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452 Whiting Lane - Reroof Shingle Permit CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 bjl SA, INSPECTION PHONE LINE 247-5814 REROOF SHINGLE - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RERF18-0089 Description: shingle re-roof FL1 5487.1 & FL1 8355 Estimated Value: 7280 Issue Date: 4/17/2018 Expiration Date: 10/14/2018 PROPERTY ADDRESS: Address: 452 WHITING LN RE Number: 1714500000 PROPERTY OWNER: Name: CAVANAUGH PATRICIA ANN ET AL Address: 452 WHITING LN ATLANTIC BEACH, FIL 32233-3913 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: FATHER AND SON ROOFING Address: 5012 NATHAN HALE RD JOHN ALBERT BROWN JACKSONVILLE, FIL 32221 Phone: PERMIT INFORMATION: Please see aftached 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$7,500. Building Permit Application Updated 12/8/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5945 Job Address: "k C-' k/L'i Permit Number: Legal Description r- r-)o RE# Valuation of Work(Replacement Cost)$ Heated/Cooled SIF 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: F- L / �14 V-) - I f I ) ?3 -5-5— Florida Product Approval# for multiple products use product approval form Propeft-Owner Information Name: L-,"4Z-� ZY 4X Address: f-pt city State Zip..._'?-'.)2 3 Phone ';�f) -0-3 — 2-5- 6 E-Mail Owner or Agent(if Agent,Power of Attorney or Agency Letter Required) Contractor Informia ion Name of Company: ';U��Filng Agent: PF) P.C--,-� r31-0C-;-,J Address f11e,--f-1-<rL Me--/e I city 'X State E( zip Office P�one (4- ry 5q 5--34 X( Job Site/Contact Number e) -3 6-2- State Certification/Registration#6�1--emg E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation -6x e^1,? 0/!1 I Exempt/Insdrer/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 countV,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 FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. (Signature of Owner or Agent) (Signature'of Contractor) (including contractor) Signed and s-wor (or irmed)before me this day of Signed and sworn to(or affirmed)before me this day of A4M(,#,:�Ilyby Of 4f A lkio&—t k ;11-C-� by T-F— - �11-- (,Vture�rNotoef) (Signature—of hllryy)�� P Ily Kn wn OR [&rO'ersonally Known OfR rodoun=yljldntificatjon Produced Identifica n Type of Ident*ication: Type of Identification: P1.1 MICHAEL KEVIN GURR MICHAEL KEVIN GURR Notary Public-State of Florida ""'fk U"" 40 j -State of Florida Commission # GG 001890 Notary Public GG 00 1890 My Comm.Expires Jun 26,2020 Commission# My Comm.Expires Jun 26,2020 NOTICE OF COMMENCEMENT Permit No. Tax Folio No. State of Florida County of Duval Tll�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. ion of roperty(le al description of proper I escript' ty and address if available): A6 9 z x Y elc R 7- 7 29?I—e 2. General Description of improvements: 3. Owner Information: —:7� 1441 7-1;0,"- a)Name and Address: b)Interest in property: c)Name and address of simple tit Ider(if other than owner): re Contractor(Namgamnd ss): ffhe,?' q'-Y ke:O- '2 lvlf--;;W,14AJ 1714�-Ial (Ie 45- Surety Information: a)Name and Address: b)Phone Number- c)Fax Number: d)Amount of Bond- 6. Lender Information: a)Name and Address: b)Phone Number- ignated by owner upon whom notices or other documents may be 7. Person within the State of Florida des served as provided by 713-12(1)(a),Florida Statutes. a)Name and Address: b)Phone Number: c)Fax Number. 8. In addition to himself1herselt owner designates.. Of to receive a copy of the Lienor's Notice as providodin Section 713.1-2.(1).(b),Florida.Statutes. 9. Expiration date of Notice of Commencement(The expiration date is one(1)year from the date of Recording unless a different date is specified: ;o 0 XX z 0 moomco OCZ0030 Signature of Owner: 0 z z a X F,,ID. 2 -n. 40 day of '20 z c Sworn and subscribed before me this day of 20� G) u) (D Cn rM r'j r-2 9) 0 Known Personally:0!168hown: C-)00 0 --� m Signature of Notary: M > res. 1W My commission expires: 0 0 (D C 2 X j�n ....... ,%,,I,fky P�4 1, MICHAEL KEVIN GURR --A Z Notary Public-State of Florida C ommissi < C on#GG 001890 > My Comm.Expires Jun 26,2020