1984 MARY ST REROOF SHING PERM PERMIT NUMBER
REROOF SHINGLE PERMIT
r� \
RERF19-0017
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 1/25/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 7/24/2019
MUST CALL INSPECTION PHONE LINE 904 247-5814 BY 4 PM FOR NEXT A
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • '
CODE, OF • OF • '
ALL CONDITIONS OF . . 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: i VALUE OF WORK:
1984 MARY ST REROOF SHINGLE shingle re-roof- FL10674- $3715.00
R13 & FL11602-134
TYPE OF
ZONING: :D •
CONSTRUCTION:-- GROUP:
172363 0000 LEWIS S/D
COMPANY: ADDRESS:
TURNKEY CONSTRUCTION 5991 Chester Avenue#105 JACKSONVILLE FL 32217
• $}. CITY: STATE: ZIP:
CIARDELLI KATHRYN M PO BOX 6033 SAN DIEGO CA 92166
BROWN
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.
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
R
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $70.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$74.00
Issued Date: 1/25/2019 1 of 2
Building Permit Application
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 r G�
Job Address: 1984 MARY ST Permit Number:—9-e k- ( ` _00,J
Legal Description 24-92 17-2S-29E.055 LEWIS SUBDIVISION S 23.15FT LOT 1 BLK 4 RE# 172363-0000;�
Valuation of Work(Replacement Cost)$ 3 I 1 J Heated/Cooled SF 1224 Non-Heated/Cooled 23
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial entia
• 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 ar Affidavit of No Tree Removal
Describe in detail the type of work to be performed:
RE-ROOF Squaresal Pitch: 6/12
Florida Product Approval tl 5 EEL I 0.,,7A — ), L I IL-or — ATI for multiple products use product approval form
Property Owner Information
Name: JOHN C CIARDELLI.KATHRYN M BROWN-CIARDELLI Address: PO BOX 6033
City SAN DIEGO State CA Zip 92166 Phone — (O ORE
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) JOHN C CIARDELLI,KATHYRN M BROWN-CIARDELLI
Contractor Information
Name of Company: TURNKEY CONSTRUCTION AND MAINTENANCE.INC Qualifying Agent: RUBEN LAVARIAS
Address 5991 CHESTER AVE,STE 105 City JACKSONVILLE State FL Zip 32217
Office Phone 90490D 1069 Job Site/Contact Number 904 343 4985-JUAN TORRES
State Certification/Registration ff CCC 1329475 E-Mail IeanneQCHOOSETURNKEYCOM
Architect Name&Phone# NIA
Engineer's Name&Phone# WA
Workers Compensation American Interstate Insurance.AVWCFL2598332017,EXPIRATION 5/612016
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
RECORDING YOUR NOTICE OF COMMENCEMENT.
(Signature of Owner or Agent including Contractor) (Signature of Contractor)
Signed and sworn to(or affirmed)before me this 22 day of Signed and sworn to(or affirmed)before me this aaday of
Ra by -�-hf'/ h C iAf`C1 e l I f ag n• I Q ,by E y beA 1-0,yot i"
(Signature of Notary) (S gnature otary)
Personal) Known OR dr'• Notary Public State
D7492f
y Personally Known OR KIN otary Public State of Florid•aQ Jeanne R Griggs .produced Identification M Commission GGProduced Identification �° Jeanne R GriggsyType of Identification: x res 01/11/2022e of Identification: My Comm�fs45�on G 1?492ro
Doc # 2019018814 , OR BK 18668 Page 2262 , Number Pages : 1 ,
Recorded 01/24/2019 10:30 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10. 00
Permit No. Tax Folio No. 1122153 000
NOTICE OF COMMENCEMENT
State of Florida
County of DUVAL
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713,Florida Statutes,the following Information is provided In this Notice of Commencement.
1. Descri tion of property• (legal description of the property, and street address If available):
24-92 17A2S-29E.055 LEWIS SUBDIVISION S 23.15FT LOT 1 BILK 4
1984 MARY ST Atlantic Beach FL 32233
2. General description of Improvement: Re-Roof
3. Owner(name and address):JOHN C CIARDELLI,KA i HRYN M BROWN-CIARDELLI
PO BOX 6033 SAN DIEGO.CA 92166
a. Owner's Interest in property:Fee Simple
b.Name and address of fee simple titleholder(if other than Owner):
4.Contractor: (name and address): TURNKEY CONSTRUCTION AND MAINTENANCE, INC,
5991 CHESTER AVE, STE. 105, JACKSONVILLE,`FL 32217
a. Contractor's phone number: 1904)900 1069
5. Surety (name and address):
a. Surety phone number:
b. Amount of bond: $
6. a. Lender: (name and address):
b. Lender's phone number:
7, a. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served
as provided by Section 713.13(1)(a) 7., Florida Statutes: (name and address) .
b. Phone numbers of designated persons:
8. a. In addition to himself or herself, Owner designates _ _i of to receive a copy of
the Llenor's Notice as provided In Section 713.13(1)(b), Florida Statutes,
b. Phone number of person or entity designated by owner: _
9, Expiration date of notice of commencement(the expiration date is 1 year from the date of recording unless a
different date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA
STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE 708 SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
Owner's Signature:
Print Name:_ �-
Title/Office:___ e1 r e ✓ t Z�- 11�
Ci`accAd 1 I
The foregoing Instrument was acknowledged before me this,215 day i ii:20-a, by K)CA' as
(type of authority,e.g.officer, trustee, attorney in fact) 7or(name of party on behat of v m
instrument was executed) _ who(Check one)_is personally known to me or who produced
as Identification and who affirmed that all the above statements are true and correct.
Signature of Notary:
y• Notary Public State of Fior 0115 ht Commission E
� Jeanne R Griggs y
M,,CQMMT SSIOn GG t 74920
���oi nog ExPaesowiY2022