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1620 Beach Ave RERF19-0169 Shingle f"'\'fit, REROOF SHINGLE PERMIT PERMIT NUMBER '� CITY OF ATLANTIC BEACH RERF19-0169 � V 800 SEMINOLE ROAD ISSUED: 11/21/2019 "013 91' ATLANTIC BEACH, FL 32233 EXPIRES: 5/19/2020 I 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: 1620 BEACH AVE REROOF SHINGLE SHINGLE ROOF $7000.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169547 0500 OCEAN GROVE UNIT 01 COMPANY: ADDRESS: CITY: STATE: ZIP: MONAHAN ROOFING 2050 S KING CIR NEPTUNE BEACH FL 32266 OWNER: ADDRESS: CITY: STATE: ZIP: STRANAHAN JAMES A 1625 BEACH BV ATLANTIC BEACH FL 32233-5850 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 r az�tf . 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 $90.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$94.00 Issued Date: 11/21/2019 1 of 1 r **AL.''''''%,� Building Permit Application Updated 10/9/18 1 0 City of Atlantic Beach Building Department L INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY �t►�~ IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us QR ( Job Address: I G Z O Bec c 's c u.¢, Permit Number: I R E ( 9 -0 I C,9/iealgDescription 0 q-2,9-.?.7g oC.e c Al U R©VE (J,vit/o / CoT ARE# Valuation of Work(Replacement Cost)$ 7000 , Heated/Cooled SF Non-Heated/Cooled • Class of Work: ❑New ❑Addition ❑AlterationiMove ❑Demo ❑Pool ❑Window/Door Ret" L • Use of existing/proposed structure(s): ❑Commercial �1Residential • If an existing structure,is a fire sprinkler system installed?: ❑Yes alio • Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) Describe in detail the type of work to be performed: Cam p i e f c (2-etc,-f u a'n 3 Cr A 1 rn bc- lin a t-,fe-i,n,`c 1)rte,k' G S hi t. N 1Q1i Florida Product Approval# for multiple products use product approval form Property Owner Informati / ,, ,�/ Name /yl QS ��, ' 0.11, r7 1 Address /625—`o&/04 9e .. - City it i State Zip 3 Aoyy Phone 9 y 72- 3Wy E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Itv� Name of Company f \Orlotl c_% Qc7o C"nS Cov-4rcckrQualifying Agent Pi A Address 2050 k. ns.3 CA.rc I e City u eP iwA t- geo-� State FL- Zip 3 Z2 G Office Phone CIOC(-22..i—OGS Job Site Contact Number T,ry-) 5C=e--'-1 1zc, State Certification/Registration# (ZC0O`'t-13t-I` E-Mail TI.- /Y1 o nuhc C c.om«,, '�-, .e. L Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer OR Exempt 0 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 NG you? ",A r►A • r• ►4 ENCEMENT. e .1•.. (Signatur-of Owner or Agent) (Signature of Contractor) S-6- X/ " s Signed and sworn to(or affirmed)before me this / day of Signed and sworn to(or affirmed)before me thiday of „ \ /v'V,-•rabi•! 2 4 Fi ,by -r•,,.,, S%/'r it c•1I c.-----1 \� 9'•)0(St11,`� '�`c\,by Cb`k� • L L . �L4(� \ • ...._.„..._. gnature Yff N (Signature of Notary) C`3 COLLEEN A.KEELING - [ 1 Personally Known OR 1°wt. Notary Public State of Florida [ I Personally Known el..s.,;.'..".4...' •F Commission$GG 165631 Produced Identificatio. Eugene P.Wagner Jr [ ]Produced Identific;-ti, [ 1Expires December 1,2021 Type of Identification: '9 F Commission 21 125166 Type of Identification "••:Eo,•- •` _ ,.._ . . _ ...- . . YP aw P s 07/17/3021 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of County of 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: 15.-/0 O" - 2j - 2' e _o G /L' A-1-1 ---,-1-, c ,Qe.,—J• r/,,,, )- ,vim 1 PT PT 4-0 K ie /- 9CV,e 9-3 �,�� Address of property being improved: U. Co 20 QQ,,�i•, c, u-C P I ia—a L, (- ,,, General description of improvements: eo t^n f I e F R e,ra a E u -, G A-- z,r•, ,t,,,.� 1--t Fe-' rr Shir15(,_ 1 �%� � X Owner 4��f A � ��iL-llif'� Address fi /Ye/9(4 � �—_ /9 7Z 2764 P----(.7 .---:- Owner's Owner's interest in site of the improvement .-(' Fee Simple Titleholder(if other than owner) Name /- C 4-- Address n Contractor ((1Q,-,„hp,.. Rao Fi nC C„.r,}-rgc•c-cr 1 ( L) L Address z c S b IC, r\ i Ct rct� 30(.4. 0, 1.3e f�ct,. . If'Qc c F.(c r, 4 c_ 2226"4- Phone No. -.CGS - `i'\'z.. Fax No. Surety(if any) '1 Address N 1 t Amount of bond $ X. Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address 1. '- Phone No. Fax No. Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name Address P\ I Pi- Phone rPhone 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 1n ' Address J \ Phone 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): THIS SPACE FOR RECORDER'S USE ONLY /,. Oi N— �. /Signed: ilti .� DATE // Before this • day of / t V^-si S iv" 2.e 5 in the Doc#2019269365,OR BK 19013 Page 525, Count of Duval,State of Florida,has personally appeared Number Pages: 1 '3 ,,,..t S)/'c-1 c �1 .r, herein by Recorded 11/21/2019 10:54 AM, himself/herself and affirms that all statements and declarations herein RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL are true and accurate COUNTY RECORDING $10.00 P � Notary Public State of Florida , Eugene P.Wagner Jr , ry"'‘.; cMyCommission GG125186 4 04-5 7 c P�-1 G'rz S Osn4 ExPires 0 7/1 712 02 1 Notary Public at Large,State of F-1,,'.of -,,. - ..4y„,1_ _ , My commission expires: 7 / 7•- Z C 1– 1 Personally Known 1— or Produced Identification