1365 SEMINOLE RD - ROOF rl ' \g1 CITY OF ATLANTIC BEACH
5. '. - 1 r) 800 SEMINOLE ROAD
/ ATLANTIC BEACH, FL 32233
Zo.ti INSPECTION PHONE
LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0169
Description:
Estimated Value: 9400
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 1365 SEMINOLE RD
RE Number: 171898 0000
PROPERTY OWNER:
Name: MARSH JAMES ROWLAND
Address: 216 ADAMS AVE
ALEXANDRIA, VA 22301
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: HAMMER TIME ROOFING
Address: 13465 SOLEDAD CT DR
JACKSONVILLE, FL 32204
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.
rJ Y° Cash Register Receipt Receipt Number
`'' City of Atlantic Beach R5824
DESCRIPTION
f ACCOUNT I QTY I PAID
PermitTRAK $104.00
RERF18-0169 Address: 1365 SEMINOLE RD APN: 171898 0000 $104.00
BUILDING $100.00
BUILDING PERMIT 455-0000-322-1000 0 $100.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R5824 $104.00
Date Paid: Tuesday,July 24, 2018
Paid By: HAMMER TIME ROOFING
Cashier:JDS
Pay Method: CREDIT CARD Paid
Printed:Tuesday,July 24,2018 2:39 PM 1 of 1 ir
TRAIiT
BUILDING PERMIT APPLICATION
'(..::: . -� CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
Ofce: (904)247-5826 • Fax:(904)247-5845
Job Address: J ` ,,,, - Jr�Ci —Ql co
�� � � � ��?Permit Number:
7
Legal Description a ‘-1 j(o -1 s -9 e Gc, I f.4 I RE#
4ieec f 4,4-11 sw 6r (al l2 t3Ilt � ` ' — –J �I X�iX -�ni���
Valuation of Work(Replacement Cost)$ y, lino. OQ Heated/Cooled SF
Non-Heated/Cooled
a Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Usc of existing/proposed structure(s) (Circle one): Commercial Residentia
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No
Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of NoTree Removal
Describe in detail the typ,e f work to be p�rmed� i , 42
c LE 10(6 .1-1. '
/Pt—4e6of
ity0
OG n �' alb► rtf- v 113`5-v—
Florida Product Approval #—X 7�l r
for multiple p oducts use product approval form
Property Owner Information
Name: -,,,-,e) iticA. -S L Address: 02/6 /4.(4,,r,,ts 4v e AI
City 19le?cr.- J,,,c, State)/,Zip a mo i Phone
E-Mail
Owner or,Ager (If Agent,Power of Attorney or Agency Letter Required)
lit 0\1?-717::: '� ( i 1n - TO
RESULT OBTAIN
IN OL R r�, AI_L,7 r C O _ 7
1r ri i l tiIC..3 1 1 iCE ro[- l`41ROVF /' 7,,�;T t TILL IZ ORT . IFIl YOL 1 ��/tAD
T O N ��'v i r FIN t\ ^F!^, CON:.s(.T \f f) ( r 'O-T r., .o'J DEP /l;r.?A A TC. . i j` TL
L R NO, ICOF COMivif,�,C1 ; tn,'; slZ.�t BEFORE
Contractor Information:
Name of Company: _ Qualifying rr
Address: / y Q fying Agent: s t Clo(.�T
C • City cic.t..kc,, ,,.%/e State Zip j=C 3ala i
Office Phone 96,-(J 7/ -- 77 y '1 Job Site/Contact Number Mg] aim- a c.)-1-(
State Certification/Registration# (C( i 3;;t9q y 3 E-Mail bt,__,.,,,,« �
Architect Name & Phone # rug, Pp (amu : eV 4,4't-
Architect
Engineer's Name & Phone# V
Worker's Compensation 'eL • 'et i- Cas _ . ,.
xempt / nsure Lease -mp oyees / xpi :ti on ate
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
This per nit becomes null permit
d voiand work at 1l work will be is not commenced within six(6)d to t the months, orstandards
f constall
rulaws
ion or work is suspended ended or abandoned for a
period of six(6)months at any dine after work is commenced I understand that separate permits must be secures f r Electrical Work,Plumbing,
Signs, Wells,Pools,Furnaces,Boilers,Heaters, Tanks andAlConditioners,etc.
.4-12%x4 -k ti/ /J / _
Signature of Prope oaf weer:
Before — �— Signature ofContr. . tri r —
this Day of / Ask �-Q f Before me this
Nipm
' Day : i O�Notary Public: p_, T • ..
lino 9.- _ Notary Public: ��. (�
Ks3o � _? S� 74�
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`) 72 ( 1 t.i'! will be c(JIrl tC t, '
1}z-Sltll,e rt r ?^! ,tri.t"?f ) _ 1 - t! nclllC ShC['/tC'I herein !71' 1Jt. The rr'(li!!(i"g G1 C1I7et.%1:! :e:� no:
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TONI GINDLESPERGER Rev. 3/14/16
Stfi`� tYt�:
MY COMMISSION#FF 924951
+; - 2019
:�,, �a' EXPIRES:October 6,
''••'�' Bonded Thru Notary Public Undere iters
18:1?) MYC°kMI:Sl°N#FF92495:EXP1RES:°CtberU62°1?
