2310 BEACHCOMBER TR - ROOF _,I,Ap' REROOF SHINGLE PERMIT PERMIT NUMBER
r CITY OF ATLANTIC BEACH RERF18-0268
18
800 SEMINOLE ROAD
ISSUED: 11/27/20
-\pii". ATLANTIC BEACH, FL 32233 EXPIRES: 5/26/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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:
2310 BEACHCOMBER TR REROOF SHINGLE shingle re roof FL10124-R20 $17150.00
& 15216
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169463 0066 OCEANWALK UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
FLORIDA ROOFING 4320 DEERWOOD LAKE PARKWAY JACKSONVILLE FL 32216
EXPERTS 1001-403
OWNER: ADDRESS: CITY: STATE: ZIP:
CRUISE JOSEPH F 2310 BEACHCOMBER TRL ATLANTIC BEACH FL 32233-6607
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 CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
FEES lairir
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $140.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.10
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $144.10
Issued Date: 11/27/2018 1 of 2
r'y,� Building Permit Application Updated 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
Job Address: 23/0 /.fit. c1%,GZ,uGLt/ /fc., p j Permit Number: I`t-1`p ri ' —4(:), G ko 0
Legal Description OtrIP •f w a 1'c- un % 1 L&-- ' , RE#
Valuation of Work(Replacement Cost)$ 17, 1 C) Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteratio Repair ove De o Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial esidential
• 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:
cer0OV , LictS9 , -/I a
Florida Product Approval# 1 D l 2 4 - V.,2.0/ 1'72.1(d for multiple products use product approval form
Property Owner Information 1
Name: �O � C c'v 2
i 2 Address: ' C) Zoe es.(..An (_ o r►be r -�-f
City .{ a- n A-r. n State F L Zip •2233 Phone( c7- ) 'R:i9 -4 91 .6
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information (` 1
Name of Company: F\OC , l�bo�,/` tx 'Tk Qualifying Agent: \r ,; , SI c,„� c
Address L, O 14,��p�y �{b3 City )t State �L Zito-) %le
Office Phone �t)-1 - (1)I X lao 1 /Job Site/Contact Number
State Certification/Registration# Get 132_9Oq 1 E-Mail -\u i,At..- r 001-ir e c er4-41 c w-LlnoV . Lonn
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation SOU t'Ifl'CC:�c P-e_r&b(1ro ( ( pr,`SI c c [- [ - 1 1
Exempt/Insurer/Lease Employees/Exp' ion 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
RECORDING YOUR NOTICE OF COMMENCEMENT.
C.._ S--.....''''s-
(Signature of Owner or Agent) (Signature of Contractor)
(including contractor) p
Signed and sworn to(or affirmed)before me this J day of Signed and sworn to(or affirmed)before me this 1 day of
&ivkg_, „34)i r' ,by ' - 1r.,, N Ov , ZD 1$ ,by --17-PW 0.�/-1104-04-
ice''' — —7•447 7? %a-
-, - , - of ary)AlE�' • rY) otary)
[ ]Personal) ,��•;-,'. Comm FF991803 ersonally Known OR o!�"Y'°� TIFFANY NEAL
_; . MY COMMISSION#GG229074
Produced I. ` :' ionEXplf93 5/11/2020 [ ]Produced Identification I
Type of Identification: /..,17.-4-.4.( Type of Identification: EXPIRES:JUN tat 2022
eo�d through 1st State Insurance
Doc # 2018274518, OR BK 18604 Page 1294 , Number Pages: 1,
Recorded 11/21/2018 09:21 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10. 00
NOTICE OF COMMENCEMENT
State of CI*c-',&,‘ Tax Folio No.
County of \-..)tiy4
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: 0 c. ne- t)t);.4- 1 1-03,-
Address
O}Address of property being improved: 1.3\0 $ LSC o Mbec •rr\ 32233
General description of improvements: R e Co o rr
owner: 30�e1� Cc if% a Address: 2-SIO �.zG.c.VIC^mic>2r k-c\ 3U3'
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner): _
Name: rr
Contractor. \Ot~ dA CZ too X
Address: IA3ZO 4! )e2r,41;,ver` Li+ e Q\LwL 1!)3 ?j221 ip
Telephone No.: CO )V - (o i 4(v Fax No: C46401-0) 4(o - y p
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:
Address:
Telephone No: 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
Date:
Befo -•147-is S day of c R. in the County of Duval,State
Of Florida,has personally appeared lb c.
Notary Public at Large,State of Florida,County of Duval.
My commission expires: ifI ,
Personally Known: • ' ' or
Produced Identification: AMPEliii #fr"_ Z' ' •
Gator+/FFOM OS
Etgiires if111/2020