1718 Beach Ave RERF19-0128 Shingle REROOF SHINGLE PERMIT PERMIT NUMBER
r % RERF19-0128
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 9/17/2019
Oit»" ATLANTIC BEACH. FL 32233 EXPIRES: 3/15/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • '
CODE, ' OF • 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:
1718 BEACH AVE REROOF SHINGLE SHINGLE ROOF $9300.00
TYPE OF
ZONING: : . •
• • GROUP:
1695910000 OCEAN GROVE UNIT 01
COMPANY: ADDRESS:
TOWNSEND ROOFING & 10418 New Berlin Rd #115 JACKSONVILLE FL 32226
CONSTRUCTIONS SERVICE
• ADDRESS:
RICHARDS JOHN D 1718 BEACH AVE ATLANTIC BEACH FL 32233-5810
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 $100.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $104.00
Issued Date: 9/17/2019 1 of 2
REROOF SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RERF19-0128
800 SEMINOLE ROAD ISSUED: 9/17/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 3/15/2020
Issued Date: 9/17/2019 2 of 2
Building Permit Application Updated 5/5/17
J �p
City of Atlantic Beach
v� 800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Fax: (904)247-5845 //--��
j71 4, �� �1 �-e Permit Number: IR C RF � I — V( ZU
Job Address: g
�t 00 51 � L S9I—De�6
Legal Description 158Z Op-ZS-��� .bb Ocean Lave t)n"t /114 y 7 `Ir6t4 o C N 1D�ffi �" RE# �-
>U
Valuation of Work(Replacement Cost)$ �{ 5 tib` 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): Commercialesid Jal
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes d�&' 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: 11(4" (= �,rp
G.kF j:�,�:cr li rvz �� S L;; _y .nc t
[ �' `'% V' ,' �tivctr �t_ i fig S7
Florida Product Approval# I o 12y for multiple products use product approval form
Property Owner Information
Name: � In a`d5 7�1^'^ Address: (� 18 BZ-act, �-y-'°'
City ������`c- tct ' State �lr Zip�2z3 3 Phone y o s 7_1
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information -T ( f
Qualifying Agent:�n�
Name of Company: �yn5th� �cff{;,y Y (;`�`ytrncfi� FL- Zip 3Z?ZE
Address 10911 l eO fled;,' F-01 '+" Its City -1 State
Office Phone `IO'1 - by5-595-7 Job Site/Contact Number C'1 yZ-
jUwy,SeH rdvi"+nyeLa�✓1
State Certification/Registration# Cc-l- E-Mail G1sri-s 13'L 6 Z `) -L
Architect Name& Phone#
Engineer's Name & Phone#
Workers Compensation iJ -'r4or�- Com,}h�s5 $c�wf�ri.s I2 '31 1`l
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 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 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, NSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECOR ING O R N I OMMENCEMENT. J
(Signature of Owner or Agent)
��C__���� (Signt.reaof Cont ct
(including contractor)
day of Signed and sworn to(or a ' e )before s ay of
Signed and sworn to (or affirmed before me this
Kw^
UM , by c - 5
olhnr°�e�,
CHRIS TOWNSEND ignature of Notary)
r (
Commission#GG 183368
Signature of Notary)
Explres March 25,2022 ; MARTIN ARELLANO
Bonded Ttw Budget Notary Service• =
W1,
Notiry Dublic-State of Florida
CommissioniGG102031
Personally Known OR Personally Known OR =; My Comm.Expires May 10,2021
Acrdd through National Notary Assn.
[ ]Produced Identification [ )Produced Identification
TType of Identification:
voe of Identification:
Doc # 2019207983, OR BK 18925 Page 1408 , Number Pages : 1 ,
Recorded 09/09/2019 04 : 45 PH, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 . 00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 169591-0000
State of f-kvAa - —— ___--- County of Duval
To whom it may concern:
The undersigned hereby informs you that Improvements will be made to certain real property,and In
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT,
's c&'2-2BE Aa OCEAN GROVE bT4r--No 1 S48"OF N 100FT LOl 10&-K8
Legal description of property being irr>proved:
Address cf property Deing improved. 1718 BEACH AVE. Atlantic Beach, FL 32233
General description of improvememRoof Replacements: -
owner RICHARDS, JOHN 8r LYNN
Address 1716 BEACH AVE. Atlantic Beach, FL 32233
Owner's interest in site of the improvement ------- - -
Fee Simple Titleholder(if other than owner) --
Name
Address —
Contractor Townsend Hoofing and Construction Services,Inc.
Address 10418 New Berfin Rd#115 Jacksonville,FL 32226
Phone No.904.645-5881 Fax No.904-645-5442 --
Surety(if any)
Address ______ Amount of bond$
Phone No. Fax No. ---
Name
—Name anc address of any person making a loon forthe construction of the improvements.
Name
Address -- --- - ---
Phone No. Fax No
Nameof 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 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 Lnless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY /
SkJneU OATS b 19
Before a t day of 4+1 ih
Cc.nty o I.State of for, a,J1as rally appeared
��_ t1A[ '-� herQm by
ehirrra true herself and•f(ms atoll statvmants and doclaraTOWN Pens herein
ere tete and accurate tsy w� CHRIS T04YNSEND
Commisslon li GG 133368
M
Expkes March 25,2D22
"EOPi•." 9mCwJ TRu 0094t NoUry riervlm
Wary Public at Large,Stele of County of V
fAy commission expires' —
Personauy Known_ �or
Producod Idenificatton