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1745 Selva Marina Dr RERF19-0152 Shingle ifs REROOF SHINGLE PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH RERF19-0152 J V~ 800 SEMINOLE ROAD ISSUED: 11/12/2019 40;119', ATLANTIC BEACH. FL 32233 EXPIRES: 5/10/2020 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: 1745 SELVA MARINA DR REROOF SHINGLE SHINGLE ROOF $15800.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 172016 0000 SELVA MARINA UNIT 05 COMPANY: ADDRESS: CITY: STATE: ZIP: TOP GUN ROOFING, INC. 5570 FLORIDA MINING BLVD JACKSONVILLE FL 32257 OWNER: ADDRESS: CITY: STATE: ZIP: LEROUX DENNIS 1745 SELVA MARINA DR ATLANTIC BEACH FL 32233-5638 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. FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $130.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $134.00 Issued Date: 11/12/2019 1 of 1 Building Permit Application ur,iare,,.o,,.. City of Atlantic Beach Building Department "ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY IS REQUIRED. Phone: (904) 247-5826 Email: Building-DentProah.us Job Address: 1745 SELVA MARINA DRIVE ATLANTIC BEACH,32233 Permit Number: R (..--2-. p7 ( 9 - 015Z— Legal 15Z— Legal Description 30-29 09-2S-29E SELVA MARINA UNIT 5 LOT 2 BLK 11 RES4 172016-0000 Valuation of Work(Replacement Cost)$ 15,800 Heated/Cooled SF Non-Heated/Cooled • Class of Work: ENew ❑Addition ClAlteration GI Repair ❑Move f7Demo f7Pool ❑Window/Door • Use of existing/proposed structure(s): LlCommercial LLJResidential • If an existing structure, is a fire sprinkler system installed?: DYes LUNo • Will tree(s) be removed in association with proposed prosect? f7Yes Jmust submit separate Tree Removal Permit) f7No Describe in detail the type of work to be performed: RE-ROOF-42 SQUARES ARCHITECTURAL SHINGLES 3:12 PITCH Florida Product Approval#FL10674.1 SHINGLES AND FL9777.3 UNDERL-AYMENfbr multiple products use product approval form Property Owner Information Name DENNIS&JUDITH LEROUX Address 1745 SELVA MARINA DRIVE City ATLANTIC BEACH State Ft Zip 32233 Phone 904-303-4350 E-Mail judithleroux@icloud.com Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company TOP GUN ROOFING INC. Qualifying Agent MATT P MCLEOD Address 5570 FLORIDA MINING BLVD SOUTH #501 City JAX State FL Zip 32257 Office Phone 904-342-0211 Job Site Contact Number 904-509-2595 State Certification/Registration# CCC058178 E-Mail OFFICE@TOPGUNROOFING.NET Architect Name& Phone# Engineer's Name&Phone# Workers Compensation Insurer FRSA 870-033663 _OR Exempt r, Expiration Date 12!31/19 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 additii3nal 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 COMMENCE ENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPE TY., F YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LEN -9R AN O F FORE RECORD NG YOU N TICE OF COM NCEMENT. / (Signature of Owner or Agent) r� (Signature of Contractor) igned and sworn to(or affirmed) before me this dlENay of Signed and sworn to(or affirmed)before me this.�. -- tl of kt.1_1_CA 2.-0\CA byLi-c.d r t F—‘ / Q 2 0 C C:Wa ( , 2t`RC1,by \\A A yjr'i TERESA STONE IRWIN .,�}r�c� TERESA STONE IRWIN r�� Notary Public•State of°.o:-a r:P•,y.`. Notary Public-State of Florida �' Commission A GG 311787 Personally ! Commission=GG 3' 787 enoniony Known OR A ( ] Known O - ' M Comm.Expires Ju.8.2023 61: ''Porti ` My Comm.Expires Jul 8,2023 cbLf?roduced Identificat n'°F"' y ( ]I roduced Identificattor type of Identification: Bonded through Nadonai votary Assr. ' Bonded through National Notary Assn. ' Type of Identification: 1, A L Doc # 2019251507 , OR BK 18987 Page 1120, Number Pages : 1 , Recorded 10/31/2019 02 :08 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10. 