1727 PARK TER W - ROOF ..• s f
Pr tl„ CITY OF ATLANTIC BEACH
15-:• � 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
r It c..) INSPECTION 3 INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0200
Description: shingle re-roof FL10674.1 & FL15216.1
Estimated Value: 16800
Issue Date: 8/9/2018
Expiration Date: 2/5/2019
PROPERTY ADDRESS:
Address: 1727 W PARK TER
RE Number: 172020 0372
PROPERTY OWNER:
Name: STANFORD MELANIE ALEXANDER TRUST
Address: 1727 PARK TER W
ATLANTIC BEACH, FL 32233-5611
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: RMX Construction
Address: 10752 Deerwood Park Blvd #100
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$7,500.
From:Brittany Fekete Fax:(904)236-5834 To: Fax (904)247-5845 Page 3 of 4 0810712018 12:18 PM
=':, Building Permit Application Updated 12/8/17
City of Atlantic Beach
.',,pj_el 800 Seminole Road,Atlantic Beach,FL 32233
'�` Phone:(904)24`7-5826 Fax:(904)247-5845 (� �(
Job Address: 17 )-1 cb c r `a.COQ� IQ L � e V� 'El
Number:'.`� P_02 F I V --()3,a)
Legal Description L4 'ps- Oct-23-t(--'Ct��c7�CJ1Ja maxim)im) t�w O (.o'- 11 RE#
Valuation of Work(Replacement Cost)$IV, IO Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): , Addition Alteration Repair Move r • 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:tear o4' 0:1-60f, G D 91 arc i i-eci V cal
aS alfi �lni
Mt' les qui. pitch 81004.1 II i c'U(j. l
Florida Product Approval#IL iOV1P4.1 f 12I(,,1 for multiple products use product approval form
Propert Owner Information 1
Name: eCi \ rd Address:1721 '/. 1 • IItirf�;i+,'' . C I
City State Fl... Zip a ;
Phone .� fii of
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: AhA •4 s, , ` 8, Qualifying Agent: IA I `' Li
Address ICI S'1. IWIA ' . 4a } ‘Oti City _A k.r, ' 1 State 2 zip 6 22 5 co
Office Phone gsS —1(p ''is Job Site/Contact Number WY —tL t
State Certification/Registration# Ca. 1614 E-Mail nf6 q(YY14con () 1O4C6Y1A
Architect Name& Phone#
Engineer's Name& Phone#
Workers Compensation it• C i'1i L() 1111 I'
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 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 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 PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECOR G O NO I OF COMMENCEMENT.
.2.0,Apke., Q.Z
(Signature of Owner or Agent) (Signature of Contractor
(including contractor)
�'gned and sworn to(or affir •-.) before me this day of Si�ned and sworn to(or affirmed)before me t s ' day of
�,�+/ ,by 7_ .... . L- .. J/�.1/Y •T , ao l' ,by (142.4i 7
/ 1. QG
Si:nature of Notary) (Signature of Notary)
�Fxr o�
[ Personally Known Et�o�: A LORA KNOPF erst ally Known OR :..4iiY p;: LORA KNOPF
[ )Produced Identifi tit:1`wS1 Notary Public-State of FJorida [ )Produced Identification `__
,y e• .a• .; Notary Public-State of Florida
Type of identification ='.'''or 01:1 Commission N EF 94722. Type of Identification:- %`.,. o4e. Commission fl FF 947224
'y omm.Expires Dec 30,2019 4 '''•' - My Comm.Expires Dec 30,2019
i
From:Brittany Fekete Fax:(904)236-5834 To: Fax: (904)247-5845 Page 4 of 4 08107x'2018 12:18 PM
PFR RECORDING_-RETURN TO-
•
PERMIT NUMBER
NOTICE OF COMMENCEMENT
The undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,
Florida Statutes,the following information is provided in this Notice of Commencement.
