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482 Stewart St ROOF19-0032 Cover Light on Roof Yt ROOF NON SHINGLE PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH ROOF19-0032 ISSUED: 5/8/2019 800 SEMINOLE ROAD EXPIRES: 11/4/2019 u" ATLANTIC BEACH. FL 32233 Me ALL • , K MUST CONFORM • rmt L • • r • • • r • 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 maybe 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. 482 STEWART ST ROOF NON SHINGLE COVER SKYLIGHT ON ROOF $17600.00 TYPE OF ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: --GROUP: 172327 0050 SECTION LAND ADDRESS: TOTAL RESTORATION & 93 CAPTIVA DR PONTE VEDRA FL 32081 CONTRACTING LLC ADDRESS: BBT INVESTORS LLC 2251 STJOHNS BLUFF RD S JACKSONVILLE FL 32246-2309 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. FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT gjT�Al UILDING PERMIT 455-0000-322-1000 0 $14000 LDING PIAN CHECK 45S-0000322-1001 0 $J0'� E DBPR SURCHARGE 455-0000-2080700 0 $3.15 E DCA SURCHARGE 455-000,208-0600 0 $2.10 TOTAL:$215.25 Issued Date:5/8/2019 1 of 2 2JL"''T% ROOF NON SHINGLE PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH RooF19-0032 800 SEMINOLE ROAD ISSUED: 5/8/2019 EXPIRES: 11/4/2019 �'ss o'er V ATLANTIC BEACH. FL 32233 Issued Date: 5/8/2019 2 of 2 City of Atlantic Beach APPLICATION NUMBER : Building Department (To be assigned by the Building Department.) 600 Seminole Road P=E I p 1 _ b� ;� Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 Fax(904)247-5845 E-mail: building-dept@wab.us Date routed:""T Cityweb-site: hdp://www.coab.us APPLICATION REVIEW AND TRACKING FORM 4 Property Address: P) C Z J T CL0P�P—T J7 De artment review require Yes No ^11 uildin Applicant: IyLpL' ` \CS-coex–CICJN R Zoning Tree Administrator' c Project: OVF-(Z_ J ,�„(al-kz Public Works Public Utilities Or—D RC)OF Public Safety Fire Services Dept Signature Other Agency Review or Permit Required of Permit Verified Review ar Receipt Date Ov B \ Florida Dept.of Environmental Protection N Florida Dept of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alwholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: .LIproved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: /C,� E Z 20/ TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 0 511 912 011 Building Permit Application OFFICE COPY Updowd 1019118 City of Atlantic Beach Building Department ..ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED. Job Address: ylL Sr4,11tyt,T s-r 471A✓77L 6tli .?u73 Permit Number: R(!)oy ( _1n - 00-5z- Legal 0O-5ZLegal Description 219E 9f'(' Pr G°yI �°r y /IGGO REM 3,r AV67 L Valuation of Work(Replacement Cost)$ Ili 400 Heated/Cooled SF Non-Heated/Cooled • Classof Work: ❑New OAddition OAlteration 21(epair ❑Move ❑Demo []Pool OWindow/Door • Use of existing/proposed structure(s): 5,6mmercial ❑Residential • If an existing structure,is a fire sprinkler system installed?: OYes ONo p\ • Will tree(s)be oved in association with Proposed pro'e OYes mut submit sepals7Treevol Permit L7N6Describe in detail the type of work to be performed: WC'wen. er'f 77 Slat vl�h73 Gv irk ewr P'f✓ax A- "/ e° 7,✓ya �Florida Product Approvallt N0 lY // -OSJl. r7 formultiplepproductaplQovvint- Property Owner Information 0 W — o O LU 0 Name .947' INWJ 70A LCe Address `/�L1-7 Znd ST .fs v:71' Urs 00 a0 City RERJIN•'IKe State Zip 37'Cd2 Phone get- 6u'- 3ssr W_ — ¢ E-Mail SHd4MPov 7 /7MI'f7l , e•q `�`�1'J Owneror Agent(If Agent,Power of Attorney or Agency Letter Required) U LLm Contractor Information O Q I— w Name of Company 7ara, A.CMAW Ad "` c°.•r/Wr'n'v "G Qualifying Agent 1FsW /1yJSelC D- Address 93 1V* ®^• City P°'7e (/e0 mt State Zip F m Office Phone a -1dd- °S'� Job Site Contact Number State Certification/Registration ft CCI 1331745- E-Mail SRM N�Gyver'& • a'y W U N w w Architect Name&Phone q Engineer's Name&Phone JJ p„ w Workers Compensation Insurer OR Exempt Expiration Date 21ZL- 7a z7 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: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 Y TICE OF COMMENCEMENT (`.