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1130 Rose St RERF19-0117 ShingleREROOF SHINGLE PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 PERMIT NUMBER RERF19-0117 ISSUED: 8/27/2019 EXPI RES: 2/23/2020 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: 1130 ROSE ST REROOF SHINGLE SHINGLE ROOF $5850.00 171007 0040 ATLANTIC BEACH SEC H ADDRESS: ' BRC Roofing & 3938-1 Sunbeam Road JACKSONVILLE FL 32257 Construction, Inc. OWNER: ADDRESS: CITY: STATE: ZIP: SLIGAR HILLARY L 2758 GREENBAY LN JACKSONVILLE FL 32207 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. Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. Issued Date: 8/27/2019 1 of 2 DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $80.00 STATE DBPR SURCHARGE 45S-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 4SS-0000-208-0600 0 $2.00 TOTAL: $84.00 Issued Date: 8/27/2019 1 of 2 Doc # 2019189457, OR EK 18898 Page 2321, Number Pages: 1, Recorded 08/14/2019 12:58 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT COUNTY OF DUVAL STATE OF FLORIDA To whom it may concern: The undersigned hereby Informs you that Improvements will be made to certain real property, and In accordance with Section 713.13 of the Florida Statutes, the following Information is stated in this NOTICE OF COMMENCEMENT. Description of property 1130 ROSE ST. 18-34 38 -2S -29E .094 2 ATLANTIC BEACH SEC H 3 S 40FT LOT 4 BILK 192 General description of improvements TEAR OFF AND RE -ROOF Owner HILLARY SLIGAR Address 2758 GREENBAY LANE, JACKSONVILLE, FL 32207 Owner's Interest In site of ImprovementFEE SIMPLE Fee Simple Title holder (if other than Owner) Name Address Contractor BRC ROOFING & CONSTRUCTION, INC. 904-288-0431 Address 3938-1 SUNBEAM RD., JACKSONVILLE, FL 32257 Surety (if any) Address Amount of Bond Name of person within the State of Florida designated by owner upon whom notices or other documents may be served: Name Address 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 Statutes (Fi11 In at Owner's Option). Name Add O r/Contractor Signature 14 S l i oar t Name a.y Sworn to and subscription before me this /c f� me u, i 0"w a day of l.�S d2DJ� T otary b gnature Countyof Dk VA L state of C40R44). o � s Personally Known or W Produced Identification 'CL . L� I . / ( C . Building Permit Application Updoted1019118 City of Atlantic Beach Building Department "ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED. Job Address: 1130 Rose St., Atlantic Beach FL 32233 Permit Number: (� R 1--(9 —1 — b Legal Description 18-34 38-2S-29#.094 Atlantic Beach SEC H S 40FT Lot 4 BLK 192 RE# 171007-0040 Valuation of Work (Replacement Cost) $ S SIM -nn Heated/Cooled SF 1164 Non- Heated/Cooled 1192 • Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial ❑Residential • If an existing structure, is a fire sprinkler system installed?: ❑Yes ❑No • Will tree(s) be removed in association with proposed project? ❑Yes (must submit separate Tree Removal Permit) ❑No Describe in detail the type of work to be performed: Tear Off and Re -Roof � h 1 -`\� 2) ' ( Florida Product Approval # ) FL /sig ff RV for multiple products use product approval form Property Owner Information Name Hillary Sligar Address 2759 CrPanha_v I anP City Jacksonville State FI Zip 32207 Phonegn4-,,-ic,-4447 E -Mail IN%\�us p or\UAr}t-0 ir �i- • ©rq Owner or Agent (If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company BRC Roofing & Construction. Inc. Qualifying Agent Jerry Rowe Address 1130 Rose St. City Atlantir Rp;;rh State FI Zip 32233 Office Phone 904-536-9947 Job Site Contact Number 904-591-4959 State Certification/Registration # CCCO56398 E -Mail Architect Name & Phone # Engineer's Name & Phone # Workers Compensation Insu rer Zurich America OR Exempt ❑ Expiration Date 12/31/2019 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 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 G YO NOTICE OF COMMENCEMENT. ieatu red Owner or Agent) (Signature of Contractor) Signed and sworn to (or affirmed) before me this /°Z day of Signed and sworn to (or affirmed) before me this It of !Notary Public State of Floridaan Hyneslature of N a u emmission GG 152863�� s 12/17/2021 Notary Public State of Florida nn,,,__ S. Brian Hynes [ ]Personally Known OR l�,Yersonally Known OR �. Exk4y commission 121) /2 G1 152663 Produced Identification 1 Produced Identification a Expires 12/17/2021 Type of Identification: Fl - L�91 V . L /C. Type of Identification: