The URL can be used to link to this page

595 Selva Lakes Cir RERF19-0187 Shingle S='''9%-.,,*, REROOF SHINGLE PERMIT PERMIT NUMBER rte � RERF19-0187 ; . ' CITY OF ATLANTIC BEACH ISSUED: 12/30/2019 800 SEMINOLE ROAD Ao111%7 ATLANTIC BEACH. FL 32233 EXPIRES: 6/27/2020 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: 595 SELVA LAKES CIR REROOF SHINGLE SHINGLE ROOF $10685.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 172027 5540 SELVA LAKES UNIT 02 COMPANY: ADDRESS: CITY: STATE: ZIP: PRIME ROOF 13725 BEACH BOULEVARD, #13 JACKSONVILLE FL 32224 CONTRACTING LLC OWNER: ADDRESS: CITY: STATE: ZIP: SUMNER CAREY DAVIS 595 SELVA LAKES CIR 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. o, 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: 12/30/2019 1 of 2 - r1 „ -fir , REROOF SHINGLE PERMIT PERMIT NUMBER ��► " ,. CITY OF ATLANTIC BEACH RERF19-0187 \�r ISSUED: 12/30/2019 l' u 800 SEMINOLE ROAD EXPIRES: 6/27/2020 ATLANTIC BEACH. FL 32233 Issued Date: 12/30/2019 2 of 2 Building Permit Application City of Atlantic Beach 7.1 800 Seminole Road,Atlantic Beach, FL 32233 Phone: (904)247-5826 Fax: (904)247-5845 Job Address: 595 Selva Lakes Cir, Atlantic Beach, FL 32233 Permit Number: � G i��I ` C Ji 87 Legal Description 43-11 17-2S-29E SELVA LAKES UNIT 2 LOT 72 RE# Valuation of Work(Replacement Cost)$10,685.00 Heated/Cooled SF 1551 Non-Heated/Cooled 439 • Class of Work(Circle one): New Addition (Iteratiot Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercialesidentia • If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No 40 • 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: Replace roof with asphalt shingles Florida Product Approval#FL10674-R12(shingles) FL17420-R2(synthetic) for multiple products use product approval form Property Owner Information Name: Carey Davis Sumner and Kimberly M Sumner Address: 595 Selva Lakes Cir City ATLANTIC BEACH State FL Zip 32233 Phone 256-417-8201 E-Mail Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Name of Company: Prime Roof Contracting, LLC Qualifying Agent: Mark Young Address 13725 Beach Blvd Suite 13 City Jacksonville State FL Zip 32224 Office Phone (904) 530-1446 Job Site/Contact Number (904)860-0230 State Certification/Registration# CCC1329505 E-Mail office@primeroofingfl.com Architect Name&Phone# Engineer's Name&Phone# Workers Compensation FRSA Self Insurers Fund Inc. 12/31/19 870-040093/3EE6142 _ Exempt/Insurer/Lease Employees/Expiration Date R Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has E 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. 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 OBTAI FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE R. •R D = YOUR NOTICE OF COMMENCEMENT. /e/� / � , .1//, rignature of Owner or Agent including Contractor) (Sig,ature of Co ��ctor) Sig girand sworn to(or affirmed)before me this Z°lJiday of Signed and sworn to(or .ffirmed) e me this 301ttlay of �(L , WI. ,by Car `` SUiviVI(J f)tc , /QtG,by 7 Al . ♦..ate // t.i u (Signa ure o Notary) ra. 41 �7 `> ��Y ncrew u. cries , , COMMISSION I�GG241220 « • �COMMISSION GG241220 Personal) Known 0�, '�t;r`� EXPIRES: Sept 1T, 2022 ersonall Known OR� -�- y � �, ,•` Bonded Pim Aron Notary [-}'¢ ys;�,,= EXPIRES: Sept 17, 2022 [ ]Produced Identification [ ]Produced Identification L� �. BondedrnN Mron Notary Type of Identification: Type of Identification: �mm�� Notary NOTICE OF COMMENCEMENT (PREPARE IN 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 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:43-11 17-2S-29E SELVA LAKES UNIT 2 LOT 72 Address of property being improved:595 Selva Lakes Cir,Atlantic Beach,FL 32233 General description of improvements:Re-roof Owner Carey Davis Sumner and Kimberly M Sumner Address595 Selva Lakes Cir,Atlantic Beach,FL 32233 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Prime Roof Contracting,LLC Address 13725 Beach Blvd Suite 13,Jacksonville,FL 32224 Phone No.(904)625-1446 Fax No. Surety(if any) Address Amount of bond$ Phone 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 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 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 different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER �y11 Signed: DATE \ �Before me I day of p in t County f Duval,State ofFloorrida,h persona ly appear Y f d� D. Davisist himself/he herself affirms that ell and dec io ''i ei*�COMMISSIONS�241220 Doc#2019295203,OR BK 19051 Page 1963, are true and accurate _ .� Number Pages:1 � EXPIRES:Sept 17,20y122, Recorded 12/30/2019 01:46 PM, '41 fiir�"��,` Bo Dm Aaron Notary RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY N ry Public at Large, ate of County of viAIC RECORDING $10.00 My commission expirzyIA • Personally Known t/ / or Produced Identification