851 Main St Shingle re-roof CITY OF ATLANTIC BEACH
' 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
"!o;319'' INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0045
Description: shingle re-roof- FL18355 & FL5680
Estimated Value: 5900
Issue Date: 2/12/2018
Expiration Date: 8/11/2018
PROPERTY ADDRESS:
Address: 851 MAIN ST
RE Number: 170944 0010
PROPERTY OWNER:
Name: SAPIA PETER C TRUST ET AL
Address: 1655 SELVA MARINA DR
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: WHITE'S ROOFING COMPANY, INC
Address: 14262 PLEASANT POINT LN QA TIMOTHY HOUSTON WHITE
JACKSONVILLE, FL 32225
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.
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.
* 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$7,500.
Building Permit Application Updated 12/8/17
' City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
Job Address: 851 Main Street , Atlantic Bch, Fl 32Permit Number:
Legal Description 18-34 17-2S-29E SEC H ATLANTIC BCH RE# 170944-0010
S 40FT Lot -2 , N 40FT Lot
Valuation of Work(Replacement Cost)$ 5, 90() qII—Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteratio Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial esidential
• If an existing structure,is a fire sprinkler system installed?(Circle one : es 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:
Remove existing roof , install new roof
Florida Product Approval# FL18355 (Shingles) 155$0aRe,5 for multiple products use product approval form
Property Owner Information 5L0pe,3,1Underlayment (FL5680)
Name: Peter Sa is Address: 1655 Selva Marina Dr.
City Atlantic Bch State F zip 32 Phone 904-304-6080
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company:White ' s Roofing Co . Inc . qualifying Agent: Timothy White
Address 14262 Pleasant Point Lane City Jax . State FI • zip 32225
Office Phone 904-220-5546 Job Site/Contact Number 904-333-6663
State Certification/Registration# CC—CO58017 E-Mail whitesroofing att ,net
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation_ FRS_A SELF INSURERS FUND, INC. 870-033013 /
Exempt/Insurer/Lease Employees/Expiration Date 3 E E 614 2
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
RECO ING YOUR NOTICE OF COMMENCEMENT.
(Signature of Owner o ent) Signature of Contractor)
(including contracto
Signed and sworn to(or affirmed)before me this 1,A day of Si ed ands orn to(or affirmed)before me this day of
�D 18 ,by o?O 19 by rl n
J�jgnajl WP Q1 Nolggj Si nature of Notary)
�"" DE681E J.RATER r• DEBBIE J.RITTER
[Personally Known OJR
+. t1y COMMISSION#�134316 ["�personally Known OR �S
+ .5 My COMMISSION#GG 134316
[ ]Produced Identifica � o Expo;per 12,2021 [ ]Produced Identification Ids. A•; EXPIRES. 12,2021
Type of Identification: fOF!`°' Banded Thu NOW pLk&I kkiwAnUo Type of Identification:
NOTICE OF COMMENCEMENT
State of FLOR T DA Tax Folio No.
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: 18-34 17-2S-29E SEC H ATLANTIC BEACH
S 40FT LOT 21N 40FT LOT 3 BLK 151
Address of property being improved: 851 Main Street Atlantic Beach, F1 32233
General description of improvements: Remove existing roof, install new roof
Shingles (FL18355) Underlayment (FL5680)
Owner: Peter Sapia Address: 1655 Selva Marina Dr. Atlantic Bch ,F1
Owner's interest in site of the improvement: 32233
Fee Simple Titleholder(if other than owner):
Name:
Contractor: White' s Roofing Co. Inc. (Timothy White)
Address: 14262 Pleasant Point Lane Jacksonville, Fl. 32225
Telephone No.: 2 2 0-5 5 4 6 Fax No: 727-9439
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No: Doc#2018083761,OR BK 18280 Page 1958,
Name and address of any person making a loan for the construction of the improvements Number Pages:1
Recorded 02/12/2018 12:36 PM,
Name: RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY
Address: RECORDING $10.00
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(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNE r
Signed: ` Date: I 1
Before me this day of Zol n the C unty of Duval,State
Yy.►.''
DEBBIE J.RITTER Of Florida,has personally appeared
S� 92b
-. Notary Public at Large,State of Florida,County of uval.
MY COMMISSION#GG 131316 My commission ex fires:
'd EXPIRES:December 12,2021 onall
'^FOF F°�•' Bonded Thru Notary Public Underwriters or
Produced Identification: