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701 Beach RERF18-0167 ?S LJ m,; m CITY OF ATLANTIC BEACH j 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: RERF18-0167 Description: CONDO-SHINGLES Estimated Value: 36195 Issue Date: 7/25/2018 Expiration Date: 1/21/2019 PROPERTY ADDRESS: Address: 701 BEACH AVE RE Number: 170237 0701 PROPERTY OWNER: Name: LE CHATEAU OF ATLANTIC BEACH CONDOMINIUM ASSOCIATION INC Address: 427 3RD ST NORTH JACKSONVILLE BEACH, FL 32250 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: CG ROOFING GROUP, LLC Address: 4320 DEERWOOD LAKE PARKWAY STE 101-133 JACKSONVILLE, FL 32216 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$7,500. Building Permit Application Updated 12/8/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5945 C` 1 �n Job Address: 701 Beach Ave Atlantic Beach,FL 32233 .Permit Number: 0! P_ F ' 0 p^ 0 `W 1 Legal Description SEIE /+rTgLl(ED RE# 1.1629.1— 0-101 Valuation of Work(Replacement Cost)$ Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition erati Repair Move mo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercia Residential • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes C:FE>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: Changing shingle roof only 1"'� Fes'z / �. (j/LC(Qt—l2 Florida Product Approval# YL I0I2LI—a9-0 FL/5A16 for multiple products use product approval form Property Owner Information Name: LE Chateau of Atlantic Beach Condominiums Association Inc Address: 427 3rd Street North City Jacksonville Beach State FL Zip 32250 Phone E-Mail Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Name of Company:CG Roofing Group,LLC .Qualifying Agent:Caleb Green Address4320 Deerwood Lakw Pkwy Suite 101-133 City Jacksonville State FL Zip 32216 Office Phone 904-377-0866 .Job Site/Contact Number 9047377-0866 State Certification/Registration# RC29027554 .E-Mall Cgreen@cgroofinuroup.com Architect Name& Phone# Engineers Name & Phone# Workers Compensation Plymouth Insurance Agency 3/7/19 xemm usurer ease mp iyeesr Expiration Daft 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 RECORDING YOUR NOTICE OF COMMENCEMENT. ,,.•M0. (Signature of Ow or Agent) (signature of Contractor) '157�y�i�R t +�ee>" (including contractor) •�° d.2.2 1ped and sworn to(or affirmed)before me this--J�day of Signed and sworn to(or affirmed)before me this It day og m 5. Y 'e xs I iota .by we CA , Su��l cols .by Pa ai CSN n , E P r3�r8 IcCCC� � = R=a signatur of Notary) (Sig ure of Notary) g, W r- ,M1 mo i c rsonally Known OR yp Personally Known OR N -oduced IdentMwtion [ J Produced Identifcation ,, ,, eofldentificatlon: tel. Type of ldentifwtion: Doc # 2018176904, OR BK 18471 Page 1514, Number Pages: 1, Recorded 07/26/2018 04:45 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State cf County of -C),uyA,— To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: Un -75- 29E LG (,jAAeAj j of PTIJAW-rKr_2EFL'i4 C-0"-%QN) Fr El AEtvr "tip JE U f 2 I b ss 1819 Address of property being improved; 1Ul i� u ILvE Inn satin-r1 � lj X22 General description of improvements: 7S,-2m�:7 Owner A-yFau c�F AR,ANTLr cares C�t`m�rr�T,ltia f� z�cza�N zwx_ Address y2"1 3aD sr Wbmr" T r ry.�vstt_E Q-608r E%- 32.2An Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor--CG J_�2rrs=•rNc3 SLC, Address_g3ZO t gc P" Sucre lDl In To�YtnNvt cl F��22rts Phone No. e04- 3-M-O81do Fax No. Surety(if any) Address Amount of bond$ Phone No. Fax No. Name and address of any person making 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 maybe served: Name Address Phone No. Fax No. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). Name Address c Phone No. Fax.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): STATE DFFLoMX'SPACE FOR RECORDER'S USE ONLY OWNER r� DUVAL COUNTY Signed: �9 DATE I,UNDERSIGN®Cterk rtfttw_Ck01at a Q►ootSlOsfrc Before me this day of uL . 20/ in the Ronde, o HERESY CERTIFY lie wahtn 8Q��9to9 Count of Duva Stale of F orida,hasp sone ly appeared C.°Unt`/ ��-- �C'C>"'c� herein by r'06tv"Y r�dw Woo consisting of agesa 4 is himself/herself and affirms that all statements and declarations herein as it appears s on r9c°fd andHte!n the office et the Bletkai C+Kv are true hand accurate Kell TOskin &County Courts of Duval CW*—FIonda. ;4f`b��`",��i° y / Commission I GG155337 WITNESS my hand-,d$eal of Cued[l CO ". '` Expires:October 26,2021 at Jacksonw'lly.Ronda,0*tt'e �-d&y e1—ULAA � tid Bonded thru Aaron Notary R0NME _ Notary is at Large,State of 'L county of V t✓ My commission expires: l0 � I Personally Known or Produced Identification -V>1.. M .