745 AMBERJACK LN - ROOF r''
'--\\,'\,, CITY OF ATLANTIC BEACH
t��
:5 i- -;.),,t-,i 800 SEMINOLE ROAD
Kil!, ATLANTIC BEACH, FL 32233
%01319%'-..:.____ ._,
INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0054
Description: SHINGLE ROOF
Estimated Value: 5992
Issue Date: 2/23/2018
Expiration Date: 8/22/2018
PROPERTY ADDRESS:
Address: 745 AMBERJACK LN
RE Number: 171197 0000
PROPERTY OWNER:
Name: CLAY REALTY INVESTORS INC
Address: 745 AMBERJACK LN
ATLANTIC BEACH, FL 32233
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.
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$7,500.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road.Atlantic Beach,FL 32233Q
Office(904)247-5826 Fax(904)247-5845 K e K.F 1 8 - (O 4
Job Address: 745 AMBERJACK LN.ATLANTIC BEACH,FL 32233 Permit Number:
Legal Description 30-60 17-2S-29E ROYAL PALMS UNIT 01 Parcel# 171197-0000
Floor Area of Sq.1-t. S .Ft
Valuation of Work$ Proposed Work heated/cooled 1195 non-heated/cooled 1276
5,992.14
Class of Work(circle one): New Addition AlterationRepai Move Demolition pool/spa window/door
Use of existing/proposed structu • circle one): Commercial .It
If an existing structure,is a f- pnn 7 system i
nsjalIel Y4,c rcclee ope) Yes No CGO
Florida Product Approval# L1 r 124 / V6 a .re L/7?V S-4.
For multiple products us• , ,royal form
Describe in detail the type of work to be performed: RE ROOFING S��( t3QL�
Property Owner Information:
Name: CLAY REALTY INVESTORS INC Address: 745 AMBERJACK LN
City ATLANTIC BEACH State ELZip 32233 Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:SOUTHERN COAST ROOFING 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 4 904-330-0836
State Certification/Registration# CCC1328796
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 certify that no work or installation has commenced prior to the
issuance ofa permit and that all work will be performed to meet the standards of all laws regulating'construction in this jurisdiction. This perm,t 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 lime after
work is commenced. I understand that.separate permits must he secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers.Healers,
Tanks and Air Conditioners,etc.
W
NG TO
WNER:
CEY YOUR OEFA NOTICE OF
COMMNMENT M RESULTN YOUR PAYING TWICE 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 tgiplication and know the sante to be true and correct. All provtstoils of laws and ordinances governing this
type of:work will be complied with whether 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 sa local law regulating construction or the performance of construction.
Signature of Owne h
Signature of Contractor
Print Name •cKEKEc.REAL .,re,EPRE8.inn5E FOR PAY REALTY INVESTORS,NC. Print Name
Sworn to and subscri•.-d . r re me Sworn to and subscribed .- ire me
this 12 D 'of rIrwri 20 r. this �2 Da of t . 20
•
•
tars Publicr=
otary 'u. w
Revised 01.26.10
.r'•litiiic PAMELA SOMPHONPHAKDY
;': MY COMMISSION A FF221913
J4�tlt`C ::*' . PAMELA SOMPHONPHAKDY
,. EXPIRES April 19.2019 :{•' 't
1401,39:1-C•e:, fbrklaNas-ysan+cccurr MY COMMISSION#FF2?1913
,;',;•t;.' EXPIRES April 19.2019
µ0/,l9"C'b3 Fbnditw•sSarvku.comr
NOTICE OF COMMENCEMENT
PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of :or Ida
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#171197-0000
LEGAL DESC.30-60 17-2S-29EROYAL PALMS UNIT 1 LOT 12 BLK 5
Address of property being improved: 745 AMBERJACK LN Atlantic Beach FL 32233
General description of improvements: Re roofing
Owner CLAY REALTY INVESTORS INC
Address 745 AMBERJACK LN Atlantic Beach FL 32233
Owner's interest in site of the Improvement 100%
Fee Simple Titleholder(if other than owner)
Name
/ Address
V\ Contractor
Southern Coast Roofing and Construction Inc.
1
Address 3622 Gallion Rd Jacksonville.FL 32207
Phone No. 9°4-356-7663 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 n
Section 713.06(2)(b),Florida Statutes. (Fill in at Owner's option).
Name
Address
Phone No. Fax No. >
0 0,
a n
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a nLL
different date is specified): a
THIS SPACE FOR RECORDER'S USE ONLY ER .L C RE.LTOR, 9RERRE9.NT. VE a p
%, ��FOR CLAY REALTY INVESTORS.INC 2 ut
Signed: >�.�_ 0 h ur
BON- this day of >�i�i'� �1 r in the
County of Duval,$tate f Flo' —a rrsson-`Ily appeared 2 0
Doc#2018043146, OR BK 18292 Page 390, himself,herself` ndadaaffl ss a�kentand declarations herein
ein by VO w
Number Pages: 1 am true and accurate o.
Recorded 02/23/2018 10:29 AM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL s'•
irtere
COUNTYI
RECORDING $10.00 G` ,( U` Li
No.ry Public at. iarge.Sta a of , G Aof nigr" '°�•;fr.' $
My commission expires: _
Personary Known
Produced;oentification__