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1158 Violet St RERF19-0083 ShingleREROOF SHINGLE PERMIT PERMIT NUMBER r t CITY OF ATLANTIC BEACH RERF19-0083 v 800 SEMINOLE ROAD ISSUED: 6/14/2019 ATLANTIC BEACH. FL 32233 EXPIRES: 12/11/2019 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. 1158 VIOLET ST REROOF SHINGLE SHINGLE ROOF $16500.00 171010 0007 ATLANTIC BEACH SEC H WEATHERLOCK ROOF 3948 3RD ST SOUTH JACKSONVILLE FL 32250 SYSTEMS LLC BEACH • ADDRESS: TRINIDAD PAUL A 556 SEASPRAY AVE 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. 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 $135.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.03 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $139.03 Issued Date: 6/14/2019 1 of 2 s> " Building Permit Application Updated 10/9/18 :J City of Atlantic Beach Building Department "ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone:: (9014)) 24i7-5826 Email: Building-Dept@coab.us IS REQUIRED. Job Address:I11 Permit Number: l=i 1<<` l �0 �✓� Legal Description 1� S�j I r�`7-COIF ,c"q I A 7 AL, k5CH 5e'_ R S 311c 1 (� l� Valuation of Work (Replacement Cost) $ 4 Heated/Cooled SF TC Non 4leatedkoo�ed l ✓l l t • Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial ❑Residential • If an existing structure, is a fire sprinkler system installed?: Dyes ❑No • Will trPP10 hP rPrnmiprl in ACcn Pintinn \A1itl1nrnnnCPrl nrniart? FIVPc Imnct Uikmit cPnn—tP Trnn RPmnvn Describe in detail the type of work to be performed: Florida Product Approval # FL Lt 12- (-) Z L for multiple products use product approval form Property Owner Information Name w �; a�r Address )�� I U YL[ City -It—1 L -4t i l l Q_ rL-A CN State Zip Phone 9 3, 5 e� E -Mail i_V2i;yi` f) � COmC '—N,ti LI Owner or Agent (If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company �_Ai\�tr,I->_S'� Q%%F `> 1S1C.m)�QualifyingAgent Addressny 3910 5i S CityalQKSrONiu.�. �t�tate_PL_ Zip__ �p Office Phone �j kA, `may, yam(? Job Site Contact Number State Certification/Registration # Qs .0 \3311 1 E -Mail 0� GO (`n Architect Name & Phone # Engineer's Name & Phone # Workers Compensation Insurer OR ExemptKExpiration 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 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 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 UR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER TTORNEY BEFORE RECORDING XqYR NOVICE OF MMENCEMENT. trrm Uk (Signature of Owner or Agent) (Signature of Contractor) Signed and sworn to (or affirmed) before me this �i day of u ^ .c , Z'v) byl . L i nd d, Tr, A4 " JAMES BOUKNIGHT SHtALY, JI State of Florida -Notary Publi Commission # GG 242512 soR0K,f4SMW9s9Ron Expires duced IdeW426ti8A22 Sign,,d and sworn to (or affirmed before e this day of 'J 141A r UL1 _1 , b t '7'(Signature of otary) _0' 7 JAMES BOUKNIGHT SHEALY, JR [/Personally K vii °aState of Florida -Notary Public [) Produced Id fisc Commission # GG 242512 Type of Identifi - . M Co mission Expires Doc # 2019133289, OR BK 18819 Page 2093, Number Pages: 1, Recorded 06/07/2019 01:04 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT Permit No. Tax Folio No. 171010-0007 State of Florida, County of Duval TPEJ, I� hereb �ve notice that the improylo t will Meade to certain real property in accordance with Chapter 713, on a Statutes, e o iowm ormahon is provt e m thts once o ommencement. 1. Description of property (legal description of property and address if available): 18-34 17 -2S -29E.091 ATLANTIC BEACH SEC H S 32FT LOT 3,N 7FT LOT 4 BILK 194 1158 Violet St 2. General Description of improvements: Shingle Re -roof 3. Owner Information: a) Name and Address: Linda Trinidad ,1158 Violet St Atlantic Beach FL 32233 b) Interest in property: Fee Simple c) Name and address of simple titleholder (if other than owner): 4. Contraclor Infornmlion. a) Name and Address: Weatherlock Roof Systems LLC , 3948 3rd Street South Unit 195, .lacksonville Beach FL 32250 b) Phone Number: 904-204-4650 5. Surety Information: a) Name and Address: b) Phone Number c) Amount of Bond: 3 6. Lender Information: a) Name and Address: b) Phone Number: 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by 713.13 (1) (a) 7, Florida Statutes: a) Name and Address: 8. In addition to himself/herself, Owner designates Notice as provided in Section 713.13 (1) (b), Florida Statutes. a) Name and Address: b) Phone Number of person or entity designated by owner: b) Phone Numbers of Designated Person: of to receive a copy of the Lienor's 9. Expiration date of Notice of Commencement (the expiration date may not be before the completion of construction and final payment to the contractor, but will be one (1) year from the date of recording unless a different date is specified WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of per'ury, Id eclare that ve read the foregoing notice of commencement and that the facts stated therein are true to the best my know and belief ignature of Owner or Owner's Authorized Oflicer/Director/Parineforanager .{ Signatory's Printed Name & Tide/Office The fore ing ins gjtt w a nowledged before me this l'day of Sj^k, ,20 Iq , by(Name of Person)• , • &as (Type of Authority, i.e. ffi r/Attomey) fo"ame of Party Instrument was Executed for NOTARY PUBLIC, STATE OF FLORIDA Print Name L 1 h Personally Known 4 densification Type 1'L lJ L JAMES BOUKNIGHT SHEALY. JR eg _State of Florida -Notary Public Commission N GG 242512 4 My Commission Expires �� -�� July �- 26, 2022 7/9/2019 CERTIFICATE OF COMPLETION 1158 VIOLET ST TRINIDAD PAULA 556 SEASPRAY AVE ATLANTIC BEACH, FL 32233 APPROVED: RERF19-0083 REROOF SHINGLE DESCRIPTION OF WORK: SHINGLE ROOF 171010 0007 WEATHERLOCK ROOF SYSTEMS LLC 3948 3RD ST SOUTH JACKSONVILLE BEACH, FL 32250 CHIEF BUILDING OFFICIAL VOID UNLESS SIGNED BY BUILDING OFFICIAL 7/9/2019 CERTIFICATE OF COMPLETION 1158 VIOLET ST TRINIDAD PAUL A 556SEASPRAY AVE ATLANTIC BEACH, FL 32233 APPROVED: RERF19-0083 REROOF SHINGLE SHINGLE ROOF 171010 0007 CONTRACTOR: WEATHERLOCK ROOF SYSTEMS LLC 3948 3RD ST SOUTH JACKSONVILLE BEACH, FL 32250 CHIEF BUILDING OFFICIAL VOID UNLESS SIGNED BY BUILDING OFFICIAL