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1540 FRANCIS AVE - PERMIT RERF18-0102 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 77 ATLANTIC BEACH,FL 32233 iNsj�i&ION-�140-NE-LINE 247-5814 REROOF SHINGLE - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RERF18-0102 Description: SHINGLE ROOF Estimated Value: 7387 Issue Date: Expiration Date: PROPERTY ADDRESS: Address: 1540 FRANCIS AVE RE Number: 1720979515 PROPERTY OWNER: Name: ORR KEVIN K Address: 1540 FRANCIS AVE ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: AMERICAN ROOFING OF JACKSONVILLE Address: 2117 University Blvd. S JACKSONVILLE, FL 32216 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,Atlaintic Beach,FIL 32233 Phone:(904)247-5826 Fax:(904)247-5845 F E R,(--I (D —0 (C) Job Address: 1540 Francis Ave.Atlantic Beach,FL 32233 Permit Number: CD Legal Description 52-49 17-2S-29E.130 FRANCIS COVE REPLAT LOT3 RE# *172097-6515 Valuation of Work(Replacement Cost)$7.387.84 Heated/Cooled SIF 1056 Non-Heated/tooled 1241 Class of Work(Circle one): New Addition Alterati, 0 Repair Move Demo Pool Window/Door Use of existing/proposed structure(s) ircle one): Commercial If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No Q 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: REROOF 18 SQ A CTURAL SHINGLES 5/1.2 PITCH Florida Product Appro4l# 6305y 6 Zfz�; 57;�J—el qrl�lo r multiple products use product approval form Property Owner lnfo!r�lorn 9Z Name: Kevin Orr Address:.1540 Fra ncis Ave. City Atlantic Beach State F L Zip 82233 Phone 573-535-1878 E-Mail Kevin.Orrl3@gmall.com Owner or Agent(If.Agent,Power of,Attorney or Agency Letter Required) Contractor Information Name of Comlian�: -American Roofing f Jack' orjacksonvillejl_C.� Qualifying Agent, Dan Kinkel Address 2117 University Blvd S City Jacksonville State FL Zip 32216 Office Phone 904-385-4375. Job Site/Contact Number 904-385-4374 State Certification/Registration# RC29027546 E-Mail admin@artiericanroofihgiax.com Architect Name&Phone# NA Engineer's Name&Phone# NA -Workers Compensation Builder's Mutal lnsurahce#WCP1052B3,expiration 5/3/2018 Exempt/InsurOr/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 j ulrisdiction.I understand that a separate permit must be secured for ELECTRICA' L WORK,PLUMBING,SIGNS, addl(tiontothe're urementsofthis ,WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.k6tid:-in' 'I I q hatma ad' fi bef6un' in the public recordsof this coun ''�a' Ipermit,.t ere'may ea itiona restrictionsappi y hl 'y d' 1 ere dditional.Permits required from other governmental entities'such 'as water management district ,itit 'h' may b6,a ty"9 e agkpqie J ral agencle& 4i of 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 TOREC i ORD A-NOTICE OF COMMENCEMENT MAY , RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND ZTO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE ' CA %- .ECORDINKGUR NOTICE OF COMMENCEMENT. CA - jbignature ot.Owner or Agent) (Signature ofCo—n—traEtor) CA (including contractor) 0 SIgqed.and sworn to(or affirmed)before ethl - .d f, Si,ned and sworn to(or affirmed)before me this day of CD W .24a .hv 'A by M > Z lsigna re of Notary (Signature of Notary) [,&�nally_Known OR Personally Known 611 PProduced-ldentiflcatl 00, r Produced Identification Type df identification: &NW111") 41, elt- Type of IdentIfIcatlon: Permit No. NOTICE OF COMMENCEMENT Tax Folio No. State of Florida,County of DV V..I THE 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. 1. Description of property(legal description of property and address if available): 6Z-4k C. 13d re-4^c & t v+ i5d(C*) fftAt,1A 14Vc /N-Vk0.r-+-c ewh , EL 3alt3a 2. General Description of improvements: Complete Tear-Off and Re-Roof 3. Owner Information: a)Name and Address: V%Qu%,q 6 y-ir JS4jo fg,,�-icAs Ave 6cRef'., CL 3ZZ33 b)Interest in 100% c)Name and address of simple titleholder(if other than owner): NA 4. Contractor Information: a)Name and Address: American Roofing of Jacksonville 3047 St Johns Bluff Rd, Ste 7, Jacksonville, FL 32246 b)Phone Number: (904) 385-4375 5. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the contractor,but will be one(1)year from the date of recording unless a different date is specified: WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE E)(PIRATION OF TBE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT- IN YOUR PAYING TWICE FOR IM[PROVEM[ENTS 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are trupo the best of my knowledge and belief X OXX Z moom a �/,V:/N Orr OCZ003 0 Z Z a Signature of Owner or Owner's Authorized Officer/Director/Partner/Manager Signatory's Printed Name&Title/Office x�jn-. 0 CL n. The foregoing instrument was before me this day of A/7/ 20 Mw ee ycknowledged r r-!R M (NameofP ing statement) X K5 ;r\(o 0-V 0 NO PUBLIC, STA OF FLORIDA 0 0 rint e: W, Zu—r-1-- C NOTARY PUBLIC BY AUTHORITY OF X TITLE 10 U.S.C.§936 AND§10"a 0 Personally Kno n NO SEAL IS REQUIRED BY STATUTE X Identificatior/Ty C: (Affix Notary Seal Above) Revised 1/01/18