80 W 14th St RERF20-0018 Shingle •
, 1---'�' r,,,„ REROOF SHINGLE PERMIT PERMIT NUMBER' ,�
�*;.t- .0. CITY OF ATLANTIC BEACH RERF20-0018
800 SEMINOLE ROAD ISSUED: 1/31/2020
o;il�%' EXPIRES: 7/29/2020
ATLANTIC BEACH. FL 32233
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:
80 W 14TH ST REROOF SHINGLE SHINGLE ROOF $4500.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170802 0000 ATLANTIC BEACH SEC H
COMPANY: ADDRESS: CITY: I STATE: ZIP:
CG ROOFING GROUP, LLC 4320 DEERWOOD LAKE PARKWAY JACKSONVILLE FL 32216
OWNER: ADDRESS: I CITY: STATE: I ZIP:
KRESS KEVIN J 80 W 14TH ST 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.
� F[, a?' t v ":'a r re a^"4a�%" i3 ` t -n T, T" ,, -,,•, r a6+li ,15 m. 5.n'..,r, ,.," v. r-
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $75.00
' STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $79.00
Issued Date: 1/31/2020 1 of 1
Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building
�-Dept@coab.us IS REQUIRED.
REJob Address: 2 O W i4 I , Pa Frt ler: ��C�� OO I v
Legal Description I / / RE#
Valuation of Work(Replacement Cost)$ 7`550 • 00 Heated/Cooled SF Non- Heated/Cooled
• Class of Work: Flew ❑Addition ❑Alteration ❑Repair ElMove 1Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): DCommercial "dlesidential
• 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 l-formed: ��
rem
Florida Product Approval# I--/O/244 for multiple products u e pro uct approval form
Property Owner Informations/ (�,� �
Name �(/1/I►� S f ess Address W W ' R. "a-ars
Cityv O�� tate Zip Phone —(0/6 —15,9/
E-Mail g • 00✓1/1
Owner or AgeTlt(If Agent, Power of orney or Agency Letter Required)
Contractor Information
Name of om any • y��� J#,./ Qualifyin Agent
Address �•7A l�� "111: City "X State Zip -3?-a-1(0
Office Phone (Ai • i i'. • •, Site Contact Number f
State Certification/Registration# .l r' ,0. - ail �g j Lr� n l • '11.J.1�
Architect Name& Phone# 1
Engineer's Name& Phone#
Workers Compensation Insurer OR Exempt o 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 LENDS OR AN ATTORNEY BEFORE
RECORDING Y• RAN•TICS..e + MENCEMENT.
(Si: a.afe of Owner or Agent) (Signa ure of Contractor)
S t svysrn�06r affirmed) befo(e met i day o� 5 d and s r I56r affirm-- be •r- e this OVday of
�J((�/(( v� by �� • Qn la� ��/v , by' 1A.'%�
/ • '
_
GGG20�3 Evelln DIE (Si ,'e of otar (�na re of Notar ./
j` s * Eon:AO 4,2012 ` 'f.1 Ewen t
-rsiondoitNOM )CPersonally Known OR ,144?.. (;pfll1S310f1 ci`.'uu�
'^41 •roduced Identification [ ]Produced Identificatio6i. s t EipItvs.April 4,2022
Type of Identification: Type of Identification: f ;y�t:;" t
Legal Description :
18-34 17-2S-29E .075 SEC H ATLANTIC BEACH W 32.35FT LOT 5 BLK 56
NOTICE OF COMMENCEMENT
State of Tax Folio No.
County of DtIV4
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 off pr�ng im r v d: _
, , I� I.
Address of property being improved: W1 l"i ' st A r ✓��' 3—
--BerZ\
General description of improvements. 1+G� _tile;
Owner:' etAA65 F-Y Address:W 14*Akta
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Nam-:
Contractor: � 1
Addres 5144//0/43-.3 I )' j5a91(40
Telephone No.9/ —3774:36:76p Fax N .
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 Lienor'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 the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Doc#2020018403,OR BK 19080 Page 309, Signed: �� Date: k
Number Pages:2 Before is .� ' day of i'A ,:a•:La in the County of Duval,State
Recorded 01/2412020 08:54 AM,
Of Florida,has personally
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL p sonally appeared y\ C:
COUNTY Votary Public at Large,State of Flo_rid C unty of uval. 1� 3
RECORDING $18.50 1y commission expires: V!' ITL b __. �tof1 �
'ersonally Known: -
t �^"�
Produced Identification: �1,_ +� r: loyedte 14g°1t�
e�F