120 Seminole Rd RERF20-0004 Shingle REROOF SHINGLE PERMIT PERMIT NUMBER
RERF20-0004
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 1/14/2020
EL';19~ ATLANTIC BEACH. FL 32233 EXPIRES: 7/12/2020
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:
120 SEMINOLE RD REROOF SHINGLE SHINGLE ROOF $6120.00
TYPE OF REAL ESTATEZONING: i BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170589 0100 SALTAIR SEC 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
AAA ROOFMASTERS INC 5991 CHESTER AVE APT 110 JACKSONVILLE FL 32217
OWNER: ., ADDRESS: CITY: STATE: ZIP:
CHEN ZHI CHEW". 1 120 SEMINOLE RD ATLANTIC BEACH FL 32233-4141
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: 1/14/2020 1 of 1
Building Permit Application Updated10/9/18
-z — : City of Atlantic Beach Building Department **ALL INFORMATION
\J.�, `r�. /' 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
t2s / IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us RE-RP
"7r�Job Address: 120 Seminole Rd Atlantic Beach,FL 32233-4141 Permit Number: Z0'"C004-
Legal Description TOWNHOUSE 10-817-25.28E.07SALTAIRSEC 1N25FTOFWMET LOT 600.E112OF ST CL BYUIRBCH ORO 885-06.13 EYING W THEREOF.BEING PARCEL A RE# 170589-0100
Valuation of Work(Replacement Cost)$6,120.00 Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑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 project? ❑Yes(must submit separate Tree Removal Permit) ❑No
Describe in detail the type of work to be performed: REMOVE AND REPLACE EXISTING SHINGLES.
underlayment-FL15216 Shingles-FL18355.1
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name CHEN ZHI CHENG ET AL Address 120 SEMINOLE RD
City ATLANTIC BEACH State FL Zip 32233 Phone 904-532-0376
E-Mail N/A
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company AAA RoofMasters INC Qualifying Agent David M.Irvin
Address 5991 Chester Ave Suite 110 City Jacksonville State FL Zip 32217
Office Phone 904-713-7663 Job Site Contact Number
State Certification/Registration# CCC1328034 E-mail Jaxoffice@aaaroofmastersinc.com
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt VI Expiration Date 5-12-2021
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 ATTORN • •BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT. /
(Signature of Owne or Agent) (S: atu • •f Contractor)
Signed and sworn to(or affirmed before me thi t day of Signed and sworn to(or affirmed)before me this to day of
....14.." ,c At O,byP biro �c Ja.. Se ,by it. • , < , Gt
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( tg ature. Notary) (5':4r-re of Notary)
...,.:,;;;•.:',;',',4',.,._ MARIOPAULHERRERA
Ql'J..Personally Known OR ;w4-,, s- ; 'ersonally Known OR $"� , NotaryPublic-StateofFlo•iea •
;2,,. '0". MAPIOPAULaedFloERRERA Produced Identificatio . u, •=
[ ]Produced Identification '� �: Notary Public-StateoFFlorida I ,, , u CommissiorrGGt2E3s'
Type of Identification: - Commission=GG t • .1 pe of Identification: `:9- z. :oP,. MyComm.Ex.iresJul2. i
,,,.sMy Ex ires Jul 26,202i Bonded through Nonoral Notary Ass.-
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u9 Bona otary Ass-
Doc # 2020005491 , OR BK 19062 Page 1777, Number Pages: 1 ,
Recorded 01/09/2020 08:58 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 . 00
The undersigned hereby Informs you that improvements will be made to certain real property,and In
accordance with Section 713 of the Florida Statutes,the following information Is stated In this NOTICE OF
COMMENCEMENT.
TownHouse 10-8 17-2S-29E.07 SALTAIR SEC 1
Legal description of property being improved:
N 25FT OF W 85FT LOT 606,E1!2 OF ST CL BY U/R BCH ORD#65-86-13
LYING W THEREOF,BEING PARCEL A
Address of property being improved: 120 Seminole Rd Atlantic Beach,FL 32233-4141
General description of improvements: ReRoot
Owner (3 1.1-
yl� �[ �+
f_7 Ge C r�r
Address � �E'�NN��...r. �z t
Owner's interest in site of the improvement 100% J�
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor AAA Foul-masters Inc.
Address 5991 Chests-Ave Suite 110 Jacksonville,FL 32217 —_
Phone No.904.713J8&? Fax No.001-674-7019
Surety(if any)
Address Amount of bond$
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 or herself,designated by owner upon whore
notices or other documents may be served-
Name
Address
Phone No. Fax No.
In addition to himself or herself,owner designates the following person to receive a copy of the Lienor'S Notice as
provided in Section 713.08(2)(b),Florida Statutes.(Fin in al 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 ONLYo NER
Sgned: DATE -a D
e.ror.me this y� day o +stones ten _ _--_—n the
County vi Duval.Stale of Florida. person/y appearedew w „Amin by
himself/herself an DKrrrs that xN statements and declarations herein
we true and accurate
Notary Public a1 Lar'..Stale of 'L . County of reed.
My commission•spu 1Mne}r
Persona$y Krnown.ato• or
Produced klerYlrtcn
•1'''ra"^.,, MARIO PAUL HERRERA
J lot) Notary Public-Stated Florida II Commission 1 GG 128391•� My Comm.Expires Jul 26,2t121
,i. Borclyd dims*Natioraltionry kw.
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ri OE.
0 , CITY OF ATLANTIC BEACH BUILDING DEPARTMENT
15 0 800 SEMINOLE ROAD
.,0.7119'.'" ATLANTIC BEACH, FL 32233
CERTIFICATE OF COMPLETION
RERF20-0004
REROOF SHINGLE
ISSUED: JOB ADDRESS: REAL ESTATE NUMBER: ZONING:
1/22/2020 120 SEMINOLE RD 170589 0100
DESCRIPTION OF WORK:
SHINGLE ROOF
OWNER: CONTRACTOR:
CHEN ZHI CHENG ET AL AAA ROOFMASTERS INC
120 SEMINOLE RD 5991 CHESTER AVE APT 110
ATLANTIC BEACH, FL 32233-4141 JACKSONVILLE, FL 32217
APPROVED: 11 )\----4...‘ASA
CHIEF BUILDING OFFICIAL
VOID UNLESS SIGNED BY BUILDING OFFICIAL