741 Vecuna Rd RERF19-0055 Shingle REROOF SHINGLE PERMIT PERMITNUMBER
CITY OF ATLANTIC BEACH RERF19-0055
CS
ISSUED: 4/17/2019
8005EMINOLE ROAD EXPIRES: 30/14/2019
ATLANTIC BEACH. FL 32233
MUST CALL INSPECTION PHONE LINE (904) 247-S814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL • •K MUST CONFORM TO THE CURRENT 6TH EDITIONr OF • • • • BUILDING
CODE NEC, IPMC, AND CITY OF • • 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,orfederal agencies.
JOBADDRESS; PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
741 VECUNA RD REROOF SHINGLE SHINGLE ROOF $8470.00
ZONING:TYPE OF REALESTATE SUBDIVISION:BUILDING USE
CONSTRUCTION: NUMBER: GROUP:
1713230000 ROYAL PALMS UNIT02A
COMPANY: rr •
STONEBRIDGE 12550 AGATITE RD JACKSONVILLE FL 32258
CONSTRUCTION
• ADDRESS:
HENDERSON ROBERT W 159 11TH ST ATLANTIC BEACH FL 32233-5751
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
euaowG PERMIT ass-0000322-3000 0 $95.00
STATE DING
SURCHARGE .550000-208-0700 0 $3.00
STATE OCA SURCHARGE 4550000208-06M 0 $300
TOTAL:$99.00
Issued Date:4/17/2019 1 of 2
Building Permit Application Updated 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(9D4)247-5845 ,fes
Job Address: 741 Vecuma Rd Atlantic Beach, FL 32233 Permit Number: 1 ` G^r`I —1 V 0 s's
Legal Description 31-1 17-2S-29E Royal Palms Unit 2 A Lot 5 Blk 14 _RE# 171323-0000
Valuation of Work(Replacement Cost)$ 8,470.00 Heated/Cooled SF 1095 Non-Heated/Cooled 1335
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Residential
• 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:
Roof Replacement 22sq 2.5/12 pitch GAF Shingles
Florida Product Approval# FL10124 for multiple products use product approval form
Property Owner Information
Name: Robert or Lynn Henderson Address: 159 11th St
City Atlantic Beach State FL Zip 32233 Phone 904-710-7665
E-Mail hendersonll(d)wmcastnet
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: Stonebridge Construction Services LLC qualifying Agent: Bdan Vick
Address 6956 Philips Parkway Dr N city Jacksonville State FL Zip 32256
Office Phone 904-262-6636 Job Site/Contact Number Rick Newman/904-524-5818
State Certification/Registration# CCC1328917 E-Mail Jennifer@stonebddgebuiltcom
Architect Name&Phone If
Engineer's Name&Phone#
Workers Compensation Bddgefield Casualty Ins Cc 05/16/19
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 instal lation 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 1n 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 OBTA QINAN NG, DNSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECOR O R EOFCOMMENCEMENT.
(Sign of Owner or Agent) (Signature of Contractor)
(including contractor)
SI neg d and sworn t> ffirmed b4fore�e/tJtis i el C4 Si neg d and sworn to(or affirmed)before me this day of
L I . eZD by 0�1' 'f n S 1J'�I"�,li, ( by �Y10.Y 1
W
Signature of Notary) Wgnature Sf Notary)
I 1 Personally Known OR iyt E=�
dFonda Personally Known OR °r NodrY Pude Sbila A FMN•
¢Produced lden[iflca ion ? - Sml•cnrer Produced ldemificacion °nmSMlxnuron GG ta98a4NlType of lden[ifcation: iJ¢ pe of Identifications r••osntrzu21
NOTICE OF COMMENCEMENT
State of Florida Tax Folio No. 171323-0000
Countyof 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 ofproperty being improved:
31-1 17-2S-29E Royal Palms Unit 2 A Lot 5 Blk 14
Address ofpmperty being improved: 741 Vecuna Rd Atlantic Beach, FL 32233
General description ofimprovements: Roof Replacement -
Owner: Robert or Lynn Henderson Address: 159 11th St Atlantic Beach,FL 32233
Owner's interest in site ofthe improvement: 100%
Fee Simple Titleholder(ifother than owner):
Name:
Contractor: abridge Construction Services LLC
Address: 6956 Philips Parkway Dr N Jacksonville, FL 32256
Telephone No.: 904-262-6636 FmNo: 904-262-2247 .
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address ofany 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 Stames. (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 ,I
Signed: _ Date:
0.M 201 9C67956,OR BK 18759 Page 911, Before me4gs_i day of O in th County ofDuval,State
Number Pages:l OfFlori4 hes peraonall d
Recorded OM17tX191l:MAM, Notary Publicat Large, tete Tori County fDuval.
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL My commission expires:
COUNTY Personally Known: V 11or
RECORDING $10.00 Pmdocedldentificadcrc "Vls P
Jay Ndary Pads ateM or"xda
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