399 Aquatic Dr RERF19-0107 Shingle REROOF SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RERF19-0107
800 SEMINOLE ROAD ISSUED: 8/9/2019
ATLANTIC BEACH, FL 32233 EXPIRES: 2/5/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
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 • OF . .LY, 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:
399 AQUATIC DR REROOF SHINGLE shingle re-roof- FL16305 & $5890.00
FL21350
TYPE OF •
ZONING: : . •
• • GROUP:
171818 5278 AQUATIC GARDENS
COMPANY: ADDRESS:
AMERICAN ROOFING OF
JACKSONVILLE 2117 University Blvd. S JACKSONVILLE FL 32216
ILL • • • •
CASELLA JEAN M 399 AQUATIC DR ATLANTIC BEACH FL 32233-3831
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 COND!TIONS
N
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 4SS-0000-322-1000 0 $80.00
STATE DBPR SURCHARGE 4SS-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 45S-0000-208-0600 0 $2.00
TOTAL:$84.00
Issued Date: 8/9/2019 1 of 2
Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED GRAY
IS REQUIREE D.
Phone: (904) 247-5826 Email: Building-Dept@coab.us n nn
Job Address:_.'j`�9 A{�,nfi C �� lg��ie ��(t 3ZZ33 Permit Number: —� D
Legal Description-Ji �I -Z Z`]C �}NL�t1G Cr,"kAs "t ZZ-Z-` RE# 1-71919- SZ78
Valuation of Work(Replacement Cost)$ SS cio•�° Heated/Cooled SIF 1'3Z 4 Non-Heated/Cooled 3 �e
• Class of Work: ❑New []Addition ❑Alteration URepair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial f<esidential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes 0C
• Will trees be removed in association with proposed roiect? ❑Yes must submit separate Tree Removal Permit Ao
Describe in detail the type of work to be performed: 0)or--pk-$,e vein- 04- --&o) Q-et-ocR,
Florida Product Approval# i(v30 b Z)35 for multiple products use product approval form
Property Owner Information
Name ��«h C`t S r l l`< Address ?, `( �Tu c,+i C by'
City A 1 c,A_k�'e e<C H, State—��Zip - `ZPhon> ltw) - -7(o3 34 Z
E-Mail Rvi d(r i,< yCt bo 0,c 0 14',
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company Pmer1L4v4 lFoe-r i•11 o' 5 ck5a,n_v-11C Qualifying Agent bat-i Kit^ ke
Address Z i I U✓`1ver$1 A 1,d city a�ks�h v, (,° State_�Zip 3 Z Z I
Office Phone 9. 1 - 3$5- 4-3-75- Job Site Contact Number 90 - '10& . (91%i b
State Certification/Registration# RC 21IaZ151442 E-Mail Dq-1 fl AWO CI-1 ryo = Y2� • Ca✓'1
Architect Name& Phone#
Engineer's Name&Phone#
Workers Compensation Insurer 1100P I 05Z39-3, OR Exempt❑ Expiration Date ' ! , ZOZ:U
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 BEFO
RECORD XG YOUR N TICE OF COMMENCEMENT.
(Signature o (�ner or Agent (Signature 6fContractor)
Signed and sworn to(or affirmed)before me this 1!day of Signed and sworn to(or affirmed)before this /-7
day of
A �s� 201 ,kv �ea,ti �A.;ctloc�sk ,��,
l� (Signature of Not (Signature of Notary)
Ndary Public Stan of FWM ate of HondaPersonal! Known O Christopher Cham
MEE
ases] y • My Cornrm"M 273130 eersonally Known ORGG 273130
oduced Identificat n Expires 1 0/3 112 0 22 ]Produced Identificatio22
T� ype of Identification: Type of Identification:
Doc # 2019180562, OR BK 18886 Page 1795, Number Pages: 1,
Recorded 08/02/2019 04 :49 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
Permit No. NOTICE OF COMMENCEMENT
Tax Folio No. �1 t �) fi� 5Z It
State of Florida,County of bvvq,(
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance
with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
1. Description of property(legal description of property and address if available):
311`t Al t c(}t c b c Z eNAI 1 F L 3ZZ 33
8-1i " - ZS- 29G N.At e",rdets to+ ZZ- C
2. General Description of improvements:
Complete Tear-Off and Re-Roof
3. Owner Information: A
a)Name and Address: �ea l N s f l lg 3°11, 4"Ji d by- rt f fg til-c9,-.LCA/ F4 3 2133
b)Interest in 100% `
c)Name and address of simple titleholder(if other than owner):
NA
4. Contractor Information:
a)Name and Address: American Roofing of Jacksonville
2117 University Blvd S. Jacksonville FL 32216
b)Phone Number: 904 375
S. 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 I,
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 penal-6f perjury,I declare that I have read the foregoing notice of commenceme d that the facts stated
therein true to the best of owledge and belief,
� ,� m . c AsE1-1-.q
fignatufe of Owner or Owner's'ATMMi
Ved Officer/Director/Partner/Manager AzqL--,
ignatory's Printed Name&Title/Office
The foregoing instrument was acknowledged before me this I day of S'� 201,
by 3 r AW-) P_A5 -C I I A--
(Name of Person making statement)
eftj�. Nowy Pmw� NOTARY PUBLIC,STATE OF FLORIDA
CNkNoww
�w,te V3130 Print Name:
® Personally Known
® IdentificatiorYType:
(Affix Notary Seal Above)
Revised 1101/18