306 4th RERF18-0192 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: RERF1M192
Description:
Estimated value: 11500
Issue Date: 8/2/2018
Expiration Date: 1/29/2019
PROPERTY ADDRESS:
Address: 306 4TH ST
RE Number. 169807 0000
PROPERTY OWNER:
Name: Marshpoint
Address: 2300 Marshpoint Rd
JACKSONVILLE, FL 32266
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: LOCKHART CONSTRUCTION 8
Address: 5380 TIMBERLINE DR ROOFING SERVICES LLCIJAMES L
LOCKHART
JACKSONVILLE, FL 32277
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 govemmental 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$7,500.
Building Permit Application Updated 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
Job Address: '50r_ ( -V 6T, AIB ( l L- 5;I Permit Number:
Legal Description REM
Valuation of Work(Replacement Cost)$ Ill-<Of).BO Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Cirtle one): New Addition Alteration Repair Move Dem Pool Window/Door
• Use of misting/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:
w ff w ANO zr t-c>6 i�oFt fin
Florida Product ApprovalM t I ) for multiple products use product approval form
Property Owner Information /1
Name: M#,45l14'OLe17 Aft
r�L2,Si� �Address: 7-'SiDn A�144I4%T 1-)�r
City Ll4f*Oir pjC f6MACpl-Fr_ State 1_ rp '3='116 Phone 9oi 1175, C eI
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Inform tion I
Nameof Company: v mg Agent: �fN'I18S . LviaGFHFKT-
Address 0,J ltlE NA22State - Zip 2
Office Phone _ a Job Site enntact Number D - Q 9 -3 6 S�
State Certification/RegistrationIt C,2r._002344 E-Mail
Architect Name&Phone M
Engineer's Name&Phone M
Workers Compensation
Exempt Inwrer se Emplpwex 6xPilatun wte
Application is hereby made to obtain a permit to do t e work and insta a Ions 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 PA R IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN NC , CO_NSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
REC ING IC COMMENCEMENT.
(Signatur or Agent) (Signature of Contractor)
including contractor)
and "in tto'(or ffirmed before m thi day of S ned a d sworn to or affi d)before me this da
of —j
I- b .� �b
(Si8 a moNota }.axs` re IONaF .951
V1 161 ( ` - EXPIflES'.00ob 6, 19
tall
�rpersun'aBy Known O (I�MyE I I Personally Known OR " a,nceain,urvowt Pue
(I Produced IdenNficat iF° I`�B _� ' [ ]Produced Identification -51'
-Type of identification: 99 Type of Identification:
"",ml,,,,° Bolded Thru Aaron Notary
NOTICE OF COMMENCEMENT
(PREPAPE m DUPLICATE)
Permit No, Tax Folio No.
Slate Of ELOMDA County of WVAL
To whom It may concent:
The undersigned hereby Informs you that Improvements will be made to certain real property,and In
accordance with Section 713 of the Florida Stands.,the following information Is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: 05-6916-2S-29E
ATLANTIC BEACH N72 LOTS 1,3 BLOCK5
Address of property being improved: 3064TH STREET
ATLANTIC BEACH FLORIDA 32233
-- -- REMOVE AND REPLACE ROOFING
General description d improvemonts:
Owner MARSHFRONT PROPERTIES
Atltlress 2300 MARSH POINT ROAD#301 NEPTUNE BEACH FLORIDA 32266
Owners interest in site of the improvement FEE SIMPLE
Fee simple Titleholder(0 otherthan owner)
Name
1V Address
`'� )/ Contractor LOCKHART CONSTRUCTION AND ROOFING SERVICES LLC
ft N`f1` Address 5380 TIMBERLINE DRIVE JACKSONVILLE FLORIDA 32277
!YI Phone No. '981'ares Fax No.
1 Surety if arty)
Address Amount of bond$
Phone No. Fax No.
Name and address Jany person making a ban fie the consbuction 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 my be served:
Nerve
Address
Phone No. Fax No.
In addition to himself,owner designates the following person In receive a copy of the Lienors Notice as pmNded in
Section 713.06(2)(b),Florida Stables.(Fill in at Owners option).
Name
Address
Phone No. Fax No.
Expirelian tleb d fdolbe d Commencement(Ne expirationdab is ane(1) recording unless a
different data is specified): �y
THIS SPACE FOR RECORDER'S USE ONLY `OWNER -
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Dao#2018180089,OR SK 18477 Page 475, NO.GG 1.33693
Number Pages:1 ' - COMMISSION$00233893
Recorded 00/01)20181221 PM. Rip-
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL '~0,
COUNTY r` �rctncrn _.
RECORDING $10.00 r u m ter- `