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69 W 9th St RERF19-0168 Shingle ;s'"`''''`!�� REROOF SHINGLE PERMIT PERMIT NUMBER stRERF19-0168 CITY OF ATLANTIC BEACH ISSUED: 11/20/2019 / 800 SEMINOLE ROAD °,3»" ATLANTIC BEACH. FL 32233 EXPIRES: 5/18/2020 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: 69 W 9TH ST REROOF SHINGLE SHINGLE ROOF $8000.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 170813 0060 ATLANTIC BEACH SEC H COMPANY: ADDRESS: CITY: I STATE: ' ZIP: BRANNAN ROOFING, LLC 1024 PEBBLE RIDGE DR JACKSONVILLE FL 32220 OWNER: ADDRESS: CITY: STATE: ZIP: PEAKE ALEXANDER 13426 HIDDEN MEADOW CT HERNDON VA 20171 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. � „� ;��•�a w �'s� », _'� �_ , .�F�I���zip .-, .. - . ,..��- .. r. . `"'a DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $95.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $99.00 Issued Date: 11/20/2019 1 of 1 Building Permit Application Updated 10/9/18 _ City of Atlantic Beach Building Department **ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED. Job Address: U / 1, / .r ee.rJ/01krrke.Add Permit Number: E RFL ' of 6n P4) Legal Description%f--?t/ /7-25 ',2 99:O 9> Ahs.ix- Pec-A Sec 7 RE# 1 "708 ( 3 -00 �O 0 �v Valuation of Work(Replacement Cost)$ S CSO 0 ted/Cooled SF Non-Heated/Cooled • Class of Work: C]New ❑Addition ❑Alterationepair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial >Residential • If an existing structure, is a fire sprinkler system installed?: ❑Yes �No • Will tree(s) be removed in association with proposed prosect? ❑Yes(must submit separate Tree Removal Permit)v�❑No Describe in detail the type of work to be performed: I 1 , ID r N f- / S oC /�, ,Q 9\ ���G �L e>If-74J-r� TOO( 4- roO0 • Florida Product Approval# r L I ©(� �� I for multiple products use product approval form Property Owner Information All `/ Name Air).(�,✓?C/e/ 1 1-? t Address /Y '2( Alt Chit "..G//c ' City / '&,,, l;)„r7State //A Zip .ZeiJD ) Phone 76 64-� P.?Y- 97 s- Y E-Mail r7 C on/-'/� 1'` "7��O11/ . Code) Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Informatio Name of Company mkj��- Quali ng Agent BJP. I 6Vi4/ Address 1 v 3 Z S Q.ii� wJ L S City D4 y�Qvi De_ State F-1. Zip S t(;c, `! Office Phone `iC -f' )3 (16)i9 7 Job Site Coo7rprct Number `/1 State Certification/Registration# 13.E P_)00., E-Mail (to m\fr 04(t--q L 0 vYc(145-11,1/44 CT Architect Name& Phone# Engineer's Name& Phone# Workers Compensation Insurer OR Exempt = 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 PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORD! youR NOTICE�OF COMMENCEMENT. (Signature of Owner or Agent) (Signature of Contractor) Signed and sworn to(or affirmed) before me this c. t--1 day of paS,jgned d sworn to(� .ffirr -• before me this C day of b r IV , C) ,Z0 �.Y 0 .,. _ f o.nit4� EZOZ'OE F� 9t1 R1QfiSINIA100 lW °`'= TONI GINDLE •� t9lij 7✓3 'V e of •to ) /} 14!* � . • = MY COMMISSION# S\ VINIOUTAAOH13V3PANOWWOO :•E syslroat# Jia ���. EXPIRES:October 6,2023 [ ]Personally Known OR °rend AHV.LON ed .abw :.1�.1.1„:„._ {Produced IdentificationN .O 113I V17110Y,91 NlA3)I 'ro•uced Identification Type of Identification: U� 1 Type of Identification: �� �� ZS- 5-46,3-( Doc # 2019267807 , OR BK 19010 Page 2244 , Number Pages : 1 , Recorded 11/20/2019 10 :44 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10 . 00 NOTICE OF COMMENCEMENT State of Florida PERMIT# County of Duval The undersigned herby informs all concerned that improvements will be made to certain real property,and in accordance with section 713.13 of the Florida Statues,the following information is stated in the NOTICE OF COMMENCEMENT. Description of property 69West9th Street,Atlantic Beach, FL 32233 Legal Description 0.- -ft 08 3' D0140 .�S 4/t0 g--I1 lovas lC( General descriptions of improve ment�Re Roof E 4 r¢- Lot y B,Lock e7 Owner Mr.Alex Peake Address 13426 Hidden Meadow Court, Herndon,Virginia 20171 Owner's interest in site of the improvement SIMPLE • Fee Simple Title holder(if other than owner) Name SAME Address SAME Contractor BRANNAN Roofing, LLC Address 1032 Sierra Woods Road,Bryceville, FL 32009 Surety(if any) NONE Address N/A Amount of Bond$ N/A Name of person within the State of Florida designated by owner upon whom notice,or other documents may be served: Owner Mr.Alex Peake Address 13426 Hidden Meadow Court, Herndon,Virginia 20171 In addition to him/herself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(F), Florida Statutes.(Fill in at Owner's option) Name Alex Peake c/o Chantilly Investment Solutions, LLC Address 7901 4th St.N STE 300,St.Petersburg, FL 33702 THIS SPACE IS FOR RECORDER'S USE ONLY �{ ,� My Commission Expires: Alc�C der' ':G OWNER'S PRINTED NAME Signed before me this Z-Zday of OC.4' ,2019 as/4A-,4 r Signature �\ OWNER'S SIGNATURE I,(1I51 k--C..f NAF 2 , personally witnessed /0-el-Nec►1•dc• f/r✓\sign this NOC. KWESTAN N KHATAT • WELLS FARGO BANK,N.A. NOTARY PUBUO • SULLY PLAZA REG.07101459 13960 LEE JACKSON MEMORIAL HWY COMMONWEALTH OF VIRGINIA CHANTILI.Y,VA 20151 MY COMMISSION EXPIRES FEBRUARY 28,2023