590 Ocean Blvd RERF19-0147 Shingle f:fr."_` REROOF SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RERF19-0147
ISSUED: 10/24/2019
f�j!
" �� 800 SEMINOLE ROAD
't:-Olt 9%'" ATLANTIC BEACH, FL 32233 EXPIRES: 4/21/2020
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:
590 OCEAN BLVD REROOF SHINGLE shingle re-roof- FL 5444.1 $12500.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170142 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
ALL SEASONS ROOFING OF 5549 FT CAROLINE RD APT 187 JACKSONVILLE FL 32277
N FL
OWNER: I ADDRESS: CITY: STATE: 4 ZIP:
FULLER ROBERT H 590 OCEAN BLVD ATLANTIC BEACH FL 32233-5340
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.
r
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $115.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 S2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$119.00
Issued Date: 10/24/2019 1 of 2
x ''4/4., REROOF SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RERF19-0147
ISSUED: 10/24/2019
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800 SEMINOLE ROAD
it
`'; �r ATLANTIC BEACH, FL 32233 EXPIRES: 4/21/2020
Issued Date: 10/24/2019 2 of 2
• BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax(904)247-5845
Job Address: _ 1 , /G' . ] 1 , Of lite, ..j iirm"it Timken (9-0 JCa
Legal Description 51" i q I, 'C2 '• f /'/✓Zhti. 6 4 • rc 1 �`"'`-1 '
arce (�
,,�1 Floor ea of Sq.Ft. n/� �e Sq.Ft
Valuation of Work$/� ,!.9 Proposed Work heated/cooled ai 3 non-heated/cooled /U7cK
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) circle one): Commercial .-
If an existing structure,is a fire sprin a sys em installed? (Circle one). LJ1
Florida Product Approval# 6 Lig/
For multiple products use product approva orm /.r//4
Describe in detail the type of work to be performed:/ 0 i.0//L' a ailL i !j �'
P.
N .
/ I , i/. - i u< ,,. er' A e I a• A�:, .�� ,
Property Owner Information: folp(�. '"�1 CPr /n/ SA ci"/ /.4- co ...
Name: JY / ' (1J/er • dress: 5.7O Oe_K"...// f/d
City if J." Stat Zip Phone 70V- o —87'/7
E-Mail or ax#(Optional)
Contractor Information:
CONTRACTOREMAILADDRESS:
masyName:JP�/�}0gv 9Ui/� i/ am/qualifyin
g Agent:9,0 1 /1/€4.5.Coa .� y9 L7y- A e_ A 47 City cr,, State
Zip y 11Offce Phone yOy-74k �? �- Job S' on�t Number py 57/- f Fax# tY 0State Certification/Registration# GGG 4 xty
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address ti/
Mortgage Lender Name and Address
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 laws regulating construction in this jurisdiction. This permit becomes null
and void f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a_period of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells, Pools,Furnaces,Boilers,Heaters,
Tanks and Air Conditioners,etc.
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.
I hereby certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether s.e i red herein or not. The granting of a permit does not presume to give auth. 'i to violate or cancel the
provisions of any other federal,state or loca, re .'ing construction or the performance of cons -
Signature of Owner /�/1 , A/ Signature of ontr i11\ ,�_
Print Name OgEgr _ LEk. //V 0-
( /rL.l..t' Print Name ��f� eS-
Before me 00.V Z Cil 0 tiSt
Before me
this 7-1 Day f 0 `p e r ,20 tet_ this Day of___E, C,-hU- -✓ 0 I __
PI
ENRIOUE A.FLORES ,...',V:4...."•.. JENNIFER JOHNSTON
Notary `w ',�'� 1� -+ '. „ ..... •. : i' •:4
Publi = ,. Notary Public,State of Florida iO unr
— Commission#GG 328087 .•,'''- EXPIRES:October 27.2020
A/�rr M •'•;eoo f;(',,' Bonded Thru Notary Public Underwriters
My comm.expires Apr.25,2023 n o.,;ioa iii 7 c 1 n
PERMIT NUMBER
NOTICE OF COMMENCEMENT
FLORIDA STATUTE 713.13
STATE OF FL . _D/�
(
COUNTY OF . .' ii/11--,
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in the Notice of Commencement.
1. Description of prc9pertMlegal desc iptj ,n of the property, and s eetra dress if available).
';..6 i6- ocf E z// tftt d4 aV -< iu'- c /
2. General description of improvement: /42, /z7( cam'
3. Owner Information:
a. Name and address: /4ci't /fj/ff'1
/i /n-Y /�'7i'�vl. 1- , ,�,x,:55
b. Interest in property: 7,V,/a14:
c. Name and address of fee -mple titleholder(if other than owner):
7
4. Contractor(Name and address): ALL SEASONS ROOFING OF N. FLORIDA
5549 Fort Caroline Road, Unit #187, Jacksonville, FL 32277
a. Phone number: 904-743-2212 b. E-mail: allseasonsroofOyahoo.com
5. Surety: .•
a. Name and address:
IV iW
b. Phone number: c. Fax number:
d. Amount of bond: $
6. Lender(Name and address): `
a. Phone number: b. Fax number:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents
may be served as provided in Section 713.13(1)(a) 7., Florida Statutes: (Name and address)
rifia. Phone number: b. Fax number:
8. In addition to himself, Owner designates(
of ' to receive a copy of the Lienor's Notice as provided
in section 713.13(1)(b), Florida Statutes.
9. Expiration date of Notice of Commencement(the expiration date is one ) year •.m the date of
recording unless a different date is specified) / a a:4. i
Ara_..d ai Lall7/
Si. a e o' •--
,1,, . - ULLE/110
Print Name
Sworn to(or ffir{ned) and subscribed before me this �3 day of 9c),---4 20 1 , by
1che * ' u \ - ,r
(Name of person making statement).
PPS pG ENRIQUE R.FLORES .,
o1- Notary Public,State of Florida
Seal: _ „0;r Commissiorl GG 328087
'��'' My comm.expires Apr.25.2023 Signature otary( — State of Florida
Personally Known OR Produced Identification/Type c\p,A (1,e,, U (\v - \-1e'• S �-
Dnr#201 924SRR0 OR RK 1 RQ7Q Page 1305
Number Pages: 1
Recorded 10/24/2019 1 2:32 PM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00