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70 W 13th St RERF19-0111 Shingle REROOF SHINGLE PERMIT PERMIT NUMBER i, RERF19-0111 rCITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 8/22/2019 ATLANTIC BEACH. FL 32233 EXPIRES: 2/18/2020MUST CALL i INSPECTION • • • 1 i 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 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: 70 W 13TH ST REROOF SHINGLE SHINGLE ROOF $8516.00 TYPE OF • • GROUP: 170805 0030 ATLANTIC BEACH SEC H COMPANY: ADDRESS: ' J & M ROOFING SERVICES 2021 ART MUSEUM DR STE 115 JACKSONVILLE FL 32207 INC • ADDRESS: ROTHE DANNY HOYONG 70 W 13TH ST ATLANTIC BEACH FL 32233-3418 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. EE DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 4S5-0000-322-1000 0 $95.00 STATE DBPR SURCHARGE 45S-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 4S5-0000-208-0600 0 $2.00 TOTAL: $99.00 Issued Date:8/22/2019 1 of 2 Building Permit Application Updated 12/8/17 City of Atlantic Beach rr°� 800 Seminole Road,Atlantic Beach,FL 32233 n Phone:(904)247-5826 Fax:(904)247-5845- Job Address: �(/ 7 ur�zFt' �Yermlt I�tuber: Legal Description .��. � C#(�E# SSC Rep ool d cement Cosi)$ fy+�^/ �• D fl Heated/CSF 1�/(r 1 Non-Heated/Cooled Valuation of"Work( f , a Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door o Use of existing/proposed structure(s)(Circle one): Commercial 4U2!d6Rj5s> If an existing stricture,is a fire sprinkler system installed?(Circle one): Yes --48 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: �'ROOF a�- c�.ar'as la.s�a. Pi.,Fc� r-u»o✓c_ CA5 faL( a rch ikcl-u Florida Product Approval# FL /0119y- for multiple products use product approval form Property Owner Infor iation �n Name:J n h Address:l7J I Y . ��11h SYCOC41- City ✓} State -;Lz, _Zip,.3aa63 3 Phone 5 1) 5'3 E-Mail �5c r Owner or Agent(If Agent Power o A rney or Agency Letter Required) Contractor Informatio Name of Company: ' 00 i (• QualifyingAgent: "CA&e,( kicAl ee_ AddresQCity Y State'�(L_zip .3.7�6� Office Phone D . $ Job Site/Co ct Number Z? 3Lly• SS�`f`(r State Certification/Regist ation#L'(G /, si'Stf E-Mail Lr]FD 041 %pna--y7 Fines S Y��1 s rtG/ Architect Name&Phone Engineer's Name&PhonE # Workers Compensation 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 iz suance 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,FURNACE ,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 cer ify 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 OW ER:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN AINE-, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE R71kt(5ignatur IISR NOTICE OF COMMENCEMENT. a of Owner or Agent) (Signature of Contractor) (in luding contractor) Si ned and sworn to(or ffird)before hisd_4day of Si ned and sworn to(or affirmed) efore me this/ day of by by MELTS A J.ROBERTSON LEAKS �r�Yl.''•., MELI SA J.ROBERTSON LEAKS [ ]Personally Known OR .- MY COMMISSION if GG 276619 MYCOMMISSIONO N if GG 276619 rsonally Known OR +: Produced Identificati .. P EXPIRES:November 14,2022 1 1 Produced Identification e �1 EXPIRES:November 14,2022 �F Fy° Bonded TNu Na Public Underwriters of ft°' Bonded Ttw Na Public Underwriters Type of Identification: Type of Identification: Doc N 2019193323, OR BK 18904 Page 368, Number Pages: 1 , Recorded 08/19/2019 04 :43 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10 . 00 NOTICE OF COMMENCEMENT (PREPA.n e4 WMCATE) Pernirt No. Tax Folio No State of Ftz County of �(V To whom It r lay concern: The un6 rsign"hereby Informs you that Improvements will be made to certaln real property,and In accordance Ith Section 713 of the Florida Ststutes,the following Information is stated In this NOTICE OF COMMENCE AENT. Legalof property being improved: - Address of pr perty being Improved: _70 W. /3-oh *SyL/'�I- General desalption of Improvements. Re-Roof Owner Address w-w Ovener's intero st in site of the improvement Re-Roof Fee Simple Tieholder(H other then owner) Name Address Contractor J&M Roo&tg Services,Inc Address 2604 Powers Ave Suite 2 Jacksonville FLodde 32207 Phone No 904 399.668 Fax No.904.399.6023 Surety(if any) Address Amotmt of bond$ Phone No Fax No. Name and add ress of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person withln the State of Florida.other than himserf,designated by owner upon whom notices or other documents mait be served: Name Address Pie No. Fax No. in addition So h misellf,owner designates the foVia,vvig person to receive a copy of the Lienofs Notice as Provided in Section 713.06(2)ib),Florida Statutes.(FIB in at Owners option). Name Address Phone No. Fax No. ; �.. Expiration date Notice of Corrxnonaernent(the expiration date is one(t)year from the date of recording unless a ditrerent date Is specdled): .. THIS SPACE RO!R OR RECO 'E USE ONLY N" �, , •/� suers A,IZ141-- cry d __am tNrMt u tafps, my ooirtnffwian taxgirM IK71own or OsnblltaMen y Cash Register Receipt Receipt NumberCity of DESCRIPTION • QTY PAID PermitTRAK $55.00 RERF19-0111 Address: 70 W 13TH ST APN: 170805 0030 $55.00 ROOF IN PROGRESS 09/16/2019 MJ $55.00 ROOF IN PROGRESS 09/16/2019 MJ 455-0000-322-1002 0 $55.00 TOTAL1 11 Date Paid: Tuesday, September 17, 2019 Paid By: J & M ROOFING SERVICES INC Cashier: CB Pay Method: CREDIT CARD 8 Printed:Tuesday, September 17, 2019 11:48 AM 1 of 1 j