601 Main St RERF19-0149 Shingle - Duplex ,,,51..A.07,---„ REROOF SHINGLE PERMIT PERMIT NUMBER
;-j ,P I, RERF19-0149
`\�;nU ,, ;� CITY OF ATLANTIC BEACH ISSUED: 10/24/2019
800 SEMINOLE ROAD
01; 9r _� EXPIRES:4/21/2020 1
ATLANTIC BEACH. FL 32233
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:
601 MAIN ST REROOF SHINGLE SHINGLE ROOF - DUPLIX $5750.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170915 0410 ATLANTIC BEACH SEC H
COMPANY: ADDRESS: CITY: STATE: ZIP:
South Edge Construction 14333 Beach Boulevard Suite 33 Jacksonville Fl 32224
OWNER: ADDRESS: CITY: STATE: I ZIP:
WADMAN JOHN P ET AL P 0 BOX 51241 JACKSONVILLE FL 32240
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 1
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 $80.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $84.00
Issued Date: 10/24/2019 1 of 1
10/24/2019 2 permits need notary
i ,t1., Building Permit Application ,:10,4,,,, .
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� I:. City of Atlantic Beach Building Deportment ••ALt IINF )RMATir)N
800 'itr(11 111)It' hood Ati,iniii liH,i( ll, I 1 ',JJ ; S tfi( i4ilrHrer;l►vr,pty
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Phone (')(1rt) 1_17-5826 Email i',,; LLQ r, .uf,
I,rl, lii,i ,,,. � \ c,, ,', 1) l l) •,r.. l� (`� 1. I��r't �J roh Norn,.hA.„,r GIV{�wl. , , (48
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Valuation of Work Re.)lacimirml I,r,I i ' Non- Heated/Cooled
( t ,.-� �.._' (_f' 11f?,llrrl/Coulc•d SF
• C'.I*1 S 01 Wort., ;TNI,V', 'neini i,il ., i ,i - , ,, i r. , l9r r.
• tiwii.Of existing/proposed 5Irirr,t,,r,.l.I r „ X:. -
• If an rlxisting structure, is a fin, Sprinkler ,y,I,P. ” ,;,, .i /,.
+ Wil r,, err►rvo ina.s elationwtharo U r c ' ,s tuatufrits ar 1*n“t-rrtry•l,,, : +,i
Describe in detail the type1of work to be performed, Con der,)•ve 1ntf�i
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r �,\ 5 ,�..,\o s 0 ., 4 ti\ r\ r�..� FC g6 9C —A P .
Honda Product Approval rt F7--../ / :2?`"/ — a for muftipfe products use product aoprOvaf form
Property Owner Information,
Name l/\'1.0�` ✓1CwL1_ _ t„1i1r ,;
City sL. i_ — —it.ate, _f , /..0 .__ 2.0...: Prone t t
E-Mail 4 yr., . ct.Lr. ii'b.-
Owner or Age-fit (If Ar'ent, Power of Attorney or Agency Letter r fiarturredf
Contractor Information
Name of con, ,>anouth Edge Construction LLC CivalifyinA�en William Mazar
13 49 Sandycreek �� _______"
•
Address Y �d� Cntv_. _ fax State fl_. ..__,rri. 3222/1
Ottirr;Phone 904-697- - lob Site contact Number _ 904_697.8049_..._,____
� f�049 ---- -- —
State Certification!Regrstraaon a CCC1331437 F:-Mail info@southedgeconstruction cnm
Architect Name &Phone a _._ _-.,...._ ,._ _
Engineer's Name & Phone n ,- ------ --�-•
Workers Compensation Insurer —,—_ OR Exempt . Expiration[Lite 10/2020
Application is hereby made to obtain a permit to do the work and installations as indicaleu,i rert,fy that no work or Ana:Ilat,nr:nas
commenced prior to the issuance of a permit and that all work will be performed to meet the-.tandard;of all the taw,. :.eul;a1 rt..
construction in this jurisdiction,I understand that a separate permit roust be secured for LLC ICA- WORK, PLLlMBIN::; ',IGNS,
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 pubiic records of this county.ar:d
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'Mori-nation is accurate and that all work will be done'n compliance with all
applicable laws regulating construction and zoning.
