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1831 Selva Marina Dr RERF19-0094 Shingle REROOF SHINGLE PERMIT PERMIT NUMBER r CITY OF ATLANTIC BEACH RERF19-0094 ISSUED: 7/11/2019 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 EXPIRES: 1/7/2020 MUST CALL INSPECTION • • • 14) 247-5814 BY 4 PM FORDAY • • 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. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 1831 SELVA MARINA DR REROOF SHINGLE SHINGLE ROOF $22677.00 TYPE 43F REALESTATE BUILDING ZONING: : , • CONSTRUCTION: GROUP: 172020 0768 SELVA MARINA UNIT 10B COMPANY: ADDRESS: J & M RESIDENTIAL 6020 PARKWAY DRIVE NORTH CUMMING GA 30040 SERVICES, LLC i ADDRESS: CITY: STATE: ZIP: SCHMIDT LORRAINE M 1831 SELVA MARINA DR ATLANTIC BEACH FL 32233-5619 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 • ! 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 $165.00 STATE DBPR SURCHARGE 455-0000-208-0700 $2.48 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $169.481 Issued Date: 7/11/2019 1 of 2 Building Permit Application Updated 12/8/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 Q } Phone:(904)247-S826 Fax:(904)247-S845 Job Address: �� ,�Ql�c•� la 13�.,�. r`n— �� tnhc �� 4 P6rmit Number: RC-Er I CI ��7�! Legal Description G? cf-�_`,> --qc S'1A\JCA io3 0k,17- Lc Z_,__5_RE# Valuation of Work(Replacement Cost)$�(,-72 Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteratio epai Move Demo Pool Window/Door • Use of existing/proposed structure(s) (Circle one): Commercial Reside • If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No N/ • 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: Florida Product Approval# f Zt 8 P3 for multiple products use product approval form Property Owner Information Name: Address: City 1\A' n C S�QC State Zip SZZ3^ Phone E-Mail ll VVn �L,;r Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company: ,-7 M �2.�.c�xt��iG.\ _�ry ,�� LCL Qualifying Agent:J �• is n AddressCity C-1)0\r StateC111AZip Office Phone ?,iL1 �..-1y� Job Site/Contact Number - (Y-( I-JU*, �c5(d`-) State Certification/Registration# n'C E-Mail 5rl nv tlu r• SC�m. Architect Name& Phone# yi) Engineer's Name&Phone# ver, Workers Compensation &\J C_ 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 commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulationg 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 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. -- (Signature of Owner or Agent) (Signature of Contractor) (including contractor) Signed and sworn to(or affirmed) before me this day of Signed and sworn to(or affirmed) before me this day of - �, byl� 1� cLL,b, (Signatur?. oiary�-- _{3 gnature of N ryota`) // Od1r°W� Notary Public State of Florida �fPersonally Known ON - o�rr.iy Notary Public State of Florida ersonally Known OR : g Schuyler Schmidt [ ) Produced Identification = �; Schuyler Schmidt I 1 Produced Identification My Commission GG 214865 Type of Identification: h' My Commission GG 214865 Type of Identification: '� d�P Expires 05/06/2022 OF N 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: 36-6108-2S-29E SELVA MARINA UNIT 10-B N1/2 LOT 2,LOT 3 Address of property being improved: 1831 SELVA MARINA DR ATLANTIC BEACH,FL 32233-5619 General description of improvements: RerOOf Owner SCHMIDT LORRAINE M Address 1831 SELVA MARINA DR ATLANTIC BEACH,FL 32233-5619 Owner's interest in site of the improvement Owner Fee Simple Titleholder(if other than owner) N/A Name Address Contractor J8,M Roofing Inc Address 6020 Pkwy N Suite 500 Cumming GA,30040 Phone No. 770-292-9054 Fax No. Surety(if any) N/A Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name N/A 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 N/A 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 N/A 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 O NER Signe DATE Before me this day of in te County of Duval.Statgof Flo da,has persLog y appeared Doc#2019161790,OR BK 18860 Page 594, pY 021 Yl-e dU1 . 1(y)i(A herein by Number Pages:1 tumself/herself and affirms that all statements andcl ati herein Recorded 07/11/2019 09:38 AM, are true and accurate Pleader Mooney RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL State of Florida COUNTY My Commission Expires 02101/2021 RECORDING $10.00 , "'l VU Commission No.GG 68713 otary Public at Large,StatQ 4f County of ✓cA 1 My commission expires:O C_TD ) ! 2p 2 i Personally Known or Produced Identification i Vt YS Lil�N re Inspections kv City of Permit Number: RERF19-0094 Description:SHINGLE ROOF Applied: 7/11/2019 Approved: 7/11/2019 Site Address: 1831 SELVA MARINA DR Issued: 7/11/2019 Finaled: 7/19/2019 City,State Zip Code:Atlantic Beach, FI 32233 Status: FINALED Applicant: <NONE> Parent Permit: Owner:SCHMIDT LORRAINE M Parent Project: Contractor: <NONE> Details: LIST OF • SEQ SCHEDULED DATE COMPLETED DATE TYPE INSPECTOR RESULT REMARKS ID ROOF DRY IN Mike Jones Notes: 7/16/2019 7/16/2019 ROOF IN Mike Jones PASSED PROGRESS Notes: Skylar:466-3549 AM 7/19/2019 7/19/2019 ROOF FINAL" Rick Bell PASSED Notes: 466-3549 Printed:Tuesday, 27 August, 2019 1 of 1 s