I, DESCRIPTION OF PROPERTY(Legal description of the property&street address,if available)TAX FOLIO NO,: 177020-0377
SUBDIVISION BLOCK TRACT LOT BLDG UNIT
34-85 09-2S-29E SELVA MARINA UNIT 8 LOT 17 E3LK 12 1727 Park Ter.W.Atlantic Beach,FL 32233-5611
2.GENERAL DESCRIPTION OFLMPROVEMENT:
Tear-Off Re-Roof
1. OWNER INFORMATION OR LESSEE INFORMATION IF TIIE LESSEE CONTRACTED FOR THE IMPROVEMENT:
a.Name and address Melanie_Alexander Stanford 1727 w.Park Ter.Atlantic Beach.FL 32233-.5611
b,Interest in popery: 100%
G.Nance and address of fee simple titleholder(if different from Owner listed above).
4. a.CONTRACIOR'SNAME: RMX Construction,Jeanne Gazlay
Contractor's address: 10752 Deerwood Park Blvd.#100 Jacksonville,FL 32256 b.phone number:855-769-6262
S. SURETY fapplicable,a copy of the payment bond Isattached)•
a.Name and address:
b.Phone number: c.Amount of bond:S
6.a.LENDER'S NAME:
Lender's address: b.Plume numbs;
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)7.,Florida Statutes:
a.Marne and address:
b.Pore numbers ofdesignated persons:
8.a.In addition to himself or herself.Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
b.Phone number of peson or entity designated by Owner:
9. Expiration datc of notice of commencement(the expiration date will be I year from the date of recording unless a different date is
specified): 20_____
WARNING TO OWNER: An,PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF TETE NOTICE OF COMMENCEMENT
ARE CONSIDERED TMPROPER PAYMENTS UNDER CHAPTER 713.PART I.SECTION 713.13-FLORIDA STATUTES.AND CAN
I • . 1 IW 1111• ••I u I•V•u• u • • I ROPERTY_ A NOTICE OF COKMENCEMENT MUST BE
EF,CORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING.CONSULT
WITII YOUR LENDER OR Aft ATTORNEY DEF9RE COMMENCING WORK ORRECORDING YOUR NOTICE OF COMMENCEMENT
/274 z
(Signature of Owner or Lessee,or Oivner's o .essec's (Print Name and Provid Signato .Title/Office)
Authorized Officer/Director/Partner/Manager) `...}\--
State of Florida
County of "Nq} ,
The foregoing instrument was acknowledged before me this 'd day of c...) l 5� ,20 `
by � \�—Pr2(� \t"\- l itiS2 (�,as C 1‘1° _ Jr
for ��Y`\ (yti\t person)‹--, _ �A� [?�\ (typo of authority,...e.g.office-r,trustee attorney in fact)
(name of party on behalf of whom instrument was executed)
,-y
Personally Known' or Produced Identification Type of Identification Produced
::�a+ •-."-
COLLEEN A.KEELING 4 —- �—�C `• 'a` Q
1 `< Commission#GG 16563i (Signature of Notary Public)
(Print,Type,or Stamp Commissioned Name of ota Public)
':; '.•`
Expires T December 7,rant st9\` , ` �`1�
:,°:'••� B^need The./Trey Fain insurance•00.'Sa5.7019 +�-�tJ. \\
Rev,10.15.12Va4\ r
1�L`fes.
Cash Register Receipt Receipt Number
City of Atlantic Beach R6010
DESCRIPTION I ACCOUNT QTY PAID
PermitTRAK $139.03
RERF18-0200 Address: 1727 W PARK TER APN: 172020 0372 $139.03
BUILDING $135.00
BUILDING PERMIT 455-0000-322-1000 0 $135.00
STATE SURCHARGES $4.03
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.03
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R6010 $139.03
CITY OF ATLANTIC BEACH
800 SEfINOLE RD
ATLANTIC BAC,FL 32233
08'09.2018 15:06:38
CREDIT CARD
MC SALE
Card; XXXXXXXXXXXX9)54
SEQ#: 8
Batch;: 666
INVOICE 9
Approval Code: 002024
Entry Method: Manual
Mode: Onlhe
Tax Amount: $0.00
Card Code: M
SALE AMOUNT $139,03
n Irrn.,... ___r
Date Paid:Thursday,August 09, 2018
Paid By: RMX Construction
Cashier: BA
Pay Method: CREDIT CARD 9
Printed:Thursday,August 09,2018 3:07 PM 1 of 1
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