1822 Hickory Ln RERF19-0163 Shingle REROOF SHINGLE PERMIT PERMIT NUMBER
J;' RERF19-0163
�w n, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 11/13/2019
sr 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:
1822 HICKORY LN REROOF SHINGLE SHINGLE ROOF $10695.00
TYPE OF REAL ESTATE BUILDING USE
CONSTRUCTION: NUMBER: ZONING: GROUP: SUBDIVISION:
172020 1448 SELVA MARINA UNIT
12C R/P
COMPANY: ADDRESS: CITY: STATE: ZIP:
TURNKEY CONSTRUCTION 5991 Chester Avenue #105 JACKSONVILLE FL 32217
OWNER: ADDRESS: CITY: STATE: ZIP:
ADHIKARI RESHAM R 352 ENREDE LN STAUGUSTINE FL 32095
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 $105.00
•
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $109.00
Issued Date: 11/13/2019 1 of 2
0.1.0''` REROOF SHINGLE PERMIT PERMIT NUMBER
. ;:% CITY OF ATLANTIC BEACH RERF19-0163
'6
800 SEMINOLE ROAD ISSUED: 11/13/2019
"''; � ATLANTIC BEACH. FL 32233 EXPIRES: 5/11/2020
Issued Date: 11/13/2019 2 of 2
Building Permit Application updated 10/9/18
`J
ri. City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: 1822 HICKORY LN,ATLANTIC BEACH,FL 32233 Permit Number: Rcgr--(0? -6( (03
Legal Description 352 ENREDE LN SAINT AUGUSTINE,FL 32095 RE# 172020-1448
Valuation of Work(Replacement Cost)$10,695 Heated/Cooled SF 2328 Non-Heated/Cooled
• Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial UResidential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes INo
• Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) IP No
Describe in detail the type of work to be performed:
Re Roof with Owens Corning Asphalt Shingles. FL 10674-R13. Squares: 30. Pitch 6/12
Florida Product Approval# FL 10674-R13 for multiple products use product approval form
Property Owner Information
Name RESHAM ADHIKARI Address 352 ENREDE LN
City ST AUGUSTINE State FL Zip 32095 Phone
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company TURNKEY CONSTRUCTION AND MAINTENANCE,INC Qualifying Agent RUBEN LAVARIAS
Address 5991 CHESTER AVE,SUITE 105 City JACKSONVILLE State FL Zip 32217
Office Phone (904)900 1069 Job Site Contact Number
State Certification/Registration# CCC 1329475 E-mail JULIE@CHOOSETURNKEY COM
Architect Name&Phone# N/A
Engineer's Name&Phone# N/A
Workers Compensation Insurer American Interstate Insurance OR Exempt❑ Expiration Date 5/6/2020
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
RECORD NG YOUR NOTIC •F C• t MENCEMENT.
,./
(Signature of Owner or Agent) (Signature of Contractor) �7
Signed and sworn to(or affir d)before me this 7 day of Signed and sworn to(or affirme )before me this7 day of
/U O 1/1"42—t/ , d20 et , by keS 110.4y1 td h l Ko-rt, itiQ.4.4%1 tf,&4_,by ft oZAS
- V -- LAAJ--
(Signature of Notary)" (Signature of Nota
4,`na.'Pvego JUL err IAANZANo 1 .x,p1►?;f Pua�,� JULIEIT 6SANZAN0 1
* N , 1 * Commission#GG 165256 * * Commission#GG 165258 +
[ ]Personally Known OR °s" ' A ExpkesApril 3,2022 Personally Known OR Nr a Expires
4, April 3,2022
!l Produced Identification 'l4'0,A ' ianaaTlwArA,ietNoarySe*, [ ]Produced Identification 9leoFF\.c% BondedTtruBolgetNotarysert
Type of Identification: r-- Type of Identification:
Doc # 2019259270, OR BK 18998 Page 780, Number Pages: 1 ,
Recorded 11/08/2019 02 :39 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
Permit No. Tax Folio No.1720204448
NOTICE OF COMMENCEMENT
State of FLORIDA
County of DUVAL
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes,the following information is provided in this Notice of Commencement.
1. Description of property: (legal description of the property, and street address if available):
1822 HICKORY LN Atlantic Beach FL 32233
37-29 09-2S-29E,SELVA MARINA UNIT 12-C REPLAT, LOT 23
2. General description of improvement: RE-ROOF
3. Owner(name and address) RESHAM R ADHIKARI
352 ENREDE LN SAINT AUGUSTINE, FL 32095
a. Owner's Interest in property: FEE SIMPLE
b. Name and address of fee simple titleholder(if other than Owner):
4. Contractor: (name and address): TURNKEY CONSTRUCTION AND MAINTENANCE, INC.
5991 CHESTER AVE, STE. 105, JACKSONVILLE, FL 32217
a. Contractor's phone number: (904J 900-1069
5.Surety (name and address): N/A
a.Surety phone number:
b.Amount of bond: $
6. a. Lender: (name and address): NIA
b. Lender's phone number:
7. a. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a) 7., Florida Statutes: (name and address)
NIA
b. Phone numbers of designated persons:
8. a, In addition to himself or herself,Owner designates of to receive a copy of the Lienor's
Notice as provided in Section 713.13(1)(b),Florida Statutes.
b. Phone number of person or entity designated by owner:
9. Expiration date of notice of commencement(the expiration date is 1 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 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.
Owner's Signature: / 'l
Print Name: a 6 5 IN,-1rl D4 ( % i4 k. I
Title/Office: 1 et/4r
j`�'�"-
The foregoing instrument was acknowledged before me this day of CAv e i<",20 r, by 4-511a--Al G�i'�i.l(i! - as
(type of authority,e.g. officer,trustee, attorney in fact) for(name of party on behalf of whom Instrument was
executed) -who (check one)_is personally known to me or who produced r2-A- as
identification and who affirmed that all the above statements are true and correct.
JULIETTIMCAN45Signature of Notar
Commission F Gu 165256 y �7
F.xpitesAp73,2022 My Commission Expires: AA._ 3 e 0 L-2_
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CITY OF ATLANTIC BEACH BUILDING DEPARTMENT
l'"." ' 800 SEMINOLE ROAD
r��ai>% ATLANTIC BEACH, FL 32233
CERTIFICATE OF COMPLETION
RERF19-0163
REROOF SHINGLE
ISSUED: JOB ADDRESS: REAL ESTATE NUMBER: ZONING:
11/25/2019 1822 HICKORY LN 172020 1448
DESCRIPTION OF WORK:
SHINGLE ROOF
OWNER: CONTRACTOR:
ADHIKARI RESHAM R TURNKEY CONSTRUCTION
352 ENREDE LN 5991 Chester Avenue #105
ST AUGUSTINE, FL 32095 JACKSONVILLE, FL 32217
APPROVED: DI k"---4--t ACf A
CHIEF BUILDING OFFICIAL
VOID UNLESS SIGNED BY BUILDING OFFICIAL