78 W 8TH ST - PERMIT RERF18-0105 rS y�`J.l.Jva.
CITY OF ATLANTIC BEACH
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--� � 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONELINE_2-47-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0105
Description: Shingle Roof
Estimated Value: 5132.94
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 78 W 8TH ST
RE Number: 170815 0050
PROPERTY OWNER:
Name: MANN L CHARLES
Address: 165 ARLINGTON RD N
JACKSONVILLE, FL 32211
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: SOUTHERN COAST ROOFING & CONS
Address: 3622 GALLION RD QA MEHMET ORS
JACKSONVILLE, FL 32207
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$7,500.
..uy ul MUu11UC oeacn
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
Job Address: 78 WEST 8TH ST ATLANTIC BEACH FL 32233 R ®_� O'sPermit Number:
Legal Description 18-34 17-2S-29E SEC H ATLANTIC BEACH FL 32233 RE# 170815-0050
Valuation of Work(Replacement Cost)$ 5132.94 Heated/Cooled SF 1024 1076
Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration �i Mo
Window/
Door
Window Door
•,_ Use of existing/proposed structure(s)(Circle one): Commercial
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No
• 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:
TEAR OFF RE ROOF SHINGLE TO SHINGLE
Florida Product Approval#FL10 224 SHINGLES FL 18686.1 FELTBUSTER
for multiple products use product approval form
Provei•t1,+Qwner Information
Name: CHARLES MANN Address: 165 ARLINGTON RD N
City JACKSONVILLE State
E-Mail C HARLIFI�� i i -�-Zip 32211 Phone 904-721-1547
Ahr�l�g COMCAST.NET
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: SOUTHERN COAST ROOFING Qualifying
Address 3622 GALLION RD fY g Agent: MEHMET ORS
City JACKSONVILLE State FL Zip 32207
Office Phone 904-356-7663 Job Site/Contact Number TY KARAK 90404 499
State Certification/Registration# C',GC182g7gg
Architect Name&Phone# E-Mail�OFFIC�Fn= HERNIrnaeTF onn FING
US
Engineer's Name&Phone#
Workers Compensation FRSA INS 1RERS FUND 01/01/2019
Exempt/insurer/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 understandthat 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 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 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) -
(including contractor) (Signa r tactor)
Signed/and sworn to(or affirmed)before m9 this /9fday of Signed and sworn to(or affirmed befor met ' U
— T ��by_ti •L�IA/ SS /tJ� J by Q d of
.o=q"'`k JUDITH D.CALIFANO
(L]-Personally Known OR +: MY COMMISSION FF 184888 ersonally Known OR `���� PAMELA SOMPHONPHAKDY
+' :p•' :
[ ]Produced Identification = ., a EXPIRES:December 22,2018 MY COMMISStON#FF221913
•;�o�••i ••' ]Produced Identification
Type of Identification: Bonded Thru Notary public Underwriters ' EXPIRES April 19.2019
ype of Identification: •a!,,,•
too 1
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
Qfafo n.M-4. _
To whom 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# 170815-0050
LEGAL DESC. 18-34 17-2S-29E'SEC H ATLANTIC BEACHLOT 5 BLK 70
Address of property being improved: 78 W 8TH ST Atlantic Beach FL 32233
T
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 .
�y f Contractor Southern Coast Roofing and Construction Inc.
Address 3622 Gallion 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 Lienors 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 RECORDER'S USE ONLY OWNER
Signed: ' `� ""�� DATE O/
Doc#2018107811,OR BK 18377 Page 1737, BBTofe n o day er ./IAAJ J
CDUnty 1.Hca �h�s h the j
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Number Pages:1 h ���sof Flo
`�rI By Barad lb
htmaelr/herselfand hen3ny. V
Recorded 051o712018 10:33 AM, aro true and accura 4N"'
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL t. •v• JUDITH D.CAUFANO
COUNTY
I ;*; .; MY COMMISSION 4 FF 184088
RECORDING $10.00 o'd EXPIRES:December 22,2018
NI Bonded Thru Notary PubQo Underwriters
No10
tary Public at Large.state or County or
Pe n expires:
Personally
Produced tdentmcation or