385 1st St RERF19-0059 Shingle REROOF SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RERF19-0059
800- ISSUED:4/25/2019
.'
ATLANTIC
EACH.NOLE ROAD EXPIRES: 10/22/2019
ATLANTIC BEACH. FL 32233
INSPECTIONMUST CALL
• (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM
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.
• • . . . . r • • • •
3851ST ST REROOF SHINGLE SHINGLE ROOF $3000.00
TYPE OF BUILDING USE
• SUBDIVISION:
CONSTRUCTION: NUMBER:
169794 0000 FLOYD & CAMPS R/P
COMPANY: ADDRESS:
BIG GATOR
CONSTRUCTION COMPANY 6206 ARLINGTON ROAD JACKSONVILLE FL 32211
INC
• ADDRESS:
DANIEL SHEIL 3851ST ST ATLANTIC BEACH FL 32233
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-OOOQ33"Goo 0 $7000
6TATE)BPR SURCHARGE 4550000-208-07M 0 53.00
STATE DCA SURCHARGE 4550000-208-0600 0 $2.00
TOTAL:$74.00
Issued Date:4/25/2019 1 of 2
Building Permit Application updoredto/e/Ja
City of Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Deptlacoab.us IS REQUIRED.
38s 3"?as (--�c,RFl9 006
Job Address: " \ I Permit Number
Legal Description Z-Z-50 1 In NS - Zj1 �-� FLOY1 4 1 n RE#
Valuation of Work(Replacement Cost)$.2tV0D Heated/Cooled SF Non-Heated/Cooled__ .
• Classof Work: ❑New ❑Addition ❑Alteration ❑Repair []Move ❑Demo OPool ❑Window/Door
• Use of existing/proposed structure(s): []Commercial (Residential
• Ifan existing structure,is afire sprinkler system installed?: ElYes ONO
• Will trees be removed in association with Proposed ro'ect7❑Yes(must submits arate Tree Removal Permit ONo
Describe in detail the type of work to be performed: IRE— P_�r-
FZ14 —o
Florida Product Approval# for multiple products use product approval form
Property Owner Information 3pS - S..i�_
Name 1. Address CC O —
Oty e v{� State zip 3tZ33 Phone D
E-Mal JJ/i1��"t�-«I�- [� 1�
Owner or Agent(If Agent, Power of Attorney or Agency Letter Requiredl
Contractor Information
Nameof"pany, rgIIG PAT_VZ (SIU& flut6f� Qualifying Agent 31La �i-t Q1
Address I%0. 5> l4C55t City T—AA State , L zip 322YS
Office Phone o s Job Site Contact Number o
State Certification/Registration# E-Mail %Mf r_ 1yj KbfL' wl
Architect Name&Phone#
Engineer's Name&Phone#
WorkersCompensation Insurer a Q.'Ni_ L _4VA- ORExempt❑ 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 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 maybe additional restrictions applicable to this property that maybe found in the public records of this county,and
there maybe additional permits required from other governmental entities such as water management districts,state agencies,or
federal agencies.
OWNER'S AFFIDAVIT:1 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: R FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYI G T CE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
OBTAI FINANON , CON ULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
g o ORDIN YOUR N ICED COMMENCEMENT. _
t�
3 (Signature of Dinner or Agent) (Signatu e o Contractor)
41
wned and sworn to o(or affirmed)before me this��' day of Si neo and sworn til(or ab rm d)before me this day of
0 1
(Signature Mary)
Signature of 49*Bajlor
Sten fY..y mWof
of Hodda
.... .r. My Commission Expires 07/(17/2021)
ti'. j r8' I ) rsonally Known OR
,;y. ... l Personally Known OR Commission Na 00 M
C.' � [ Produced Identification
of Iden ideation_ r �/
Type of Identification: apt— Type of Identification:
NOTICE OF COMMENCEMENT
State of County of Tax Folio No.
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' thisNO �=EMENT.
Legal Description ofproperty,being improved:
7 ) sB0 16 rLS ? R E $Goy�1 cf� GA p�,r / /� La 22F�
Address of property being improved: �"— 't sx— 1K(E; ' I�L— 31-233
General description ofimprovemems: 2P R2 E f ..n6,.� C
Owner:
*Dlkg ky-- •JK�I t� Address: Spxa ` � --r �"�"�
3ts�i:
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
ontName: .
Cractor: &h CAin 2 CmNS'7LrtC_T i'.N.IA,C.
owAddress:
n
Telephone No.: X55' So }, Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone 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, 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 Statues. (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):
TIOS SPACE FOR RECORDER'S USE ONLY OWNER Pdy
Signed:Before me this 24'!M18VI'l� In he CountyotDu al,State
OfFloridahaspersonallyappeared �Z I %h'
:R:✓t. ,_ ELLEN R.THIGPEN Personally Known: - or
MYCOMMISSIONMGG 711798 Produced Iden' ' I—
E%PIRES:OdoDer23,2021 No Publi . cetio11
e:.t°"•` aommrixaNaay PUNicurdemirers Mycry Path on expires: 1O - �—
Doc n 2019094839,OR RK 18788 Page 1858,
Number Pages:1
Recorded 0425/201910:28 AM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00