367 7TH ST - ROOF r fEl
3
"'� CITY OF ATLANTIC BEACH
st,
? 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
!�,f» INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0024
Description: SINGLE ROOF
Estimated Value: 4500
Issue Date: 2/7/2018
Expiration Date: 8/6/2018
PROPERTY ADDRESS:
Address: 367 7TH ST
RE Number: 169937 0000
PROPERTY OWNER:
Name: SMITH LINDA SAYRE
Address: 367 7TH ST
ATLANTIC BEACH, FL 32233-5433
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: RELIANT ROOFING INC
Address: 822 N. A1A Highway Suite 310
Ponte Vedra Beach, FL 32082
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$7,500.
Building Permit Application
City of Atlantic Beach
800 Seminole Road, Atlantic Beach, FL 32233
•-.411 Phone: (904) 247-5826 Fax: (904)247-5845
v(4-7 -7SA-• P 8 -Uo7�-
Job Address: � C C t�1/� r��P''e�rmit Numbr:
Legal Description 5-"(..Qc1 I(,.p-c..,S -z--q�•1- L- { J k tc thbtvl Loi-74 i&--v--°I �'`
Valuation of Work(Replacement Cost)$ 5`- • W Heated/Cooled SF Non-Heated/Cooled 5J5
!L• 1 F
• Class of Work(Circle one): New Addition Alteratio Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Resldenhiat/
• 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: (,1
RS- Vt5U-F - 12 �0. - u� 1212 Itz
VA t 115 --L- 1017)4- R-t 5 va.r ta-i �im�_y\.t - FL I�lp 81.42- 12
Florida Product Approval# U for multiple products use product approval form
Property Owner Information
NamR: I n&cL ?Arr) 1 Address:3L.Q-1 `11v) 54- •
City A 0.'h(, 'e?,tQtt Vl State 'F.L Zip 372_3---5_ Phone (Vy'— -cp * c--- ---/
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information �,,"
Name of Company: v•etiCl.Ylt '20 o ---.1(iliik Quali rng Agent: rnQyjy'1 �\ pIAt-2-..
Address Q)2-7- N. ?s - 4 fly STt City VV.?) State FL Zip
Office Phone CKM--11 7--- 11 \ Job Site/Contact Number a(.�j��'-� -1 C.t2-3 t I. I
State Certification/Registration# Ct_�-t7 3O D 1 S E-Mail SY1Gtn rttmP. ICrC itc-ry vof_ --
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation
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
RE ING YOUR NOTICE OF COMMENCEMENT.
- f�'j 4 C
(Signature of Owne ent including Contractor) (Sig ature of Contractor)
ned and sworn to(or a ed)before m this /7 day of Signed and sworn o(o affirmed)before me this / day of
J o h v u 7 2016, by L i n ja Yi ii-h C,1 , 2014 , by GrneYV n GhOO pQ€
( .f nature . r) ( :natu^t o otary)
sto: 12,�� JULIANA PANTOJA
�"""', JULIANA PANTOJA / -;State of Florida-Notary Public
'11Y P���,,
r°/ 4:,State of Florida-Notary Public 5.'111'"'. Commission#GG 151986
':.AP � 'c Commission#GG 151986PersonallyKnown OR y`rr '
I Personally Known OR =•,„:,,.,,:',/,:z*.,.rir, 1 o u My Commission Expires
,� My Commission Expires � ''""min o'er October 16,2021
O Produced IdentificationOctober 16,2021 Produced Identification
Type of Identification: . rpe of Identification:
Recorded 01/17/2018 11 : 59 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 . 00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No , }
State of V.: County of rLx;Ay
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. r C q
go description of•ropertY b-i g improved:b- �i W�,- • - . / (-{ct
- 0 - ' C. - ihriMM MIM
Address of property being improved: 1 f 1 if)�C r 11 (-, 6-1--,k(Ar, FL 32235
General description of improvements: re, _ r7 0—I
-
Owner lam- Y.aCt=SYY/ ' - /y�_ J
Address 0.---? 7 V1 • 2"l 116017 l.3CG(-1-1 Z
3z
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Rclianl Rooiine,Inc
Address 822.Al A Hliihwav Su:ic 31 U Poste V'cdra deaelt,I L .12082
Phone No.904-657-0880 Fax No. 904.677-7972
Surety(if any)
Address Amount of bond S
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 es 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
Signed: I,'0„1-.5.i4._ _ DATE 1/15/2d1
Befae me this ' ,' ayol-- ,Tem• • In the
Covnly of Ouvel,'tate of Florld(rya�.ha .r • .1 ...•. -• 6 r� _.
nimseif her.. .afrumE that ell elaleme.1 e- 4rDU •
f ons tt�. t' A PA N T O J A
are true xLi ace: ate •
...K..',State el Florida-Notary Pub
i ; , 1 1...-_, Commission k GO 151986
•
% i :e My Comission Expires
1.--
i� r ,,, Octobme' t 6.202 1
Noisy Pu IIc al Large.cla1.of - . County of- �,\.'r'L1
My commission eypir-. ♦ —
PelsonallyKnr.vry- or
Prod,ceo idcntdicatrcn