589 Camelia RERF18-0161 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
.:,ori c• J INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 2474814
PERMIT INFORMATION:
PERMIT NO: RERF18-0161
Description: Reroof
Estimated value: 5951.25
Issue Date: 7/13/2018
Expiration Date: 1/9/2019
PROPERTY ADDRESS:
Address: 589 CAMELIA ST
RE Number: 170899 0400
PROPERTY OW NER:
Name: BEATTY JOHN FRANCIS
Address: 17946 KINKAIOOHIRA MACHI
NAGASAKI JAPAN 8513214,
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Rogero Roofing &Construction
Address: 2980 Hartley Road
Jacksonville, FL 32257
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$7,500.
Building Permit Application Updated 12/8/11
City of Atlantic Beach
Roo Seminole Road,Atlantic Beach,FL 32233
Phone:(904)241-5826 Fax:(904)241-5845
Job Address:+c57 ei r4It,g.yp S arlfiZ$eQcb/ 37933n�Permit Number:
LesaI Description1O_ v 2P' n,09y A1=^1k �'& ` 131--RE#�$'19-OL/oo
J 3tp� L�T r SoGf10-' 3`X7'�ds
Valuation of o (R-ep acement Cos[ $�c�4( 2-� Xeated/Cooled SF 114N 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 4Esidenti
• 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:
Florida Product Approval# —2 13IC for multiple products use product approval form
Pro ert Owner Information /- I/
Name: Add 55 �7��tF' K�hl:aloahlYa 1
City c...�.Lxoan Zip g� Phone
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information DroFtt4n'a f-QrLT�n��
NameofC m ry' B Iarx Do in Agent:
Address Ci State _Zip
Office Phone Job Site/Contact Number '0 /
ie
State certification/Registration If f/[ e 2 13LQ D E-Mail ' -r`
U
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation WC26/
Exempt/Insurer/Lease Employees/Expiation Date
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or instal lation 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.
Vs4
atur of Ow ,or Agent) (siperature Contractor)
(including contractor) 2a. qday of
Sigggd and sworn to( Faffirmed)before me this—day of Signe sworn to(o (firmed)before me this
Vby AZA y
AWE B.DEASON ANKE B.DEfSON
I I Personalty Known OR Lty COMMISSION$GG1Tf46B rsonally Know My COMMISSION#GG111468
T/y,Produced ltlentificatio " 207! roduced ldentifi EXPIRES:January 23,2022
}} '.a EXPIRES:.Mnug28. 'e_
e' Paaouwftda of ltlentificatio -��:ar doe. Boded Tlw NohrywNCUrdernlWs
ype of Identff¢ation:
Doc N 2018145003, OR BK 18427 Page 1009, Number Pages: 1,
Recorded 06/20/2018 12:22 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
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