RERF18-0140 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: RERF18-0140
Description: shingle re-roof-FL16305&FL21350
Estimated Value: 14700
Issue Date: 6/20/2018
Expiration Date: 12/17/2018
PROPERTY ADDRESS:
Address: 1948 W SEVILLA BLVD
RE Number: 169462 0440
PROPERTY OWNER:
Name: JAMES CHRISTOPHER F
Address: 1948 SEVILLA BLVD W
ATLANTIC BEACH, FL 32233-4578
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Best Roof Jax LLC
Address: 3352 Shelley Drive
Green Cove Springs, FL 32043
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
Phone:(904)247-5826 Fax:(904)247-5845
qq; Se �C f rI $-014 C�
Job Address: 'I n VII�I� ''L VC Permlit Number: C�
Legal Description "15' I of , �qE s��%l( I IQ CXjr(joy, Afllfd2 REp "3� / l:0q
Valuation of Work(Replacement Cost)5J�1y Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteratio epau Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial I ent
• If an existing structure,is a fire sprinkler system installed?(Circle one): yes No N/A
• 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:
A-Roof : ncI-hT rvUr 1- ShIn91t1 ,sgn*k+(- undeyt"W'-04 415-50 7lra,, pl*- ,
Florida Product Approval M ( for multiple products use product approval form
Property Owner Information , 11
Name:_LJQyf t3 Address: ( 48 S Vf� W
City C_ State Zip
E-mail "1044 ;IR Ili
aMft G RS„� 1-hMCIlS-E f\
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information /1
Name of Com any: o X qualifying Agent: mo*ffi MpI1�Gl,',6.'
Address v , OD CityW111 State N-Nzip 3rZ2T(e
Office Phone lob Site/CnC5�'Ion,,ran Number 0 2-//ICO
State Certification/Registration4 FLL(13IO y E-Mall 17Zt0� 4IA.� (✓A. 60, (,,'r
Architect Name&Phone 4
Engineer's Name&Phone 4
Workers Compensation f ��f / • 1 o/R'
empt/Inwmr/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 regulatlong
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 entitles 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
REC IN OUR NOTIC COMMENCEMENT.
(Signature of Own or Agent) (Signature of Contractor)
(including contractor)
Sign d and sworn to(or affirmed)before me this 15 y of signed and sworn to or affirmed)before m-=of
�l u4' by SV r�,e .�j/by`
(51 at eof to (Signature of Notary)
yWler,Solna conn a
IE•rp,na NOTARY PUBLIC Personally Known OR
1 I Produced Identification STATE OF FLORIDA ( I Produced Identifation0;;Za
Type of Identification: I*Frww? — Type of Identifcatlon- E%PIRESSEP28,2021Fxpiras 21112020 Bon:p11 FSh111l Slatelraaa,ca
Doc # 2018134171, OR BK 18413 Page 587, Number Pages: 1,
Recorded 06/06/2018 02:41 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
l' MCV OF COMMENCEMENT
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