1072 BEACH AVE - ROOF rt ,. .1fly
CITY OF ATLANTIC BEACH
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800 SEMINOLE ROAD
,., ATLANTIC BEACH, FL 32233
-�`0;11>%- INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0173
Description:
Estimated Value: 12470
Issue Date: 7/26/2018
Expiration Date: 1/22/2019
PROPERTY ADDRESS:
Address: 1072 BEACH AVE
RE Number: 170260 0000
PROPERTY OWNER:
Name: SUAREZ JACQUELINE E TRUST
Address: 1072 BEACH AVE
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: TOWNSEND ROOFING & CONSTRUCTIONS SERVICE
Address: 10418 NEW BERLIN RD UNIT 115 QA RANDY CRISS
TOWNSEND
JACKSONVILLE, FL 32226
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$7,500.
Building Permit Application Updated 5/5/17
City of Atlantic Beach
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800 Seminole Road,Atlantic Beach,FL 32233
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Phone:(904)247-5826 Fax:(904)247-5845
Job Address: /0 7 i 6eRe-1. Av.c..
Permit Number:ei4tFtg O ID
Legal Description i-1 /6,--z-5 -2.,:t A-)1A,14-1-c ti£ 1 Li-- II 6 1.k L(6 RE# 1 7 0 Z60— 000 0
Valuation of Work(Replacement Cost)$ i a if 7.1.o 0 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 (Tlesidentia _
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes CI:itEf 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 01 F,4_."f4 ct,,,,,e,./.
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6 4.P WorKtruilid-ck u air(4,1,41td- F/166L6
Florida Product Approval#
for multiple products use product approval form
Property Owner Information
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Name: ja11-40' `7i4,1 le 2- ? -).:3-1( i ctJ A.R.... 5 -,-„T-tx,Address: 107 as El 4_
City /N-1--1 k,..ja,C ty,...4.cs_11-- State F-4... Zip3'-:1.2.3 LI Phone qtd-i— 24 Li-Off hi
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
L ,,
Name of Company: 1--;14A>end r,vt-f:ni 'r(*).5+1-144P`4,A — Qualifying Agent: r.ct twit, -"T;wrLst iki
Address 109 It Ne., 1,er1;A Pti 1t (15(15 City -TA)c State FL Zip 112-Z4
Office Phone 109- 645-5957 Job Site/Contact Number qt-Ni- 40172-- 4 V 71
State Certification/Registration# ea-IP_t Z.ill E-MailCI%(-if, 0 1-6 it-km,Sch re D•e-e-hi# (-col
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation 6.01Ac.LA..--64 I si5 li r-41 frize 4:c r LIB S
lZ/Stfig
Exempt/Insurer/Las_e_En:pkilleal s/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.
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.
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(inc,ding contractor) 7---if
Signed and sworn to .r a' rme.) .i fore ale this day of Signed and sworn to(or a' , -. before ,- s If ,.y of
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Type of Identification:
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Doc # 2018175704 , OR BK 18470 Page 99, Number Pages: 1,
Recorded 07/26/2018 08:57 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
PREPARE iN DUPLICATE!
Permit No. Tax Folio No. 1702604)000
State of Florida County of Duval
To whom it may concern:
The undersigned hereby Informs you that improvements will be made to certain real property,and In
accordance with Section T13 of the Florida Statutes,the following information Is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: 6-1 16-2S-29E ATLANTIC BEACH LOT 11 BLK 40
Address of property being improved: 1072 BEACH AVE. Atlantic Beach,FL 32233
General description of improvements: Roof Replacement
Owner SUAREZ,JACQUELINE E
Address 1072 BEACH AVE.Atlantic Beach.FL 32233
Owners interest in site of the Improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Townsend Roofing and Construction Services,Inc.
Address 10418 New Berlin Rd#115 Jacksonville,FL 32226
Phone No.9°4645'5887 Fax No.904-645-5442
Surety(if any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
Adoress
Phone No. Fax No.
Nameof 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 Lienors Notice es provided in
Section 713 06 i2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address
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):
THIS SPACE FOR RECORDER'S USE ONLY) ow R
'ice -mss 4_ .DATE
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