572 Seaspray RERF18-0149 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: RERF18-0149
Description: shingle re-roof-FL1956.3 &FL2509-R10
Estimated Value: 9000
Issue Date: 6/27/2018
Expiration Date: 12/24/2018
PROPERTY ADDRESS:
Address: 572 SEASPRAY AVE
RE Number: 170703 0426
PROPERTY OWNER:
Name: BILLINI ELIZABETH E
Address: 572 SEASPRAY AVE
ATLANTIC BEACH, FL 32233-4165
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: PIMENTEL ROOFING INC
Address: 321 4Th AVE
JACKSONVILLE BEACH, FL 32250
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$7,500.
Building Permit Application updated 5/5/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
57-72 Phone: (904)247-5826 Fax:(904) 247-5845
Job Address: '-p PermitNumber: F�1`r � 0 ^0
Legal Descript n 'S5 f 9P /7 2 •19E ca /-a�3onay RE# 170703'oV26
Valuation of Work(Replacement Cost)$,Z Od_r &,!Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Additi Alteration. Dain M Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Comment! Resldenti
• If an existing structure,is a fire sprinkler system installed?(Circle one : Yes N 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:
Fe
Florida Product Approval# ipJe�ry$ucts use product approval form
Property Owner Information
Name: r r Address:
City
'ti Zip State _Zip 3i Phone
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Nameof Company: -Pim 4cl �a� Qualifying Agent: DGS•.) �� zil"
Address City Tom- 'P,id=- Stated`_Zip 17Av
Office Phone Job Site/Contact Number
State Certification/Registration# NPP/R+.rt47C' E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation
empt Insurer/Lease Employees/ xplration Date
Application is hereby made to obtain a permit to a 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 regulating
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.
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
RECORDIN YOUR NOTIZ
MMENCEMENT. /� .� c
'X ! .
Ign ure of
(Signature of Contractor)
(Including contractor) n
Signed a�n��dr� orn tD( r affirmed)before me thi day of Signe�tsorn to(or affirmed)before me thi0'�day of
—d IAQ by 11-�by —
tur fNotary) atureo Nota
�n NDW/ 8 L OW of FbM•
,yr Ngery Pualq BMN of POW" � I j SuunnaL Peen
[,.{personally Known OR 9 j a Damwii 40 U?M [Qv0ersonally Known OR �nw� Ex".plD,im"
`��} EiD�M pUtldlOM ( I Produced Identification
[ I Produced Identifcation
Type of Identification: _ Type of Identification:
NOTICE OF COMMENCEMENT
fL & $ 170703- o (f2G
State of Tax Folio No.
County of 4 =1
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance wiNr Section 713 of
1, the Florida Statutes,the following information Is stated in this.N/OTIC-OF COMMENCEMENT.
U"4 Legal Description of property being improved: S-- (o Y / 7 - 2 5 -o� �-/6
Address of property being improved: S-7 7 '�-- .4.1,2 6 4,4eI
General description offinprovements:
cq r .Q-eJ6, _�_ G4ruFj
Owner: Address: 6,-72
Owner's interest site of the improvement:.
Fee Simple Titleholder(if other than owner):
Name:
Contractor. oma A �,rJ�-•e,�
Address: y*)Z !JTm A. A f 'A4)Z6
Telephone No.: n() ry/—cw fL Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person malting 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:
Telephone No: I=No:
In addition to bimself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Faz 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, Detc -
Before his da , 9n9 in Ne ounty of Wval,Slete
OfFlodda,has sonally appeared
Doo N 2m S150S7S OR BK 18435 Page 949, Notary Public t Large,S ori o al. N.=PAW= py,y
Number Pages:l My commission expi . 91Mw L Paul
Recorded 06/27/201808:49 AM, Personally Known:
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Produced Identification:
COUNTY
RECORDING $10.00