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1802 Selva Marina Dr RERF19-0157 Shingle
rs %», REROOF SHINGLE PERMIT PERMIT NUMBER Q' o . �\ RERF19-0157 CITY OF ATLANTIC BEACH -6, "jVr 800 SEMINOLE ROAD ISSUED: 11/12/2019 '�`013i�" 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: I VALUE OF WORK: 1801 SELVA MARINA DR REROOF SHINGLE SHINGLE ROOF $14000.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 172020 0706 SELVA MARINA UNIT 10 COMPANY: ADDRESS: CITY: STATE: ZIP: PIMENTEL ROOFING INC 402 St. Augustine Blvd. JACKSONVILLE FL 32250 BEACH OWNER: ADDRESS: CITY: STATE: ZIP: JENNIFER & CURTIS HILL 10 10TH ST 38 ATLANTIC BEACH FL 32233 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. , a 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 $125.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $129.00 Issued Date: 11/12/2019 1 of 2 f .;: --1./.,: REROOF SHINGLE PERMIT PERMIT NUMBER (6' ':*• � RERF19-0157 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 11/12/2019 �`';/ ATLANTIC BEACH. FL 32233 EXPIRES: 5/10/2020 I Issued Date: 11/12/2019 2 of 2 Building Permit Application Updated l0/9/18 4i ''- - _ ' City of Atlantic Beach Building Department **ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY z 01119r IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us nn Job Address: k o O \ 6r-A v C. - ��r`l rka 1✓r t q e_ ) A 13. Permit Number: R E-R F ( 9 - (57 Legal Description 3(..-5 i os - as -ale 6_coC 4kortAo_)('ht' 10 RE# 110-0c1.0 -Di 0( Valuation of Work(Replacement Cost)$ I if, 000 + Heated/Cooled SF 37OD Non-Heated/Cooled • Class of Work: ❑New ❑Addition kAlteration Repair ❑Move [Memo OPool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial Residential • If an existing structure,is a fire sprinkler system installed?: ❑Yes *o • Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) ❑No Describe in detail the type of work to be performed: ' rwo.e e\,C,S{i r\, COo1 gro1/4 (eea Ce..._ ,kl^ r\2v.:% Florida Product Approval# for multiple products use product approval form Property Owner Information Name L+R.c\5 ' �2rn\%ce r \-4M Address 10 10k\" 5k ?Ur t I S City pT(_kigle- Ckr. State FL Zip 3, ..,: 33 Phone q04- 3t -Cos 11 E-Mail \)1v1' rllp aKo\-n>\ait. CO-r& Owner bfAgent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information - Name of Company 1:M<A)j // ../2600 C,." -p?1 Qualifying Agent 4-i,a oA) Cl/flak4.J Address let 2 ,S T. roti /31✓.t. City I7.441 "j ,#e t,, State 7 1 Zip 37 2..S'T Office Phone F-3-4/- 4-,(4b/ Job Site Contact Number jt Pi/ 6.--5/- .S L/( State Certification/Registration# (l L(`/:3 5 v j,I s E-Mail Architect Name&Phone# Engineer's Name&Phone# / Workers Compensation Insurer OR Exempyo Expiration Date g-2 6,-2020 Application is hereby made to obtain a permit to do the work and installations as irrettcited. 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 a TO O: AI FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORN Y BEFORE RECO I I I G I UR NOTICE OF COMMENCEMENT. . :� a, _ _ G ( ignature of Owner or Agent) (Signature of Contractor) --.42-4‘ r iL igned and sworn to(or affirmed)before • e this 0 d.y of Signe and sworn to(or ofimed)before me k i% p�um aMiip N6Ye-m k 2 I -y ' A .. � Z , o1ck,by Dc. �4 e 4L_AI -�\..�_� Y y' (Signature of star ) 41111P0 Sign.tur•Z o otar.mm.EXPIres E my ugust 17.2021 _ Cynthia Young �� Ho.GG135675 [ )Personally K .vwpomtue [. ersonally Known OR Cr Q-: Produced Id: �� Nary Public [ ]Produced Identification �i,'s'J•�.PUBI� �� Type of Identifi •qpn:� • � State of Florida Type of Identification: "iir'OFI `�N\\ N„,,,0 f,.� My Commission Expires 10/05/2020 Commission No.3f4Rn NOTICE OF COMMENCEMENT State of V ID ( i0A Tax Folio No. R± Zt 702010-'09D(9 County of tvy CA 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: ;3(0- X79 OB -a5-a`\t \.)