� ^��� ignature of OwnerO Agent— ( W ature of ntror) Signedand sworn to(or affirmed)before me this f day of Signed and sworn to(or affirmed)before me this Is day of yq A,I 2err by -f44 L✓0 by SA,n. Sj*MVVireI(l -WEA ` ::✓y"•.,, SAMUEL ltRiEry) ',Stats of Florida-Notary Public 3 '-State of Florida-Notary Public a• •= Commission a GG 250787 •'p Commission p GG 250787 ` My Commission Expires �'1Y Commission Expires ['.],cPxrsonally Kno ri Aupue[20, 2022 ers a , din O August 20,2022 [ mduced Iden [ J Prod Type of Idernifcxtian: 01• Type of Identification: OFFICE COPY HlAmt MIAMI—DADE COUNTY OEM PRODUCT CONTROL SECTION DEPARTMENT OF PERMITTING,ENVIRONMENT, AND REGULATORY 11805 SW 26 Street,Room 208 AFFAIRS(PERA) Miami,Florida 33175-2474 BOARD AND CODE ADMINISTRATION DFVISION T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) www.mlamlaade.aavroera Quest Construction Products LLC,dba Hydro-Stop. 1465 Pipefitters Street North Charleston,SC 29405 SCOPE: This NOA is being issued under the applicable riles and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami Dade County PERA — Product Control Section to be used in Miami Dade County and other meas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below.The Miami—Dade County Product Control Section(In Miami—Dade Coanty) and/or the AHJ(in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. PERA reserves the right to revoke this acceptance, if it is determined by Miami—Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and bas been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Hydro-Stop PremiumCoat®Roof Maintenance Coating Systems. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,city,state,model/ series and following statement: "Miami—Dade County Product Control Approved", unless otherwise noted herein. ,RENEWAL of this NOA shall be considered after a mnewal application has been fried and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami—Dade County,Florida,and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews and revises NOA No.06-0417.06 and consists of pages 1 through 8. The submitted documentation was reviewed by Jorge�L-.Acebbo V NOA No.: 11-0531.07 MIAMI DADE COUNTY Expiration Date: 06/21116 Approval Date: 03129112 Page I of 8 ROOFING COMPONENT APPROVAL C tteinim Roofing Sub-Cateaorv: Cement-Adhesive-Coatings Material: Elastomeric SCOPE: This approves "Hydro-Stop PremiumCoat®Roof Maintenance Coating Systems"as a maintenance roof coating as manufactured by Quest Construction Products LLC, as described in this Notice of Acceptance,designed to comply with the Florida Building Code and the High Velocity Hurricanes Zone of the Florida Building Code. TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED By APPLICANT: Product Dimensions Test Specification Product Description HydroCleanra 2&5 Callon Proprietary Biodegradable cleaning agent with specific functional ingredients for degreasing and removing soils and biological residues for proper cleaning of roof surfaces. StableRust Primer 2&5 Gallon Proprietary Primer used in direct to metal applications to stabilize and protect metal surfaces. CleanAct Primer 2&5 Callon Proprietary Rinseable primer used directly on rubber roof (EPDM)applications to prepare substrate for acceptance of the PremiumCoat® System. BanierOuare 2&5 Gallon Proprietary Priming and waterproofing compound for masonry surfaces. SureBond Primer 2&5 Gallon Proprietary Acrylic primer used for sealing masonry, metal and chalky surfaces. PremiumCoat® 2&5 Gallon ASTM D 6083 Acrylic elastomeric waterproofing compound FoundationCoat used as a base layer in the PremiumCoat® System. PremiumCoat® Rolls Proprietary Reinforcing fabric for the PremiumCoat® Fabric System. PremiumCoat® 2&5 Gallon Proprietary Acrylic elastomeric sealant for bridging gaps, Buttergrade filling voids and low lying roof areas. PremimnCoato 2&5 Gallon ASTM D 6083 Acrylic elastomeric waterproofing compound FinishCoat used as a top layer in the PmmiumCom® System. Prcmiumcom® 2&5 Gallon Proprietary Acrylic elastomeric waterproofing compound Traffic Coat used as non-skid surfacing layer over the PremiumCoat®System. NOA No.: ii-mix M"I Caoe COUMrc Expiration Date: 06/21/16 Approval Date: 03/29112 Page 2 of 8 MANUFACTURING LOCATIONS: 1. North Charleston,SC 2. Phoenix,AZ EVIDENCE SUBMITTED: Test Aeencv Test Identifier Description Date_ Applied Research Laboratories 29295 ASTM D 6083 02/16/95 29296 ASTM E 108 