1549 OCEAN BLVD - ROOF j 1,`l i!
f r
CITY OF ATLANTIC BEACH
S
J
T _ �S
S
. .. .:; 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
si �% INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0047
Description: Complete Tear-off and re-roof shingle
Estimated Value: 10995
Issue Date: 2/13/2018
Expiration Date: 8/12/2018
PROPERTY ADDRESS:
Address: 1549 OCEAN BLVD
RE Number: 171873 0000
PROPERTY OWNER:
Name: JAMES R MUDGE RESIDUARY TRUST
Address: 1549 OCEAN BLVD
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: AMERICAN ROOFING OF JACKSONVILLE
Address: 3047 St. Johns Bluff Road South #7
JACKSONVILLE, FL 32246
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$7,500.
r_21%Aill
, Building Permit Application
City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
�� Phone: (904)247-5826 Fax: (904)247-5845
Job Address: I5'I9onBI(,(j.]Al •fly.U(1/1 ' �. i'/ Permit Number: (-��-r �`i
Legal Description (()-1 I I to -2$ - Z9 E IN ncj lay \ (44g 13l K b'. RE# \ 4181-. -(x)o,/_?
Valuation of Work(Replacement Cost)$ 1 U Ct q 5• eated/Cooled SF t� Non-Heated/Cooled
� CO 31
• Class of Work(Circle one)111390Addition Alteration Repair Move Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Residential
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No 41010
• 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 perforrmed:
CO\Ak -k-k-..°1T6(—0(4.- 0)'4i} 1(.21(-)6C-
Florida Produa Approval# rL IoIZ14 for multiple products use product approval form
Property Owner Information t �I
Name: MOW-CIO Mt-AA Address: t 5 (�Ceri i 4
City )�-*' (A,yi-t i C �jrd1l State Ft. zip_32_L31__Phone c O 1 - S�tS ��
E-Mail (�'\o,ifgQ� C( CrtIinC 4 , yam'
Owner or Agenttiif Agent, PolAr of Attorney or Agency Letter Required) N 1(
Contractor Information /
Name of Company: American Roofing of Jacksonville Qualifying Agent: Daniel P. Kinkel
Address 3047 St Johns Bluff Road S,Ste 7 City Jacksonville State FL Zip 32246
Office Phone 904-385-4375 Job Site/Contact Number Chris Dennis,904-626-4636
State Certification/Registration# RC90227546 E-Mail dan@americanroofingiax.com
Architect Name&Phone# NA
Engineer's Name&Phone# NA
Workers Compensation Builder's Mutal Insurance#WCP1052393,expiration 5/3/2018
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.
,u j k , ,,,.„4(t _ r G� "�
(Signa re of Owner or Agent mclug Contractor) (Signature of Contractor)
Signed and swan to(or affirmed)befora this lividay of Signed and sworn to(or affirmed)before me this 13 day of
1-.eb. , 2G1SS ,by Nita,/CIC Mudcv_ Fesait-cry , Z,t %t3 ,by Yt 1c...4NN,e1
Steffani Malloy (Signature of Notary) (Signature of Notary)
Notary Public -
State of Florida '
.�.m SARA STREET
�� .. I ' ?.fi��EState of Florida-Notary Public
•- . , 9% a Commission#GG 110741
. • .. 0.5 [ ]Personally Known OR ;? d�; My Commission Expires
X' ••i 1 T �` 1-1-\
-�;�IQ [ ]Produced Identification ''47n;
Doc # 2018035035, OR BK 18282 Page 747 , Number Pages: 1 ,
Recorded 02/13/2018 12 :04 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
Permit No.
Tax Folio No. 171873-0000
State of Florida,County of Duval •
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance
with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
1. Description of property(legal description of property and address if available):
10-1116-2S-29E MANDALAY LOT 8 BLK 63
1549 OCEAN BLVD., ATLANTIC BEACH, FL 32233
2. General Description of improvements:
Complete Tear-Off and Re-Roof
3. Owner Information:
a)Name and Address: Margo Mudge 1549 Ocean Blvd., Atlantic Beach, FL 32233
b)Interest in 100%
c)Name and address of simple titleholder(if other than owner):
NA
4. Contractor Information:
a)Name and Address: American Roofing of Jacksonville
1 3047 St Johns Bluff Rd, Ste 7, Jacksonville, FL 32246
b)Phone Number: (904) 385-4375
5. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction
and final payment to the contractor,but will be one(1)year from the date of recording unless a different date is
specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AP I'hR THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,
SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR 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 COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated
therein are true to the best of my knowledge and belief.
� �i Q ({14 & M Moo(>e
Signature of O er or Owner's Authorize fficer/Director/Partner/Manager Signatory's Printed Name&Title/Office
WI
The foregoing instrument� C.
was acknowledged before me this day of e l9 . ,20 1
by ' tCIY I C, I"g�ucACe.
(Name Person making statdment)
" 41 Stele
Note<y Pubt NOTARY P t4IC,STATE OF FLORIDA
State of Florid' Print Name:
yy ►flat Wes 04/12/2021
COMMISSIOA 56 ® Personally Known
IdentificationType: FI- LA'. LI L• 01 z(- s
(Affix Notary Seal Above)
Revised 1/01/18
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