81 Beach Ave - Reroof Shingle Permit i
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: RERF18-0090
Description: shingle re-roof FL18355 & FL15487.1
Estimated Value: 15400
Issue Date: 4/17/2018
Expiration Date: 10/14/2018
PROPERTY ADDRESS:
Address: 81 BEACH AVE
RE Number: 170221 0010
PROPERTY OWNER:
Name: SKINNER ARTHUR CHESTER III TRUST ET AL
Address: 2963 DUPONT AV#2
JACKSONVILLE, FL 32217-2740
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: FATHER AND SON ROOFING, INC.
Address: 5012 NATHAN HALE RD JOHN ALBERT BROWN
JACKSONVILLE, FL 32221
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$7,500.
Building Permit Application Updated 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-_5826 Fax:(904)247-5845 Q !l
Job Address: u�(/ lye.4 '/ MXA'//G ��'rmit Number: 1 t/
Legal Description it Ems-/70•?2/- eo/Q RE#
Valuation of Work(Replacement Cost)$ Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo 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 N/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:
FL /Y 3 r Fl- /S q Y2./ /i' ' .<'ooi - �da�/low/•���,��i
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: SKI�/'� A.t>'�u�C Add ss: S/ ,8ercff '*VS'
City 4f/FA i,G Gff State fL Zip 3 t z 33 Phone
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: �" 1/1��/� SOA/ /eOw;;tG Quaii�Agent:
Address fD/2 R j/1A City State 0_zip
Office Phone 70 3 62/ Job Site/Contact Number
State Certification/Registration# E-Mail
Architect Name&Phone#
Engineers Name&Phone#
Workers Compensation .0 V-C An,
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.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 govemmental 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 FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
>>
RECOR GV, R NOTI COMMENCEMENT.
(Signature of owner or Agent) (Signature of Contractor)
(including contractor)
Sig ed and sworn to(or affirmed)before me this E�.J day of Signed and sworn to(or affirmed)before me this day of
arl.,t. ,020/ ,by rT EST /LCL , el JX by
i
(Signature of No )
( ignatulie of Notary)
[ Personally Known OR ( J Personally Known OR
[ ]Produced Identification [ ]Produced Identificatio
Type of Identification: V .4 Type of Identification:
•lirao t"r"a NORMA T.ASPINALL oil`P�o
` �;., MICHAEL KEVIN GURR
°,'•..
Notary Public•State of Florida r: °t Notary Public•State of Florida
Commission#F FF 990391 0, Commission *GG 001890
"'•';�,.,,, My Comm.Expires Aug 3.2020 %lFOFF My Comm.Expires Jun 26,2020
„
NOTICE OF COMMENCEMENT
State of Tax Folio No.
County of
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: 5-4017 .2/-R S• 2 9 r. /7 fjz j vr& 00,~ /r• G/T,S 6.'7 SriPi/
L.wo �y:.v`d 1ilK,tcof ifEeo % ���3�/7Y8 ,scw ,3S / R, 3 _
Address of property being improved: / /3o//C// Avg /0;/ 3 Z Z N 3
General description of improvements: A agq
Owner: .5,r(j,y/�/�,(, 41f i//" 6'A0SrdW-4?'Address:
Owner's interest in site of the improvement: TI O'"E— j WiyG�
Fee Simple Titleholder(if other than owner):
Name:
Contractor: ;r"i9T/1�iC -SdN /QDOfiN�
1 Address: / /3 Est cf1 ^'W' �T//ri�Ti� GilGsf; �G 3 Z Z.3
3
Telephone No.: o2Fax 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):
THIS SPACE FOR RECORDER'S USE ONLY OWNER q
Signe Date:
Before me this 2g4.4 day of in the Coun of Duval,State
Of Florida,has personally appeared i�C�rs-rex SA'i�nvrz. .t2t
Notary Public at Large,State of Florida,County of Duval.
My commission expires: AA-u ,,s•r �3 0
Personally Known: ,' y or
Doc#2018089025,OR EIK 18352 Page 924, ed Identification: a/1 r►
Number Pages:1
Recorded 04/1712018 11:42 AM, NORMA I ASPINALL
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY :; •� Notary Public State of Florida
Commission N FF 990391
.•:
RECORDING $10.00
'.;,',������F,.•' My Comm.Expires Aug 3,2020