1985 Sevilla Boulevard West RERF19-0066 Shingle REROOF SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RERF19-0066
N 800 SEMINOLE ROAD ISSUED: 5/10/2019
EXPIRES: 11/6/2019
ATLANTIC BEACH. FL 32233
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTI
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
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 . s • OF • '
1985 W SEVILLA BLVD REROOF SHINGLE SHINGLE ROOF $13300.00
TYPE OF ZONING: BUILDING USE SUBDIVISION:
i CONSTRUCTION: NUMBER: GROUP:
SEVILLA GARDENS UNIT
1694620390 02
ADDRESS: CITY; STATE: ZIP:
Best Roof Jax LLC 10752 DEERWOOD PARK BLVD JACKSONVILLE FL 32256
• ADDRESS:
GRAHAM STEPHEN R 1985 SEVILLA BLVD W ATLANTIC BEACH FL 32233-4578
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
BUILDING PERMIT 455-000Od B-1000 0 $II000
STATE DBPR SURCHARGE 455-0 $20
000208-0700 0 2,00
STATE OCA SURCHARGE 455-0000-208-0600 0 $ 0
TOTAL:$124.00
Issued Date:5/10/2019 1 of 2
Building Permit Application UPdoted 1019118
City of Atlantic Beach Building Department ."ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
mon Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED. /
Job Address: IQQ$ .5l 114 Ad W kfi He Wr-k Permit Number:
Legal Description
46-� 09dC —L4F CegiIIeL6,wdau Gnil 07'aEu 1(dW1,2 -07$o
Valuation of Work(Replacement Cost)$ 13) '3 00 Heated/Cooled SF Non-Heated/Cooled
. Classof Work: ONew ❑Addition ❑Alteration ❑Repair OMove ODemo OPool OWindow/Door
Use of existing/proposed structure(s): ❑Commercial Wesidential
. If an existing structure,is afire sprinkler system installed?: Oyes ONO
Will trees be removed in association with rO osed ro'ect?❑Yes must submit separate Tree Removal Permit ❑No
Describe In detall th type of work to be erformed:
{2rr•RoOF —�-yt�du-laYmen+' : 38 $q �(/� p'rVd,
S -k 7 I ��qf
Florida Product Approval/ 14,361 for Itiple products use product approval form
Property Owner Information SU�`{�yyvt{- 1L7b VL c41 _
Name S ht Address IgrQ$ 4-e V i 110. 13)Vd kl
City State It Zip 3da3q Phone_� 7c'{Z9
E-Mail nra}1(If Agent,
Ob C+'rney of VIP{—
Owner o�Ag�nt)If Agent,Power of Attorney or Agency Letter Required)
Contractor Information �p
Name of Company C F Qualifying Agent IILr At 'Es AA0. rip
Addres SZ �Pf✓4✓lfv Ci:y�rK W& jI L State Zip
Office Phone lob Site Contact Number
State Certification/RegistrationH E-Mail,{ ST2 _ QCSt`L�`fpF`l/�� }11�r
Architect Name&Phone p
Engineers Name&Phone If l
Workers Compensation Insurer OR Exempt/ Expiration Date S
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.l 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
RECORD YOUR NOTICE OF OMMENCEMENT. L �
(Signature of ofO Lr Agent) (Signature of Contractor)
Signed and sworn to(or affirmed)before me this day of Signed and sworn to(or affnni before met�h/is�dayof
11 . 2(1 lCl ..by 4444 2019 by �i/o%c✓.• /L�x{w�
agmen ���� i
(Signator f to ) ISlgnature of Notary)
illy opffr�m�gl��Boa 11I8G'P�1
lr fla a01g61$ I..fpersonally Known OR
I )Persona VKnown OR Nnluy Pup4c Stele dFlmde
ki-fiProduced Identification ryGt, MLA a�{/� I I I
Produced Identification ayrg,.tARlnehart
Type of ldentiaration: 'I✓IAwtis IC Type of Identification: 556
Exgree 09+Q�o2a aoomt
i
NOTICE OF COMMENCEMENT 11._0n111- ff�-a��[]
State of FLORIDA Tax Folio No. I WTAW--W90
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: 45-7 08-2S-29E SEVILLA GARDENS UNIT 02
LOT 27
Address of property being Improved: 1985 W SEVILLA BLVDABanBc Beach FL 32233 _
General description of improvements: RE-ROOF
Owner: STEPHEN GRAHAM Address: 1985 W SEVILLA BLVDABanSc Beach FL 32233
Owner's Interest in site of the Improvement: OWNER
Fee Simple Titleholder(If other than owner):
Name:
Contractor: BEST ROOF JAX
Address: 10752 DEERWOOD PARK BVLD STE 100 JACKSONVILLE,FL 32256
Telephone No.:(901)500-2378 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 ofthe 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 Llenurs Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owners 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 4&,
Dao R 2019109388,OR BK 18787 Page 2483, Date: T �qy �/Number Pages:7 g.I ned:Reomded 05/10201901:25 PM, lefore me this -x Irf the Caumy of Duval,State
RONNIE FUSSELL CLERK CIRCU IT COURT DUVAL )f Florida,harper Ily appea �nathriwl
COUNTY Votary Public at large,St�4jlg Tuntyof Dual.
RECORDING 310.00 Ay "s' expires: 6'
e n:—� an or
Pro t 0
�pNrya9gn Na GG 155172