2332 FIDDLERS LN RERF19-0049 SHING ROOF REROOF SHINGLE PERMIT PERMIT NUMBER
RERF19-0049
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 3/29/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 9/25/2019
INSPECTIONMUST CALL •NE LINE (904) 247-5814 BY 4 PM FORDAY INSPECTION.
ALL •RK MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' !A BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONSOF PERMIT APPLY, PLEASE READ
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:
2332 FIDDLERS LN REROOF SHINGLE SHINGLE ROOF $19700.00
TYPE OF BUILDING
• • GROUP:
169463 0136 OCEANWALK UNIT 01
COMPANY: ADDRESS:
TOWNSEND ROOFING & 10418 New Berlin Rd #115 JACKSONVILLE FL 32226
CONSTRUCTIONS SERVICE
• ADDRESS:
ESPINOSA FAMILY TRUST 2332 FIDDLERS LN ATLANTIC BEACH FL 32233-4681
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $150.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.25
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $154.25
Issued Date: 3/29/2019 1 of 2
Building Permit Application Updated 5/5/17
r
City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
Phone: (904)247-5826 Fax: (904)247-5845
Job Address: Z,3 3 Z I'I d d(, rS Lb►e_ Permit Number: I \ (c) - 2��
Legal Description 44-1 37-7-5-7,1 Lt I Lotie RE# /b 9 y63-0/3t
Valuation of Work(Replacement Cost)$ g 7t Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair M�es:=eial
e Pool Window/Door
• Use of existing/proposed structure(s)(Circle one):' Commercial
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes (I6 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: f`p0� /fie„(a�m� -
(ff)('VI46(1(1-, K0 1--L_ 112, 614 j-77 Phw to 1,t L 15197
Florida Product Approval# I C 2'1 for multiple products use product approval form
Property Owner Information
Name: 0,54, or Address: 1-337-
city
337-
City `� i,!^ State J�L Zip 3 2Z 53 Phone 9 0't-3 fZ-6 23 5
E-Mail bG 1 So", •n e
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: _ 1dW,nStxd Qualifying Agent: r-�o^da 1 owTrs.St
Address 10114 Ne.4 be, l-'n F-d 115 City State FL- Zip 32-7-7-k
Office Phone 104- 645'5g5-7 Job Site/Contact Number q01- 477-- 4
State Certification/Registration# 46w137-67,1(1 E-Mail 0%4-il 0 1.O •sth rrio "04
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation 17-151719 W"',�{sc ce- tis ncss �H`ce S Tnc.
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
RECORDIN YOUR NOTICE OF COMMENCEMENT. .1
7
"I�/ (Signature Q4,6wner or Agent) (Signature of Con
(including contractor)
Signed and sworn to(or affirmed)before me tris ZC day of Signed and sworn to(ora )befores � y of
7011 by �,.A' L.csti MFrcG 2-01
(Signature of Notary) ignature of Notary)
jot ��osc�, CHRIS TOWNSE14D
Commission#GG 163366 ;;�•" MARTIN ARELUNo
* " . Notary Public-State ofFlorida
+� c� Expires March 25,2022 .• Commission f GG 102031
APersonally Known OR �'�ofr�°P� DwWadTlruBudgeNofary$*vim [X Personally Known OR My Comm.Expires May 10.2021
[ ]Produced Identification [ ]Produced IdentificationO`�` eo .In�o�gnNauowNora�yAssn
Type of Identification: Type of Identification:
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE'
Permit No. Tax Folio No. 169463-0136
State of Florida County of Duval
To whom it may concern:
The undersigned hereby Informs you that improvements will be made to certain real property,and In
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: 42-1 37-2S-29E OCEANWALK UNIT 1 LOT 66
Address of property being improved: 2332 FIDDLERS LN. Atlantic Beach, FL 32233
General description of improvements: Roof Replacement
Owner ESPINOSA FAMILY TRUST/ESPINOSA, RAYMOND & ESPINOSA, RAYMOND
Address 2332 FIDDLERS LN.Atlantic Beach,FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Townsend Roofing and Construction Services,Inc.
..nn� Address 10418 New Berlin Rd#115 Jacksonville,FL 32226
Phone No. 904-645-5887 Fax No. 904-645-5442
Surety(if any)
Address Amount of bond$
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 dR
Signe ATE /
8 ore me t ' day of �L 2ra q in t
Cou f Du I, ate of FI rjdV s personal appeared
Doc#2019069599,OR BK 18734 Page 828, / > herein by
himself/herseff a d affirms iotop6 f m
eent em
Number Pages: 1 are true and accurate ? ,...., ici���hl`�`
Recorded 03/29/2019 08:31 AM, * * Commission#GG 183366
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL + c� Expires March 25,2022
COUNTDING $10.00 rr°P 9wWadThruSudgstNotarySuvlcw
RECORNotary Public at Large.State of County of k �
My commission expires: Z __
Personally Known __or
Produced Identification