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1640 SEA OATS DR - ROOF _ , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 6,40 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: RERF18-0220 Description: Estimated Value: 18839.1 Issue Date: 9/5/2018 Expiration Date: 3/4/2019 PROPERTY ADDRESS: Address: 1640 SEA OATS DR RE Number: 172020 0238 PROPERTY OWNER: Name: PATTERSON JAROD M Address: 1640 SEA OATS DR ATLANTIC BEACH, FL 32233-5836 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: AMERICAN ROOFING OF JACKSONVILLE Address: 2117 University Blvd. S JACKSONVILLE, FL 32216 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. NOTICE OF COMMENCEMENT Permit No. Tax Folio No. 11 I ()Z O O Z3 State of Florida,County of Du vn-s THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement. 1. Description of property(legal description of property and address if available): "I -51 OR - 2 5- 29C Selua Vt4 f(V9, (o Lai' 11 &I c3 I(o`IO 5e't Oats [3e-.ch I EL 32233 2. General Description of improvements: Complete Tear-Off and Re-Roof 3. Owner Information: a)Name and Address: 5gccd e -J'rson, j61(6 5€ Oe1i br, A0-(gK`ftc 3ec<h, (=G 32233 b)Interest in 100% Dec#2018209259,OR BK 18515 Page 2296, c)Name and address of simple titleholder(if other than owner): Number Pages:1 NA Recorded 09/05/2018 03:01 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY 4. Contractor Information: RECORDING $10.00 a Name and Address: American_Roofing of Jacksonville 1 2117 University Blvd S. Jacksonville, FL 32216 b)Phone Number: (904) 385-4375 5. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the contractor,but will be one(1)year from the date of recording unless a different date is specified: WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are tru- • th- •-. • -. owl--: and belief. ok Jw,rs Si i.; e of• er or Owner's Authorized Officer/Director/Partner/Manager Signatory's Printed Name&Title/Offi e The foregoing instrum w acknowledged before me thie71-7 day of % ,20( g, byQapeet ��� ��'b (Name of Person making statement) 4 /%/ „1,,,,,, Aida Hadzic NOTARY ' :LIC, j A.T, ! �'^ "'E �/F OlIDA State of Florida0 3 My Commission Expires 01104/2021 Print Name: `(' Commission No.GG 59995 ® Personally Known ?bLt/ M).r'/3? 7& -3112 312Identificatiorn'ype: (Affix Notary Seal Above) Revised 1/01/18 Building Permit Application Updated 12/8/17 f 14 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 Job Address: ! (9 41 -5 e9. Owls Difi(G { A+`C &ccc-h, f L 3723P3ermit Number: et 4r (8 C17-7--O 3N-SI o9- 2S- ZqC Setv4 ( rt'' L..,t l, LCrt 1� ti1K t3 Legal Description RE# I. 1 Z 02- 0 2-38 Valuation of Work(Replacement Cost)$ I$ i 53'1. 16 Heated/Cooled SF 3°7-Z Non-Heated/Cooled 3424.1 • Class of Work(Circle one):t�leyr7 Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s) (Circle one): Commercial esiden • • If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No 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: q z 59 ArAi• teci-v k S\--l«nles 3((Z etc h Florida Product Approval# /g?OJr for multiple products use product approval form Property Owner Information Name: ;SQ(O'• * -SOV1 Address: 11040 S( ©cktS b( City Ak\c r't-sc 13e.ctch State ft— Zip 37233 Phone ct04— ((6N— 655a E-Mail po ,.cccri \af e5 ���5 Gr c k. C6 IAA Owner or Agent(If 1(Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company: Akec‘c c.� ' t ' 34.c.ks‘,hIL"Oe Qualifying Agent: tA,(\ K tvt(ce C Address 2- (J1 e{-5 k �1J01 City "SkcVS�nvt lte State FL Zip 322 Office Phone �(0 N' Cc Z b - L]b 3 b Job Site/Contact Number a 4.I' 6?(0- (,3 ( State Certification/Registration# (C,C 2a O Z"15 L"6 E-Mail bek`^ 6`Mt!t c,-v (vc•F\ .cc. ✓vj Architect Name& Phone# /OA Engineer's Name&Phone#,'M Workers Compensation tCG/"/D523`93i i p SJ3/90/1 Exempt/Insurer/Lease Employees/Expifation 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 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 RECOR11:. .*• !cos' COMMENCEMENT. �/ (Signature of Owner or Agent) (Signature of Contractor) . -h1 (including contractor) Si ne• a • sworn to r affirme, befor- t;',� da y�jf�\ Signed and wortro�or affirmed)rea1dOyr (( �• (11 (Signature of Notary) r .. ',, AidSHadziC Y,•,,, JENNIFER JOHNSTON Personal) Known OR ''•' [ ] y State Of Florida ersonally Known OR =+?' MY COMMISSION#GG 042984 't7}iroduced Identificati:" n Cor'—'--'on Expires 01/04/2021 Produced Identifica • '-moi ""' `° EXPIRES:October27,2020 ,•A [ ] •,:or°? Bonded MIL Notary Public uncle Type of Identification: Co ion No.GG 59995 Type of Identification: