1808 Tierra Verda Drive ROOF (-1-1...Aiv-„,,,
r s1 CITY OF ATLANTIC BEACH
s
`,-..,'' 0 800 SEMINOLE ROAD
,! ATLANTIC BEACH, FL 32233
-'''2.r n > INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0149
Description: RE ROOF SHINGLES
Estimated Value: 16000
Issue Date: 10/19/2017
Expiration Date: 4/17/2018
PROPERTY ADDRESS:
Address: 1808 TIERRA VERDE DR
RE Number: 169542 5048
PROPERTY OWNER:
Name: BECKMANN MICHAEL J
Address: 1808 TIERRA VERDE DR
JACKSONVILLE, FL 32233-4527
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: SOUTHERN COAST ROOFING & CONS
Address: 4557 EAST SENECA DR QA MEHMET ORS
JACKSONVILLE, FL 32259
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$7,500.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845 - (_. REI 7 - ( ( 4 9
Job Address: 1808 Tierra Verde Dr.Atlantic Beach, FL 32233 Permit Number:
Legal Description 38-28 09-2S-29ESELVA TIERRA LOT 24 Parcel# 169542-5048
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$I 6 lo0O`00 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration epair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial
If an existing structure,is a fire sprinkler system installed?(Circle one): es No 6;)
Florida Product Approval# FL10124/FL18686.1
For multiple products use product approval form
Describe in detail the type of work to be performed: Tear off re roof shingle to shingle
Property Owner Information:
Name: Michael Beckmann Address: 1808 Tierra Verde Dr.
City Atlantic Beach State FLZip 32207 Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Southern Coast Roofing&Construction Inc. Qualifying Agent: Mehmet Ors
Address: 3622 Gallion Rd. City Jacksonville State FL Zip 32207
Office Phone 904-356-7663 Job Site/Contact Number Jay Ors 904-305-8887 Fax# 904-330-0836
State Certification/Registration# CCC 1328796
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. i certift 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 laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,
Tanks and Air Conditioners,etc.
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.
I hereby certify that I have read and examined this qpplication and know the same to be true and correct. All provisions of laws and ordinances governing this
type ofwork will be complied with wheth- specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,.state,or 1 •.l law regulating constru tion or the performance of construction.
Signature of Owner. �,/ Signature of Contracto
Print Name ("yam � )+1J\t\`\ Print Name V h" If V) rS
Sworn to and subscribed before r e Swo , and subscribed before rr �
this 1 TDay of O v i.?. 20 this i Day of _ G r 20
Tia_ ♦• ��..� • i �
•rAWs
Lary ublic 'otary Pu, is
Revised 01.26.10
:0 . PAMELA SOMPHONPHAKDY
IaMY COMMISSION FF221913 •:►"'•. ? PAMELA SOMPHONPHAKDY
EXPIRES April 19.2019
• MY COMMISSION R FF221913
140/r 39EC'b3 Pb10oNoti ySonla.car
' o,•,: EXPIRES April 19.2019
440/i 39C-C ndIN0lol,3 w s,ewr
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: RE# 169542-5048
LEGAL DESC.38-28 09-2S-29ESELVA TIERRALOT 24
Address of property being improved: 1808 TIERRA VERDE DR Atlantic Beach FL 32233
General description of improvements: RE ROOFING
Owner BECKMANN MICHAEL
Address 1808 TIERRA VERDE DR Atlantic Beach FL 32233
Owner's interest in site of the improvement 100%
Fee Simple Titleholder(if other than owner)
Name
Address
C tractor SOUTHERN COAST ROOFING&CONSTRUCTION INC.
Address 3622 GALLION RD.JACKSONVILLE,FL 32207
Phone No. 904-356-7663 Fax No. 904-330-0836
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. > M
a• Os
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a N g
different date is specified): z ru- of 8
O
a g
THIS SPACE FOR RECORDER'S USE ONLY OWN //// a
Signed: DATE I��J/ / 7 2 y Vf
Before me th t day . • Z• f In the[
County of D al,State o a,has ;��('rs�orifa�'lly ap eare 0 6
M 'IC . ' L rhe herein by O X LL
DcC#2017239888,OR BK 18157 Page 148, himself/herself and affirms that all state nts and declarations herein U w
Number Pages: 1 are true and accurate a 2
Recorded 10/19/2017 11:04 AM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL /
COUNTY �' p-7^: . '4 a=A
RECORDING $10.00 otaryPubicalLarge,S eof 1 G , Con of�y. ' '!�••:• 4
My commission expires: —' _ j
Personally Knownor
Produced Identification