02/16/95 Center For Applied Engineering,Inc. 257771 TAS 141 04/16/97 Factory Mutual Research Corporation 3023606 4470 10/18/06 3000150 4470 09/22/99 Exterior Research&Design,LLC 4697.12.00-1 TAS 114-H 12/07/00 Trinity Engineering PRI Asphalt Technologies,Inc. SPC-001-02-01 TAS 114-H 09/09/03 PRI Construction Materials HSI-007-02-01 ASTM D 6083 03/25/11 Technologies,LLC HSI-008-02-01 ASTM D 6083 03/25/11 HSI-009-02-01 ASTM D 6083 03/25/11 HSI-011-02-01 ASTMD 903 03/25/11 HSI-010-02-01 ASTM D 6083 03/25/11 Fed.Spec.TTC-555B Underwriters Laboratories TOFU.R26758 UL790 3/22/10 NOA No.: 11-0531.07 MIAM4®UNT Expiration Date: 06/21/16 Approval Date: 03/29112 Page 3 of 8 PHYSICAL PROPERTIES OF COMPONENTS: Trade name: Hydro-Stop BarrlerGuare Thickness: See Approved Substrates Section. Specification: Proprietary Description: Mixed with water and Portland cement(as per manufactures instructions), BanierGuard®fors a hard-wearing,flexible compound,and My reinforced with PremiumCoat®Fabric,it produces an excellent heavy traffic system for decks. Details in accordance with the Hydro-Stop's recommended application procedures. Container Size: 2 and 5 gallons. Note all cautions on container label. Trade name: Hydro-Stop PremiumCoat®FoundationCoat Thickness: See Approved Substrates Section. Specification: ASTM D 6083 Description: An acrylic,elastomedc waterproofing compound used as a base layer in the PromiumCoar®System,applied with or without PremiumCoat®Fabric. Details in accordance with the HydmStop's recommended application procedures. Container Size: 2 and 5 gallons. Note all cautions on container label. Trade name: Hydro-Stop PremiumCoat®FinishCoat Thickness: See Approved Substrates Section. Specification: ASTM D 6083 Description: Acrylic elastomeric waterproofing compound used as a top layer in the PremiumCoat®System. Details in accordance with the Hydro-Stop's recommendedapplication procedures. Container Size: 2 and 5 gallons. Note all cautions on container label. NOA No.: 11-0531.07 MMMII DAOE cOurnv Expiration Date: 06/21/16 Approval Date: 03/29/12 Page 4 of 8 APPROVED SUBSTRATES: Substrate: Existing Galvanized Metal Roof Panel System All Limitations apply. Hydro-Stop.products shall be installed in accordance with the manufacturer's specifications.The following are minimum installation guidelines.Consult the manufacturer's specifications or Technical Repersentative for specific/complete installation instructions. Preparation: The surface shall be clean,sound and dry prior to application Hydro-Stop coating. All surface preparation shall be in compliance with the coating manufacturer's published application instructions and current Miami-Dade County Product Control Notice of Acceptance. Foundation Coat: PremiumCoafa FoundationCoat shall be applied to the entire substrate at a rate of 1.25 gal/sq(80 felgal). At all seams,joints,or lap embed a single layer of PremimnCoat®Fabric to the wet FoundationCoat,overlapping fabric joints a minim=of 4". On all exposed fasteners embed a 6 by 6 inch piece of fabric into the FoundationCoat and fully saturate.Followed by additional PmmiurrCoat®FoundationCoat applied at a rate of 1.25 gal/sq(80fts/gal)to fully saturate the fabric. Flashing details shall be in accordance with Hydro-Stop published literature. Finish Coat: PremiuraCoat®FinishCoat shall be applied in two equal coats at a combined rate 1.5gal/sq(67 ft'/gal). Substrate: Existing Smooth Surface BUR or Modified Bitumen and/or Mineral Surface BUR or Modified Bitumen All Limitations apply. Hydro-Stop products shall be installed in accordance with the manufacturer's specifications.The following are minimum installation guidelines. Consult the manufacturer's specifications or Technical Repersentative for specific/complete installation instructions. Preparation: The surface shall be clean,sound and dry prior to application Hydro-Stop coating. All surface preparation shall be in compliance with the coating manufacturer's published application instructions and current Miami-Dade County Product Control Notice of Acceptance. Foundation Coat: Apply FoundationCoat to fully saturate substrate at a maximum rate of 40 ft'per gallon providing a minimum of 25 mils thickness.Fully embed Pmmi=Coa? Fabric while coating is still wet keeping a minimum 4 inch fabric overlap.Fabric must be completely embedded in Foundation Coat and allowed to dry. Finish Coat: PremiumCoa?FinishCoat shall be applied in two equal coats at a combined rate 1.5 gal/sq(67 f2/gal). NOA No.: 11-0531.07 Miami.