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54 OCEANSIDE DR - ROOF �� ssl'\ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD zATLANTIC BEACH, FL 32233 J"L0;3>>%' INSPECTION PHONE LINE 247-5814 REROOF SHINGLE - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RERF18-0040 Description: shingle re-roof- FL10674-R9 & FL9777-R5 Estimated Value: 15500 Issue Date: 2/6/2018 Expiration Date: 8/5/2018 PROPERTY ADDRESS: Address: 54 OCEANSIDE DR RE Number: 168846 5150 PROPERTY OWNER: Name: OAKLEY THOMAS D JR Address: 54 OCEANSIDE DR ATLANTIC BEACH, FL 32233-5927 GENERAL CONTRACTOR INFORMATION: Name: Address: , Phone: Name: OAK CREST CONTRACTING, INC Address: 536 SE 291 HWY LEES SUMMIT, MO 64063 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$7,500. 0 R0o*e) < ,,,,!„,,,k,„4. Building Permit Application A+ City of Atlantic Beach 2 800 Seminole Road,Atlantic Beach, FL 32233 Phone: (904) 247-5826 Fax: (904)),247-5845 Job Address: J`I bcf-Al)5 pp p /� VZ. F}Tt.iyl orre.- T3eRN,r CfiL 3„,�'"permit Number: F e F( o - Oo�j�/ Legal Description 4t4 314 37—rS-9.9E . 630 C7CEAms bE Lo T S i, IC RE# / S8 4 -- 5/S 6 Valuation of Work(Replacement Cost)$ 15506 Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration epaiI 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): Yes No N/) • 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: 'RE - ROcF Florida Product Approval#_ Shit iC •—L icK.N--R' vtoi7Ezt y-c1.97771 nultiple products use product approval form Propert Owner Information Name: U' Cwtk ©G Address: S`-\ CSC-e tkk& &t-- �f ij uitki — { t,�l1 —i -6-33 City ctr L .1 40_ 1C.v\ State Pt__ Zip `39"x-2)-2> Phone 7o / Soy - a(16 3 E-Mail /V an Cy Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company: 0AKCR ST CO►J7SL..1}CT N Co Qualifying Agent: 100 STT IU 1)0 L--L Address 10 3 C C N'r Y Y .'21 PI& S u'.r"r-E. ;03 City 3 pe...K5O f W It State Ct.- Zip .3;0-143 Office Phone 9014 Vat. 0052- Job Site/Contact Number Tet-/ 6,i}O oc''5Y State Certification/Registration# CCC 1336110 7 E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation 11.AuEtf' rnAnTy btx-ev it. t 519359 I5 Sx1) 3/i/i$ 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. t © (Signature of Owner or Agen including Contractor) (Signature of Contractor) �t�d Signed and sworn to(or affirmed •efore me this 1114'day of Signed and sworn to(or affirmed)before me this i( ay of NOVZth$:tr 2-017 ,by &imPr5 '"J,0Rt(L 'LY OD'' 1361�i- x%I�,by .)UST "DOLL >F Notary Public State Billie Lee Storms Sig .ture of Notary) (Signature of Notary) • 4 2 My Commission GG 118704 e,Or Expires 06/25/2021 �Of Notary Public State of Florida ,,, BUlle Lee Steams [ ]Personally Known OR Known OR +� My Commisslon GG t te7oa f)ltPersonally ]Produced Identification gi0c 5. Expires 06/25/2021 roduced Identification • Type of Identification: V-L D Type of Identification: Doc # 2017282623, OR BK 18215 Page 1871 , Number Pages: 1 , Recorded 1017 08:28 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY $10 . 00 RECORDING $10 . 00 NOTICE OF COMMENCEMENT State of ALO X)A' Tax Folio No. O((3 3 '0 0 7 7' 914-1 Oy County of 'Dv V At_ To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: Ll 4 — 37-02$—a 9 E x3O OC A Y -b E C.O 7S 9 31 O . Address of property being improved: S-14 Oe: nh �'r M `.c c— t2)c PL I 3 33 General description of improvements: iof Owner:1—bltArYlftS - fit. Address: S' OCec iseva.e__ )r j A'E'� h l��— 1' 33 Owner's interest in site of the improvement: 0 W N3£ Fee Simple Titleholder(if other than owner): Name: Contractor. Oa At CrzS+ Address: tOS e. i Tu Oistan Wt U l c 1 '6?-9-Re r Telephone No.:(V t) Li :4 -UU 57 Fax No: Surety(if any) Address: Amount of Bond$ Telephone 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: 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): C)x,12. /i R THIS SPACE FOR RECORDER'S USE ONLY OWNER j Qigned: ,/ Date: l Ill 1 717 Before me this I '" day of VFaiv in the County of Duval,State Of Florida,has personally appear 'T{C,jyn Pr i) O RILt_Ey Notary Public at Large,State of lorida,County of Duval. My commission expires: OCv 4a579,0 a4 Personally Known: or Produced Identification: L ► L gpoft.e. Notary Pubic State of Fiorida Bilk Lee Stearns +� My ComrnlUlon GG 118704 �jart" Ejopires 06/2512021