1763 LIVE OAK LN - ROOF / rS rl'`l 1r,
r
i _. \� CITY OF ATLANTIC BEACH
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J
Y >-_; _. r) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
0;1»� INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0209
Description: SHINGLE ROOF
Estimated Value: 16800
Issue Date: 8/22/2018
Expiration Date: 2/18/2019
PROPERTY ADDRESS:
Address: 1763 LIVE OAK LN
RE Number: 172020 0188
PROPERTY OWNER:
Name:
Address:
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$7,500.
,. Building Permit Application rr,iLet,;it
City of Atlantic Beach
600 S_m nose Pawl.At antic 8-act.Ft.3/233 f
Fho+»•;,X444=4'-5325 rati t‘204)217-SVS. 00
Job Address. 1-1 b-5 Li v f u tt1t .•ti F t ;il{"'t C='a't.!L 37233 petteut!umbel: RE RF I C'7 ` O ZO
li
Legal Description S':-5-f CI - ZS- 216 Selv4 r(`tge'i+rq Ue4 is Lai`it eifc iO 'T=' ;.7,ZeZ0 -O l S$ _
Valuation of Work(Replacement Cost)S S(o.SQ-0-'. Ne3ted!Cooted SF ZoZb Non-Heated/tooled
31)94
• Class of Work IGrcle one)•Csiess Addition Atterat cn Repair rta.e Cerro Pool iltriradoAr,'COor t
t
• Use of prica ,:,fproposed structurefs)(Circle one): Commercial (v'eii u )
• If an exisbnx structure. is a fire sprinkler system rnstailed'ler ole one)- ies No
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Free Removal
Describe in detail the type of wort to be performed- i
12h CQ tit $l of Ore Srr,�?;j 4f12 p•ltra
i
Florida Product Approva'.rs r(- tc31 Z' -CZd for multiple products use product approval form
Property Owner Information t jJ�`_t Y�
•
r 0.4)041
' 1 l 055 A t�."t"''A tL il""" A• G '': -•
Name:�C�Y�+ t�"�� �� Address_
City ist ,c. QALr State moi- Zip 3't-L33 Phone ern- -192-\1ob
E-Mail rvLlC'lkSe‘ 411.,F'orka-EC\Stott.coero '` � ',
Owner or Agent It Agent,Power of Attorney or Agency Letter P.equ'red) it iiet Ake. ii— L M��
Contractor Information
Name of Company: Atnnefsc4n gocr'v+� 1)^d S., ?°c"AtiQuaifyingAgeal '' ‘c..4t i
Address 7„.11-1 5 ( .,vefsrF- t3)Art2 cky-5,ticlFSDAu1\t State FL zip-32.2.1k
Office Phone 6kfr4- 3S'S- '-1715' lob Site/Contact Number girt- 3?t--si3-ln
State Certification/Registration 1C {ZCZ962't S`11 to E-1 7''^Co G.f"-`!f'CA^Ca.:,-`0,:j: fes.C4 i1'
Architect Name&Phone A
Engineer's Name&Phone tl
Workers Compensation --
E verspt I answer A Laze frzp+' •" +c::=era'..:-;sr.7.11„,:
Application is hereby made to obtain a permit to do the wort and instaitations as indicated.!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 !understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING.SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIOfIERS.etc_NOTCE,in addition to the requirements of ttaa
permit,there may be additional restrictions applicable to this property that mai oe foua:c in the pubfc recorder of this county,and
there may be additional permits required from other go4sienirrental 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 taws regulating construction and toning.
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 C• tra tor)
(including contractor; t St
Signed and sworn to(or affirmed)before me this day of Signed and s t am to(or affirmed)before me this (3 ay of
O I by /'9r r-44,..-_/ /✓I,4-17c >Ac.iyvs h- IAA a ,tet �\L.i nu-e-
y_ ,�L A
5' r1) re of notary) (Signature of, aryl
LiUAOAloPE liARCIAf 8
..-'':‘0S,5,1',•% f�
r i �ibti State 4 Florida
(T `evc'�� SARA STREET
nal
9 IT 913f675 •t Perstinaii�Kswwn 7i2 ;?o`' `°�� State of Florida-Notary Public
77 t. , ,fiiii: 4W6-04 i 19 ` tt�� ?Produced ldtifatiar =N "'. Commission #GG 110741
�'-of Identification: y � Tv pe of identification: t ,;"7,',,`,.‘o > s
�TJune 01, 2021
Doc # 2018192270, OR BK 18492 Page 2277 , Number Pages : 1 ,
Recorded 08/15/2018 10:46 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10. 00
NOTICE OFCOMMENCEMENT
Permit No.
TatFoiicsNo. tiZOZO-CtSIS
State of Florida..County of \ iz l
THE L1N.DERSIG;IED hack gilt mice tlsa;he.impmmernue nil)be made to zer•'.oia r I pfcp' t in a,::.c c
with Chapter 713,Florida Statutes_ follarr orb afennagnn ij prnaidctI an this'.`:nfice cf Cr r -e:> t_
1- Det.`tiption of property(legal description of pmpertm aid address itavailsbb) 1
d 4 - ZS-29 E .Stift t��# .�1ty d ," L
.!1ta3 Link 60. LA 144441c 441c SCich Ft. 3Zz33
2. Gmall Desctip ion of itttpro«:ments
Compfet
_. .e�ea�pffand Re-Roof
_
3. Cruet bs4
a)Nanm and Address: ��Iatfln4 !'OOA M. 1�. 41144-ie shed 7 ' t-a y44c 4e-Lb.."--
3z-,..33 in 100%
f
y c=11,e :act address of'simple tittetadder gather than those
4. Cm-stray a Ia m:
Kir.e�a d Address: American Roofing of Jacksonville
2117 University Blvd S.Jacksonville, FL 32216
b)Mame limber_ j904)385-4375 — —
3. w:.;maitm date ttf Notice of Commencement(the expiration dot raw not be hefoce the completion of construction
-ate:_final titiamrat to the contractor.but aril/be one(I)year from the due of rood unless:a differ theea
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE E OF COMMENCEMENT ARE CONSIDERED iMPROPER PAYMENTS UNDER CHAPTER 713.PART L
SECTION '713.13_ FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEM�,E IS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POS-r.:-.D THE JOB SITE BEFORE THE FIRST I!SPECTION. 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 foreeoing mance of caremeneerttrart nd that the facts stated
therein are true to the best of my knor-Iedge anis`belief.
Signiature ofOaraes or Owner's Authorized oiliterithroaortParnasiMartager S orr's P .ntai Name&TiI1c Ofticc
The'fort irrsG'umeitt s.a-;acinettUged before cat this'� day of ,( Lo.
74!
by i`✓tar � '
ri3arae of Person waling ataremern)
.�..,' ''''' Gt1ADAL'JPEGARCIA11 OT�R�PUI3I STe�iT£OFFf4�fifDA
Notary Punk-State of Print Name- ca\G.v,.---
foat elssion•FF/43$75
�� E"}fit.600 Doc 15.2019 t''ti:rSszt::lI]g Know/
_..� iittstjet:io }rte _ u`-
Restised 1J01lli
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