470 Garden Ln RERF19-0109 Shingle ' <� REROOF SHINGLE PERMIT PERMIT NUMBER
RERF19-0109
CITY OF ATLANTIC BEACH ISSUED: 8/16/2019
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 2/12/2020
MUST CALL INSPECTION • • 1 PM FOR + INSPECTION.
ALL • ' K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' + BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL i i OF APPLY, +SE 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:
470 GARDEN LN REROOF SHINGLE SHINGLE ROOF $8990.00
TYPE OF
• • GROUP:
172020 5220 SELVA MARINA GARDEN
OZ
COMPANY: ADDRESS:
TOWNSEND ROOFING & 10418 New Berlin Rd #115 JACKSONVILLE FL 32226
CONSTRUCTIONS SERVICE
• ADDRESS:
MAULDIN TOMMIE S 470 GARDEN LN ATLANTIC BEACH FL 32233-4528
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 $95.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $99.00
Issued Date: 8/16/2019 1 of 2
r=�' Building Permit Application Updated 5/5/17
. ,rr
City of Atlantic Beach
_1
840 Serninole Road,Atlantic Beach,FL 32233
t, Phone: (904) 247-5826 Fax: (904) 247-5845
Job Address: 1 +v"rf�.+1 LA t� c Permit Number: �`
Legal Description 6- "d ,T Lo+ —
"T)
Valuation of Work(Replacement Cost)$ `(�r�� �'= Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial esidentiap
i/�^y
• if an existing structure,is afire sprinkler system installed?(Circle one): Yes� 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:
u�t :�kyriac ,.,fL �5`f $ 7
Florida Product Approval# 1 i Z for multiple products use product approval torm
Property Owner information 1
Name: NzAddress:�{�1L C-���4�Q.h Lr�ae
City�_L_ L' ------- State l, zip >Z-,3 3 Pnone
E-Mail 7s•1r-.. o•-% - V5
Owner or Agent(if Agent,Power of Attorney or Agency Letter Required)
Contractor information
Name of Company:,'� A t ' Qualifying Agent_ r�'
wS.#J _
Address IC-411 T l e-o r( n �Gd _ !l s ---.----City ': c ( .__ State FL- Zip 3 ZZZ-b
Office Phone 10 -- 6tis-Sb3 7 _ Job Site/Contact Number tj- ti 2-- 4
State Certification/Registration# Cu 132-17,07 E-Mad G�rri ( f t �ylh F 8p#•ny, c e�✓!
Architect Name&Phone#
Engineer's Name&Phone# -- _ -----v — ----_ i_
Workers Compensation I
Exempt f Inswer J Lease Employees J Expiration Dote
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.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that aft wort:wilt be done in compliance with aft
applicable laws regufating 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. �s '
(Signature of Owner or Agent) �-- (Signature of Contra
(including contractor) k�
Signed and sworn to(or affirmed)before me this 41' day of Si ed and sworn to(or a J before s y of
/n� tt n /
_ �1� h� T Z C!c I ,by �,.y�y�-�� �"hn� ! �?'1� v�� _..+--�' �I Y, o�✓'YtS�hG'l
-4, r
(Signa—tu�Notary) ignature of Notary)
2o1�RY vie c CHRIS TOWNSEND
t * Commission#GG 183366 ;:; MARTIN ARELLA40
Expires March 25,2022 =`', -- +ktuy✓ur<-St:ted."iwd�
Personal) Known OR Y)Fovv�o BwdedThruBudgaftiays.rvia• r�Personally Known OR y Comminion1GG102031
Y t(L y' =•, kycomm.frpirts May to,202t
j ]Produced Identification [ ]Produced identification - eer+evrr�ugr>ikenbxacryus.
Type of Identification ____.-__-__- _ Type of Identificatiari: _
Doc # 2019188458, OR BK 18897 Page 1596, Number Pages : 1,
Recorded 08/13/2019 03:38 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 172020-5220
State of Florida County of owal
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with Section 713 ofthe Florida Statutes,the following Information Is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being improved:38-39 09-2S-29E SELVA MARINA GARDEN TWO LOT 10
Address of property being improved:470 GARDEN LN.Atlantic Beach, FL 32233
General description of improvements: Roof Replacement
Owner MAULDIN, TOMMIE S
Address 470 GARDEN LN.Atlantic Beach,FL 32233
Owner's interest in site of the improvement.
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Townsend Roofing and Constriction Services,Inc.
Address 10418 New Harfrn Rd#115 Jacksonville,FL 32226
Phone No.904'615'585r Fax No.904-645-5442
Surety(if any)
Address Amount of bond$
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.
Nance of person within the State of Florida,other than himself or herself,designated by owner upon whom
notices or other documents may be served:
Name
Address
Phone No. Fax No.
In addition to himself or herself,owner designates the fallowing person to receive a copy of the Lienors 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 Signed: 0 R�
v � �X.�
r /L DATE
aorore Fne this y of 1, 1 CS _ in
County of Du�,W.State of Foci haspp naily appeared
Nt dr r herein by
h-rnselfi herself and affirMs that all slalemems and declaralions heroin
are true enc accurate �o oY Ao"'. CHRIS TOWNSEND
Commissi n#GG i 83366
Expires March 26,2D22 666"
�aF r�o Banded Ttnl&AM Notary$Mae
Notary foublic as Large.Siotf or ..Countyot "
My Commission expues z
Pmsonaly Known_ ) or
Produced Ider..1111catlon