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2233 SEMINOLE RD #35 - PERMIT RERF18-0129 r CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 REROOF SHINGLE - MUST CALL BY 413M FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RERF18-0129 Description: SHINGLE TO SHINGLE Estimated Value: 6308.22 Issue Date: 6/13/2018 Expiration Date: 12/10/2018 PROPERTY ADDRESS: Address: 2233 SEMINOLE RD 35 RE Number: 169519 0168 PROPERTY OWNER: Name: FLECK KAREN A Address: 2233 SEMINOLE RD#35 ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: Triton Roofing & Restoration LLC Address: 480 State Rd 13 Ste 106-348 St Johns, 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$7,500. «U OFFICE COPY .!! F . UN 1 2018 I Building Permit Applicat�on� i p aced 12/8/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 3233 Phone:(904)247-582x6 Fax:(904)247-5845..-.­—------_---•(� -- - 7 Job Address: � ( l�/{i.l Permit Number: E�r ( 7 `" d Legal Description E 1 -� 3 RE# Valuation of Work(Replacement Cost)$ 6 O Heated/Cooled S]719/96 Non-Heated/Cooled S 0(O • Class of Work(Circle one): New Additio Iterati Re air Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): mercial Residential • 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: Florida Product Approval#— 3�355 - for multiple produ�j'use product approval form Pro ert Owner Information t C�OrV1,a.U'U(fl)4 (fl) Plo\/Cf Kf o t� ,-VOC, Name: [ ✓r�G Address: EV Or'1 YI 3 City I')U State -one�J�`l�b Phone E-Mail r i r Owner or Agent(If dent, Pow of Attorney or Agency Lette uired) Contractor Information 'n // Name of om any: r 11 �a �'! all in Agent: Rb L Rte-�X-SC 1 Address ( City S State — Zip_ Office Phone [ Job Site Contact Nu ber , - - State Certification/Registration# 4C95017VI Ile,CCJ Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Fhjm�(nj/q-) -1/ 1A[ r Q` f Exempt/Insurer/Lease Employees/Expiration 61te 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 RECORDI GYOUR NO CE OF COMMENCEMENT. s/ (Signature of Owner or Agent)[ gnature of Contractor) c (including contractor) ands o( ffir )before m th' a Si and savor �o`�ol firm a re met"lao by .�v�� igna re o ry) (Sig at o No ry) W?, .* •'� LN ISSY K JONES .•�*•P�'• MISSY K J NES P sonally Known : ersonall Kn O +`t�: MY COMMISSION#GG092596 y 'c MY COMMISSION#GG092596 [ )Produced Identific [ )Produced Ide .; Type of Identification . ... ' EXPIRES April 10.2021 Type of Identifica ioh'!a EXPIRES April 10,2021 Doc # 2018114765, OR BK 18387 Page 8, Number Pages: 1, Recorded 05/14/2018 04:43 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY IMCORMIM 410.00 OFFICE COP„ taiz�au:Etua�uair�irel crrnit No.�[�n �'G/2�j Tax Folio N,.see legal description state ascout►ty of Baa— to whomt It MW�anrcnn: �'hnasc�ees7.g�uad�kerebyknt4rrns�roz�3haYrrxlp�aaaR�r�tsnal4!!aerie�o.�,tCatrix�al!Prog�'e��yrx�tn. -3Ccarr�ai�e8yrittir�FRU;I`13#fdho.RtArki&�.taftti�s1thaicllazvla�;i[�or,�v#ltari3s�t�ed��bts:�1G►'tiLE� ' 1t1tS@IC�tl�h1�'. `g 1 t3�E4f�EL{ye €I9FhCipre+YBCL0 '2*8QB,E0Cefts-V9jage,0VO4C*AdQWW= f welrttxt,UMS'6&35 Tag FdRa to,--169SI941 IQ,vM5104168 Address of property,befM Ftnprov,&2233 Seai'nale fie$:Urft 5$r 35 phallic Beach,FL 32M General desmp6on of improvements:reroof of each indMdual unit listed below 5�3i5 Owneg Cream pillage Amdadom Mr.CIO Marvk&pjaycLpwk la0. Addross IM-A Nioritr303treet~Ja&=�a FrIMM,FL 32M Owner's WNW in site of the Improvement Presldent of Association,George Ridge Pee Shple Twehotder[tether marl owner) "O td w asssson, ra=sza sraahr�. t z Cl) ria. ah�ra " arc^nfa.�orRY3 z �s+id emr, ¢ OIL t AddMS Amount of bond$ o t: V Phone No. FOX Na. © M F- � FW O Name and address of arty person makmg a loan for the const(demon of the improvements. Name Address 0 O Q phone Pro Fex No. ® � Cl) 1- Name of person within the Stere of Ffotd'a,oilier than himself designared by a%yner upon whom notices or other 0U. LL 2 LU documents may be served: it w Nems LLJ a CC m A+dArm W a W t'yhatmc tom. l7G�117. W C0 W > w in adr{rllnrt ao turnself.cswser ales res tltee d4IIosvrex�grtss9n dts reeve a cotsy c et ieswr s taCoCco as proea fn � W v,�J t7C cc ri 7f3�G�(t),Fa�ate�m'tt�Ges.IM h>;rt+Owrrer`s+rrphon3. r Address Phone Ho: Fax No. gxpira5on dole!of Notice of CoMnteneemwg(tha expxaWn date is Ono(t1year from 6-d4ars 911 recortN'q rmrass a dfSErerd deft isspeciffeg TRIS SPACE FOR R ECORDf:'ft'S USE ONL FfER G � � S 01. CM >s os ;r�u eppeuee � trr . rA >s Y arld�tklrb5drt;&rae!'r � rtwl rr4ltuC aW tfCGutattt {}RY `ft +o PuW4 h RrrOan :P aenta�an. _