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660 MAIN ST RERF18-0278 RERF PERMIT REROOF SHINGLE PERMIT PERMIT NUMBER JS CITY OF ATLANTIC BEACH RERF18-0278 � ISSUED: 12/20/2018 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 EXPIRES: 6/18/2019 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: 660 MAIN ST REROOF SHINGLE SHINGLE ROOF $10690.00 TYPE OF REAL ESTATE j BUILDING USE ZONING: SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 170915 0750 ATLANTIC BEACH SEC H COMPANY: ADDRESS: CITY: STATE: ZIP: J & M Roofing & Remodeling 6020 Parkway North Drive Cumming GA 30040 OWNER: ADDRESS: CITY: STATE: ZIP: SCOTT PARKER 660 MAIN ST ATLANTIC BEACH FL 32233-2532 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. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $105.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $109.00 Issued Date: 12/20/2018 1 of 2 Building Permit Application Updated 10/9/18 »'' '/ I '• INFORMATION City of Atlantic Beach Building DepartmentALL IN 0 800 Seminole Road,Atlantic Beach,FL 32233 HIGHLIGHTED IN GRAY Phone:(904)247-5826 Fax:(904)247-5845 Email:Building-Dept@coab.us IS REQUIRED. Job Address: 660 MAIN STREET,ATLANTIC BEACH,FL 32233 Permit Number: G � PDYO Z Legal Description 18-34 38-2S-29E.094 ATLANTIC BEACH SEC H S 30FT LOT 3,N 10FT LOT RE# 170915-0750 • Valuation of Work(Replacement Cost)$ 10,690.00 Heated/Cooled SF Non-Heated/Cooled • Class of Work: ONew DAddition DAlteration ORepair DMove ODemo OPool OWindow/Door • Use of existing/proposed structure(s): OCommercial EItesidential • If an existing structure,is a fire sprinkler system installed?: Eyes [ao • Will tree(s)be removed in association with proposed proiect?fYes(must submit separate Tree Removal Permit) Eit4o Describe In detail the type of work to be performed: SHINGLE-REOOF GAF TIMBERLINE HD Florida Product Approval#FL10124-R9 for multiple products use product approval form Property Owner Information Name SCOTT PARKER Address 660 MAIN STREET City ATLANTIC BEACH State FL Zip 32233 Phone (904) 294-4465 E-Mail 83CANE@BELLSOUTH.NET Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) n/a Contractor Information Name of Company J&M ROOFING INC Qualifying Agent MARLYN BRYANT Address 6020 PARKWAY N#500 City CUMMING State GA Zip 30040 Office Phone (904) 337-0509 Job Site Contact Number (904) 466-3549 State Certification/Registration# CCC1330298 E-Mail SCHUYLER.SCHMIDT@JANDMROOFING.COM Architect Name&Phone# NA Engineer's Name&Phone# NA Workers Compensation Insurer AVWCFL271312201B OR Exempt 0 Expiration Date 06/30/2019 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 wilt 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 PAYING TWICE FOR IMPROVEMENTS TO YOU •ROPERTY. IF YOU INTEND TO OBTAIN FI► �1 ING, CONSULT WITH YOUR LENDER OR • •RNEY BEFORE RECORDING P. �' NOTICE OF COMMENCEMENT. (Signature of Owner or Agent) (Signature of Contractor) Signed and sworn to(or affirmed)before me this /7 day of Signed and sworn to(or affirmed)before me this 17 day of 7Qc��?--v', .2 ,by ./ ..►w , Zak ,by /�� . g .tet ►�• . NotaryPubt a State of Ronda I Schuyler Schmidt f� �h uyler Schmidt it My Commisvon CO 214a4S µy Commitch GG 214 65 ersonafly Known•• oaf. � Expires 05108x2022 UT Personally Known OR ' '�' E„p,res OW043/2022 p;PI )Produced Identlfic. !( I Produced Identificati., Type of Identification: Type of Identification: Recorded 12/19/2018 08:23 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10 . 00 NOTICE OF COMMENCEMENT (PREPARE fJ ouPLICATE) Permit No. Tax Folio No. State of Florida County of Ouval To whom It may concern: The undersigned hereby Informs you that Improvements will be made to certain real property,and In accordance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF COMMENCEMENT. Legal description of property being improved. 18-34 38-2S-29E 0094 ATLANTIC BEACH SEC H S 34FT LOT 3,N 1OFT LOT 4 BLK 132 Address of property being Improved: 660 MAIN ST Atlantic Beach FL 32233 General description of improvements: Reroof owner PARKER SCOTT M Address 660 MAIN ST Atlantic Beach FL 32233 Owner's interest in site of the improvement Owner Fee Simple Titleholder(if other than owner) N/A Name Address Contractor J&M Roofing Inc Address 8020 Pkwy N Suite 500 Cummings Ga,30040 Phone No. 770-292-9054 Fax No. Surety of any)N/A Address Amount of bond S Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name N/A Address Phone No. Fax No. Name of person within the State of Florida.other than himself,designated by owner upon whom notices or other documents may be served: Name N/A Address Phone No. Fax No. In addition to himself.owner designates the following person to receive a copy of the Uenor's Notice es provided in Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). Name N/A Address Phone No. Fax No. Expiration date of Notice of Commencement(the expiration date Is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY I y OWNER Signed: .r . _ DATE/7'40405 eerae me.: l/, • a � .. - n iM County/Duvet,Ste • • •a,hal preonaay appeared tveein by rItrnea'h hersett and antra)*that Y statements rid WUaraba$twee ere true and accurate Notary Pubis Sul o f ficexia_� • Schuyler Schmidt Lh Cvtyr*uort GG 214145ti • e ••• .22 dlnl Fxt ccntrnission aVeld a 2 L Psnonsey Krc.'m Produced rdentltufton