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728 Selva Lakes Cir RERF19-0087 re-roof permit REROOF SHINGLE PERMIT PERMIT NUMBER r = CITY OF ATLANTIC BEACH RERF19-0087 J yr 800 SEMINOLE ROAD ISSUED: 6/19/2019 ATLANTIC BEACH. FL 32233 EXPIRES: 12/16/2019 MUST CALL INSPECTION • i (90 4) 247-5814 BY J • • • DAY • ! ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF ! ' ! BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF _ ! 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. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 728 SELVA LAKES CIR REROOF SHINGLE SHINGLE ROOF $6500.00 TYPE OF _ BUILDING ZONING: :D • • • GROUP: 172027 5846 SELVA LAKES UNIT 03 COMPANY: ADDRESS: PRIME ROOF 13725 BEACH BLOULEVARD, #13 JACKSONVILLE FL 32224 CONTRACTING LLC • ADDRESS: MCGUINESS NEIL A 728 SELVA LAKES CIR ATLANTIC BEACH FL 32233-4368 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 $85.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$89.00 Issued Date: 6/19/2019 1 of 2 REROOF SHINGLE PERMIT PERMIT NUMBER RERF19-0087 1 > CITY OF ATLANTIC BEACH =� 800 SEMINOLE ROAD ISSUED: 6/19/2019 %3 ATLANTIC BEACH. FL 32233 EXPIRES: 12/16/2019 Issued Date: 6/19/2019 2 of 2 Building Permit Application 0 City of Atlantic Beach 800 Seminole Road,Atlantic Beach, FL 32233 Phone: (904) 247-5826 Fax: (904) 247-5845 Job Address: 728 SELVA LAKES CIR Atlantic Beach FL 32233 Permit Number: REKEt9 -0087 Legal Description 44-60 16-2S-29E SELVA LAKES UNIT 3 LOT 127 RE# Valuation of Work(Replacement Cost)$6,580.00 Heated/Cooled SF 1709 Non-Heated/Cooled 464 • Class of Work(Circle one): New Addition Iteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial 0esidentia • 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: Replace roof with asphalt shingles Florida Product Approval#FL10674-R12(shingles) FL17420-R2(peel and stick) for multiple products use product approval form Property Owner Information Name: NEIL A MCGUINESS Address: 728 SELVA LAKES CIR City ATLANTIC BEACH State FL—Zip 32233 Phone 904-509-7582 E-Mail Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Name of Company: Prime Roof Contracting, LLC Qualifying Agent: Mark Young Address 13725 Beach Blvd Suite 13 City Jacksonville State FL Zip 32224 Office Phone (904) 530-1446 Job Site/Contact Number (904) 860-0230 State Certification/Registration# CCC1329505 E-Mail office@primeroofingfl.com Architect Name&Phone# Engineer's Name&Phone# Workers Compensation FRSA Self Insurers Fund Inc. 12/31/19 870-040093/3EE6142 _ 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 installation has R commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulationg E 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. 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 RECOR ING YOUR NOTICE F COMMENCEMENT. .11 /&,, fLkAJ,rJ A/7 1/ 1 Signature of Owner or nt incl mg Contractor) ignature of tractor) Signed nd sworn to(or affirme )before me this day of Signed and sworn to r affirme efore me this ��'nday of J�� ,by e, C.�7 V,nft�f /`� �0(,by ature Not ry) (Signature of Notary) -- Andrew D. Davis COMMISSION#GoYo= -- AMt�lddurewl�uD. Davis [ ]Personally Known OR 'y� •�� EXPIRES:Sept 17,20 Personally Known OR =�c jF COMMISSION#GG1 im [–j-Produced Identification �ry ill�� Bonded Tw Aim NO Produced Identification �� rr EXPIRES: S1Pt 17 2022 Type of Identification: r,1 e of Identification: �i � TW AIRNI Notary NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of Florida 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:44-60 16-2S-29E SELVA LAKES UNIT 3 LOT 127 Address of property being improved:728 SELVA LAKES CIR Atlantic Beach FL 32233 General description of improvements:Re-roof Owner NEIL A MCGUI NESS Address 728 SELVA LAKES CIR Atlantic Beach FL 32233 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address (�pp Contractor Prime Roof Contracting,LLC Address 13725 Beach Blvd Suite 13,Jacksonville,FL 32224 Phone No.(904)625-1446 Fax No. Surety(if any) Address Amount of bond$ Phone 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 Phone 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 Statutes.(Fill in at Owner's option)- Name Address Phone 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 NER Signed: DATE / Berore met day of n rev p Davis C my w(,I, t of E has personally�appear y MISSION�. ris Doc#2019143483,OR BK 18834 Page 536, himseW herself and affirms that a state" ements and decor on h ir?, Y�MM�SS�ON 1tr WZ41�u Number Pages:1 are tragi arid accurate - Recorded 06/19/2019 03:13 PM, EXPIRES: 11, 2022 Sep RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL /y' ¢rccc.�`� Bpm lb i!AAMn NOWY COUNTY bl� RECORDING $10.00 Notary Public at Large,Stat of County of _X_ My commission expires: Personality Knotim or Produced identmcation L� 3 7 Cash City�r ofAtlanticBeach R9675 DESCRIPTION • QTY PAID PermitTRAK $55.00 RERF19-0087 Address: 728 SELVA LAKES CIR APN: 172027 5846 $55.00 ROOF FINAL"*07/22/2019 RBE $55.00 ROOF FINAL"07/22/2019 RBE 455-0000-322-1002 0 $55.00 TOTAL . . .75 $55.00 Date Paid: Thursday,July 25, 2019 Paid By: PRIME ROOF CONTRACTING LLC Cashier: CB Pay Method: CHECK 1 Printed:Thursday,July 25, 2019 10:52 AM 1 of 1 It y s� Permit Inspections City ofAtlanticBeach Permit Number: RERF19-0087 Description:SHINGLE ROOF Applied:6/19/2019 Approved: 6/19/2019 Site Address:728 SELVA LAKES CIR Issued: 7/16/2019 Finaled:8/12/2019 City,State Zip Code:Atlantic Beach, FI 32233 Status: FINALED Applicant: <NONE> Parent Permit: Owner: MCGUINESS NEIL A Parent Project: Contractor: <NONE> Details: LIST OF • S EQ ID D SCHEDULED DATE COMPLETED DATE TYPE INSPECTOR RESULT REMARKS ROOF DRY IN Mike Jones Notes: 7/18/2019 7/18/2019 ROOF IN Mike Jones PASSED PROGRESS Notes: Andrew:860-0230 AM inspection requested-contractor called to move inspection from 7/17 to 7/18 7/22/2019 7/22/2019 ROOF FINAL" Rick Bell FAILED WITH FEE Notes: Andrew:860-0230 chimney not counterflashed properly(1x4&caulk) 8/12/2019 8/12/2019 ROOF FINAL" Rick Bell PASSED rAn tes: drew:860-0230 S_ Printed:Wednesday, 21 August, 2019 1 of 1 1