346 5TH ST - ROOF JSj S yFJ rJJi
, =J CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
.P401119','0,119%' INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0197
Description: shingle re-roof FL18355.9 & FL11602.1
Estimated Value: 14500
Issue Date: 8/6/2018
Expiration Date: 2/2/2019
PROPERTY ADDRESS:
Address: 346 5TH ST
RE Number: 169838 0000
PROPERTY OWNER:
Name: ARIAS ROBERTO
Address: 346 5TH ST
ATLANTIC BEACH, FL 32233-5346
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Versatile Roofing Solutions, LLC
Address: 367 Wakulla Springs Road
Crawfordville, FL 32327
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$7,500.
Building Permit Application Updated 12/8/17
( '1
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
L// ,/ ( ,( Phone:1 (904)( 247-58262 /Fax:(904)247-5845
Job Address: ?76 A.rF ✓7'r ,/` �lign./ - /1€4 / i' 3233Permit Number: '��- C t_ -P I y --(= (` s -,i
Legal Description 5"�! 4� "2S- 2'7,L l4zf?1G g{Qe.A Loi- if gfit tj RE# /4'Y,9 - ez)e
Valuation of Work(Replacement Cost)$ {�f '5 OO Heated/Cooled SF 2.7/5 Non-Heated/Cooled 3(30
• Class of Work(Circle one): New Addition Alteration Repair Move a-ai a Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial 'esidential
• If an existing structure,is a fire sprinkler system installed?(Circle one : 'es No ED
• 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: / / y / 1 /
141 /e vo� Lc&tam ( . )r/Ai ..fiee-4 T/ C,i4� z ,Sym ices 14,441 /"..�s. /4S�Lr�71
al Florida Product Approval# - ' ) _`--' ' r` f-/ //e n +1 for multiple products use product approval form
Property Owner Information �// (1 1
Name: o Ey' /l?f Address: 3 74 J ✓rreo jj
City A Celle State FL Zip .'Z2. 9 Phone f07 4`2- 1/ I
E-Mail rashes TDL)/tAf ,*'9/c owl. 6,..0,
Owner or Agent(If Agent,Power of Att6rney or Agency Letter Required)
Contractor Information ,p� (r' / [ /
Name of Company: to/3'41171c if 00•4M JJ z o I$ Qualifying Age�}t: iV 1l� L�/
Address 96- N t J ! { City C/gNi v.1V/�/c. State1
IL Zip 3LT?
Office Phone pd 3qy ss / Job Site/Contact Numbe ?Oil 36ey 9
State Certification/Registration#LeC / ' 310/6 E-Mail 9014-no �f cj414/7
Architect Name&Phone# ! C/
Engineer's Name&Phone#
Workers Compensation Lt �,1 -Yl_SLL-r 1-L; L\. l Li-k '1t ' , \1 ''''' k- -fl �i '1 1y t \ aVle-:-1
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 •• . 4
applicable laws regulating construction and zoning. ',4':q:.; ;.:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MA zoy':-- . a;;
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INT: p"
O
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFOREm
n X n
RECORDIN '•UR OTICE • CQMMENCEMENT. m 2 _Z '
0 V1 _ T
/ '�� W 1 To/07" 7 /� ��.--- —_— ? 0 g3 o
(Signature of I n o'Agent) (Signature of Contractor) ei. o z
(including contractor) '1' 0
Signed and sworn to(or affirmAd)before me this ay of Si ned and sworn to(or affirmed)before me this da c o 61 Z
y aw% ,by tw`ctn-t, ;\%-,-,...t- LC lkSLu1 by L r • q A-t. lU
L
ignature of Not.IW .ignatu-o o
( ersonally Known OR [ I Personally Known OR
[ )Produced Identification [Li-Produced Identification iCn C )f
Type of Identlficat' ____ Type of Identification: L t v << J L
i'�Y4r's ELIZABETH M.BOOZER
••NNI =Commission#GG 111986
�.,.y! Expires July 16,2021
°•' Bonded TMu Troy Fun Insurance 800.385-1019
NOTICE OF COMMENCEMENT
!PREPARE IflCjJP,. ".L
Perrn.t No _ Tax Fo/ro No
State of r I(MID l — County of et-t lr
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. [ /
Legal description of property being i F•- roved 5-v /lQ /O/ J
'.- Qt� 141/0,17.c 6CQG
{x
be
Address of property being improved 39 61'. t Allety G Ile4e 1 IL 3 2z4
General descnption of Improvements i iiMPLeTl:MOOt iUPLAltN6Yt A iPHALI SMlt►tiLhSSYNTHETIC CNI*7XLAYS,Wdr
gc-Nevi skr�,'9A{s
O.ner . , , r fJ i is
c/
Address 3y. 5 _ S 44 'LOC fL 22 33
O:.ner's interest in site of the improvement
Fee Simple Titleholder(if other than o.ner I
Name
cleAddress
Contractor r/B /V,4 '
Address f;' kMild S r%� ,r r l"reviiv--ds- ,L. ,.1 .7--
14Phone No9op/A'
59s- q4/ Fax No /07� 2 Z� l3Zp
urety(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 rnlhin the State of Flonda other than himself designated by o..ner upon .:horn notices or other
documents may be served
Name
Address
Phone No Fax No
In addition to himself. turner designates the forio..ing person to receive a copy of the Lienor's Notice as provided in
Section 71306(2)(b).Florida Statutes (Fill in et O.iner 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 POR RECORDER'S USE ONLY— OWM max/
Leaned • • DIAT1t Z i /J
lieloi•me flys. • y of_ I I .
OR BK 18455 Page 673, Counts t Ou.a 5illlUil lo/w.hes paseremy appeared
Doc it 2018164488. �p�0�'VO iO+�a sf'
Number Pages. 1 rams•r nwrsa:t and atArms that i nn stai•manis ariaai. o•tiaeenor�•••�•,
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Recorded 07/13/2018 11 42 AM, tiy;443* Py{.•.•, ELIZABETH M.BOOZER
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL 't:t Commission it GG 111986 p_{�
COUNTY ; ;'a/Expires July 16,2021 CJ
RECORDING $10 00 -p•' °`'nom�" FAit/fiouim e400
It: -: (ruta<lplt -- !- - -
Peraonahr nnom..n o,
ProJ.c•J Idonhficalon__ - - - --