336 AQUATIC DR - ROOF for-
s4
CITY OF ATLANTIC BEACH
r) 800 SEMINOLE ROAD
!)y
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: RERF18-0234
Description:
Estimated Value: 5000
Issue Date: 9/24/2018
Expiration Date: 3/23/2019
PROPERTY ADDRESS:
Address: 336 AQUATIC DR
RE Number: 171818 5112
PROPERTY OWNER:
Name: JOHNSON BARBARA S ROSSIGNOL B/E
Address: 336 AQUATIC DR
ATLANTIC BEACH, FL 32233-3828
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Sangamon Stoli Enterprises Inc.
Address: 2008 Calusa Trail
Middleburg, FL 32068
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$7,500.
NOTICE OF COMMENCEMENT
State of ► C a- Tax Folio No. 7 7 g - 511z-
County
511z-
County of CN.,
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved:. 3 B-"7 i `7- ZS Zg ` . Co../AI-(t
Address of property being improved: '3-3CP c.
General description of improvements:
Owner: 13/Web 7 2 ti/ Z Address: 3'3 e C. L GDA-
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
,14/
1ontractor: JAI c5 r` 2eAt S, �.
Address: /�� (( lP �r� E= _. V�xte-zL 757 '
Telephone No.: 49:061 5 45 b1.3 Fax No: 4ti -c/o
� S U
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida,other than himself, designated by owner upon whom notices or other documents may be
served: Name: lLAs0figos s 3,r-to
Address: /O3 5 e,Y. r v ) g4 6-iT1a^i:G i'eAc I f PZ- 3-2-2--3
Telephone No: 90 LI 71 -2 4s 3 7 Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: Date: 9 )20 i)f'
Before me this 20 day of moi", in the C unty of Duval,State
Doc#2018224482,OR BK 18535 Page 1970, Of Florida,has personally appeared (41.4 o eRoS:i 5�,F3�
Number Pages:1 'Totary Public at Large,State of to i a,Cou`bty of Duval.
Recorded 09/20/2018 01:42 PM, My commission expires: e ZDZ.Z
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL ersonally Known: ffi+ or
COUNTY Produc f Idgrltificatipn: r�-- D L
RECORDING $10.00 JAMIE D.SMITH
,, !i :, MY COMMISSION#GG 255331
�:,
.. ?.,yam p`,: EXPIi2ES:September 5,2C22
'"."- Building Permit Application Updated 12/8/17
r;iCity of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
• // Phone:(904)247-5826 Fax:(904)247-5845 .�() ¢ 2 (�
Job Address: 3 3 (P 4g ,/iL�ltie- (b/f2. Permit Number: �C�('JCf� �p �bZJ l
Legal Description / RE# C-
Valuation of Work(Replacement Cost)$ `. es-n—E) Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structures)(Circle one): Commercial R:gr'tial
• 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:
Florida Product Approval# ,'L._., /e 3 5 S, / for multiple products use product approval form
Property Owner Information ; �
Name: I/37.0 qp Ross%v no ( Address: 36 IC 1 __ `" b rtt
City ✓A kfrr- 0i/fL State u Zip `3 Z..�I `1 Phone qO `?O Z93
E-Mail .
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information - n��;, _
Name of Company: 'oZ- Y(st��� Gc Ing Agent: /�, c-(�A°r7)J
Address �(` �(J, Ality2--n � /jity A State — Zip 3 22.0 2
Office Phone l Job Site/Contact Number ®c 4 S .24
State Certification/Registration#<�13 2,Q4fel0 E-Mail 4ti 1YLb7'�cj'�-p1/ roan.;•C-I179-1
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation
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 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 LENDS RAN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF C MMENCEMENT.
'(Signature of ner or Agent) (Signature of Contractor)
(including contractor)
Signed and sworn to(or affirmed)before me this I S' day of Signed and sworn to(or affirmed)before me this I day of
�� A�1 ,by Huhn R slgnol - z - by � �1 � s
0/0/1AAJ 44 a-44-) ft*.
k Alb—A. W& i.
MI
(Signature of Notary) (Signature of Notary
[ ersonally Known R,;c''"`�''''^ ADONNATGATTIS [ ]Per ally Known .' �;r .• ..%• J IED'�TM
[ ]Produced Identific iina
Notary Public-State of Florida [ roduced Identification Pei ;'r :*j (A1f COA SION$G0255331 -
• Commission.GG 1148' ��-�r EXPIFiE3:September 5.al/
Type of Identification Type of Identification: L -
L-__`
NOTICE OF COMMENCEMENT
State of 1 1.Q- Tax Folio No. 7
County of [\V
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: 3 B-"7 7- ZS Zq y, Ca.� ,• s
Address of property being improved: 334o L
General description of improvements: R t / 'c a r
Owner: 73A-1,24$ .etry `-.)/-y AD I Address: tLc
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
10)(11 ontractor: t 5i t �� 5 -- e_.
Address: j z.i,� /Ct 62 � �e. ree-zc 7J 7C,
! Telephone No.: qQ 545. /J 92 Fax No: 49 ' (p 5 730
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be
served: Name: 14 %Q .figoS s rio I
Address: jt'5,5- 3e - )k g 4 4aQ 4:c �� PL 322_3
Telephone No: 90 t.? 7e 4-21.-34 Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: Date: 9 1201) -"
Before me this 20 day of (*dal; in the Cpunty of Duval,State
nnc#2018224487,OR RK 18535 Page 1970, pfFlorida,has personally appeared ( i o �o-i5�01
Number Pages: 1votary Public at Large,State of E7lori a,County of Duval.
Recorded 09/20/2018 01:42 PM, y commission expires: t/ 5ZOZ.Z.
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL ersonally Known: { or
COUNTY roduc d Id ti lcati n: _
RECORDING $10.00
JAMIE D.SMITH
i! ,, MY COMMISSION#GG 255331
:? 1 EXPIRES:September 5,2022
"Fo;�
.,;11
Balled Nu Notary Mk Underwriters