®uUTY Expiration Date: 06/21/16 Approval Date: 03/29/12 Page 5 of 8 Substrate: New or Existing Spray Applied Polyurethane Foam All Limitations apply. Hydro-Stop products shall be installed in accordance with the manufacturer's specifications.The following are minimum installation guidelines. Consult the manufacturer's specifications or Technical Repersentative for specific/complete installation instructions. Preparation: The surface shall be clean,sound and dry prior to application Hydro-Stop coating. All surface preparation shall be in compliance with the coating manufacturer s published application instructions and current Miami-Dade County Product Control Notice of Acceptance. Foundation Coat: PremiumCoat®FoundationCoat shall be applied to the entire substrate at a rate of 1.5 gal/sq(67 fe/gal). (Optional)Apply FoundationCoat to fully saturate substrate at a maximum rate of 40 ftr per gallon providing a minimum of 25 mils thickness.Fully embed PremiumCoat®Fabric while coating is still wet keeping a minimum 4 inch fabric overlap.Fabric must be completely embedded in Foundation Coat and allowed to dry. Finish Coat: PrermanCoat®Finish Coat shall be applied in two equal coats at a combined rate 1.5 gal/sq(67 ft/gal). Substrate: New or Existing Single-Ply membrane:PVC,Hypalon(CSPE),&TPO All Limitations apply. Hydro-Stop products shall be installed in accordance with the manufacturer's specifications.The following are minimum installation guidelines.Consult the manufacturer's specifications or Technical Repersentative for specific/complete installation instructions. Preparation: Clean and prepare existing surface to receive maintenance coating from all loose and flaking particles,grease and balance with the use of a stiff brush and a minimum 3000 psi power wash. All surface preparation shall be in compliance with the coating manufacturer's published application instructions and current Miami-Dade County Product Control Notice of Acceptance. Primer: Existing Roof membrane shall be primed with SureEond primer at a maximum rate of 200 fly per gallon and allowed to dry. Foundation Coat: Apply FoondationCom to fully saturate existing substrate at a maximum rate of 40 W per gallon providing a minimum of 25 mils thickness. Fully embed PremiumCoat® Fabric while coating is still wet keeping a minimum 4 inch fabric overlap. Fabric must be completely embedded m FoundationCoat and allowed to dry. Finish Coat: Apply two coats of PremiumCoa?FinishCoat at a maximum rate of 67 ftr per gallon providing a minimum of 13 mils thickness. NOA No.: 11-0531.07 Expiration Date: 06/21/16 NIP.M4OAOE COUNT' Approval Date: 03/29112 Page 6 of 8 Substrate: New or Existing Single-Ply membrane: EPDM All Limitations apply. Hydro-Stop products shall be installed in accordance with the manufacturer's specifications.The following are minimum installation guidelines. Consult the manufacturer's specifications or Technical Repersentative for specific/complete installation instructions. Preparation: Clean and prepare existing surface to receive maintenance coating from all loose and flaking particles,grease and hutance with the use of a stiff brush and a minimum 3000 psi power wash. All surface preparation shall be in compliance with the coating manufacturer's published application instructions and current Miami-Dade County Product Control Notice of Acceptance. Primer: Existing EPDM roofing membrane shall be primed with CleanAct Rinse able primer at a maximum rate of 200 ftt per gallon. Primer shall be allowed to remain on membrane surface for 10 minutes,before power washing two times. First power wash shall be for a dirty water flushing. Second power wash is mandatory for a clean surface rinse before the application of the FourdationCoat to the existing EPDM membrane. Foundation Coat: Apply FouidationCoat to fully saturate existing substrate at a maximum rate of 40 fC per gallon providing a minimwn of 25 mils thickness. Fully embed PremiuraCoat® Fabric while coating is still wet keeping a minimum 4 inch fabric overlap. Fabric must be completely embedded in Foundation Coat and allowed to dry. Finish Coat Apply two coats of PremiumCoat®FmishCoat at a maximum rate of 70 fl per gallon providing a mimimwn of 15 mils thickness. NOA No.: 11-0531.07 MAMMADE COUNT' Expiration Date: 06/21/16 Approval Date: 03/29/12 Page 7 of 8 BUILDING PERMIT REQUIREMENTS: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable Building Code in order to properly evaluate the installation of this system. 