1044 Stocks St RERF19-0126 Shingle REROOF SHINGLE PERMIT PERMIT NUMBER
t' RERF19-0126
CITY OF ATLANTIC BEACH
yr 800 SEMINOLE ROAD ISSUED: 9/11/2019
�i}9` ATLANTIC BEACH. FL 32233 EXPIRES: 3/9/2020
MUST CALL INSPECTION • • • + 247-5814 BY 4 PM FORDAY INSPECTION.
ALL • ' K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' rBUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF + r
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:
1044 STOCKS ST REROOF SHINGLE SHINGLE ROOF $10500.00
TYPE OF
ZONING: : • •
• • GROUP:
171000 0050 ATLANTIC BEACH SEC H
COMPANY: ADDRESS:
SPC Roofers LLC 234 Oceanway AVE JACKSONVILLE FL 32218
• ADDRESS:
ORTEGA KEVIN 1044 STOCKS ST ATLANTIC BEACH FL 32223
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 CONDITIONS
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 $105.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $109.00
Issued Date: 9/11/2019 1 of 1
,S
Building Permit Application Updated 10/9/18
�a
r City of Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: 10 Ali-( 5 i oc k s\1 t.e%v Tig_ fSEA.ct4 Jit Permit Number: I\ ERP-1 - (7)1 z
Legal Description ►9 -3 y" 1'1 -Z 5 Z`%& i ] I RE# 13 1 wiO_ c,c `,X
Valuation of Work(Replacement Cost)$ 10 t_5-00 a 0i Heated/Cooled SF 1 y 7Z Non-Heated/Cooled u 110
• Class of Work: ❑New ❑Addition ❑Alteration j*epair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial Xtesidential
• If an existing structure,is a fire sprinkler system installed?: Dyes W1CIo
• Will trees be removed in association with proposed ro•ect? Dyes must submit separate Tree Removal Permit No
Describe in detail the type of work to be performed:
L' o51 Stitoo� wl�i. �uaariol�
Florida Product Approval# FL t0�11A I�. j"l for multiple products use product approval form
Property Owner Information
Name Kwt)I n► (D(Lr" Address 1 0 LI L•1 SToe-'K.S sly 54-
City_ 14 rj- 1 C_ 1'3 1-A�c rt State Zip L2,--I_3 Phone 7 to 2-.9y- 97cl'7
E-Mail
Owner or Agent (If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company '5 PC- Virg-i s .(LC. Qualifying Agent �;ty-G L. er.trtSv-d
Address 234' tQC4fAN1-✓a4J k�-VC I City TII4-x. State fl-, Zip
Office Phone q 111 � 7- fi9Y5 Job Site Contact Number h L_- -3 778 1uh'n4Z 0,44',3
State Certification/Registration# CeC 133 i p7l E-Mail `>Cc—LL �n1 srn roof•c,W.
Architect Name&Phone# —
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt Expiration Date y 0 WZ j
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 ICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN NANCIN , C NSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDIN vUR TI F-COMMENCEMENT.
t--
(Signaturf Ownertk Agent) (Signature of Contractor)
`
\\\ _C
IH R/
Sign and sworn to(or affirmed before me this y of Signed an worn to(or affirmed)before m .Ea . .... ...
--� �' by N by C11 �zaa?oti� 92
Ate•
y ,�n (Si ature Nci1 ry)°(/eL� y' _
MY UMMISSION#GG143440 N C
+'.'+o,n• PIRES September 17,2021 '�9
[ ]Personally Kno [ ]Personally Known OR ''i,FOF......
[
roduced Identification
]Produced Identificati y t
Type of Identification: Y�`�' �� Type of Identification: D L(G
Doc # 2019201829, OR BK 18915 Page 2113, Number Pages : 1 ,
Recorded 08/29/2019 08 :41 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10. 00
1 TICE OF COMMENCEME.
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of /fib' County of i
To whom it may concern:
The undersigned hereby Informs you that improvements will be made to certain real property,and In
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT. o
Legal description of property being improved: 19 �f j 7 LS " +pct F
Address of property being ImprovedC1Li y �'C
r
General description of improvements:
Owner0 TSL A
Address _ r 0 4'A STJL K-3 i ATL 3 -322,733
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor_ ��PC (,(,(:,
Address_ (�l(%6A�t�'gr�
Phone No.AVq—(w 7 �� `� Fax No
Surety(if any)
Address Amount of bond$
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.
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other
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 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 i ow R'
signed: DATE 4n .
Before me is day CCounty of Du taig rtito IyI __
i—rew by
aretrue her e f d s�phat all s�eCd�y.rWp
are true and acc ral$'•� 't+�_ AL V� r VV��''1r
My COMMISSION#GG143440
EXPIRES September 17,2021.
Nolary Public at largo.State of . County of
My commission expires:
Personally Knc•..n or
Produced Identification