1060 CAMELIA RERF15-0191 ?1 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
c• V INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERFl"191
Description:
Estimated value: 7600
Issue Date: 7/31/2018
Expiration Date: 1/27/2019
PROPERTY ADDRESS:
Address: 1050 CAMELIA ST
RE Number: 170992 0000
PROPERTY OWNER:
Name: RESIDENTIAL CREDIT OPPORTUNITIES TRUST
Address: 1060 CAMELIA ST
ATLANTIC BEACH, FL 32233-1834
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Sky High Roofing LLC
Address; 7424 Scarlet Ibis Lane
Jacksonville, FL 32256
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$7,500.
Building Permit Application Updated 22/8117
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(9D4)247-5845
Job Address: 1060 CAinaVA S T Cl ia-+ic B&CkE,327?3 Permit Number:
Legal Description J$-3438-2S-2Q&.11'T n'(IrvaT;c oeccH Sec Ha Kiel RE# 1 -10492-0clofl
Valuation of Work(Replacement Cost)$ Heated/Cooled SF Non-Heated/Cooled
• Class of Work Jamie 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 No 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:
Florida Product Approval# 1"L 10) ZN + I for multiple products use product approval form
Property Owner Information _
Name: a nT/cI C6;7- OVh,-& 4TVS�%IAddress: 1060 �/��•"`tC 5T
city ATw•sgr. (;aaLH State IV Zip 3zz.13Phone t10441 2J
E-Mail
Owner or Agent(If Agent,Power of Attomey or Agency Letter Required)
Contractor Information IMe¢co A- Gcce em o
Name of Company: ^ F°� LLC- Qualifying Agent:
nnc - svt..� Ifrte TZZX4
Address 7YS`l �� � sS � :nkc Sta ��Zip
Office Phone c)o,,L ro2A 65'ESa lob Slte/Contact Number 629' Qy$$'
State Certification/Registration#CCG 11 S3 LOST E-Mail SIC�� c.�o c Ca
T
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation C
Exempt/Insurer/Lease Employees/Expiration Date
Application Is hereby made to obtain a permi(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 regulatlong
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 entitles 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 A OR Y R
RECOR G meaf
F COMMENCEMENT. - /
Agent) ( re of contractor)
(includingcontractor)
Signed and sworn to(or affirmed)before me this 3(( day of Signed and sworn to(or affirmed)before me . Wopp,
-7.m by me-i (o'-W-�- t/ 20 i`e b t e9
_ MM1aa1
'lot,
J
A
'6 MY COMMdIIilBlklb _ ature Nota
E%PIKES April o8.2021
( ]Personal R I ]Personally Known OR
(4frrodmed Ion '`O Produced ldemificadon ( ,\`
Type of ldentifica Ion: f V %lr Type of Identification: 'fes A>
' NOTICE OF COMMENCEMENT
State of `C(ter`" Tax Folio No.
County of Pl A L'
To Whom It May Concent:
The undersigned hereby informs you that improvements will be made to certain teal property,end 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: f•c'S—.4'S& —ZS —Z4e . 11-7 c.
/+EL 1/ t
4�,L,.0T 2 t3 It,- 18-2—
Address of property being unproved: 1060 l./ -mtf,,GCr, S 1 A T IArR1 c eoGN GL 3223'3
General description of improvements: -F-E — "n F
Owner.�eS'"DGnT'41 er--u. WS'r04-1 kdress: [ O60 �af..e t.'� ST Oma?.r 6C"
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
O c : Lt lamoF�� Ii1iG
\\V AaY8`f S Q�L[�r �StS f aGSo :t
as.
7AL (e C 3ZZsy
Telephone No.:,r625 13:5 Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone 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:
Telephone No: Fax No:
In addition to himself owner designates the following person to receive a copy of the Limor's Notice as provided in Section
713.06(2x6),Florida Statues. (Fill in at Owner's option)
Nems:
Address:
Telephone No: Pax 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):
TMS SPACE FOR RECORDER'S USE ONLY
WNER
71/ Sigad' Dere: - 4
Doc a 20181]9955,OR BK 184]5 P II" Before m b O day of �� T �w of Duval,State
Number Pages:1 age 2140, Of Florida,has personally
Recorded W/d1=1803:5D PM, Notary Public al Large,S @la GG091019
RONME FUSGELL CLERK CIRCUIT COURT DUVAL My commission expires: iAll
COUNTY Personally Known: m
RECORDING $10.00 Produced ldenifi Bion:
�a �