1050 Mayport Rd RERF19-0103 Shingle ''''r%l REROOF SHINGLE PERMIT PERMIT NUMBER
' RERF19-0103
CITY OF ATLANTIC BEACH
ISSUED: 8/2/2019
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 1/29/2020
MUST CALL INSPECTION
• • • • , I 247-S814 BY I • • • NEXT I INSPECTION.
ALL WORK CONFORM TO CURRENT • EDITION (2017) OF FLORIDA BUILDING
CODE.,
/ • / OF BEACH CODE • ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READCAREFULLY.
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: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
1050 MAYPORT RD REROOF SHINGLE SHINGLE ROOF $22050.00
TYPE OF
• • GROUP:
170778 0000 ATLANTIC BEACH SEC H
COMPANY: ADDRESS: CITY: STATE:
DADA ROOFING, LLC 4137 PINTO RD MIDDLEBURG FL 32068
• ADDRESS:
FIRST BAPTIST CHURCH OF 1050 MAYPORT RD ATLANTIC BEACH FL 32233-3432
ATLANTIC BEACH INC
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 0 $165.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.48
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $169.48
Issued Date:8/2/2019 1 of 2
Building Permit I IIIL Applica. tI®11 Updated 10191.18
j- City of Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: 8Lliidinj1-Dept alCoab.us 15 REQUIRED.
Job Address: 10,50 1MAYPORT RD ATLANTIC BEACH,FL 32233-3432 Perrnit Number. REI- R F t 9—0, 05
Legal Description 18-34 3h-2S-29L.A'I I,AN11C:HEACH SEC 11,1,01'S I'I07(FX RNV)131'X 0.Z, RE# 170778-0000 T
1 MS 1 10
Valuation of Work(Replacement Cost)$ 22.050.00 .__Heated/Cooled SF. '5056---Non-Heated/Cooled_5Q'%
• ClassofWork: UNew i_lAddition IIKAlteration ❑Repair DMove uDemo ®Pool ❑Window/Door
• Use of existing/proposed structure(s): ICCommercial ❑Residential
If an existing structure,is a fire sprinkler system installed?: ❑Yes (XNo
• Will trees be removed in association with ro osed ro'ect? oYes must submit separate Tree Removal Permit Nn
Describe in detail the type of work to be performed: Renicif,CAF Stun(les.68 squares,6/12 pitch
Florida Product Approval# FL10124 _ — for multiple products use product approval Corm
_PropertyyOwner Information
Name FIRST BAPTIST CIILRCII OF ATLANTIC BEACH INC Address-1050 RIAYPORT RD --
City ,�.tlar�i�j'1gaClt State FL zip 32233 Phone 9U4-992-')90(I
E-Mail_buelankarel3(rilcenlcast.net --
Owner or Agent(if Agent, Power of Attorney or Agency Letter Required) ----
Contractor Information
Name of company TADA Roofinlr LLC Qualifying Agent Jeff N1cC:arthy-
Address 4137 Pinto Road _ _ _City A.Iiddlebllrg—_-__-State FL zip 32068__._
Office Phone (90{ 4)606-7663 __Job Site Contact Number
State Certification/Registration#CCC 1331050 E-Mail info(aJadA1'oofinj1 Corn
Architect:Name&Phone#
Engineer's Name&Phone# _ ---
Workers Compensation Insurer FrapkCruni InStrrance Agency, 111C. OR Exempt o Expiration Date 01/0.1/2020
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 fr•orn 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 YO OC OFC MMENCEMENT.
(Sr nature of caner or Agent)` (Signature of Contractor)
1
Signed and sworn to(or affirmed)before me this I';? day of Signed and sworn to(or affirmed before me this 26day�of
�qby P.�e ti. July by _ 1C E MC(�TW 7 _
(Signature of Notary (Signature of otary)
,,��Y'P�B;, EDITH 5 NARWELL
DONNA MATHENY
Notary Public State of Florida i personally Known OR t 41YC01t\115S10vxGG156109
Personal) Known O o Commission a GG 213379 EXPIRES:Ocu}ber 30.2021
[ y +® es Aug 23,1019 Produced Identification "joss
[ J Produced Identificati n'-,. ori My Comm.ExP Assn. [ J
Type of Identification: Bonded through Nationai Notary Type of Identification:— --
Doc # 2019177398 , OR BK 18882 Page 481 , Number Pages : 1 ,
Recorded 07/31/2019 07 : 53 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10. 00
NOTICE OF COMMENCEMENT
(PREPARE w DUPLICATE)
perm t No Tax Folio No. 170778-0000
Slate of sr ORIDA County orDITVA L —
To whom It may concern;
The undersigned hereby Informs you that Improvements will be made to certain real property,and in
accordance wtih Section 713 of the Florida Statutes,the following information Is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being improved 1K 34 3$25?9` "T' at`Ttr nF f(A SFf H
LOTS I TO 7(EX RAN)BLK 42,
LOTS i TO 7(EX RAV)BLK 43
Address of property being improved 1050 NIAYPORT RD ATLANTIC BEACH,FL 32233-3432
General descnptton of improvements.REROOF
Owrw FIRST BAPTIST CHURCH OF ATLANTIC BEACH INC
Address 1050 MAY_PORT RU ATLANTIC BEACH,FL 31233-3432_--
Owner's interest in site of the improvement 100%OWNER
Fee Simple Titieholdry(if ntherthan owner).-._-
Name ----
Address
Contractor JADA Roofin>t LLC
Address 4137 Pinto Road Middleburg,Florida 31068
Phone No, 904-606-7663 Fax No.
Surety(if any)
Amount of bond S
Address
Phone No Fax No.
Name and add ess of anY perms makog a ban for the cor irudlon of the Impmvoments.
Name
Address
Phone No. Fax No
Name of person within the State of Florida.cithar then himself,designated by owner upon`^fit notices or othe+
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 prov,ded in
Section 713.D8(2)(b),Florida Statutes.(Fill in at Ownei s option)
Name JADA Roofing.LLC
Address 4137 Pinto Road Atiddlebn Florida 32068
Phone No 904-606-7663 Fax No
Expiration date of Notic a of orttrnenoemntt(Mie evgriralion
deft is one(1)yew gam the data of receding unless a
different date is specified)' ?
THtB SPACE FOR KeCORDER'8lA bia:y
M� v►'s,53r_ a h
Canty a 'W"'a
tr++..or nerare arrt shewemMr�d ` EDITH S M WELL
aro the wit acerin Rotary Pubik-Sett of f br1d+
Commission 1 GG 211379
a N My cwn Expires Atiy 23,2019
derided the wPt tlattgr al Notary Aran
titreaekia ba+ew a
r