454 SAILFISH DR E - ROOF e,\.,,:, CITY OF ATLANTIC BEACH
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: RERF18-0005
Description: SHINGLE ROOF
Estimated Value: 7790
Issue Date: 1/4/2018
Expiration Date: 7/3/2018
PROPERTY ADDRESS:
Address: 454 E SAILFISH DR
RE Number: 171399 0000
PROPERTY OWNER:
Name: LITTLE MICHAEL
Address: 454 E SAILFISH DR
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.
_st.: 1r" Building Permit Application
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j
� City of Atlantic Beach
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800 Seminole Road,Atlantic Beach, FL 32233
Phone: (904) 247-5826 Fax: (904)247-5845
454 E SAILFISH DR ATLANTIC BEACH, FL 32233
Job Address: R Permit Number: E-Rn s -- 00(135
Legal Description31-16 17-2S-29E R/P OF PT OF ROYAL PALMS UNIT 2A LOT 8 BLK 10RE#
Valuation of Work(Replacement Cost)$7,790.00 Heated/Cooled SF 1 196 Non-Heated/Cooled 288
• Class of Work(Circle one): New Addition Iteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercialesidentia
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No
• 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: MICHAEL LITTLE IAL-1 SS.- 1-1i11 Address: 454 E SAILFISH DR.
City ATLANTIC BEACH State FL Zip 32233 Phone 904-894-9163
E-Mail
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. 1/1/18 870-040093/3EE6142 _
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. •
aL&F/J-U 4.• m
(Signature of Owner or Agent including Contractor) (Si; . ure o ontractor)
Signed and sworn to(or affirm d) efore me thy Zn1, day of Si ned and sworn to(o a it .•d)before m�ethis 3 day of
/VOo✓'si , 101t ,by eJI Pt L- ti-V_
Allue✓ / 201 , by &'ck I/WC Q
di'llAt^-1 62-I 46 --:
(Signature of Notary) (Signature of Notary)
.�o;�' 1I• e��,, Andrew D. Davis ,. '411;/a°•, Andrew D. Davis
'�4 ''_3 �'' COMMISSION I FF160849 '�4 'A` .'`'s COMMISSION I FF160849
[ ]Personally Known OR -.�� r�� EXPIRES: Sept. 17, 201ri ersonally Known OR �,,%..;�'rr° EXPIRES: Sept. 17, 2018
[-(-Produced Identificationion �i„��o�R����� WWW.AARONNOTARY.COM]Produced Identification �'�.-'4,,,,,m0.bri `' WWW.AARONNOTARY.COM
Type of Identification: 1 (� VL Type
of Identification:
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)—1 2 Q
Permit No. Tax Folio No.L ` I ✓ -` 9 ()COO
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: 31-16 17-2S-29E R/P OF PT OF ROYAL PALMS UNIT 2A LOT 8 BLK 10
Address of property being improved: 454 E SAILFISH DR Atlantic Beach FL 32233
General description of improvements: Re-roof
Owner MICHAELLI7I'LEt M�LISS/} �1TrL�
Address 454 E SAILFISH DR Atlantic Beach FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Prime Roof Contracting,LLC
Address 13725 Beach Blvd Suite 13,Jacksonville,FL 32224
P"O 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 1 OWNER '
Signed: �l.. !
'1, G�. i1I Z/z 0!�
1� � I ./
Before -tiem day of r dl in the �( ,f
Coun of puval,State of Floppas persona y appeared,vi t/ ain
by�(Ia4 urew D. DaY is
himself/herself and affirms that all gatements and de , TQ(f
are true and accurate =`e ��� COMMISSION#FF160849
Eiici Doc/1 2018002752,OR BK 18241 Page 929,
_ rk
IT,
EXPIRES: Sept. 17, 2018
Number Pages:1 ,;�FAo WWW.AARONNOTARY.COM
Recorded 01/04/2018 02:24 PM, /mut"
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL I
Notary Public at Large.State f , County of IDI to —
COUNTY My commission expires:_._..I I .,
RECORDING $10.00 Personally Known or
Produced Identification YL