846 Cavalla Rd-Roof Non-shingle 01.AP�;yCity of Atlantic Beach APPLICATION NUMBER
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Building Department (To be assigned by the Building Department.)
800 Seminole Road G
.7.5.10'91 Atlantic Beach, Florida 32233-5445 OFT 0 _ d O 1 — OO�
Phone(904)247-5826 - Fax(904)247-5845
x 011_9_,/ E-mail: building-dept@coab.us Date routed: a I 31 I
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 13�-- (0 C ii q Ito V_d De artm nt review required Yes No
Building f,-
Applicant: Vt \ fY\--i (1--OL)� C rYnfi("aC_-1cit, oning
,,f Tree Administrator
Project: ( 2 — ( Du) . —.S . (\ l,e d- V►rlc�oi 1�06 Public Works
Cibu)R �lwa.t_ Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ❑Approved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDIN
PLANNING & ZONING Reviewed by: m Date: ?�Z(�/`�5ir
TREE ADMIN.
Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
rs „r.\JV \
,� ' � � CITY OF ATLANTIC BEACH
,,. ;? 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
0;319(INSPECTION PHONE LINE 247-5814
ROOF NON SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ROOF18-0021
Description: shingle & modified re-roof
Estimated Value: 3012
Issue Date: 2/26/2018
Expiration Date: 8/25/2018
PROPERTY ADDRESS:
Address: 846 CAVALLA RD
RE Number: 171717 0320
PROPERTY OWNER:
Name: Carlyn Hiller
Address: 846 Cavalla Road
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.
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$7,500.
)FFICE COPY
//� Building Permit Application
IJJ
.; City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
Phone: (904) 247-5826 Fax: (904)247-5845
846 CAVALLA RD PQ() I g—Cx7a
Job Address: Permit Number:
31-16 17-2S-29E.03R/P OF PT OF ROYAL PALMS UNIT 2AW 19.40FT OF E 62.46FT LOT 7 BLK 26
Legal Description RE#
Valuation of Work(Replacement Cost)$ Heated/Cooled SF 1128 Non-Heated/Cooled 56
• Class of Work(Circle one): New Addition Iteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Citesidentialj
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No (21
• 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, MOaiftf 0" ;Ka(
Florida Product Approval#FL10674-R12 (shingles) FL17420-R2 (felt)11 for multiple products use product approval form
Property Owner Information rt.2533-Rib (rnock r,A)
Name: CARLYN HILLER Address: 846 CAVALLA RD.
City ATLANTIC BEACH State FL Zip 32233 Phone 239-691-7006
E-Mail carlyn.hiller@gmail.com
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.
i /
ignature of 0 er or Agent including Contractor (S.:nature of if ractor)
Signed and sworn to(or affirmed)bef re hi c 2 ay of Signed and sworn to(or affirmed .efoZ3re me thisday of
C
70/k , by ar kin me (11(r , 20i r ,by 11a/� lir"
44/4/
`` .,AignaturAti einDavis (Signature of Notary)
= COMMISSION B FF160849
_ .°",Y1 ,,,*- Andrew D. Davis
,,��• = EXPIRES: Sept. 1 J, 2018 ,���...�/,�,,
I I Personally Known OR ",,,,• WWW.AARONNOTARY.COM (Personally Known OR �4• a�% •'
,[.)'Produced Identification /mm"ss [ I Produced Identification =1`... u, at` COMMISSION#FF160849
���: - EXPIRES: Sept. 17, 2018
Type of Identification: ��j Type of Identification: -... -(33"
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NOTICE OF COMMENCEMENT OFFICE COPY
�
+ p / (PREPARE IN DUPLICATE)
Permit No, ROO J / a 00c7 Tax Folio No.
State of Florida t County of Duval
To whom it may concern:
The undersigned hereby informs you that improvements will he 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.03 R/P OF P'I'OF ROYAL PALMS
UNIT 2A W 19.40F'I'OF E 62.46F'I'LOT 7 BLK 26
Address of property being improved:846 CAVALLA RD Atlantic Beach FL 32233
General description of improvements:Re-roof
Owner CARLYN HILLER
Address 846 CAVALLA RD Atlantic Beach FL 32233
Owners interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Cont actor ifet/ Prime Roof Contracting,LLC
al(
Address 13725 Beach Blvd Suite 13,Jacksonville,FL 32224
Phone No.(904)625-tags 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 OWNER ^y
Signed: a DATE
1 I°C3
Before me this i'_..•=y of W4_ in the
Cou of uval.St-t-. lorida.has•ersonall appeared
4r�Zg f�� '''''�,tttt rf'' rein p dr^1,1 D. Davis
himself hers Nand a -rms that all statements and ty he.r H rj1JY
are true and accurate ` .. +Aa
Doc#2018043782,OR BK 18292 Page 2277, ." �." c�= COMMISSION#FF160849
Number Pages: 1 =*• EXPIRES: Sept. 17, 2018
Recorded 02/23/2018 03:44 PM, wyyW,ppRONNOTARY.COM
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
����Fpi "��
COUNTY tary Public at Large.StatB 9f County of 120 a '
RECORDING $10.00 My commission expires: A.V.. _____
Personally
Personally Known or
Produced Identification T 1. ,_