1155 Stocks St RERF19-0156 Shingle %•51... ''r7r
' REROOF SHINGLE PERMIT TPERMIT NUMBER
t, CITY OF ATLANTIC BEACH RERF19-0156
v 800 SEMINOLE ROAD
"'dri .
, ISSUED: 11/13/2019
Pi.os; ATLANTIC BEACH. FL 32233 EXPIRES: 5/11/2020
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:
1155 STOCKS ST REROOF SHINGLE SHINGLE ROOF $7050.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171013 0025 ATLANTIC BEACH SEC H
COMPANY: ADDRESS: CITY: STATE: ZIP:
Total Home Roofing LLC 2968 Rainbow Rd. Jacksonville FL 32217
OWNER: ADDRESS: CITY: STATE: ZIP:
WILKINS DEBRA 1155 STOCKS ST ATLANTIC BEACH FL 32233-2658
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 U $90.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $94.00
Issued Date: 11/13/2019 1 of 1
tt' Building Permit Application Updated 10/9/18
ii
i 4-).-- City of Atlantic Beach Building Department **ALL INFORMATION
� L 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
`Us �� IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us f
) i � Sicr,K3 S'-}� A 11.-0�C Ct/t Permit Number: Ek
Job Address: Iat -0 (�((:7
(�
Legal Description I t$ �.- �Q p
-ii1-12.1e , '/ 7 /�H;cm Ci RE#P'Ci'-( -c {-i l A1- •
Valuation of or {Rep acement os $ -7i DCO — Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition ❑Alteration "epair EMove :Memo ❑Pool ❑Window/Door
• Use of exist'ng/proposed structure(s): ❑Commercial residential
• If an existing structure, is a fire sprinkler system installed?: LYYes iieNo
• Will tree(s) be removed in association with proposed project?❑Yes(must submit sep rate Tree Removal Permit) ❑No
Describe in detail the type of work to be performed: 1e-(-DFS r' (ri51)01 5)`) tillts.S 12DbFri
Florida Product Approval It r---L. 1(3(q7( - (.7 for multiple products use product approval form
Property Owner(( _ Information ) �-�/ �
NameD42-kyrA W 11Ki iS Address f I5S STOCIc JN-e
City p-CYYhG State f L Zip S� - Phone 1 (-)q-- 42.i-7 C - Q(?1 (
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company Total Home Contractors DBA Total Home Roofing Qualifying Agent Robert Donovan
Address 2968 Rainbow Rd City Jacksonville State FL Zip 32217
Office Phone 321-452-9223 Job Site Contact Number
State Certification/Registration# CCC1330489 E-Mail TOT?lhav1e L ?.--d( e OP cin-ket,I-cz(►-t
Architect Name&Phone It
Engineer's Name&Phone#
Workers Compensation Insurer American Zurich Insurance Company OR Exempt 2 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/P 6PERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDEF -OR-A� °TTORNEY BEFORE
RECO DI G 'jOUR NOTICE OF COMMENCEMENT. _
(Signature of Owner or Agent) (Signature of Contractor)
Signed and sworn to{or affirmed)before" me/� this,_7._day of Signed an. sworn to(or affirmed)before me this�_day of
�1A U�,. .•.rd Boggs ,by tS� fz'®1/ ��",t`J /. i`�Ql/ G ,1 1 •• b, :.O- •..• ••
�' • NOTARY PUBLIC ����'
o ::� y!STATE OF FLORIDA (Signature of Notary) '( ign ture of Notar
/ . •
' �1, .�Comrn#GG220406
'4'CE 1V) Expires 5/21/2022 nv
o,n 'si ELIZABETH SANTIAGO
f )Personally Known OR
Personally Known OR r Commission#GG 302986
WProduced Identification ( (Produced Identification * .'-ilti'
+N, ,aw,. �.� Expires February 18,2023
Type of Identification: Type of Identification: q
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1
Doc # 2019259431, OR BK 18998 Page 1224, Number Pages: 1,
Recorded 11/08/2019 04 :17 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10. 00
NOTICE OF COMMENCEMENT
Permit No, Parcel IDITox Folio Na„or' -.S0 "a't%'—
State of Florida,County of Duval
TI-CE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
1. Dos i on f pe egal a ripe pro rty and ad re f a' le);
$ — 3--7 . 117 A /Mc cf1se-c f( Doi 5az.k.M9
2. General Description of improvements:
Rel2oof OnIY
3. Owner Edon:nation; � �1 ! i+
a)Name and Address: �.l 1 t I l G5 2-bc, S4- A71✓�)C t e t„�.t,G' .>,e L 2 3 2233 ! 1
b)Interest in property:Owner
c)Name and address ofsimpk titleholder(if other than owner):
4. Contractor Information:
a)Name and Address:Total Home Rooting 2968 Rainbow Rd,Jacksonville,FL 32217
b)Phone Number.(DOA)831-0555
5. Surety Information: r J j
1
a)Name and Address: A
b)Phone Number. (\�1' j
N
c)Amount of Bond;S
6. Lender Infonrtation:
a)Name and Address: i
b)Phone Number: ki r
A,
7. Person within the State of Florida designated by vner upon
provided by 713.13(I)(a)7,Florida Statutes: p whom notices or other document may be served as
a)Name aad Address;
b)Phone Numbers of Designated Person:
AI
8. In addition to himself/herself,Owner designates of to receive a '
copy of the Lienor's Notice as provided in Section 7 3.13( )(b),Florida Statutes.
a)Paine and Address:
b)Phone Number of person or entity designated by owner:
9, Expiration dare of Notice of Commencement(the expiration dote may not be before the completion of construction
and Anal payment to the contractor,but will be one(I)year from the date of recording unless a different date is
specified: •
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 7l4.11 FLORIDA STATUTES. AND CAN RESULT (N YOUR PAYINO TWICE FOR
INMPROVENIENTS 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 pen ty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated
therein ar�tj r/
e'rJfAJ ,best of kit wledge and belief. •
t
Signature of Owner or Owner's Authorized Officer.Director•AartnerfMana er Sign
4 ry's?tinted Name&Title:Office
r.
The foregoing instrument was acknowledged before me this 7 day of dP °XJsf oR.o-5 44. 20/t,
by Pit/Mg 1-Pd5X43 as Owner Self
•
(i'namc u Ptrnon) fof
(Type arAutltority,Lc.OtEcm/-
(Ti ,threat was Exccurad roc)
•y Shepherd Boggs
NOTARY PUBLIC
UI
.-7441. STATE OP FLORIDA NOTARY PUBC'7S ATE O FLORIDA
1014-,'"—Comm#GG22040ti Print erne:
• Expires 5/21/2022 ,� � J�
Personalty Known
te.rna Notary Seal Above) Identificatinn''Type;
Revised U 18/IS
_ Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
C.PANEL WALL
1,Siding
2,Soffits
3.EWFS
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 a( PrIS ['oefi 1/ yj l i-e6 (hL t olo7(. -pz
2_Underlayments OE ,J,,,; Cam j n� ` n.khe. G r-L 1 v2U-
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