340 W 14TH ST - PERMIT RERF18-0132 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: RERF18-0132
Description: ReRoof
Estimated Value: 4500
Issue Date: 6/4/2018
Expiration Date: 12/1/2018
PROPERTY ADDRESS:
Address: 340 W 14TH ST
RE Number: 171059 0000
PROPERTY OWNER:
Name: MANDARIN MANAGEMENT SYSTEMS INC
Address: 13690 LONGS LANDING RD W
JACKSONVILLE, FL 32225
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: OAK CREST CONTRACTING, INC
Address: 536 SE 291 HWY
LEES SUMMIT, MO 64063
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$7,500.
Building Permit Application Updated 12/8/17
City of Atlantic Beach
• 800 Seminole Road,Atlantic Beach,FL 32233
u �{ cII 1-' hone:(904)247-5826 Fax:(904)247-5845 D I �j
Job Address:�y/�cl � 111-cs/7 yV rI�C �Q.&dS a_ Permit Number:P—MF BVI V
Legal Description � 71 -S4 !"loZS`c7�E 36(2 ]-I Al ✓ts- "REc# "' K �3a
r G,
Valuation of Work(Replacement Cost)$ 500 Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Residential
• If an existing structure,is a fire sprinkler system Installed?(Circle one : es oN/A
Submit a Time Removal Permit Application if any trees are to be removed or Affidavit 0Tree Removal
Describe in detail the type of work to be performed:
'g.Q-1200 WA c -r0 ^r
Florida Product Approvalit Fy/0 Z24- aO for multiple products use product approval form
Property Owner Information ,�,,yyam�,,,,,,,,��
I
Name:Mprdo �n MpyL 1 1�J1" "`-' Address: 13 090 (.0y)gs
City �OsCV��/' Ifkk\ State Zip �y�dv J Phone I
E-Mail N fi-
OwnerorAgent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information 340 W 14ii h St Px'Sv.T LF
Name of Company: Oak Crest Contracting )rlc- Qualifying Agent: Dustin Doll
Address 8880 Corporate Scuan,Ct Unit 1-2 City .JackapnVllle State FL Zip 32216
Office Phone 804.680.0058 Job Site/Contact Number
• State Certification/RegistrationIf CCC I E-Mail lisamondillodliroofally.com
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation
Exempt/Insurer/ease 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 understand that 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.
x �
(Signature of Owner or Agent) U (Sign ur of Contractor)
(Includingcomnctop Id
Signed and mom to(or affirmed)befo me this day of Signed and sworn to(or affirmed)before me this il day of
Tlell� ,by MA\ ,,b
�
(Signature of NOGry) 51 a re f Non")
l 1 P ovally Known OR rsonalty Kn `" LISA Ma BILLO
Produced IdeMlflcetlon ✓r^•• Meghwi Bmhmbhatt I I P aced Idem#I ` _ Notary Pualo - GG 01 Florida
Type of Idemifi=n: �1w +° n 'ggim c".a�yp of Idemiflcatlo : 's Commission N OG 06570]
ted' AprH t3,2021 •- Bonded in ogh National Nuary Ono
wrsT Commlaalon No.GG 94091
Doc # 2018131384, OR BK 18409 Page 636, Number Pages: 1,
Recorded 06/04/2018 12:16 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. In Folio No.
_ State of EGrids, County of:Duval
To whom it may concern: 1 osocwty
The undersigned hereby informs you the improvemems will be made in certain real property,and in accordance
with section 713 of the Florida Shrines,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal description of p }arty being im ad:Sin¢le F=U Residential 1 7J4' -7-015- 19 /
Sec }+ �rinnn� �iPacr Io-gr1 11
Address of property being improved: 2A o �A 14 rah i Pet A I i cY,diC.4QQ.Cy)
F� x'33
General description of improvements:Re root
Owner Name: Rb?, 90A lK-OLr,
Address: .z.F-
�T
Own ees interest in site of the improvement: /
Fee Simple Titleholder(If other than owner):
Name:
Address:
Contractor:Oak Creel Contracting
Address:4204 H d R d J ckor vBl FL 32217
Phone No.(904)660-00 Fu No.
Society(if any):
Address: Amount of Bond S
Phone Fou No.
Name and address of any person voicing a lora for the construction of the improvanenta.
Name:
Address:
Phone No. Fax No.
Name of the person within the State ofFlorida,;her than themself,designated by owner upon whom notices or other
documents may be served:
Name:
Address:
Phone No. Fax No.
in addition to themself,owner designates the following person to receive a copy of the Lienoes Notice as provided in
Section 713.06(2)(b).Florida Statutes.(Fill in at Owner's option)
Nems:
Address:
Phone No. Fax No.
Expirntivn date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
dilfesent date is ified):
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