-a-\\(0.. `Mos ma.. O W\k \D _ \--ok \ t31 oak. ik Address of property being improved: V6 ,Q\ya t'\ac k n0. D1'1\le.) kkA coN.1 1c, tiJr2GC.,t\\V L 3 Qa33 General description of improvements: P4 NooAe. I\o6.2_ ir\c\u 'At kq Mu) 1,f00C 1I u) C1,,J1 ndou S '�Q� Oka-01"e6..) cA © `e�VQk� ,u\`e.ft o(- IrD 1r\C`uae- Y1/4Q..�..J itA0k..2h a,U1ek-k5 e 'Qt�at( rl rob- Owner: Of \ nnt� \\ Address: 0 �h k 3g kIGAli ;,ct R. 3 Owner:Cu C S . 32 e� �1I I 10 3f } N , A ( Owner's interest in site of the improvement: - � t��--(/ Fee Simple Titleholder(if other than owner): Name: Contractor: (9\.0S.2 Coco CS ) LLC, Caro y t\I Yl- .)orN.e5 Address: 43z ' Ayl� �N- 1 1S®v\(yi.L lzc•G.. )cL 30.a6l.r2 Telephone N��o. � /*--1.056-11361� Fax No: Surety(if any) I ) - Address: Amount of Bond$ _ Telephone No: Fax No: Name and address of any p�erson making a loan for the construction of the improvements Name: N _(F'C Address: Phone No: Fax No: Name of person within the tate 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 at Owner's option) Name: 1\-) 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): I . THIS SPACE FOR RECORDER'S USE ONLY OWNER i Signed: ' // Date: ''/O V/ Doc#2019256301,OR BK 18994 Page 1846, Before m this ft) day of jagAbetikit the County of Do_9I,State Number Pages:1 Of Florida,has personally appeared1�`'- - f.i,.7� Recorded 11/06/2019 11:29 AM, Ai Notary Public at Large,State of Florida,Count of Df ,.., RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL �:_�:� ZACHARY KAHALY My commission expires: It/�r, /4043 ::°• `: NotaryPublic State of Florida COUNTY Personally Known: Commission Gc,Q2�ja6 RECORDING $10.00 V dor , jAAyCmm.Expires Oct 20,2023 Produced Identification: Fic)r:CI:CI".s 171 `.. .j� Sr ( 'Jon a through National Notary Assn. I r PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA (*REQUIRED) *Project Address: IS 0 \ o o. fk r a L c ) 4 . 6 ' Permit#: *Owner/Project Name: C u V\5 Q 1/4),42.4\N\ce-r- \ `\ As required by Florida Statute 553.842 and Florida Administrative Code Rule 9B-72, please provide the information and product approval number(s)for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact your product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide product approval may be obtained at:www.floridabuilding.org. Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# A. EXTERIOR DOORS 1.Swinging 2.Sliding 3.Sectional 4. Garage Roll-Up 5.Automatic 6. Other B. WINDOWS 1.Single hung • 2. Horizontal slider 3. Casement 4. Double hung 5. Fixed 6.Awning 7. Pass-through 8. Projected 9. Mullion 10.Wind breaker 11. Dual action 12. Other Page 1 of 4 Updated 10/17/18 Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# E.SHUTTERS 1.Accordion 2. Bahama 3.Storm panels 4. Colonial 5. Roll-up 6. Equipment 7. Other F. STRUCTURAL COMPONENTS 1. Wood connector/anchor 2.Truss plates 3. Engineered lumber 4. Railing 5. Coolers-freezers 6. Concrete admixtures 7. Material 8. Insulation forms. 9. Plastics 10. Deck-roof 11.Wall 12. Sheds 13. Other G. SKYLIGHTS , 1.SkylightvR.A S14-11‘,, ,\3< 2. Other \6011131.,,,N,2,\ 1 5u „�r� 6-5ckb • (21 H. NEW EXTERIOR ENVELOPE PRODUCTS 1. 2. Page 3 of 4 Updated 10/17/18 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 FL10 14a4. 1.Asphalt shingles GAF "1 c2 1, A 2{'G. v ,,, re-1 2. Underlayments 4.-S ;5�-0 .4, ?-t 2_S64 2_16 3. Roofing fasteners 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 components other than the ones listed in this document must be approved by the Building Official. *Contractor Name (Print Name): ?IVA *Contractor Signature: f *Company Name: Pi f/ fE)1 J 4c n) T.,1%-) , *Mailing Address: f1O7 %iiu , *City: L.) ( ,(�.�-D�j� *State: *Zip Code: 3 2 2- *Telephone Number: 6._)0 46-41/--5 17i7 *E-mail Address: �, '/ _ ` I . A/ Cell Phone Number: ,�j' /— 4—C(96 Fax Number: Page 4 of 4 Updated 10/17/18