2316 Beachcomber Tr shingle re-roof permit j L=�J4y
J � CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
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: RERF18-0083
Description: shingle re-roof- FL10124 & FL17401.1
Estimated Value: 24150
Issue Date: 4/10/2018
Expiration Date: 10/7/2018
PROPERTY ADDRESS:
Address: 2316 BEACHCOMBER TR
RE Number: 169463 0068
PROPERTY OWNER:
Name: ADAMEC CHRIS R
Address: 2316 BEACHCOMBER TRL
ATLANTIC BEACH, FL 32233-6607
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: SCHULTZ ROOFING COMPANY INC
Address: 216 N 20TH ST 216 N. 20TH STREET
JACKSONVILLE BEACH, FL 32250
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$7,500.
Building Permit Application Updated 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233 APR - 9 2018
Phone:(904)247-5 26 Fax:(904)247-5845
Job Address: `` C e( TroI Permit Number: tJ j��/�
Legal Description 14,'L14,'L1 O(ean talk (Int Ilt'_D f 31--1RE# 409 �1 W -W`F'
Valuation of Work(Replacement Cost)$ 0. 00 Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door C� � Jf
• Use of existing/proposed structure(s)(Circle one): Commercial esidenti
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes NoN/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:
Florida Product Approval# 6 A F I (1 P r(in I t'S FLO 10or rm
multiple
� - tmultiplelproducts u pcf-d�-ufct approval I
E� n1yLPro a Owner Information urs
1 , 1
Name: C- f i S Address: '�31(0 Pxzd--�-Dm ber,Tr u
City OLState 1- Zip �37-7,'-!�3 Phone '10V - Y 7 2 8/
E-Mail C_h r l'1e char E'
Owner or Agent(if Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: 1C 1-. W1 11; �:-TnC . Qualifying Agent: IX%�C. 5 A' J C'A'
I r 2—
Address /li City , i4h J r_h State F Zip 3 2 2 t o
Office Phone L) V Job Site/Contact Number t, 'q LSU 3
State Certification/Registration# LC= -L 0A E-Mail S c G)r� `f e'-A L)6 - --
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation 5Ltn Z LLC_. - U , C' # iL ' ��OUOUG� cf�•L�ir' 'S�o7��:�
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 instal lation 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.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.
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 FINACNCG, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YO(OR." O/TIIJCE OF COMMENCEMENT.
NI
Signature of Owner or Agent) (Signature of Contractor)
(including contractor)
Signed and sworn to(or affirmned)before me this S day of Signed and sworn to(or affirmed)before me this,�day of
by t, A �0.��� �0 f<6 by 5 e
�,r �br C7Yte�
R08mir s' f Notary) � MIS
MY F24lri4 I M1�Ti7tfe VaF-�N17-o-4
EPS Ju01)' i ExPIfES June 30.209Knot-
C)
'7n�z-rte
Prod 1 -0 f con i 'I
Type of Identification: Type of Identification: ___
NOTICE OF COMMENCEMENT
State of Tax Folio No.
County ofd /a,�_
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 NOTIC OF COMMENCEME T.
Legal Description of property being improved:_ 4 a -� C)G ea-n wo,.I K U/1 i f
o1- 3
Address of property being improved:--a.-5, &-o-c6 co rt e r- Td. an C Aeo.CA F/
General description of improvements: `:i, n 4/ ge -/''O(D 1�= -,F,21233
Owner: J-)r I C AclQ m e '� Address: Q,3 ) 4, &Q CGS C O rn 1ae r Tr l
Owner's interest in site of the improvement: Fee �� ,-,-► �o / ,e—
Fee Simple Titleholder(if other than owner):
Name:
Contractor: u r' } 00 ft e)Q � • / n C
Address: oZ I(n /U
Telephone No.: qo y t/ 3 S-'' Fax No: AV c;�c,/"7 3RO P
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):
Y
THIS SPACE FOR RECORDER'S USE ONLY
OWNER
Signed: t I l Date: q6 a,
Doc#2018081989,OR BK.18343 Page 458, Before me thW 'IS day of A pr{l in the County of Duval,State
Number Pages:1 Of Florida,has personally appeared
Recorded 04/09/2018 12:49 PM, Notary Public at Large,State of Florida,County of Du
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL My commission expires:
COUNTY Personally Known:
RECORDING $10.00 or
Produced Identification: KVIS ,
IWY SSM 0 FF248774
EXPIRES June 30,2019
NO>1 fYe101� F r6WVW§G= i