WA IN TO OW ER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESU I YOUR P YING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TOO AI FINAN ING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECOR I %'.)1 TICE OF COMMENCEMENT. ft�
(S. nature
X ?,,tin r Agent) (Sign e of Con actor)
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Si ed and sworn to(or a firmed before me tj s Z I day u/` Signed and sworn to(or affirmed) before me thisa�l day of
� . by t►a a • 8 LA•.J/ ct. utiett , AO VA ,by 'All r t ,..A 1t._
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(ts St Are or Nota, ,
AUDREY M LITTLES 441'.;i Elizabeth Mnu fy,
t'Ray +c,5tkte ratFk'itKta '4 • Vomm.tGG90 a7I
P sonally Known OR r.�
..,`c nrrh"isinif OG.59573 I I Personally KnownO •
( ► 711 �.- i.,.. Expires'August 2I 2023
educed identification lyt irrun ttryirtiaSafa! l"/ 2O 2 ( )Produced Wentificatt• ,' (` e
h p, Bonded thru A
Type of Identification: ��.,. � Type of Identification ,"' _..� vQl1_liQtaf.jf
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Doc # 2019245678, OR BK 18979 Page 590, Number Pages : 1 ,
Recorded 10/24/2019 10 : 54 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 . 00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of Florida County of Duval
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and In
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved:18-34 17-2S-29E
SEC H ATLANTIC BEACH
LOT 4,N 35FT LOT 5 BLK 131
Address of property being improved: 631-633 Main St,Atlantic Beach,Florida,32233
General description of improvements:Reroof of the property.
Owner John tV adfY1 o/y
Address PO t3ox 51?yl9 Tot4,kSonv lle,FL 3�a40
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor South Edge Construction LLC
Address 13749 Sandy Creek Drive,Jacksonville,Florida,32224
Phone No.904-697-8049 Fax No.
Surety(if any)
Address Amount of bond$
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 _'o 5°:
different date is specified): =?°•� i
THIS SPACE FOR RECORDER'S USE ONLY OWNER "
Signed: DATE 1012,31‘
Before me this MX day of • !t�• , - ' In the a ' n
Countx.af uv• State of Florida,has personally appeared j 52. 2
X10?4, LUCAC rMi l herein by : 2 Z
himself/herself and affirms that all statements and declarations herein iv p? (7n
are true and accurate 2 D
/
N � 0 't
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Notary Public at Large. e)
-of f 'fit— . County of_ tit n/a l -ry
My commission expires: )LYuj . lot oo�r
Personally Known UUU or A
Produced Identification f L vivo'" 1 t c!PIS e _ • �-W---
` " 4 : CITY OF ATLANTIC BEACH BUILDING DEPARTMENT
•
800 SEMINOLE ROAD
21
,,1r:i 1 ATLANTIC BEACH, FL 32233
CERTIFICATE OF COMPLETION
RERF19-0149
REROOF SHINGLE
ISSUED: JOB ADDRESS: REAL ESTATE NUMBER: ZONING:
10/30/2019 601 MAIN ST 170915 0410
DESCRIPTION OF WORK:
SHINGLE ROOF- DUPLIX
OWNER: CONTRACTOR:
WADMAN JOHN P ET AL South Edge Construction
P 0 BOX 51241 14333 Beach Boulevard Suite 33
JACKSONVILLE, FL 32240 Jacksonville, Fl 32224
APPROVED: .y�„� �g1r( 2S''`
CHIEF BUILDING OFFICIAL
VOID UNLESS SIGNED BY BUILDING OFFICIAL