2308 Fiddlers Ln RERF19-0133 Shingle .s REROOF SHINGLE PERMIT PERMIT NUMBER
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,�, °, CITY OF ATLANTIC BEACH RERF19-0133
JI •' ,
800 SEMINOLE ROAD
ISSUED: 9/27/2019
'` ____ ATLANTIC BEACH. FL 32233 EXPIRES: 3/25/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 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:
2308 FIDDLERS LN REROOF SHINGLE SHINGLE ROOF $19770.00
TYPE OF I REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169463 0128 OCEANWALK UNIT 01
COMPANY: ADDRESS: CITY: STATE: I ZIP:
TOWNSEND ROOFING & 10418 New Berlin Rd 14115 JACKSONVILLE FL 32226
CONSTRUCTIONS SERVICE
OWNER: , ADDRESS: CITY: STATE: ZIP:
WOLFSON DONALD M 2308 FIDDLERS LN ATLANTIC BEACH FL 32233-4681
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.
Wiz. 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 $150.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.25
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$154.25
Issued Date: 9/27/2019 1 of 2
✓1LAn-r%.. Building Permit Application Updated 5/5/17
City of Atlantic Beach
J11
800 Seminole Road, Atlantic Beach, FL 32233
"-`''t»r Phone: (904) 247-5826 Fax: (904) 247-5845
Job Address: Z ;?0cn l' dr1 I>vr% ✓tea,, Permit Number: j ---"R -r-` A - 0 ( 3 3
Legal Description 9 ?H 37—ZS-Z-ii—: C)Cznh�1:t(k 144-1- 1.a4 Li _RE# � � 1 Lit 3- elZ'
c
Valuation of Work(Replacement Cost)$ l 9 11?D 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 gsident, l
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes (Nd 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 /l2 S N work to be performed: f t_ (Z� rK
Ie,c e ,z4
./:1 I vv1,3 t i` I'!i- '��le 5 o f s4-h,^e 60„:7/ f ee f -'i i1-i,c,' j rtc�R r! y /Z3;7_
Florida Product Approval# I t>17.4 for multiple products use product approval form
Property Ownert� Information
Name: wc) -(30Ai CA raid 4- (`ctie.n Address: Zi i) -i'elilicr-g LRnt
City_, -(r,r 4:c (.'
1 � :& rL 33
1, State Zip 311Phone r7 D'�-/3 1 - I ti 5
E-Mail /0.vAOri`1rv4 f',c- hi ()OA,, 1.C6�t
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
an � G4 (,h.Sfr°scYv �_< �, .
Name of Com
p y: IGwn��n cb�%��y 7" fi�yN QualifyingAgent: r-c1v..47 ict.wt.szhGj
Address 1091i Nev. r j:r, g61 44" j15 City c%x State FL Zip 31ZZ4
Office Phone 90'1- 6'15.-5937 Job Site/Contact Number gCii- 9 7l- c1 y71
State Certification/Registration# ea-13Z i 40 E-Mail C- cit 0 t s' i I p 0 1:-%-i1), CAA
Architect Name& Phone#
Engineer's Name&Phone#
Workers Compensation .4'- (\c -Eoc gKy 'ntS> <cv'C.e,_T1 l 2-f?( 1V-I
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, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
... (7
(Signature of Owner Agent) C------- (Signature of Cent,.ct•
(including contra or) r� '
Signednand sworn to(or affirmed)before me this t$ day of Signedg� and sworn to(or a r'r e•)before : s ray of/
, ,,- -7-01`1 , by V CYt iI1,pi �r 1(:-.5,-vi !' 1°\Th LL , V-'I d , `-e /- ' t /fy1✓ ' r1J
+,-,,:.:i.,..!,,„4., ` CHRIS TOWNSEND /. '" ?v( n �t Commissicn#GG 183366 t(Signature ary) i Pr ignature of Notary)
a� Expires March 25,2022
i
Dov rt°P Bonded Thru EudgetNotary Servicer 0 .• :1 MARTIN ARELLANO 0
I ;j Notary Public State of Florida '
Commission a GG 102031
1)4.Personally Known OR 1x.Personally Known OR •s MyComm.ExpiresMay10,2021 M
( j Produced Identification [ I Produced Identification I ' 9.../ ecr trroognNatonalNetaryAssn (I
Type of Identification: __ Type of Identification:
Doc # 2019090781 , OR BK 18763 Page 375, Number Pages: 1 ,
Recorded 04/19/2019 04 :21 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 . 00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE;
Permit No. Tax Folio No 169463-0128
State of Florida County d Orvat
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.
Legal description of property being improved: 42-1 37-2S-29E OCEANWALK UNIT 1 LOT 62
Address of property being enproved_ 2308 FIDDLERS LN. Atlantic Beach, FL 32233
General description of improvements Roof Replacement
owner WOLFSON,DONALD &KAREN
Address 2308 FIDDLERS 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 Construction Services,Inc.
Address 10418 New Berlin Rd*115 Jacksonville.FL 32226
Phone No.904645.5887 Fax No.904-845.5442
Surety(if any)
Address Amount of bond S_
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 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 unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER f
Signed:y • DATE 3IS/I
Before me a is • y of 4L - ..s — in the
County of Dtpoll.SteepFb�rid�.has.. . y*append
V INN . LJ. herein by
Me truemself/herend ac and affirms Mat of slatefnwGs and SENaibna herein
an true end accur�Y.4aG CHRIS TOYVNSEND
*1.40o Cammissicn*GG 183368 /iL•�/7
7 Expires March 25.2022 !/
1' 'Ff' %MedMU&epKWV,Setiicff
Notary Puhtic at Large.StateoT county or
My commission expires:—
Personally Known fZ or
Produced:denYtcation