00 NOTICE OF COMMENCEMENT State of Florida County of DUVAI. Pcrnlit No. "roc Folio hu. 172015-0000 1IIf I.N IHILSIUN►1111►:RP.IIY(:IV MS N(rll(K I IIAT 1M11'14II\KSIIN1 WlIJ.IIK MADE lOt KRA AIN REAL PROPERTY.AND IN ACCORDANCE WITH CHATTER 713.FLORIDA ST.tT(TI&IRE FOLLOWING INFORMATION IS PROVIDED IN THIS NOTICE OF('OAUON('EVIENT. Expiration Wok.of`ourof(onunenaement(Ike tapirstion date is I)ear front the flair of recnrdh•11 unlet~a different date k spavifled l).ner's nanr IpruOf _..DENNIS LEROUX,JUDITH LEROUX (lw'me, dare.. i r OD SELVA(MARINA Dii1'Yc ATLAN1U:$cAUH,FL32234 _-- 100% On nee,.intcrtnt in prupert)' - - I rto1 dneripnm of prnperp 30'29 09 2S•29E SELVA MARINA UNIT 5 LOT 2 BLK 11 Pin Wein". 1745 SELVA MARINA DRNE ATLANTIC BEACH,FL 32233 RE-ROOF Cwneral JtacrIpdrwt of Intprnvr,nenl --- l tr+implc 1itkc huldrr.if odicr than owner(print) .Warta. TOP GUN ROOFING.INC. 904 342-0211 ('nntractrw'a nom*(Pring Phnwt 5570 FLORIDA MINING BLVD S 1501 JACKSONVILLE,FL 32257 Address _.___.._-Yaa(-- I__..------- An•n,nt,.f l.nn _ SUftf)''a name.If\n\'(peinll d S--- Addie.. Ptin.w( ) F.,I. Lendrr'x manor(pnntl Mena( ) Lmder'e addre.. ..___._ _-- --_—_ Fax(_J PERSONS WITHIN THE STATE.OF FLORIDA DESIGNATED RV(IV.NFR UPON W110M NOTI('F.S OR OTIIFR 11(X11MF.NTS MAY BF NERVED AS PROVIDED BY SECTION 713.13(1)(A)7.FLORIDA STATUTES: Name(print) Phtna( 1 Add mo Ful ) ---------.. .- - - IN AIllilil IN TO III%1K):1 Y ON IWRSKI P.OWNER 111/KI(:NA1'V% OM 'CO RP.('P.IVK A CONY(W TISK Ill:NOW/4 Nlrtl('K AS PIRIVIIWI►IN IiYCI'1l/N 713.13(1S111.VI A MtII)A RMT(tl vi( ►RON'E NL'AMHHLR OF PERSON OR ENTITY DESIGNATED HY O~NW ._�.—____ -— • WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I,SECTION 713.13, FLORIDA STATUTES,AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. UNDER PENALTIES OF PERJURY, 1 DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT ARE TRUE TO T E BEST OF MY10POWLEDGE AND BELIEF. t L�12e.� D ✓ — Dal �1 P I .1J dyl_ I r� Y Print Naim ed Penne Klpdaig Above ( In Cntn t)'V\mea Of.Platt ST ATF OF FIORIDA('OI!NTY OF DUVAL nl//�� I I M IunlwinK in trumarnt w s.avtrlww kalRasl leaurc MC this t,J t� Joy u( C1 C 1 h 'f •111 I h)---si_l_C d t t4--- Print 4--'`Print Newer of Pewit dp.Mq Alum, • _ ``��[[//''��)) �/�/�N ary PuMMM Sheseeiwr k rumen Prrrnally Or Idr*NIIeaIten,'S -L/1 �— Ok �yk`� \ QC\ (�' �'•� TT Na1K uP NotaryY)pe1 M Mora T)Pe of!entin..Mos \ 4 � Comnlh+iva to• tI ttlrasp or urn* TERESA STONE Ws ,144-"%.:1 Notary Public'State of Flonca Cummisston f GG 1 ; •' r My Comm.Expir t Jul il.2023 a' Sglded OVOUVh National Notary Assn. Fonn N NI Reused Juts 2012 Doc # 2019251507 , OR BK 18987 Page 1120, Number Pages : 1 , Recorded 10/31/2019 02 :08 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10 . 00 NOTICE OF CONINIENCEMENT State of Florida County of DUVAL Permit No. Tux Folio No. 172018-0000 silk I ,IIY.l Si(:N1'1)tIKRKIIV GIVEN NI!TICK TIIA'1'RII'NI IV Y.AIRNT Wl IJ.11k MAI)le ll)t'CNfAIN REAL PROPERTY.AND IN ACCORDANCE WITH CHATTER 713,FLORIDA STATUTES.THE FOLLOWING INFORMATION IS PROVIDED IN THIS NOTICE OF COMMENCEMENT. Expiration Date of Notice u(Co)niarnccalvnt(thy npira nun date is 1 year from the Dale n rrcnrdi oR unless a different dale Is'peeined DENNIS LEROUX,JUDITH LEROUX U.s net's name(prim) Owner's address I l46 SELVA iviARINA GFit'WE ATL.41:11G iiCA:.:H,FL 3Ya.i.) 100% lh.nrr',inters.