1846 Seminole Rd RERF19-0154 Shingle 4,‘-i--,--.%, REROOF SHINGLE PERMIT PERMIT NUMBER
s` RERF19-0154
:4. -'''' ---
` ` � CITY OF ATLANTIC BEACH
uY ._ - ISSUED: 11/6/2019
800 SEMINOLE ROAD
`'-'°';}9~ ATLANTIC BEACH. FL 32233 EXPIRES: 5/4/2020
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:
1846 SEMINOLE RD REROOF SHINGLE shingle re roof FL10674.1 & $18800.00
FL 2533-R8
TYPE OF REAL ESTATE ZONING: ! BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172020 0514 SELVA MARINA UNIT 09
COMPANY: ADDRESS: CITY: STATE: ZIP:
SPC Roofers LLC 234 Oceanway AVE JACKSONVILLE FL 32218
OWNER: ADDRESS: CITY: STATE: ZIP:
POPP MARK A 1846 SEMINOLE RD ATLANTIC BEACH FL 32233-5916
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 $145.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.18
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $149.18
Issued Date: 11/6/2019 1 of 2
i-"J`'' REROOF SHINGLE PERMIT PERMIT NUMBER
`" s CITY OF ATLANTIC BEACH RERF19-0154
w, =" ISSUED: 11/6/2019
800 SEMINOLE ROAD
`-ort � ' ATLANTIC BEACH. FL 32233 EXPIRES: 5/4/2020
Issued Date: 11/6/2019 2 of 2
js°t1 Building Permit Application _ Updated 10/9/18
�r. City of Atlantic Beach Building Department r••
ALL INFORMATION
Vq:INIF 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED! IN GRAY
•
i IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab,us .F:e .- '- -.. . .
Job Address: iFgt,�$t„nin1A s ag ',Permit Number: • `' - � '
Legal Description3c cam' Q9-• L• 9E' S-rLa.-. Mc RE#F- '
Valuation of Work(Replacement Cost)$ lkiroa-av' (Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New DAddition OAlteration ORepair ❑Move DDemo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial esidentiai
• If an existing structure,is a fire sprinkler system installed?: ❑Yes tl3No
• Will Creels)be removed in associatjon with proposed project?❑Yes(must submit separate Tree Removal Permit) to
Describe in detail the type of work to be performed: p llJeu�-C G ,g.2 -&-*7t '7L. ./64::7q"' E' /"rte
gs� 1)7cA,ISaa p c r G,u)si pa G/`74 i--4• 75.3 -TZ.s;;5,�,.
Florida Product Approval# FL. for multiple products use product approval form
Property Owner Information
Name 4.AQP p4.91•4 7 Address ,-+,,.✓n 1
City R71,f iar4Gtc PI- State F? zip 32 3 3 •Phone` 9°4-3 Y?-A3
E-Mail N1a. -fe-A PaIP r Cbr,
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company r TPC, f srr CjC Qualifying Agent f . ...-+:7777---44 r �,�7
3'i ci
Address a."3 n ii, AOCCity �Ackka„, ;/'L State' ,,,C Zip 3f7
Office Phone 96at-(�Y1- -
Ws' Job SiteContact Number
State Certification/Registration#•CC.G 13310 7'7 E-Mail_ 5( 7 /9-74rc ., t'.-116 Aar><Cb-.,r
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer' OR Exempt/Expiration Date � .1t10,-‘
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 maybe 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 YO R PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FI ANC G,CONSULT WITH YOUR LENDER OR A ATTOR EY FORE
RECORDING UR T E COMMENCEMENT.
(Signature of Owner or a (Signature of Contractor)
/ ah
Signed and sworn tip for affirmed)b, • ”me this//day of igned and sworn to(or affirmed).before me this day of
4't/ 2Z/// by /2A' .''c,,i; � A-"- by \ `"-
' (Signatur o N•tary) (Signature of N tary)
��N"I IilII(/,/
�.��` R\E C!y ''�,
Personally Known OR scorr L PETERS rsonally Known OR \\`��_wP o S�/ / :
;g:•M" ,; r .•'' •MMI s i
( ]Produced Identifcati• ;; _ MY COMMISSION u GG143 ] °duced Identification .•- c 1 z-09-"d /,9
Type of Identification: ."-'.��t•,� 'of identification: - N O �..,
eptember 17,2021 _ i t4 -
aR. - )30,,'N/-
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/'i�< .'• �FF 9423\.t'. •�`�
//'''�FFL OR'0,P��\\\\\\\
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of FIS flack County of t1J.1.
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: _ 0 09S�q E
..Si(tk, Mc Ci PNS— j.10 r
Address of property being improved: ��r � ,Sfrn `r.
fTnT't�n ` fAx.. •
General description of improvements: f� `
Owner //d 1'J i I n ct /1 �{
Address e`{(� £r. ` 4 A /Y Did-33
Owners interest In site of the improvement ac.4.)5 r
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor �pc �m�cCS /CL
Address Q c :zi `)� 14,1Sq �tk F?. q,1-t-t!p
Phone No. �U�—(04 •-•1145 Fax No. loft ^Le 1—9 I3
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
different date Is specified):
THIS SPACE FOR RECORDER'S USE ONLY iWNER
signed: /t--• r�if$Lr( t vre. is( ?muumuu,u
Before me this . day o �t61�'�711��.`•• RAE C.je ',
Com of Duval.SIS`of File,he pe-. ally appeared `� P• oµ SSS,t5`�
htmse ersed and rearms that a %. . is and declarations herein
are true end accurate 1O r
_ �^iRy p:m=
h•f7 AO '1111 ti:z__
'. BC JC
Notary Public at Large,State of County of C'-��• '•.FF 3423,.• `\�
My commission exptres: \'7 �!(�(/O�R F.OR1Op• w\\
Personally Known t�" "yJJlll0'RVO r-,
Produced Idenuncationc�r5s., cY1 �tv S