407 BEACH AVE RE-ROOF f CITY OF ATLANTIC BEACH
1 800 SEMINOLE ROAD
yr 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: S�
Address: 407 BEACH AVE
RE Number: 170158 0000
PROPERTY OWNER:
Name: HARDAWAY TRUST [� O
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$7,500.
` rttar Building Permit Application M-49. 6ted5/5/17
r - City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
Job Address: u o
t 01 �eikCk hq� Permit Number: F— �F U w V
p�' 1 i
Legal Description 5'6i Alli alt- &Alk LA' Ili-15 Olk 21 RE#_ )7U �$��'" 0000
d�
Valuation of Work(Replacement Cost) Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alterationep Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial es{den
• 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 free Removal
Describe in detail the type of work to be performed:
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AAoli,Nfe. Gyt,lrCt ep,11 k „nd&-In4zhf �� ���,Z'B
Florida Product Approval#_ (U 1-7,Ll 4- ( �3 Z`S for multiple products use product approval form
Property Owner Information i,;.r i,. {'r<n�['!",jc ;7: �ivf r f�f•/f f .J: ;�
Name: r7 rd CAW1a fy S'�" i Address: (71 1� `S /UW $1d 100
City +v, State 63 zip 30`2i 63^to one �I 04 $ 6��
E-Mail CA ro
1,1t e.� 1.cx��s c� rv, I! -�.r t;, c.�r�
Owner or Agent(If Agent,Power of Attorney or Agency Leder Required)
Contractor Information
Name of Company: To,s.ns t� iZcp{„�c,r t��s�'r«�{<<�*'v,ceS(TuaI fyingAgent: xeh
Address 1111411A Cyr(l.x 12r #I f-5' City Sa x. State f`L zip _3 U-7-
Office Phone_ 01--6 yS- 5-3. 57 Job Site/Contact Nuber_ Q, 5G)4 y- y-7z—y`!?9
State Certification/Registration It GLG13Z6 7,11 E-Mail_ " Qtv'yt,Sekld ra v-ir`nc,�cy,ro,
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation work40r4�Z $"5r'w"f Szrvlir_e 1-'13 1
Exempt/insurer/Lease Employees/Expiratlon Date
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulationg
construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWiCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
REC9R9ING YOUR NOTICE C3F COMME{�CEMENT.
1 f i.a , r
�-
c 7� (Signature of Owner or Agent) l fri f Gin <- --�'{Signature of Cont c
(including contractor)
Signed and sworn to(or affirmed)before me this day of Si ned and sworn ti(ora a before h of
E by ,-A r<' � vV V\-/..-roM&f '9i (51gr aturof Notary) rgnature of Notary)
NOT oti:gyp:.
` J UkRTINAAEl1AH6
S -� .G ..-: Notary Dub6c-Stan d Horida
` -•= ComvisOon f GG 102031
9�t�nal�Gtdbwn Personally Known OR ti, My Comm.ExpitesMaytQ2021
/f,Q �W�,.f� `� ( ]Produced ldentlfication dr(NU�ouShNaKryKoUryMsn
Tvir�t� ,$ieritiiltd . �� Type of Identification:
�rYY
Doc # 2018050795 , OR BK 18302 Page 835, Number Pages: 1 ,
Fdecoxd,ed 03/05/2018 10: 07 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10. 00
NOTICE OF COMMENCEMENT
(�REF;•R W M.PLICNTM
rax robe No. 170158-0000
3salc of kkwWa Courdy of ---
To whom 8 may concern: r
The underslyneif hereby Informs you that fmprovementswill be Tirade to certain real property,and In
accordance vrlth Section 743 of the Florida Statutes,the following tnformadon Is stat-I to this NOTICE OF
COMMENUMENT.
Legal description of property being unproved:5-69 16-2$.291;ATLANTIC BEACH L01 S 143 Y,1_K 21�•
Address ofixupertybeing snprovod:407MACH AVE. AdafrtlC Beach,FL 32233
General descnpwn of;rnprevemantr Roof Replacement y __
TRUST-
Owner HARDAWAY TRUST l;:. r'r, to
Address 171 17th Street.NW,Bldg IOOrAt3anta,f A 30363-1028
O mer's irtcrost In cite ofthe Improvement _
Fee Simple Tilfeholder(if other than caner).
Name_ -
Andress
Contractor Fowrtsend Roofing arnl Cara:notion 5s,vrccs,lnc
Address 10418 New Berlin Rd 1115,11duanville.FL 32226
Phone No.sof-8 58N7 Fax No.904-615-5442
surety(f wrA
Address Amount of bond S_
Phone No.` Fax No..
Name and address of any pe sdn mowng a loon for the construction ct lie Impnx/einews.
Address --_.
Phone No. _.._ ------ Fox No.
Name of per3on:vltAin the State or Florida,enter than lt'ntselt•designated by owner upon:vhcm notices or oiler
documents ataxy bo::owed:
Name
Address -
Pltone No.• _ Fax No.
1n addition to tilmseff,bvnef devgnatas the 161oviing person to receive a ceps of the Lienors Notice as provided In
Section 713.0-5(2)(b),Florida Statutes,(rift in at Ovmer s oplfoni.
Name
Address --- _�_
M1Cne P40- .. Fax No.
Expiration date of Notice of Golntttencement(the eacpirotico date is ate(1)year from the date of fecorving unless a
different date is specified):
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