*in property Mat dexripflm Daproperty 30-29 09-2S-29E SELVA MARINA UNIT 5 LOT 2 BLK 11 Property add m. 1746 SELVA MARINA DRNE ATLANTIC BEACH,FL 32233 PF-ROOF General deacrlpdrwt of lm prevent en ---- icy simple title holder,if other than u..ncr(print)- -- Address_ _ TOP GUN ROOFING,INC. 904 342-0211 Cnntraelor'a name(rein') Phone(—J 5570 FLORIDA MINING BLVD.S.M 501 JACKSONVILLE,FL 32257 Adders --- _las C____ 1,__ Sureh'a name,Ir any(print) Amount of I.nnd S Address Phone(___) Fax( -)-- -- Lendrr'a name(print) Phone(_) Lender':address__---_.---- Fax( ) PERSONS WITHIN TIIE STATE.OF FLORIDA DESIGNATED Dl'ON1.NER UPON WHOM NOTICES OR OT11FR DOCUMENTS MAY RE SFRV-E.D AS PROVIDED RV SECTION 713.13(11(A)7,FLORIDA STATUTES: Nana(print) Phone(—J !Wilms, Max( ) ---- - IN ADDITION'II)III sINELE ON III:ILSrI.Y,I WOO 11111$1(INATK\ or TO NY.1'KIVY.A COPY OE 11Y.I JENON'S NOTICE AS YNOVIIW.I)IN SYICI'111N 713.13(1 XII),YI A)NIDA ErA'I'1'1'1:4 PRONE NUMBER OF PERSON OR ENI1TY DESIGNATED Ii OWNER --- ---- WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I,SECTION 713.13, FLORIDA STATUTES, AND CAN 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 FINANCINC,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. UNDER PENALTIES OF PERJURY, 1 DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT ARE TRUE TOT E BEST OF MY /plOOWLLEDGE AND BELIEF. r -- KrJ6:)Er/9"________ Urw p[i.-- oat Print Name of Person.V Ong Ai me In County Named Of Slate STA'IF.OF FIORIOA COUNTY Of DIJYAL a. '1 (''.31--N }- hr furclvinY,imlrurnai,t ass Wkd wwK.i before tut.this '-)` ' day of 0 C � .20 I c\ . by_ .\L e ci 1 t 4-- -1 Q r O�--., X _ Print Narver of Perann Sighing AboveLic:z:)r- ____Q__Th Nutsr)Public Sip/rturc —.----- 'Np known Personally__ ___ __Or ldendflcslion / ___. ___ - Name of Nulary'Opts'or Printed T)pe of Ideali0icaliun k. Q L-. Commission u u (slump or seal): `J�i, TcgEy STONE IRWIN NotaryPublic•Stste of Florida !ry Commission/GG 311787023 ®or?,, M Comm.Expires 1ut 8.2 a rv.. Y 'National Notary Assn. 'Bonded throlr4 Fonn N NI Revised lulu 2012 Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# C. PANEL WALL 1.Siding 2. Soffits 3. EIFS 4.Storefronts 5. Curtain walls 6.Wall louvers 7. Glass block 8. Membrane 9. Greenhouse 10. Synthetic stucco 11. Other D. ROOFING PRODUCTS 1.Asphalt shingles OWENS CORNING DURATION ARHITECTUAL SHINGLES FL10674.1 2. Underlayments OWENS CORNING RHINOROOF SYNTHETIC FL15216.1 3. Roofing fasteners GRIP RIGHT 1.25"RING SHANK 4. Nonstructural metal roof 5. Built-up roofing 6. Modified bitumen 7.Single ply roofing 8. Roofing tiles 9. Roofing insulation 10.Waterproofing 11.Wood shingles/shakes 12. Roofing slate 13. Liquid applied roofing 14. Cement-adhesive coats 15. Roof tile adhesive 16. Spray applied polyurethane roof 17. Other Page 2 of 4 Updated 10/17/18 In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, the Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and installation instructions along with this Product Approval Sheet. I certify that this product approval list is true and correct to the best of my knowledge. I further certify that use of different compo •nts other than the ones listed in this document must be approved by the Building Official. *Contractor Name (Print Name): ,"\IkA I`,C *Contractor Signature: *Company Name: 70(> GV-CN �� ` *Mailing Address: r. 0 k\z'c 11. Ro \C") \\\6,_ *City: ` Y)._Nj, *State: *Zip Code:� --4-, *Telephone Number: C?��u ��a ��-�� *E-mail Address: Pi K\ -, C1'e-5 Cell Phone Number: \�� S Fax Number: �q � Page 4 of 4 Updated 10/17/18