281 Magnolia St RERF19-0153 Shingle ,;,1...,\),,.,c, REROOF SHINGLE PERMIT PERMIT NUMBER
"" 5 CITY OF ATLANTIC BEACH
RERF19-0153
i
,� 800 SEMINOLE ROAD ISSUED: 11/1/2019292020
EXPIRES: 4
`��';}� 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:
281 MAGNOLIA ST REROOF SHINGLE SHINGLE ROOF $8500.00
TYPE OF i REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170542 0500 SALTAIR SEC 03
COMPANY: ADDRESS: CITY: STATE: ZIP:
Vigilante Family Roofing 4565 French St Jacksonville FL 32205
Services, LLC
OWNER: ADDRESS: 1 CITY: I STATE: I ZIP:
JOHNSON AMOS JAMES III 281 MAGNOLIA ST ATLANTIC BEACH I L 32233-4007
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 $95.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $99.00
Issued Date: 11/1/2019 1 of 2
1
r11.A'r,., REROOF SHINGLE PERMIT PERMIT NUMBER f
0' 'k .-3 RERF19-0153
CITY OF ATLANTIC BEACH
,Y s ISSUED: 11/1/2019
800 SEMINOLE ROAD
\`'ZJ'jjJ` ATLANTIC BEACH. FL 32233 EXPIRES:4/29/2020
Issued Date: 11/1/2019 2 of 2
„1..''---''''-,,, Building Permit Application Updated 10/9/18
t�
City of Atlantic Beach Building Department **ALL INFORMATION
• ,r 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
w”1J IS REQUIRED.
Phone: (904) 247-5826 Email: 'itailding-Dente>coah tic (� C
Job Address: ��� P6C141t 1 ►0. S4. 3 as 3 3 Permit Number: I % E R1 1 C (moi
Legal Description P- 1a i la -. .S -aq )SAL T&Ii SSC 3� 4)T 4 RE# 1-1 DS`+D - 05/13G
Valuation of Work(Replacement Cost)$ p S---DC:. Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New DAddition i9Alteration DRepair :Wove ❑Demo DPool DWindow/Door i-�--cbc'�
• Use of existing/proposed structure(s): DCommercial IcJi4sidential
• If an existing structure,is a fire sprinkler system installed?: DYes 2110
• Will tree(s)be removed in association with proposed proiect?DYes(must submit separate Tree Removal Permit) G�fro
Describe in detail the type of work to bt performed:
—C-4_04-- of- * s scbtAL), s-) i x ,r,D u- 3' .f1Q 6, 4e Fe_i+-fqus+er-) AAA neem_,
01-C-' r cc- •) �-i o D-S- Stat-ocel 0.c 6- -r s t-,I(-Q
Florida Product Approval# -C 1- 1 0 lay . I (;) 3 '-Pi_ %(.01s-c,Vfor multiple products use product approval form
Property Owner Information ,
Name QkrnpS 'S-n h(-1. 2)n Address 'DI Mao nD` Jaz-,SI . 3 a.,- 3 3
City Pri-kO l- i ( (/\ State -6-/___-6-/___ Zip 3 as 3 3 Phone q
. ct Li- - -1� -00.,E
E-Mail -3-vinn5onainnasj 304gena.A1 . LvM
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information+
Name of Company )`i ;►\Or4E4 Vol• I y V�ci'rA> v1C@-SQualifying Agent deck S�/l�� �'�
Address -N-p`S ,cam S+-. J City ,., (31-1---C-Con v‘)te.State ft__ Zip ��-T-.
Office Phone q-3D 3 - k ii{C7 Job Site Contact Number Qi chD t V �►)ch'I-c 9)(4-S) i - k8-
State Certification/Registration# C-C-L 133 IS 3 i E-Mail ��f'_cxl•e, • c �-}v,e (A-4.4-, rn4-
Architect Name&Phone#
Engineer's Name&Phone# /
Workers Compensation Insurer OR Exempt IS 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 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 TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
CORD ' .,f figt6 ..TICE OF COMMENCEMENT.,"
W���i� f
vim.. -*� _ ,��� '�l� I�
Sig ature of Owner or Agent) (Signature of Contractor)
1S •:ned and sworn to(or affirmed)before me this i - day of Signed and sworn to(or affirmed)before me this leo day of
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it CL C-9 c 0 z c 201 1 ,b t MOS m 1oh� "GI- Alcw+�,ec )DIA ,bt... „.44,11 y' "-"� S d 1��
Cl- c TF- ,
a N L (Signature o Notary)
o H y F_ (Signature of Notary)
c_.) e_a9 .*:;::e% DACODAH PARRISH
" ;„ Commission#GG 009947 •
cfi U' P nail Known OR .V.;,;:.:-;-Expires July 10,2020
,;,�cbl� P•rsonally Known OR ( 1 Yil.
=z: roduced Identification [ roduced Identification '•.go.F�q,.
Bonded Thru Troy Fain Insurance 800 3e5.1019
...5:,. � , e of Identification: I'L`✓L' Type of Identification: ri-
NOTICE OF COMMENCEMENT
State of FLORIDA Tax Folio No.
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: 10-16 16-2S-29E;SALTAIR SEC 3;LOT 504
Address of property being improved: 281 MAGNOLIA ST ATLANTIC BEACH FL 32233
General description of improvements: TEAR OFF 25 SQUARES;FIX ROTTEN WOOD;GAF FELTBUSTER;INSTALL 25 SQUARES OF GAF ARC
Owner: AMOS JOHNSON III Address: 281 MAGNOLIA ST ATLANTIC BEACH FL 32233
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Owner's interest in site of the improvement: PERSONAL RESIDENCE c o z o CO
Ozzap N
Fee Simple Titleholder(if other than owner): o r a d
Z C_,co N
Name: O N o N N
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Contractor: VIGILANTE&FAMILY ROOFING SERVICES,LLC o 1 o co
pi.\9 Address: 4565 FRENCH ST JACKSONVILLE FL 32205 m N xi
'r Jn�9�— 0-u >;
""' Telephone No.: 904-303-1840 Fax No:
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Surety(if any) _ c7-1 z
co
Address: Amount of Bond$
o
Telephone No: Fax No: � p
0
Name and address of any person making a loan for the construction of the improvements
D
Name: r
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:
Telephone 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 Statues. (Fill in at Owner's option)
Name:
Address:
Telephone 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
�
-- ' /Karl I?_04____Signed: /II It Date: Q
Before me this '-
say of �oV?M�� in the County of Duval,State
:..r•Ye: :DACODAH PARRISH Of Florida,has personal) a speared St�tg lar os o�+�Sa�i►L
_:� :,:Commission#GG 009947 Notary Public at Large,State of Florida,County of Duval.
F...: ad -
-'•, 'a Expires July 10,2020
���;,;°P Bonded rhruTroy Fain Insurance 800-385.7019 My commission expires: SVS,, t011-0 10
... Personally Known: or
Produced Identification: F L T)1r