302 Magnolia St RERF19-0092 Shingle REROOF SHINGLE PERMIT PERMIT NUMBER
° RERF19-0092
CITY OF ATLANTIC BEACH
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800 SEMINOLE ROAD ISSUED: 7/12/2019
ursi9' ATLANTIC BEACH. FL 32233 EXPIRES: 1/8/2020
MUST CALL INSPECTION PHONE LINE (904) 247-S814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • '
CODE, ' OF • OF ORDINANCES .
ALL • • OF PERMIT APPLY, PLEASE
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:
302 MAGNOLIA ST REROOF SHINGLE SHINGLE ROOF $7350.00
TYPE OF
• • GROUP:
170446 0010 SALTAIR SEC 02
COMPANY: ADDRESS: CITY: STATE: zip.
ARMOR ROOFING CO 3885 JULINGTON CREEK RD JACKSONVILLE FL 32223
• ADDRESS:
TOKE JONATHAN ET AL 302 MAGNOLIA ST ATLANTIC BEACH FL 32233-4028
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $90.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $94.00
Issued Date: 7/12/2019 1 of 1
Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
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Phone: (904) 247-S826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: ®� ( (�®� ���r A,11 � , Permit Number: 1 `b`F19009` Z—
Legal Description ��-�s �(n-�,S cl-.'�t S�Ga .`1A��61yC LA cAR u RE# ll
Valuation of Work(Replacement Cost)$ 35d�
6 Heated/Cooled SF alb ` Non-Heated/Cooled III
• Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial [Mesidential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes XNo
• Will trees be removed in association with proposed roiect? ❑Yes must submit separate Tree Removal Permit []No
Describe in detail the type of work toe performed: `
� S�tic��e� c�eN �aKrnQr2
Florida Product Approval# F'�. ®,�,w'�� for multiple products use product approval form
Propertv Owner Information
Name Address 2�N",
City State zip 3 Phone
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company m V C QualifVinq Agent
Address a City --I State zip
Office Phone — Job Site Contact Number MQ.
State Certification/Registration# E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer \t P, OR Exempt❑ 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 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 YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
REC -N TICE Of COMMENCEMENT.
(Signature of Owner or Agent) (Signature of Contract )
Signed and sworn to(or aff ed efore me this day of Si nednd sworn to(g\affir dd)befo a mesh is day of
y .Z ZO by -Ja
e of
COMMISSION it FF964401
EXPIRES M EXPIRES:October 6,2019
(N7 jp0-0�� May 14,2020 Bcrded Thru Notary Public Underwriters
[ ]Yersonally Known [ ]Persor�atly `'
[if Produced Identificati 1 [ ]Produced Identification C�
Type of Identification: 01 \ L, Type '`4�iQ U t—1-7-7— U
T e of Identification:
NOTICE OF COMMENCEMENT
State of ` 1 Oche Tax Folio No.
County of l v Jal�
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 statpd in this NOTICE OF COMMENCEMENT. `
Legal Description of property being improved: �T 10' �f��S� SeC,2. Sn�}a►rr�fi da►g
Address of property being improved: boa
General description of improvements: V boy
Owner: J 8(�( ��qn 0 �, Address: naa(l®W�
Owner's interest in site of the improvement: _
Fee Simple Titleholder(if other than owner):
Name: o
Contractor: AmIc ) 9 v
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Address:
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Telephone No.: Fax No: N
Surety(if any) LO co
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Address: Amount of Bond$ o E� o
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Telephone No: Fax No: r; o J
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Name and address of any person making a loan for the construction of the improvements ! Cn,i�z
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Address: o 5 �o o w
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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 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
STEPHEN A KELLY Signe . Date:r`y'2.� AR f v
, 14 MY COMMISSION#FF96440� Befor m this day ofthQ County of Duval,State
EXPIRES May 14,2020 Of Florida,has personally appeared�� r
Faye, ,wacan Notary Public at Large,State of Florida,County of Duval.
„otj�9eds�
My commission expires:4 ' kA
Personally Known: or
Produced Identification: