770 Plaza RERF18-0162 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NE)(T DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0162
Description: SHINGLE ROOF
Estimated value: 8999
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 770 PLAZA
RE Number. 1712860000
PROPERTY OWNER:
Nam: RAMIREZ JOSE F
Address: 770 PLAZA
ATLANTIC BEACH, FL 32233-3932
GENERAL NTRACrOR INFORMATION:
Name:
Address:
Phone:
Name: Paramount Roofing Specialists Inc dba Ro
Address: 7318 HarboUrmaster Court
Tampa, FL 33607
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 my be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits req�md from other governmental entities such as water management
districts, state agencies, 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.
r
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
JobAddress: r1r[c) V\a?,A uh S%Rsh"K 3,4131 PermitNumber:
Legal Description -6o-ck4 Ilrj-25-3AE %9�'Oj ?j%%,aS \,k+,-% 11� RJE#
Valuation of Work(Replacement Cost)$1951191- Nq 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 afire 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
to be performed: 5!5sALm 6rok %spw& niod
t4 I P C'LE--
Florida Product Approval# Y%N% for multiple products use product approval form
Property Owner Information
Name: Address: "Ill) 91,111 Rik
Cty_ C%-%Nq fYkjL %%A011% —State TOL Zip 'J'�XNI Phone
E-Mail
Owner or Agent(if Agent,Power of Attorney or Agency Letter Required)
Contractor Information pci-f-CLMC)0C14 RCOF�to(&� Spe'O-L A"�T G
Name of Company: iiis I'DoIN5 ULf, —Qualifying Agent:
UIL —QtYVUft'AVQA mmxh State—
Address VA%q SIP= FC Zip—SIL034
Office Phone A04-50 6- Job Site/writact Number 404- 6511-41"
State Certification/Registration If E-Mail CHINIIA 10
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation ivarpt/insurer/ea�Erni,10�/Expiration 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 ju risdiction.I understa nd that a separate permit must be secured for EUECrRICAL WORK,PLU M BI NG,SIG NS,
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 fou nd in the public records of this coun ty,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._
AIS�,nature of Dwrwr or ftent) (signature of contractor)
(including contractor)
MSeddand sworn to(or affirmed)before me this LID day of SSed and sworn to(or affirme before day of
19 Y
�a0j% byN )p5
AA N xg
f
S,,,..[Rvd11 (Slgnat�jla of Notary) t.�
4P monaily Known 09
I Identification
kXroduced Identification Produced Identification .... .....
Type of Identification C-ILbqiW-6 GC-- Type of Identification: y P
1111111,10%
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
Stateof 77� ��Ilul County of
To whom it may concern:
The undersigned hereby Informs You that InpimVernants will be made to certain real property,and In
accOrdanco with Section 713 of the Florida Statartea,ins following Information Is stated In this NOTICE OF
COMMENCEMENT.
�LegvJdascdpffonWpmpertyboLngimPmed: 3t)—di"11 I'I—�6—*1 %U1 -a\
— k�-\ a, 1—(�A �1 %% 1 A qo�(,)S
Address of Property being improved: 26 �lmp%
Pon emidawipConofimp�ents:.%&22,0—"��- Oka, Aruk ('1'elpict
— A):� 1—AkkN
OWW -SCS'L Y%Amq j'�L
Address 2 1 b q\WLP� M, 2JI21DA9C 96iA(,h ;jj 3W�33
Owners Interest in site ofth.1miarceement
FOOSIMPIeTifieholderiliffetherthanowner)
Name
, Address
Contractor %bldJPJCA LLC
Address M tk\�3 jjjDa,,d&(q %rrL ?�&OJ%A
Phone No. 9N—57 a— \A 1,4 rl Fax No.
Suraliv(Ifffly)
Address nt of bond It
Phone No. Fax No.
Nam and address of any person makIng a loan for the conertmadon or the Improerents.
Name
Address
Phone No. Fax No.
Name of person within th�Stands of Florida,what then himself,designated by owrier upo��hom notices or other
dwmen%may be served:
Nam.
Address
Phone No. Fax No.
In oddftbn W lumself.ownff designates Me following person to recalve a copy ofthe I-Whors NxVcs as pwided In
Section 713.06(2)(b),Florida Statulz,s.(Fill In at Owners option).
Name
Address
Phone No. Fax No.
Expiration data of Noi of Commencement(the exparation data Is one(i)year from the date of reversing unies,a
different date Is spedfiedX
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