2005 BEACH AVE - ROOF (---
,
i Pr _ `s, CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
76 yr ATLANTIC BEACH, FL 32233
'',.0.3 9%' INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0011
Description:
Estimated Value: 10447
Issue Date: 1/9/2018
Expiration Date: 7/8/2018
PROPERTY ADDRESS:
Address: 2005 BEACH AVE
RE Number: 169706 0000
PROPERTY OWNER:
Name: CORSE HERBERT L TRUST
Address: 2005 BEACH AVE
ATLANTIC BEACH, FL 32233-5934
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: DUBO ROOFING CO
Address: P 0 BOX 10252 OTIS ARDELL DUNCAN JR
FLEMING ISLAND, FL 32006
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$7,500.
.Nig) Building Permit Application Updated 12/8/17
• �, City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
�1 Phone:(904)247-5826� J (
Fax:(904)247-5845 QQ ��••nn
Job Address: A005 Beach Ave...rut. ., r/LU'Cf7G L
1 FL Permit Number: %f`F0'_ 0U`
Legal Description N 4/4/42. Scti//fi t-13 Lal-G5 RE# /6 Q 706-DQOD
Valuation of Work(Replacement Cost)$ 101q1/7 00 Heated/Cooled SF /560 Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Residenti
• 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: Reroof shiiz /e f0 shingle., a 7s¢ 60z
Florida Product Approval# IL 5y4/4/ for multiple products use product approval form
Property Owner Information
Name: Sara— Cor st_ Address: 0200 5 Beet
City 11,-/Qnhc. 13c4C`t, State FL Zip 3v a 33 Phone 90q-6-4/5-- 02357
E-Mail S GO r s. . ._b e/1_54 .•th. /lint
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: Du 60 100liV43 Co Qualifying Agent: 0--17 5 f) . l Uvtc an Sr
Address 5c30 hll y A Ve.►•ttaa_. City OranC)t Lrle._ State F L Zip 320-7 3
Office Phone CIO 4 - t to-t s 89 Job Site/Contact Number
State Certification/Registration# GG _c 58 a 1(.0 E-Mail CI t t_b o roe fi rt`i c, d u170.Yli1+
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation II 30/12
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 YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOT,F, 9 MMENCEMENT.
(Sign •a of Owner or Agent) ( ignat,, tractor)
(including contractor)
Signed and sworn to(or affirmed)before me this Q day of Signed and sworn to(or affirmed)before me this 9 day of
9 , g0 , by SQ.r'l.L. & $L- January, 20(8 J by 6-1- p. Tuvtcary jr
1 /.AL. I_. ?am',(Signature of Notary)
JANET SHELTON
•e•° JANET SHELTON
[ ',Personally Known O' •; MY COMMISSION#GG024186 [✓)'Personally Known OR t f. !@
[4Produced Identificat .r '7 EXPIRES August 24,2020 [ ]Produced Identification): �� MY COMMISSION#GG024186
Type of Identification: ' '~ Type of Identification: 'Z?• EXPIRES August 24,2020
Doc # 2017240981, OR BK 18158 Page 1006, Number Pages: 1 ,
Recorded 10/20/2017 11:07 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
Permit No. 'ax+-oho No
State of Florida County of Duval_
The undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with
Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
1. LEGAL DESCRIPTION OF PROPERTY oeing improvec Ret/169706-_9SEC
1593 9-2S-29E.209 North Atlantic Beach Unit Unit k3,Lut 65,P Lanes Lying E then&ct O/R 15517-747
Andress of property being mproved:2005 Beach Avenue,Atlantic Beach.riocda 32233
2. GENERAL DESCRIPTION OF IMPROVE MEN I re-roof shingle to shingle
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name. jh/Z/j__Lrl!fk_ = _
Address g ie.LeifCl// Vf ) 7e77:-.,_•_•:: 1
.�;.-..f[I t�lY4 4F �fc N'�fr'✓r'^!. �1.i
Owners interest in peoperty FEE SIMPLE
FeeSimple itleholder(if other than owner;
Adcress
4. CONTRACTOR'S NAME: DUBO Roofing Co.
Acorns P.O_Box 10252,Fleming island,FL 32006
P'icne 19041396.1889 Email duboroofino dubo.net
5. SURETY(if applicable,a copy of the paymel:hood is anached)
Name:
Andress
Phone Na Amount 0f Bond.S
6. LENDER'S NAME:
Address
Phone Nc. Fax No
7. Persons wdhin the State of Florida designated by Owner upon whom notices or other documents may be strived as provided
by Section 713 13(11(a i7 Florida Statutes
Name
Address
Phone No. Fax No
8. In addition to himself or herself Owner des:grates Ino fallow rig to receve a copy of the_'error's Notice as provided�n
Section 713 13(1)(b).Florida Statutes
Name
Address
°hone No. Fax No
9. Expiration date of Notice of Commencement(the expiration date will lac one(1)year fror,the date of recording r•y:css a
different date is specified;:
WARNING TO OWNER ANY PAYMENTS N1.ADE 3Y THE OWNER AFTER TI---E EXPIRATION OF 1HE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMEN'S JINDER CHAPTER 713. PART I, SECTION 713'3, FLORIDA
SATUTES, AND CAN RESULT. IN YOLR PAYING '1MCL- FOR IMPROVEMENTS TO YOUR PROERTY A NOT;CE. OP
COMMENCEMENT MUST BE RECORDED AND POSTED CN THE J03 SITE GCFCRE TI IE r:RSr INSPECTION IF"OU:WEND
'0 OBTAIN FINANCING,CONSULT WITI-YOUR LENDER OR AN A'-'ORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE CF COMMENCEMENT
OWNER
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