407 BEACH AVE RE-ROOF SHINGLE CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
�r
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0060
Description: shingle re-roof- FL10124 & FL12328
Estimated Value: 36690
Issue Date: 3/20/2018
Expiration Date: 9/16/2018
PROPERTY ADDRESS:
Address: 407 BEACH AVE
RE Number: 170158 0000
PROPERTY OWNER:
Name: HARDAWAY TRUST
Address: PO BOX 13519
ARLINGTON, TX 76094
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: TOWNSEND ROOFING & CONSTRUCTIONS SERVICE
Address: 10418 NEW BERLIN RD UNIT 115 QA RANDY CRISS
TOWNSEND
JACKSONVILLE, FL 32226
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
i A� _ � �,q��ted 5/5/17
r = City of Atlantic Beach � IJJ
800 Seminole Road,Atlantic Beach,FL 32233
Phone: (904)247-5826 Fax:(904) 247-5845
Job Address: t 4 1 3��A�� �d Permit Number: 4- F U w V
Legal Description 1J6i 21 RE# -70 $'�'" UGD0
Valuation of Work(Replacement Cost)$ 3 (✓� w Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Ceg Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial esiden
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes Nti NIA
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No free Removal
Describe in detail the type of work to be performed:
�-,00 F {�,rtp(aclwre�,f CA-F T•.Ak"�t:rz �frti !�� Fri of Z`1
unk-rt,,, n4e,-f Fl jZ3Z�
Florida Product Approval#- -j U 17-4 4_1 a3'L" r for multiple products use product approval form
Property Owner Information&I,
Name: rd AV)A >'fti s'�" i Address: 171 1-11-14"'f -5f M4 $1d 10
city l 1,141State 6A Zip 30 2, 6 3r t o hone N 0 t1 - 8 - E 5}17
E-Mail ro IZA C.r 11 cx'056-n I j 1, -Cl 10. [.i m
Owner or Agent(If Agent,Power of Attorney or Agency let er Required) _
Contractor information t �
Name of Company: To�•�5�r� 1Zcr;i✓�,�h T C��s�r«�{«^�Xrv<<�S {I ;ng Agent: a�++f t� - .vt,r se J
Address (�yCity Tkx StateV'I- Zip._3ZL7-(
Office Phone A04-69-5- `497 Job Site/Contact Number G1.�;5 cj0 y- y�z—y y�ry
State Certification/Registration#-C CC-CCCE-Mail_ &kr;5 � -LObi,rhsehdrov
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation wor�40r4,Z $Nsti�thf SZr�ic�s 12 3i 1$
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
REC9139ING YOUR NOTICFE PF COMME1,4CEMENT.
�I'•ri'. ( �i.-cam-t�.ocL �l / ir!'�lrr ?�Igf� �c
(Signature of Ownei or Agent) [,r� �wic N rt/ (5ignature of Cont} c T
(including contractor) +
Signed and sworn to(or affirmed)before me this 1 day of Si ned and sworn to(or a e before s s yof
1,� ,, } c by ..ft he'k, � vV .VV _7 brnu 2"118 � p�irlt�c►tOr
tiOrly GoM�ss�o;9,A� (5igr4atuof Notary) 1 rgnature of Notary)
�• NOS O MARTINARMANO
w, �..�. ` t•`� .•^: flotary Public-State of Florida
•i CoMT11500A IGG 102031
!$IPS � �f C;►t P(PersonallyKnown OR iy = rrycomm.Expire:blayto,2o11
Q �m�•�� I )Produced identification dar[NtMaq>Aatrr9laotiryAsrn
Typ1p 4f eritiittd %% Type of Identification:_
ltt
Doc # 2018050795 , OR BK 18302 Page 835, Number Pages: 1 ,
Recorded 03/05/2018 10: 07 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10. 00
NOTICE OF COMMENCEMENT
0-IMPARE W DuPLi%ATM
Permit No _ _ rax roito No. 17015$-0000
Stela of wxlka Cvvnly ofTo whom If may concorw ~
The undorstyned hereby loWins you Ihat improvements wile be roads to conaln real property,and In
nccrn-dance with Section 713 of the Florida Statutes,Um following Informatlon Is stated In arts NOTICE OF
COMMENCF8f1NT.
Legal description of property briny kmroved:5-69 t6-2S-29F;ATLANTIC BYACH L01 S 143 BIA ZI J
tddressctpropertyt��Inuitnprmcv:407 RFAC14 AVE. Af.�anUc Beach,FL 32233
General description of anprnvenients:Roof Replacement
TRUST-
Owner HARDAWAY TRUST l;:. i fu r r d:.k.' :. J ✓...1 ' � �}j-1
1
Address 171 17th Street,NW.BW,100'Allanta,GA 303634028
O;neeS intermt to site of the Improvement
Fee Simple Tik older(if other than owner).
Name
Contra:tor'oulasand goofing a-t-W Commictiat SwAces,lne-
^
address 1041 SAW Berlin Rd III i5jidainWo.FL 32226
Phone Na.sof^ 5Ba7 T _ Fax No.904-615-5442- —
Surety(if any)� ._.--- _..........__ _._ ..- _._
Address AhvXw of bond S
Phone No.` Fax No-
Name and address of afh persar making a loon for the congirvction of 1:,w hopraremewc.
Address _
Phone Na.
Name or parson tvlthfn the State orFlodda,other than hintsell.designated by owner upon:ahc,naices or o:-ier
documents nlay be aorved.
Name
Address - -
Phone No.. _ Fax No. _In addition to hiritseff,0-Mei destgnalss the 16 Mlving person to recewe a copy of the Lienors tdotiee as provided in
Section 713.05(2)(b),Florida Statutes.(Felt in at awner s opfon).
Nome
Address ---- ___
Phone No- __.. Fax No.
Expiration dato or Notice of Commencement(the expiration date is one(1)reel irocn the date of recor3ing unless a
different date Is specified):
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