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620 Sailfish Dr RERF19-0173 Shingle REROOF SHINGLE PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH RERF19-0173 ,V ~, 800 SEMINOLE ROAD ISSUED: 12/2/2019 ATLANTIC BEACH. FL 32233 EXPIRES: 5/30/2020 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: 620 SAILFISH DR REROOF SHINGLE SHINGLE ROOF $6000.00 TYPE OF REAL ESTATE I ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 171217 0000 ROYAL PALMS UNIT 01 COMPANY: ADDRESS: CITY: STATE: ZIP: TAURUS ROOFING 1701 THE GREEN WAY JACKSONVILLE FL 32250 BEACH OWNER: I ADDRESS: CITY: STATE: ZIP: WEIMER RICHARD E 620 SAILFISH DR ATLANTIC BEACH FL 32233 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 $85.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $89.00 Issued Date: 12/2/2019 1 of 2 --1'-'"./>ni REROOF SHINGLE PERMIT PERMIT NUMBER "`.r _ CITY OF ATLANTIC BEACH RERF19-0173 ,1 ' �~ 800 SEMINOLE ROAD ISSUED: 12/2/2019 ``'';19� ATLANTIC BEACH. FL 32233 EXPIRES: 5/30/2020 4 Issued Date: 12/2/2019 2 of 2 1'�'"/ri, Building Permit Application Updated 10/9/18 '� City of Atlantic Beach Building Department **ALL INFORMATION r 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY . utt IS REQUIRED. // nW Phone:, (904)( 247-5826 Email:� _ �/ Building-Dept@coab.us Job Address: 6 _ca(1 314 Or e A'1� -4 6J!L%4 /ft- 32i ;'permit Number: R --- RF--(9 - DI- 73 Legal Description ;0-60 (7-2S-l7( Aral 4N(s U f el32 K,SRE# /7(2(7 -coo° Valuation of Work(Replacement Cost)$ boeQ Heated/Cooled SF Non-Heated/Cooled • Class of Work: ❑New ❑Addition DAlteration ,1 i epair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): OCommercial O'Residential • If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No • Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) ►.C7No Describe in detail the type of work to be performed: repo o AofrS e tirrn ara--k -/ 441/1403 Florida Product Approval# FL (ob7p f-R/S /SZ/b -QS for multiple products use product approval form Property Owner Information /� /n� Name fr (.I/L°e .t/ Address 6* ...a(/ ) v` • City ,�•ti< akr-ire $tad, ' State fL Zip 32233 Phone p'o44 -544-5-O4�3 .S� E-Mail 'f�S�tce<l0� p rq,l�op • coal Owner or Agent(If Agent, Power of Attorney or Agenc Letter Required) Contractor Information ' R V/(V S p©F-f/l� c / / Name of Company prime(( CQ&cLJt GLC Quali ing Aaent /1-(('4,Ae(( TGA I! Address(70( At �'V PscS GVct y A1(2S City Tat (�.Li State r� Zip .32-05-v Office Phone 9'O/gt5 3Zb3 ( Job Site Conta t Number State Certification/Registration# �CC1332/2� E-Mail ,/!l1.4 'i Zl�ivc /7-01ce.y• (On/ Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer OR Exemptexpiration Date 7/10 /22 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 IseRECORDIN R NOTICE/OF COMMENCEMENT. (Signature of Owner or Agent) (Signature of Contractor) Sii red and sworn to(or affirmed before a this (9.( day of Sig I ed and sworn to(aor affirmed)before me tpis 'f day of /Voile,....kx, )( 1 ,by i c A. 1. G M tib .e�U , ( t ,by lig ()V�J ( ZAN , v. ure oNotary) , ,�.%;fit. JANET NICOLE PRINDLE ,•. . : MY COMMISSION#FF 995318 i " "eNET NICOLE PRINDLE EXPIRES:September 23,2020 •: N� Mifjpc: OMMISSIONqFF995318 11.nt 1";, `; ersonally Known ORN •Nm :•=Personally Known ' ,E.., ry �`,oERES:September23,2020[ o Bonded Th u Nota Public Unde writers [ 1 Produced Identifica __ [ ]Produced Identification .;;�,,oP' Type of Identification: Type of Identification: Bonderu NotaryPublic Underwriters Doc # 2019273114 , OR BK 19018 Page 1896, Number Pages : 1 , Recorded 11/26/2019 02 :20 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10 . 00 , NOTICE OF COMMENCEMENT �7 r� State of f Qfs�a Tax Folio No. /'I 1 2-17 "r9D©Q County of (/A, [ To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. • •Legal Description of property being improved: 3o- 60 (7- 2g -2qE// /oc(o�,i f' S �Ll//u=t f �Lo13Z 44t c Address of property being improved: (�10 .SQ/ 'I s4 f// E K 44117c Acit, AL 3222 General description of improvements: ��c f' 1. Owner. (G,A:trl We1 el / Address:// (o 2 ,.�c{r/hA 9/ iE /iI4t ,k4,4' A. Owner's interest in site of the improvement: /lt ,�f. !✓ 72233 Fee Simple Titleholder(if other than owner): r Name: - n /ill/n/5 Contractor: Or// L(( L O it /i4A5 1-1-- . Ak T i#v /40,15`S Address: /?2( 7 �!�i e eek.S G(mff 'us K 6t/ / USD Wel-Telephone No.: l e - S- 3263 ( Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: . Address: 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: Telephone No: Fax No: • In addition to himself, owner designates the following person to receive a copy of the-Uenor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from tike dac of_reVIrcliniliaLiiii.144Wfieipt date is specified): '.5:%\. JANET N;COLEPRINO1E ti; R MY COMMISSIONS FF 995310 This SPACE FOR RECORDER'S USE ONLY OWNERAorEXPIRES:Sepember29,?nen ' '. N°� Bonded T1vu Notary Pubrm nderwrfkrs r A/ Signed: di i,,_,Z, Date: It I Before me his i day of a Vert. ?OI' the Counof Duval,State Of Florida,has personally appeared /i O d rr ty e..M / Notary Public at Large,State of Florida,CRunty of Duval. My commission expires: . ,� '3 2C'a� — Personally Known. or Produced Identification: