1639 OCEAN BLVD REROOF SHING PERM REROOF SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RERF19-0022
ISSUED: 1/30/2019
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 7/29/2019
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:
1639 OCEAN BLVD REROOF SHINGLE SHINGLE ROOF $8620.00
TYPE OF REALESTATE BUILDING USE
I ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1695640000 OCEAN GROVE U NIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
TOWNSEND ROOFING & 4832 CHARLES BENNETT DRIVE JACKSONVILLE FL 32225
CONSTRUCTIONS SERVICE
OWNER: ADDRESS: CITY: STATE: ZIP:
ALTERI ALLAN 1639 OCEAN BLVD ATLANTIC BEACH FL 32233-5858
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 PFRMIT 4S5-0000-322-1000 0 $9500
STATE DBPR SURCHARGE 455-0000-208-0700 0 52�00
STATE DCA SURCHARGE 4SS-0000-208-0600 0 $200
TOTAL: $99.00
Issued Date: 1/30/2019 1 of 2
Building Permit Application Updated 5/5/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FIL 32233
Phone: (904)247-5826 Fax: (904) 247-5845
Job Address: 11139 ocecil" 61J Permit Number: 1_-� ER F( 9 —0 0 Z-Z-
4 -Lv
Legal Description 15-17- 01-7-�S -2-1 E_ 6rzv<. kJ I j5p AA M 7 10+6f(" E# 1615 -mig
Valuation of Work(Replacement Cost)$ �j �U �g Heated/Cooled SF Non-Heated/Cooled
Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
Use of existing/proposed structure(s)(Circle one):' Commercial 4ies��idenWl
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes �fN0 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: (q r-e kwe 1-t� C-,+F-
6�,A,) pte(4--(�4 7-3 Z,1
Florida Product Approval# 1017,4 for multiple products use product appro'vvdform
Property Ow er Information
Name: Al-+er; h( Address: 0ce_A,, fi,)
City. AH,,,4-,-c_ Ztmcl, —7 —State f-1- Zip —Phone 2V- 3 0-,?-7_q ey
E-Mail A I I^q r o\I+e r-, 6) !1 M AT,ce'vlj
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company:
��WA3,ekd f\F#`f#'7J Qualifying Agent:
Address 1"I I I NeW J�el-I-A F-01 —city 'To,-% State Zip IZZ,74
OfficePhone 101 - 6115-5067 Job Site/Contact Number q VJ- 4 7-
�_- 4 Y-7-1
State Certification/Registration# C6(_13�L 6 7,1(q E-Mail, C_i\fi,� P tVW`1,5ZhX-,#V-F;)%1, 4AA,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.
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
REC D G YOUR TI OF COMMENCEMENT. 7
(Signature of Owner or Agent) (Signature of Con�l�
(including contractor) -fl tAl
S ned and sworn to(or affirmed)before me this 1�1 day of S ned and sworn to(or a before s of
�Alom,,±j SO by 4(1&, A I
'Ay P&A CHRIS TOW
NSEND
ignature
Commission#GG 183366 (Signature of Notary) of Notary)
Expires March 25,2022
BWW@d Thm&AW Nftry SWvIM MARTIN ARELLANO
c,MP: ,- Notary Public-State of Florida
Commission#GG 102031
Personally Known OR Personally Known OR z-% .
,tl�
My Comm.Expires May 10,2021
Produced Identification Produced Identification
Type of Identification: Type of Identi11LdL1UF1_. E
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE!,
Permit No. Tax Folio No. 169564-0000
State of Florida County of . Duval
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: 15-82 09-2S-29E OCEAN GROVE UNIT 1
S/D FFLOT 7 LOTS 8,9 BLK 4
Address of property being improved: 1639 OCEAN BLVD. Adantic Beach, FL 32233
General description of improvements: Roof Replacement
Owner ALTERI, ALLAN &THERESA
Address 1639 OCEAN BLVD.Atlantic Beach,FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Townsend Roofing and Construction Services,Inc.
Address 10418 New Berlin Rd#115 Jacksonville,FL 32226
Phone No. 904-645-5887 Fax No. 904-645-5442
Surety(if any)
Address Amount of bond
Phone 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 or herself,designated by owner upon whom
notices or other documents may be served:
Name
Address
Phone No. Fax No.
In addition to himself or herself,owner designates the following person to receive a copy of the Lienor's Notice as
provided in Section 713.06(2)(b), Florida Statutes.(Fill in at Owner's option).
Name
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 OW
DAT
Signed: E
—q Od --:S�.
Before me this_ ay of A I.. in the
Doc#2019022856,OR 13K 18673 Page 2156, County of Du!,St.:te of Fl ri has persona?y appeared
A rwf-o herein by
Number Pages:I himself/hersetf and affirms that all statements and dedaralions_,herein
Recorded 01/29/2019 03:25 PM, are true and accurate CHRIS TOWNSEND
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Commission#GG 1183366
COUNTY Expires March 25,2022
RECORDING $10.00 WW*d TIn Budget Mari S-01111
Notar County of
My commission expires: Ah;V
Personally Known r% or
Produced Idenfificaticn