" TONT GINDLESPERGER
-''-''C't*-
, o' BondedThruN:ayPublicndervters
• Ni' j+_ s fE OF COMInN T ► E€ a% iTT
:PREPARE IN Dt r_t ICATEt
er?!it No. ex Folio No.�,
State Of t/ 17 l �1�'-00(-)0
Qr,�r County 6i /}A
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 foiloaing information is stated in this NOTICE O,
COMMENCEMENT. [�
Legal description of property being improved: a 3 --1 /6 \ - a 9
e v I
f .(n !! s w &f _1 1 k �11C
Address of property beinc improved: S e r,,;
General description re_
.
'�-'rte yjf:�r i v^I
^^ L_I.
... - allINI r DCl( ,1 r A.) • .as} 'ower
viner
Address . • AMP
er's interest in sitey _
of the tmprov-rlcnt
'ea Simple I iti.sheider lit other than owner)
Name-
Addres.s
f 11).-)4
V�0 Contractor _ •- •
0 Address 13 N Mr 1—e .
• ✓ Phone No.(9ax.f y7/l-
Fax Na.
Surety(if any)
Address
Phone No.
Amount of bend S
Fax No.
Nanta end address of any Person making,a loan for the oonstruc;Eon of the improvements
Name
Addrers
?hone.N•io.
FaX No-
Name of person within the State of=bride,other_ then n hiltself,desi_n eted by owner upon whom notices or other
docur;ants may be sorted::
Name
Address
Phone No.
Fax No
In addition to hirnsel.Owner de.sicnates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.09(2}(b),Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone No
=x No.
Expiration date of Notice.of Conimericenien:(the eXpiraiion date is one
1
(1)year 70r!i the date of faCOrCiInQ unless a
different date is Specified);
TFiis apAcE For;Res=ok?D1=R S 11S>:OILY i
DATE Z/2.5.1i/ 0
Irs the
•-Crey.sf :a: ca ai..C,.da..:1a.parsons] ac;.=ar=_c
ti _42;rGh►`?`!i=n =_ ,.,,.,_.� �srsini
v br - affirms ro._,i_tareA13 a end dacicrai ons hesin
are in! d ac:L';ata
rinr#9ni8174f14n r>R RK 18467 Page 1784
•
Number Pages: 1
Recorded 07/24/2018 01:48 PM, i /1 /' - AtFo
RONNIEFUSSELLCLERKCIRCUITCOURTDUVAL dict=: 'L=scet.;ge.•
_o; =ce.stc � /
Pirarme:ly Known 111)
COUNTY ra.cc.-tmsei erarp l�
�
RECORDING $10.00 Ccc1c_3t_eeti;:;a„=� `e =, ry
i
:rw-°v''- TONT GINDLESPERGER
MY COMMISSION B FF 924951
.r:
• a' EXPIRES:October 6,2019
'%
DURABLE POWER OF ATTORNEY
I, JAMES MARSH, of Palm Coast, Florida, do hereby designate
and appoint my mother, BARBARA KENNEDY, as my true and lawful
attorney in fact for me and in my name, place, and stead, and for
my use and benefit to do every act that I may legally do through
an attorney in fact .
I do hereby grant the following specific powers and rights,
not by way of limitation to the general and broad powers
hereinbefore set forth and those provided by statute to an
attorney in fact, but in addition thereto:
A. to conduct banking transactions as provided in Section
709 . 2208 (1) , Florida Statutes;
B. the right to make annual gifts;
C. the right to change beneficiaries on my life insurance
policies, pension plans, and IRA accounts;
D. the right to file tax returns; and
E. the right to sell, transfer, and assign any and all
assets I may own or have an interest in both real, personal, and
mixed, including but not limited to any real property I own or
may own in Flagler County, Florida;
F. the right tofile on my behalf any forms, claims, and/or
documents required or deemed necessary or convenient in order to
process health insurance claims .
This durable power of attorney shall not be affected by my
disability, except as provided by the statute. The power
conferred on said attorney in fact by this instrument shall be
exercisable from this date hereof notwithstanding a later
disability or incapacity on my part, unless otherwise provided by
the statutes of the State of Florida .
All acts done by my attorney in fact pursuant to the power
conferred during any period of my disability or incompetence
shall have the, and personal representatives, as if I were
,s t
competent an same effect and inure to the benefit of and bind me
or my heirs, devisees and personal representatives, as if I were
competent and not disabled.
This durable family power of attorney shall be non-
delegable and shall be valid until such time as I shall die,
rev `. ' power, or be judged incompetent .
lir ' C ,i/_
i�<
STEPHEN P. SA•IENZA, Wi ► ess JA MARSH
L/40}Uzjt 4. lb-
KAREN A. HUNT, Witness
STATE OF FLORIDA
COUNTY OF FLAGLER
The foregoing instrument was acknowledged before me this
546 day of June, 2018, by JAMES MARSH, who has provided a valid
f- /ar'i•cQcc D2 i vers Li c 7J Q as identification, and who did
take an oath.
(-1 4, A . ` 1ti
Notary Public
*?y'•,.
Prepared by: -. KAREN A.HUNT
,H' .. c*_ MY COMMISSION#FF 973897
STEPHEN P. SAPIENZA ESQ. N
4...1�P EXPIRES:May 19,2024
P. 0. Box 635 Banded Ttni Notary Pub c Undennr!tera
Bunnell, FL 32110 - � ,