3. Approved Applicator Certificate (designated by Hydro-Stop) listing the contractor & approved applicator's name. LIMITATIONS: 1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Contractor must be a Hydro-Stop "Approved Applicator", trained and familiar with the details and specifications published by the manufacturer. The proper application and installation of all Hydro-Stop products shall be the sole responsibility of the contractor. 3. PremiumCoae materials must be applied with brush, roller or spray equipment following the specific application requirements published by Hydro-Stop. 4. Hydro-Stop products shall not be applied in inclement weather conditions. 5. All products listed herein shall have an unannounced follow-up quality control program from an approved listing agency. Follow up test results shall be made available to Miami-Dade Product Control upon request. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9N-3 of the Florida Administrative Code. 6. Change in materials, use, or manufacture of any of the products listed herein shall be cause for termination of this Notice of Acceptance. 7. PremiumCoae System shall be used as a roof maintenance coating system in accordance with applicable Building Code. 8. PremiumCoae System shall not be covered with stone chips,screeds,tiles or soil. 9. Approved primer is required on all unprotected iron and steel and previously painted surfaces. 10. The products listed herein are components of roof assemblies and are approved for use with roof assemblies that list any of the products listed herein as part of their roof assemblies Notice of Acceptance. 11. PmmiumCoEe System shall not be applied over gravel surfaces. 12. PremiumCcae Traffic Coat is required for traffic bearing surfaces: All pedestrian traffic areas shall be covered with PremiumCoat®Traffic Coat as non-skid surfacing. 13. All approved products listed herein shall be labeled in compliance with TAS 121 and shall bear the imprint or identifiable marking of the manufacturer's name or logo, city, state and following statement: "Miami-Dade County Product Control Approved" or the Miami-Dade County Product Control Seal as shown below. MIAMI DADE CO" END OF THIS ACCEPTANCE NOA No.: 11-0531.07 MIFMbDP.DE COUNT' Expiration Date: 06/21/16 Approval Date: 03/29/12 Page 8 of 8 NOTICE OF COMMENCEMENT Stateof °'�/d'� Tax Folio No. / 7Z327— ooS� County of Vm' 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 QQF COMMENCEMENT. Legal Description of property being improved: �7-.�5 -,296 %�� PY (�OVTLoT`/ .2GCI1 a/k 17P�1- viz Address of property being improved: YPZ STew 4-,tY s7 /fTLA/t j2 6G4ylt 6 31 Z 33 General description of improvements: COWA CC6;7.1 S e'p rs W!M Menfe 1041le f 9r✓0 ,( ° PuAT7,✓� Owner: (.+�T lNI/cSP Address: `�L/7 �•xf Sj S_ JALKjit--14KO Owner's interest in site of the improvement: 3 Lasa Fee Simple Titleholder(if other than owner): Name: n Contractor: "7ft /*Grrpe.}f2ov {- e0Av 141c71/9 GL.c Address: 93 (A'gjyVA G,L P°re V-'P'fy osj� 3z°s/ Telephone No.: 91,273- °SZL 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: 77 n1 .519" Address: yZ/7 2ne/ Sr S SALK1'•,.-vl cci 60zm, Pz 3Z ZS Telephone No: 9W'4Z4- 3STf 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): THIS SPACE FOR RECORDER'S USE ONLY OWNER ,,,•;;.:"' . BAMUEL KRAEMER 'E State of FlorideNotary Public <�nnnA, ; Commiaeion a GG 26 877 2=/' Doc#201909]236,OR BK 1 BT/1P — Number Pages: l age 2�' ethic K' Au t elk V Mu Duval,State Recalled 04/9/201910:10 AM, i,has personally ap RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL ublicat Large,State of Florida,Caunty of Duval. COUNTY nission expires: P-LI-2•u RECORDING $1000 ly Known: or ilden ' atlryf: