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511 Selva Lakes Cir RERF19-0162 Shingle REROOF SHINGLE PERMIT PERMIT NUMBER RERF19-0162 CITY OF ATLANTIC BEACH ISSUED: 11/18/2019 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 EXPIRES: 5/16/2020 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: 511 SELVA LAKES CIR REROOF SHINGLE SHINGLE ROOF $10285.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 172027 5044 SELVA LAKES COMPANY: ADDRESS: CITY: STATE: ZIP: & M RESIDENTIAL SERVICES, LLC 6020 PARKWAY DRIVE NORTH CUMMING GA 30040 OWNER: ADDRESS: CITY: STATE: ZIP: LUNDQUIST PATRICIA A 511 SELVA LAKES CIR ATLANTIC BEACH FL 32233-4359 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 $105.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $109.00 Issued Date: 11/18/2019 1 of 2 /'~`'A``�` REROOF SHINGLE PERMIT PERMIT NUMBER T '` )I CITY OF ATLANTIC BEACH RERF19-0162 �y )`' ISSUED: 11/18/2019 800 SEMINOLE ROAD �` `'';"` ATLANTIC BEACH. FL 32233 EXPIRES: 5/16/2020 Issued Date: 11/18/2019 2 of 2 Building Permit Application Updated 12/8/17 4 n1 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 c_ Phone:(904)247-5826 Fax:(904)247-5845 ' Job Address: ..(I ..tz`Ui^ _ - r• S Gni •. .. Permit Number: C'R-i(' f l ci DI 1 Legal Description NI-$S 11-25-25tE 5+ Lr_\C.wS LOT Zk RE# Valuation of Work(Replacement Cost)$10 1 Z$S'`'` Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration epal Move De o Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial •eside '." • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No /A • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed: Sr n Q- CZA-C- T n b-A \tom c(O l Z'— rpt^Ci�2, -' '�L-� Florida Product Approval# FLLU l 2R--"��-7--b for multiple products use product approval form Property Owner Information Name: ria_lc. Lu uASk Address: 6II :1v LE,4,S CSP City 1\+1\.,,hcr-- State Fc Zip 32233 Phone CIOLf-colt( - 3406 E-Mail ,i-_,(„N 51 crE _'yr•,rr.-,k'•v.nY Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Name of Company: -3-c^(h Q c -..?cc.\ .S c\Ac-n,") u(,Qualifying Agent:"‹-i,\-u-- \.\r,,\\ Addressjpb7C) `- 1, l t O Cityurt,y,cn0 State 6a Zip �(Y)cfb Office Phone CIO1( - -1 -(�,G\ Job Site/Contact Number C11)14 Li(p1.9 - 354 State Certification/Registration#(Y't 1- �',a�\ E-Mail �C4.�.A 2 -- St\nc,,Nr(,l' ca nt3'vy r:�vu'n�. Architect Name&Phone# 1JIA- 1 Engineer's Name&Phone# r J, _ Workers Compensation CC 27ci t-LS D\c& iArn, r� mik 1nwr nk-ts-S1c ,,,c , • I Exempt/Insurer/Lease Employ es/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 regulationg 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 RE e ' % ' G OUR NOTICE OF COMMENCEMENT. / f� ignature of Owner or Agent) (Signature of Contractor) �i (including contractor) Si ned and sworn to(or affirmed)before me this I day of Signed and sworn to(or affirmed)before me this11 /14 day of h•, Zotlt ,by . _ . . a" F' , 2 A �nFL,n,by ' S 'Al ' • fir..'•- •a of Flontla m O alryl- c uy er Sc idt . - My Commission GG 214805 ,_ ,�° r• Notary Pubic Slate o1 Florida ( I Personally Known OR ,0,„o Expires 05/06/2022 Personally Known OR o,. v4 ('roduced Identification roduced Identification t; Schuyler Schmidt F // My Commiscon GG 214865 Type of Identification: �l �.,_,.4.A f t t..3t Type of Identification: h`.- 05/06/2022 Scanned with CamScanner NOTICE OF COMMENCEMENT PREPARE Iti DUPLICATE) Permit No. Tax Folio No. State Of Florida County of Duval To whom it may concern: The undersigned hereby Informs you that Improvements will be made to certain real properly,and In accordance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF COMMENCEMENT. , Legal desorption of property being improved:41-55 17-2S-29E SELVA LAKES LOT 21 Address of property being improved: 511 SELVA LAKES CIR ATLANTIC BEACH,FL 32233-4359 General description of improvements: Reroof Owner LUNDQUIST PATRICIA A Address 511 SELVA LAKES CIR ATLANTIC BEACH,FL 32233-4359 O'.Nner's interest in site of the improvement Owner Fee Simple Titleholder of other than ovrner)N/A Name Address Contactor J&M RESIDENTIAL SERVICES LLC Address 6020 PARKWAY NORTH SUITE 500,CUMMING,GA,30040 Phone No.904-337-0509 Fax No. Surety of any)N/A Address Amount of bond S Phone No. Fax No. • Name and address of any person making a loan for the construction of the improvements. Name N/A Address Phone No. Fax Na Name of person within the Slate of Florida.other than himself,designated by owner upon whom notices or other documents may be served: Name N/A 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 N/A 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 :;;P".,'ti-. different date is specified): �:7�,� L` i.. Tr' i THIS SPACE FOR RECORDER'S USE ONLY / OWNER 7©/// v:,+,,r�;;%fF $,. // Q r LATE ! iCe I Y'/ Doc#2019253515,OR BK 18990 Page 1486, . or an iq n to / 0 .. y,� uval.'lou d Flpraa.na+,p«sonaiy acw•r•o m n Number Pages:1 CCr t tC ICI v'n Art u r S I by �o Recorded 11/04/2019 12:08 PM, hone/herself and efforts mat a l statements and d•c eraeons beret." RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL M.true• •ac o a N COUNTY `_' op RECORDING $10.00 F ° 1. r- . zr o �ArIJ� ( Oda � �y Notary Pudic at Large. lata ofd County ori 4A A B, I My commuslon exFlres: —Silk 12-(?U 2- P.rsoneN Kno,.n or an Produced Identification b yl v e rs 1;c.44-, f Scanned with CamScanner