82 W 11th St - Permit RERF18-0098 _S 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: RERF18-0098
Description: shingle re-roof- FL10124 & FL18686.1
Estimated Value: 6831.15
Issue Date: 4/26/2018
Expiration Date: 10/23/2018
PROPERTY ADDRESS:
Address: 82 W 11TH ST
RE Number: 170811 0600
PROPERTY OWNER:
Name: MANN L CHARLES
Address: 165 ARLINGTON RD N
JACKSONVILLE, FL 32211-7863
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: SOUTHERN COAST ROOFING & CONS
Address: 4557 EAST SENECA DR QA MEHMET ORS
JACKSONVILLE, 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$7,500.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road.Atlantic Beach. Fl, 32233
Job Address: 82 W 11TH ST ATLANTIC BEACH FL 32233 Permit Number: �_ -,21' I D —OD1 g
18-34 17-2S-29E SEC H ATLANTIC BEACH LOT 6 BLK 6g
Legal Description Parcel# 170811-0600
Valuation of Work$ 6,831.15Floor, rea n y, t. ,y. t
Proposed work heated/cooled 1280 non-heated/cooled 1312
Class of Work(circle one) Nc%� .Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/propused structure(s) circle one): CommercialResidenna
If an existing structure,is a fire sprinki system installed?(Circle one). es o N/A
Florida Product Approval#�G I e6 8 I
For multiple products use pro uct pprovaform
Describe in detail the type ofwork to he performed: TEAR OFF RE ROOF SHINGLE TO SHINGLE
Property Owner Information-
Name: CHARLES MANN Address: 165 ARLINGTON RD N
City_JACKSONVILLE State EL7_ip 32211 phone
E-Mail or Fax#(Optional) t+r--
Contractor Information:
Company Name: SOUTHERN COAST ROOFING Qualifying Agent. MEHMET ORS
Address'.--M22 GALLION RD City JACKSONVILLE State FL Zip 32207
Office Phone 904-356-766'1 Job Site;Contact Number Ty RAKUS 904-304-3939Far# 904-330-0836 _
State Certification,Registration# CCC1328796
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
"Me 1gag
V � U at• Ol.-�D �
Application is herehv made to obtain a pernut to do the work and instal/aeons as anccated l certify that no work or installation has commencedprior to the
issuance ofa permit and that all work will he performed to meet the standards of all laws regulating constriction in thisluri diction This permti hecomes null
and void i work is not commenced within.ns/6/monthv,or tf conctruciton or work is suspended or abandoned for a period of six/6/momhs at any nitre alter
w ork is commenced /understand that separate permits must he secured for Blecbkaf Work,Plumbing,S1gar, We!(s,Pools,Furnaces.Boilers.Heaters,
Tanks and Air Conditioners,etc.
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.
I hereby certify that 1 have read and examined this plication and kens the same to be Ince and correct. All provisions oflaws and ordinances governing this
type ojwork ivt!l be complied with whether speci ied herein or tan. The granting of a permit does not presume to gyve authority to violate or cancel the
provisions of any other federal,stale or local tins regulating construction or the performance of construcilon
Signature of(honer 6z a"/ "l A C�-
Signature of Contractor
Print Name 4..�1NR.as rY�AMiti/
....,_.-..... Print Name
Sworn to and subscribe;.4 before me Swo to dsubscribed fore me
this�Day,of l� this ' Day of I 2 �Q
Not blic / l-e-r/YL—r�
otary u nc
Revised 01.26.10
:�`^i''• JUDITH D.CALIFhWO :r'•vl*�- PAMELA SOMPHONPHAKDv
:., MY COMMISSION#FF 184988 MY COMMtSS10N S FF221913
EXPIRES:December 22,2018
Banded Thru Notary Public Underwriters EXPIRES April19.2019
1401,3"C C'53 FbnON'bYi SAMW.Corr
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
Cto+o,.r r .,
.. -n
I U wnum 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: RE#170811-0600
LEGAL DESC.18-34 17-2S-29ESEC H ATLAN'TIC BEACHLOT 6 BLK 64
Address of property being improved: 82 W 1 1 TH ST Atlantic Beach FL 32233
General description of improvements: Re roofing
owner MANN L CHARLES
Address 165 ARLINGTON RD N JACKSONVILLE,FL 32211
Owner's interest in site of the improvement 100%
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Southern Coast Roofing and Construction Inc.
Address 3622 Galllon Rd.Jacksonville.FL 32207
Phone No. 904-356-7663 Fax No. 904-330-0836
Surety(if any)
Address
Amount of bond$
Phone 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
Phone 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 Statutes.(Fill in at Owner's option).
Name
Address
Phone 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 Y
OWNER
Doc it 2018094109,OR BK 18358 Page 2347, signed. rN�l'/fit_
Number Pages:1 Before me alli&—LtZ dey of DATE
Recorded 04/23/2018 09:39 AM. tY�DcvsU. o Florkfa A ally appeared h the
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL hroseH! l /V herein by
COUNTY are true an e1n
RECORDING $10.00 ,ti•• ¢.; JUDITH D.CAUFANO
MY COMMISSION tl FF 184988
:j ,og EXPIRES:December 22,2018
Bonded Thru Notary Public Underwriters
Notary Public at Large,State or
My comrnisslon expires: h
Of VA9
PereonellyKnown �� -- --
Produced Identmcatlon -- —or