370 Plaza RERF18-0259 REROOF SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RERF18-0259
ISSUED: 11/6/2018
INO
#T!,
ATLANTIC
BEACH.
FL 32233
800 SROAD EXPIRES:5/5/2019
u EAC
MUST CALL INSPECTION PHON E LINE (904)
• BY
• LL • • • • • • EDITION • OF • • • • BUILDING
CODE, AND CITY OF • • OF ORDINANCES .
ALL CONDITIONS OF
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
370 PLAZA REROOF SHINGLE $11400.00
TYPE OF SUBDIVISION:BUILDING USE
CONSTRUCTION: NUMBER: GROUP:
169976 0000 ATLANTIC BEACH
COMPANY: DD
TAYLOR MADE ROOFING, 87513 CREEKSIDE DRIVE YULEE FL 32097
INC
• ADDRESS:
MCDONALD MARY E 370 PLAZA ATLANTIC BEACH FL 32233-5442
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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 RECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF • •
Roll off container company must be on Cityapproved list. Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000.333-1000 0 $110.00
STATE D8PR SURCHARGE 455-0006208-0700 0 $2.00
STATE DCA SURCHARGE 455�208-MG 0 $2'00
TOTAL:$114.00
Issued Date: 11/6/2016 loft
Building Permit Application Updated 10/9p8
city cl Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road,Atlantic Beach,FL 32233 HIGHLIGHTED IN GRAY
Phone:(904)247-5826 Fax:(904)247-5845 Email:Building-Dept@coab.uuss IS REQUIRED.
Job Address: 370 PlacerPermit Number: kef
Legal Description Lot 33,Block 10 No.1 Subdivision"A"Atlantic Beach REA 169976-0000
Valuation of Work(Replacement Cost)$11 400.00 Heated/Cooled SF 1626 Non-Heated/Cooled 642
• Classof Work: CINew OAddition IJAheratlon ORepaiirr OMove ❑Demo []Pool []Window/Door
• Use ofexisting/proposed structure(s): mCommemial dlesidentialt�
• Had existing structure,is afire sprinkler system Installed?: Iles Ewe
• Will tr removed in association with proposed no ect?n,s(must subpritTr a Removal Permit) o
Describe in detail the type of work to be performed:
Re-roof
Florida Product Approval x for multiple products use product approval form
Property Owner Information
Name Joeaph M.Hunt,Mary E.McDonald Address 370 Plaza Road
City Atlantic Beach State FL zip 32233 Phone 904-525-1086
E-Mail IOm0105309l m
Owner or Agent(if Agent,Power of Attorney or Agency Letter Required) n/a _.
Contractor Information
Name of Company Taylor Made Rooting Qualifying Agent Kyle Taylor
Address 87513 Creekside Drive City Yulee State FL zip 32097
Office Phone (904) 849-7758 Job Site Contact Number (9041251-5409
State Certification/Registrationki CCC1327689 E-Mail kyle®taylonnader00fing—ch
Architect Name&Phone x
Engineer's Name&Phone x
Workers Compensation Insurer OR Exempt o 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 regulating
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 PAVING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANC II , CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
R RDIN [] R O I OMMENCEMENT. MA
N
(S n tore o caner or ent) (signature of contractor) .
S,i9n and swo to or affirn ed)b ore me this 1� da of igned a d sword to( art med) fore me t 's day of
UL{' (�I b day
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heae
(Syn reof Notary) �[ (Signatureof Notary)
[ I Persereft Known OR lt4veraenally Known OR
I1.1,4oduced Identificatio l/ I I Produced Identification
Type of Identification:-!L -0a�l6"S UC._ Type of Identili kn:
Notary Pudb ELj
MOORE2022
�, Mete Of Flddaeotnmdatfl'0,loLssion Expoa ll/d0•l021 G l9att9gpirderipn N0.CA 755174 lN ND Assn.
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Fdio No. fL 111`7 L- bdoO
Stet.of Intra. Caunry of OUVAL
To whom It may concern:
The undersigned hereby Informs you Nat 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;s20p6o;of pmpeM being Improved:rMs3•alwc3a Nom t sudt'ske'A"Anannc such
Address of Property be rag Imprgvetl:NO WnReW,Anantic&arA,FL3Yt3
General description of Improvements:RE-RooF
OWMr dbseeh NNwn.MwyEM -Irl
Address arxysarmatl.Atcxr& d1,FL33R33
Owners Interest In site of the Improvement
Fee Simple Titleholder(If other than owner)
Name
Address
Contractor TAYU1RMADER00FIRG
Addres3��CREEN51pEaRYUiFE,FL3M9!
phone W.No.9m91Ru775a Fax No.
mby if any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a ban for the construction of the Improvements.
Name
Address
Phone No. Fax No.
Name of person within the Slate of Fiedde,other than himself designated by owner upon whom notices or other
documents may be served:
Name
Address
Phone No. Fu No.
In addition to himself,owner designates Me fallowing person to recelve a copy of the Lienors Notice as provided in
Section 713.06(2)(b),Florida Stables.(Fill in at Owner's option).
Name
Address
Phone No. Fox No.
Expiration date of Notice a Commencement(Me expiation data Is one(1)year from Me date of retarding unless a
drearent date is Specified):
THIS SPACE FOR RECORDER'S USE ONLY O tER ��/9
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.,ebv>em asVar° Notary Public
Dab p 2018260980,OR BK 18585 Page l6T7, Slate of Ponda
Number Pages:1 hop Ccmmiwion Expires 111=021
Recorded 11M 2018 02.25 PM, DpnsrWlprr f1p,,GG 155172
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Nowry PUNlkar Larva stele or a . bovatyw
COUNTY Mra.mmwlon eFpbg: ll - -
RECORDING $10.00
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