): Commercial I1esidentia
• 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: Replace asphalt shingle roof
Florida Product Approval#FL10674-R12 (shingles) FL17420-R2 (felt) for multiple products use product approval form
Property Owner Information
Name: KIM AND JOHN REICH Address: 1852 BEACHSIDE CT.
City ATLANTIC BEACH State FL Zip 32233 Phone 678-877-9942
E-Mail johnmreich@yahoo.com
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 FRS/Sett kIS,NrjS Pun Int . 1/1/1K �,D-04003731:E6,iv
Exempt/Insurer/Lease Employees/Expiration ate
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
RECORDNG UR NOTICE OF COMMENCEMENT. •
j
C�.
(Signature of wner or Agent including Contractor) ('ignat e of Contractor)
Sigrecl and sworn to(or affirmed)before me this (S l- day of Signedland sworn t. (. irmed)nnbefore me this 'Pi, day of
OC"-Oh T , ZO[7 , by 1 Y�v.^ RC;c dCioh„r , Zap , by I•►C�f l oU
1/-elkt.,
/¢ (2L; Ark, g .
(Signature of Notary) (S(Cj Lure of N tar
���"�' ����' Andrew D. Davis :2q,•hY..4" indiew D. Davis
,z4.'`kd ��', — '�' = COMMISSION#FF160849
'a 'm' = COMMISSION S FF160849 = 72.7-�'r� EXPIRES: Sept. 17, 2018
[ ] Personally Known OR ••�,a,.• = EXPIRES: Sept. 17, 2018 personally Known OR '%7,�FpF•�`;.` WWW,AARONNOTARY.COM
[L--Produced Identification '�,,,FpF.B-r WWW.AARONNOTARY.COM [ I Produced Identification rO1���
Type of Identification:_ FG J7L Type of Identification: -_
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: 42-14 09-25 29E BEACHSIDE LOT 7 BLK I
Address of property being improved: 1852 BEACHSIDE C'I'ATLANTIC BEACH,FL 32233
General description of improvements: Re-root
Owner JOHN AND KIM REICH
Address 1852 BEACHSIDE CT A'I'LAN'l'IC BEACH,FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
p Contractor Prince Root'Contracting,LLC
f��/��} 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 OWNER
Signed DATE (✓
000##2017238 4 OR RK 18155 Pana'7343 Before me this Its day of (:C. rf n the
e_.. 95�, _..
'�`—`• County of Duvai,State of Florida,has personally ac‘nee d p auk �
Number Pages: 1 '\VW\ Ice,i C h ``�� 15�rr�,' ne l I G1Y D. Davis
Recorded 10/18/2017 12:02 PM, 4' a i
himself,herself and affirms that all statements r here
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL are true and accurate — • • - COMMISSION 8 FF160849
COUNTY = . EXPIRES: Sept. 17, 2018
RECORDING $10.00 JQ h;FOFF� .``� WWW.AARONNOTARY.COM
II ‘Lnnnti
No ry Public at Large,State ofCounty of D LAA'n 1
My commission expires: cl/I L`
Personally Known_ or
Produced Identification_......._.( _..L.___...____._______..._.........__...__....._.____._.