2279 Seminole Rd - Permit RERF18-0074 sS CITY OF ATLANTIC BEACH
;? 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
9 INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0074
Description: SHINGLE ROOF
Estimated Value: 8000
Issue Date: 4/18/2018
Expiration Date: 10/15/2018
PROPERTY ADDRESS:
Address: 2279 SEMINOLE RD UNIT 9
RE Number: 168345 0125
PROPERTY OWNER:
Name: GIVENS STEPHEN B
Address: 2279 SEMINOLE RD
ATLANTIC BEACH, FL 32233-5982
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Triton Roofing & Restoration LLC
Address: 480 State Rd 13 Ste 106-348
St Johns, FL 32259
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.
'BuildingPermit Application Updated 12/8/17
City of Atlantic Beach
n
� 800 Seminole Road,Atlantic Beach,FL 32233
Phone:f904)247-5826 fax:{904)247-5845
Job Address: 7q �(/ad :� q Permit Number: I / G'�\`/p _O /
Legal Description A&-;'U 7- - 'K•( .i9 RE#
Valua?icln Aarll RepVac4ent Cost $ �r 0��0 ;Hleated Cooled SF 3b Nan-Meated Cooled-i�`�✓--f—
• Class of Work(Circle one): New Addition_49E r r;�n Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): CommercialResid .
• 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: re_r(�& S��I,,�p� tn So/ti�` `
w n h ole 13 3 z
.r
Florida Product Approval# for multiple products use product approval form
-Rraperty Owner Information
Name: Address: 2279 '3't&nd
City State rp 2223 -Phone bcf"?,r 7t?!(o
144 ill
Owner or Agent(If Agent,Power&Attorney or Agency Letter Required)
Contractor Information
Name of Company' I fZ�Y1 1' Y alifyinAgent:
Address `� �1, City , State E I Zip 322�;c1
Office Phone )4(- W Job Site/Contact Number
State Certification/Registration# CfC I E-Malt(!1 I 15!�Al.C i 1'I M41) I r `�Yl U I e •Com
Architect Name&Phone# 0
Engineer's Name&Phone#
Workers Compensations ►� 7j/ f J7
' U
Exemptf-insurer ease Employees/Expi►ation Date
Application is Thereby made to obtain a permit to clothe work and Installations asMc icated.,l certify that no work or installation has
commenced prior to the issuance of a permit and that all work wall 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,+IEATERS,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 FAJJ_J.iRE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT JN YOUR PA'YI,NG TWICE fOR.1MPROVEl1t'IENTS TO YOUR PROPERTY.IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NO CE OF COMMENCEMENT.
7 �
(Signature of Owner or Agent) (Signature of Contractor)
(including contractor)
Signe) or to o abY d bef re me tWs d of S' and sworn o' r affix efor i> ay of
MY COMMISSION EXP RES April 0,2 1
ersiiF�rhown SPIRES April 10,2021
rsonally
rod ]P. oduced Identification
ype of Identification: Type of Identification:
Doc # 2018070460, OR BK 18327 Page 1914 , Number Pages: 1,
Recorded 03/27/2018 09:18 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
iPRFPARF.ttCI,'P'tCS-,F' AGS. iC
Permit No Tax f=olio No. ([-7 d `7'�I J'?Z
State of E County of h u VAS
To whom it may concern:
The undersigned hereby inTorms you that improvements will be made to certain real property,and in
accordance with Section 793 of the Florida Statutes.the fol:ovirml;information 1s stated In This NOTICE OF
COMMENCEMENT. 11q
lead description of prooerty being-mproved: A.6•212 .37"dJ ar !E .0-7 .Ojq4)eES
r N i S18 07-_L,CL2 NU 3 ASCD r
Adaress of grope ty being improVec 150 k /Ctrl /`t 7 1kFFYI`( �PGt�
r—L- 3 �2 a. 33
Genera:description of urprovemen:s: rC -RQ&r
Owner 51-Eyt<N CLuf:/JS
Address Wjl 5ERM& ft E Qt7 /)rcAA O-e 6EACHFL .32233 �^
Owners Interest in site of the improvement-,kLsLA io—ce
Fee 5imple Titlehol•Jer;i+other than owner)
Name
Addlgss_�•__.---_ —_--
Contractor_��Q�li_.d'� 1.�� RFSnjP,a i Land GG G
Address Y50 SR/3N SiEIOIo 5r.T61fNS F4 V-20
$
Phone No. 5,0Y G 9 A„7i d' rax No.. 96y•L-'s 7 <_13
Surety i3 any) _
Address Amount of bond$
Phone No. Fax No.
Name and address at any person making a)oan for,he construction of the Inr�I OYeTe.Cx
Name _
Address
Phone No ,Fax No._.
nfame of petson vnthin the State of=tonda,other:^an himself.designated oy owner upon venom notices or oft,
documents may be served
Name
Address
Phone No. _Fax No
in ad;k,on:o himseit.owner ccs+gnates the tawmrig,person m receive a copy of the tienor's Notice as provided in
Se;von 713.06(2)(b).Flonde Stetutes.(Fill in at Owners option)
v
Name
Address
Phone No. Fax No.__ v
Expimttvn date of Notice of Commencement(the ex;rra on date s ore(1)year from tete date of recording urdess a .
different date is specifiedl: c'
THIS SPACE FOR RECORDER'S USE ONI-Y fR c'
-cpbra
e
W-
-ok-
.uvn. Ff�•Ida.aa:po•aanaly agroarnd
hir•K>,N heraY ane _J�erein by
aftime hal al'slatema:fc and dxidraaans herein
riff true Ord accurate
_ Shead M Albftn
NOTARY PUBLIC
SrarE OF Fi.OIWA
Il'CrJrY PU_IIC Jt t.YCJC,9Wle C
M1lpmrri:sem erGues''��]•�t
?."GCl1Gi�TN.eMJiWr:Wl ✓ ..