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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_ ATE 0 er E Iy apes: se WI,3'�P Ise= --b-sn by bs� Docli'2018185479,01RI31<18483 PageW. Number Pages I eu.and...I. Recorded 0=7/2018 03:13 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTy RECORDING $10.W C .Wns. 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 AVLA S4- 4y4.,4,, �2119 by ra,.Id le..'A:01 X'byr RyanReflk E�� n =:A: NOTARYPLI%�� afNatery) 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 st - - — — — —— a Ft ifl F4 Z U t t 1"4 Ei F� Iwi 1'6 t: 06 'i' Pll �.d 6 45 Ru uu 0 0 'T,