1054 Stocks St - Permit RERF18-0094 'sl1
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: RERF18-0094
Description: SHINGLE ROOF
Estimated Value: 9280
Issue Date: 4/18/2018
Expiration Date: 10/15/2018
PROPERTY ADDRESS:
Address: 1054 STOCKS ST
RE Number: 171000 0040
PROPERTY OWNER:
Name: SUTER AMANDA N
Address: 1054 STOCKS ST
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Ad d ress:
Phone:
Name: EXCEL ROOFING CONTRACTING
Address: 5722 DUNN AVE HENRY SCOTT SORENSEN
MIDDLEBURG, FL 32068
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
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office(904) 247-5826 Fax (904) 247-5845 RCk Fl R - b0 !q
4
Job Address: _��4 / ,/2/ YJ Permit Number:
Legal Description 19-3Y 0-05 /��/4�4Parcel# I7/ cea�/p
Floor AArrea ot Sq.111. qct
Valuation of Work S ?j�90, oo Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Re ' ential
If an existing structure,is a fir s rg er ystem installed? (Circle one): es o N/A
Florida Product Approval#Ja'
For multiple products use product approval arm
Describe in detail the type of work to be performed: G Poo
Property Owner Information:
Name: e!" Address:_
City i c- tth State 9 Zip a Phone
E-Mail or Fax# (Optional)
Contractor Information: C '
Company Name:)5;0 lr? Qualifyin Agent:
Address: 0City J4�Kc,-nyz//6 State Zip .--v:z1e
Office Phone GjOL/ f t'v 3 Job Site/Contact Number Fax
State Certification/Registration# /.3J944 rGa
Architect Name&Phone# A/
Engineer's Name&Phone# '4/±
Fee Simple Title Holder Name and Address W14
Bonding Company Name and Address XV
Mortgage Lender Name and Address .4
Application is hereby made to obtain a permit to do the work and installations as indcaited. !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 alt ws regulating construction in this jurisdiction. This permit becomes null
and void tf work is not commenced within six(ti)months, or if construction or work suspended or abandoned for a pertod of stx(6)months at any time after
k is commenced. I understand that separatepermitsmustbe secured forElecical Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters,
Tanks and Air Conditioners,etc.
W G TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
CONIMEDN MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YO O Y. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YO "R AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
IT
W c- m Q COMMENCEMENT.
r
I hereb cern t I hates rnd ex d this a plication and know the same to be true and correct. All provisions s a ordinances governing this
type of work co m li&with w r sppecif ed herein or not. The granting of a permit does not presume to uth r to violate or cancel the
pr §iytlta.pf a Vat statr, j ljw,retgting construction or the performance of construction.
it
Signature of Owner Signature of Contractor cr/
Print NamePrint Name /'
c1.C� ...... �.fi.�,�'.... -- _..............C.�1_ ...--.._.__.......t�..�. A.....'I_...............................
Sworn to and subscribed before me Sworn to and subscribed before me
this 1(q_D of 2019 this Day of M oilCA 201 ff
AW ATLOCK
Notary Public ATTORNEY AT LAW Notary bPubilic ��ei{ •{� 7+7�(f�
USC §10 4 4 A •_° �- Notary u c- a e of arida
Commission#FF980169
;'19F
°'.= My Comm.Expires Jul 27,2020
2 ;•1�F el' 0-4 V th--h N�Hi l Wntwv Cccn
Doc # 2018066394, OR BK 18322 Page 1154 , Number Pages: 1,
Recorded 03/21/2018 11:36 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 .00
NO'T'ICE OF COMMENCEMENT
(PREPARE IN UUPLICATF)
Permit No. Tax Folio No.
State of rLORtaA County of 0-al _
To whom it may concern:
The undersigned hereby Worms 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 prope-ty being improved: 18-34 17-2S-29E.1 I A"1'Lt1NTIC&SACH SSC 11 LOT 4 BILK 186
a
Address of properly being improved: 10:54 STOCKS ST Atlantic Beach FL 32233
le Shin g
General descriptionofImprovements:Re-roof _
0,,rer SUTER,P MAN-DA N
Address 1054 STOCKS ST Atlantic Beach R.32233
O:vner's interest in site of the improvement OWNER �+
Fee Simple Titleholder(if other than owner)
Name
Address _
Contracwr SCOTT SORENSEN - EXCEL ROOFING CONTRACTORS INC
Address 5722 UUNN AVE JACKSONVILLE FL 32218
Phone No.9D4-531-76b3 Fax No. 904-214-0004
Surety(if any)WA
Address Amount or bond S
Phone Pio. Fax No.
Name and address of any person making a loan for the construction of the improvements_
Name N/A
Address - •___.__...._.� _
Phone No. Fax No.
Name of person t:9thin the State of Florida,other than himself,designated by owner upon.ftm notices o;other
documents may be served:
Name N/A
Address
Phone No. Fax No.
In addition to himself,a-vner designates the following person to receive a copy of the Lienar s Notice as prcvided in
Section 713.06(2)(b),Florida Statutes.(Fill in at O:vner's option).
Name NSA
Address
Phone No. w Fax No.
Expiration date of Notice of Commencement(the expiration date is ore(1)year from the date of reccrding unless a
different date is speciffed):
TWIS SPACE FOR RECORDER'S USE ONLY QwNER
5i � r ed—
DATE C �,
etore me this r1d
ay cfg1S._�
l Coun: e10 ural State of F:crida has erscn',y appeared.. CTe, r
ylm e"herself and af9 ihat all stabements and declarations her
are trueZr accurate/
/ /Onathan Lon
Notar/Fu'tli Large.S to of .Count,of
ity ccmmi on a gtres fA _.(A�_". .. rA
Porscrally w-n _
'Scat:cn
Produced I _. .