2113 Fairway Villas RERF18-0199 CITY OF ATLANTIC BEACH
P 800 SEMINOLE ROAD
ATLANTIC BEACH, Fl,32233
INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PMI FOR NEXT DAY INSPECTION: 247-S814
PERMIT INFORMATION:
PERMIT NO: RERF18-0199
Description:
Estimated Value: 5277
Issue Date: 8/8/2018
Expiration Date: 2/4/2019
PROPERTY ADDRESS:
Address: 2113 S FAIRWAY VILLAS UN
RE Number: 1693981038
PROPERTY OWNER:
Nome: MISS PRISS ENTERPRISES III LLC
Address: 395 POINSETTIA CT
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: RON RUSSELL ROOFING INC
Address: 4419 HUDNALL RD CIA RONALD WAYNE RUSSELL
JACKSONVILLE, Fl-32207
Phone:
PERMIT INFORMA17ON:
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
S2,500. For HVAC work,a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. R- Tax Folio No.
State of� County of v
To whom it May concern:
The undersigned hereby Informs you Mat 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 deschiplNon of property being Improved: 3 7-Z 09 Z c)d'
Address of property being improved:- 2 It 3 5 Fst I S�q VOW
IIP[- Sz&'r3
General description of Unprovernarts.Reroof
�rMrls ?,ZSg tFAl—lef-4-S M 4L C,
Address 3�S P.t",Wt— 44
Owner's interest In site of the Improvement
Fee Simple Titleholder(if other than owner)
Name
Address
C,m,mP,.,Ron Russell Roofing,Irs,
Address 4419 Hudnaal Road,Jacithonville,FL=07
Phone No.ag*71�nabr Fax No. 004-636-9909
Surety(if any)N/A
Address Amount of bond
Phone No. Fax No.
Name and address of any person melding a loan for the construction of ft Improvements.
NameN/A
Address
Phone No. Fax No.
Name of person within the State of Florida,offier than himself,designated by owrIeT upon whom notices or other
documents may be served:
Name Ron Ru.11 Roolp,1.
Address 4419 Hudnall Rd.Jacksonville,FL32207
Phone No. �11"agr —I'll No 904-636-9909
In addition to himself.owner designates the following person to receive a copy of the Uenors NoUce as provided in
Section 713.06(2)(b).Florida Statutes.(Fill in at Owners option).
Name NIA
AddMs5
Phone No. Fn No.
Expiration data of Notice of Commecimment its,expiration date Is one(1)year from the data of recording unless a
different date Is spedfied): U iE
THIS SPACE FOR RECORDER'S USE ONLY o_
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Recorded 0=7/2018 03:13 PM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTy
RECORDING $10.W
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P..�.Ily K—n
P�ijogild.ffloul. I�L-
Building Permit Application Updated 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beech,R.32233
Phone:(904)247-5826 Fax:(904)247-5845
JobAddress: 2101 'F4t��y V?%%k% 1,,a S Permit Number: kOW-t 6 liq
Legal Description?I-Z2 pill-Zli-MIC V;A%ft� Lot /1 RE# /6-1318 -1-35
Valuation of Work(Replacement Cost) Heated/Cooled SF_Non-Heated/Cooled_
• Class of Work(arcle one): New Addition Alteration Repair Mow Demo Pool Window/Door
• Use ofeldstingliproposed structure(s)(Circle one): Commercial Q�
• If an existing structure,is a fire sprinkler system installed?(arcle one): Yes No(!/:A:)
• Submit a Tree Removal Permit Application if any trees am to be removed or Affidavit of No Tree Removal
Describe In cletall the type of work to be performed: jZ.-?..44 e.W-
(a A'6 .4 �/', � 7%,
Florida Product Approval# /0/Z V- /46 for multiple products use product approval form
Property Owner Information
Name:lgj. �.Js III LLG Address: 3`15
City -state rL Zip 3%Z 33 Phone 3SZ
E-Mail
Owner or Agent(if Agent,Power of Attorney or Agency Letter Required)
Contractor Information
NameofCcmnpany: Ra� t�a�"eki, �Z..@Ztn Z� Qualifying Agent: Ru��%J R�4"\.k
Address"14y'k 1% dvu�vk (2A City 1�y State t-L Zip srzl
OfficePhone -lilt- 1`4161 Job Site/Contact Number 600-19013
State Certification/Registration It 6ce- ISLI413k E-Mail a
Architect Name&Phone If
Engineer's Name&Phone#
WorkersCompensationliv;IJ,eas wi Oedd=� �4fllo!JZ70605
ft�W/imuw/�wEmp�y�s/apimtionNte
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 goviammental 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
RECORDING YOUR NOTICE OF COMMENCEMENT.
(Signature of Owner or Agent) (Signature of contractor)
(including corunctor)
Signed and sworn to(or affirmed)before me this dayof Signed and sworn to(or affirmed)before me this dayof
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FtYan ennick Eyrick
STATE OF Ff IDA NOTARY PUBLIC
144W.—milly Known OR
I Produced Identification &STATEOF FLORIDA
Type of Identification Type of Identificetion: . Cmm#FF945229
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