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346 8TH ST - ROOF 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: RERF18-0171 Description: SHINGLE ROOF Estimated Value: 7000 Issue Date: 7/26/2018 Expiration Date: 1/22/2019 PROPERTY ADDRESS: Address: 346 8TH ST RE Number: 169930 0000 PROPERTY OWNER: Name: AHO GAY FAMILY TRUST Address: 346 8TH ST ATLANTIC BEACH, FL 32233 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 12/8/17 .. $ City of Atlantic Beach 'stns 800 Seminole Road,Atlantic Beach,F132233 R ER P ig-b I -7 �j Phone:(904)2/47-5/826/Fax:(904)247-5845 Q Job Address: C ;" S, i`l , c &9 Permit Number: /L E.5 4 / g - Don Legal Description req, 16' S 1t•1149 Nc... ge.}s LQi It 6 ) 9 RE# /6 ? 9 3 0 i=7 00 0 Valuation of Work(Replacement Cost)$ 7043 a Heated/Cooled SF /3.0 0 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 a fire sprinkler system installed?(Circle one): Yes AD 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: re/-o0! 2 k•,S-1•,, S• /✓CL.J "Doi c - 1 7J,,././ ,//o•.J Florida Product Approval# ( f, tot,7-1-RI 3 FI-I52.1 6 for multiple products use product approval form Property Owner Information //•• Name: 14�/O 6... 9 )' 1-",',/t y 7e i Address: w4 `3 ,s4 City i4/4W a n.�dC a,✓AtC I State !CL Zip .3 J. 2 3 3 Phone E-Mail Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Veft.-1 Name of CompanllyY�:".` . I e-C Qualifying Agent: - l.,deNt Address j I GT{ 'f C1 City State Zip Office Phone C{DL-13 '7Q- Job Site/Contact Number Scl'y, SA-VIr,c n (4 -. -6,1 State Certification/Registration#C(4113)446 E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Exempt/Insurer/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 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 TWIC FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CO; , LT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR 6TI I d, COMMENCEMENT. kJ ) (Signat e of,7w ner o ent) (Signatu of • ractor) (inc .'ng.ontract. ) f x Signed and sworn to(or affirmed bef.rg me this.l3'--day of Signed and sworn to(or a Irmed)before me this day of �01 by , 4-11 - Ipl•A kt ,Ad<( ,b .Q • 1�r•• 4.Le 910VV6Iit)a— .IF' Ifir0/01/4 8111.9GLAd#ww00 .:,,,,,2,-.-----, .., LIM111111k. VGI 101A AO 31\11S ,� •g !ture of Notary) IP' WIT-7 I ' MORRIS 011efld ANVION • . ay.` 1S2(Ifpilel46:016l0Cnown• 1 [ ersonally Known OR Notary Pelle-Mote Florida Produced Identification ( ]Produced Identification ! C0111111611‘1111#s March 8 C eVL 4 ! My Co�iwiMLipirp 8 2020) Type of Identification: '�f•.(WS L ' Type of Identification: NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of County of • 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. / 1 Leaal description of property being imp[oved: 1-0 i GC k 10. l� pts 1 5-03(.);‘) c40v1 4 /� ' Address of property being improved: e '1 Q71:2-') ' k • A 4-)cwt - _ Fj eze- k General description of improvements: 14 e- - U CA Owner VAtC. \ Qc\\ AV\O Address j q 1P-5 5 V't 4-1 N VA1'C 8-ea (-\i\ i L. 3 z,2 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor ---7-0-0t e c C►\SArt.G Co-') LAI cc _A Address o2 0f dT ki c.,r-1.1 ' V c )( pc '3 .Z Z Si Phone No. Cf - y 17 - 1-`47, 2 Fax No. Surety(if any) Address Amount of bond S 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 may be 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 Phone No. Fax No. • \l• 44 Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a *•y different date is specified): 'ri x'11 THIS SPACE FOR RECORDER'S USE ONLY I 73.. NEJp/��� ^� f+} r M o ,,moi OZ D Signed: . V ATE //er• I, �" 3 -�-) >I Before me this j2, day of v.‘ U t�S In the fn ik m A7 1 g469 Page 1913, County of Duyal, tats of FI•rid as per.on�lly appeared tp r7 0 Doc#2018175516,OR BK ! himself/herself and affirms th• at stat , .�clarations herein herein by �j C Number Pages:1 •� IV di133 C Recorded 07125!20180437 PM, are true and a• rate O j RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL / COUNTY RECORDING R $10.00 Notary'IF lic at Large.St.S •f j[ . County of V My commission expires: IL Personally Known or Produced Identification ?(