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1245 Jasmine St RERF20-0019 Shingle
� ` i- REROOF SHINGLE PERMIT PERMIT NUMBER (---- \S\ z_ CITY OF ATLANTIC BEACH RERF20-0019 ,v ISSUED: 2/3/2020 \ .�V 800 SEMINOLE ROAD 'Z o;s»'" ATLANTIC BEACH. FL 32233 EXPIRES: 8/1/2020 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: 1245 JASMINE ST REROOF SHINGLE SHINGLE ROOF $8400.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 171050 0120 ATLANTIC BEACH SEC H COMPANY: ADDRESS: CITY: STATE: ZIP: TROY RAY GUNTER 816 Trinidad RD JACKSONVILLE FL 32216 ROOFING OWNER: ADDRESS: 1 CITY: STATE: I ZIP: ROCKWELL JULIA M 54005 TURNING LEAF DR CALLAHAN FL 32011 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 $95.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $99.00 Issued Date: 2/3/2020 1 of 2 T,I.A.Nr,,, REROOF SHINGLE PERMIT PERMIT NUMBER s CITY OF ATLANTIC BEACH RERF20-0019 800 SEMINOLE ROAD ISSUED: 2/3/2020 '_Os T-)>' EXPIRES: 8/1/2020 f ATLANTIC BEACH. FL 32233 Issued Date: 2/3/2020 2 of 2 Building Permit Application Updated 10/9/18 D• u City of Atlantic Beach Building Department **ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY `' IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: /."71--)L S. "4 5, ales I,A t11--rt �iA4 Fi 3 2I.25ermit Number: R ERE Z-© ' ( ci Legal Description (�f -3 `- 3i c2 " r2'? C' 7 Sc :ef- LD 7. /3 ti<oZt2. RE# 17/ Cs- - O / O Valuation of Work(Replacement Cost)$ T 0 V 0 0 Heated/Cooled SF Non-Heated/Cooled • Class of Work: New ❑Addition DAlteration DRepair ❑Move ❑Demo ❑Pool DWindow/Door • Use of existing/proposed structure(s): ❑Commercial aFt'I?sidential • If an existing structure, is a fire sprinkler system installed?: ❑Yes I • 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: , E / ooF ( oa e Florida Product Approval#/ '1(<i> r4_ 3ss �vR;� „ c 3for multiple products use product approval form Propert Owner Information FL 'a3 `�j'.. 4.- Name JL/j.1 A- c_ .1. Address S- 0 c"5-- 77 - 4GI4F 'NN City Art-k--(AF-E4State FL Zip ..^ t( Phone E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information / Name of Company /i ( 2' i 6e-U<`ial. RObF(fwb ualifying Agent h. �5'U.J ( <%i Address tl( (,.? /7 /-VE 134_' 73cL+3 >ocity T4- 'gc( 'r S to E L. Zip 3 --.) U Office Phone �j O - Cf' 3 •-l5 7-)•- Job Sitentact Number State Certification/Registration# ( ,,24(0 D.75 1 E-Mail 7/'0 r 1-...y(4,), (•.- ” DVI 4 C rv,c, %/ C-,:,•'`-‘ Architect Name&Phone# C' Engineer's Name&Phone# Workers Compensation Insurer : LC i/ '0 e. 7, / .. OR Exempt Ertxpiration Date 6 -c..)cs,) U 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 F1ANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE? RECORDING ,b R T CE OF �MMENCEMENT. /s )7E, A,Ct/00 �reent) 2 ( 2r) ' Sned and sworn to(or affirmed)before me this,3O day of Si ned and sw rn to(or affirmeja.Defore me this3D day of -J`"V41 7 , ,2'_ ,by i;UCtf i?ilct<..JCt, c1 er .=2boLJ,by p /12°'r ? Cv4J J �f t`"(Si to of Notary) (Sir�at`ure of Notary) ,}+•:i' '''' Ta L Kent Personally Known OytY Personally Known OR ' Tammy L Kent i�� Notary Public,State of Florida [ ] Produced Identifica'th 17 * [ ] Produced Identification .t?'" Type of Identification: �; ��•• My Comm.Expires Dec 21,2021 Type iii Notary Public,,1Sttate�of 21,Florida T e of Identification: 4,,',, * My Comm.Ex "=`-'`' '%1"7" Commission No.GG 149277 9 CREz _00 t 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. / R �( Legal description of pro erty being improved: l v -3 3 V ? & 0 C t /4-71,4-"L (C_ gam - LO i Rai Address of property being improved: / "� (14-C 3701.57111/ti / 7 Ile, o3Er-c1s j � 3aaa3 General description of improvements: ie f''C F Owner J tf t l '4 R b Lx t,J &C�C� Address - (f S-/V/ IA/0- ST.- 4-TC,F}-477 c- Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address. Contractor / ':'7 Address e (11.e t rZ {� �- � I`L�. � }d L.� 3 a �' Phone No. b Gr 9 3` / Fax No. Surety(if any) Address Amount of bond $ Phone No. Fax No. Name and address of any „p rson making a loan for the construction of the improvements. Name / 'l' t"-- Address 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 sq-ved Name lv 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) (14 Florida Statutes. (Fill in at Owner's option). Name AL D L/ 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 /si• A. 404/ � . '_OWNER DATE IO'I$-a N`t Before m: this day of 6 - " in the Doc#2020024923,OR BK 19089 Page 2043, Count ,f-Duv'al,Stat of Florida,has personally appeared li'1 Ku.>e 1 I herein by Number Pages:1 himself/herself and affirms that all statements and declarations herein Recorded 01/31/2020 02:45 PM, are true and accurate RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL VIVIAN CANDAMIO COUNTY I NOTARY PUBLIC RECORDING $10.00 / STATE OF FLORIDA NO.GG 309319 s _AVNItly6F1a4FIEUL9,07,2023 Notary Public at Large,State ofnhir �i-.County of 71,-',• S7 My commission expires: �')7/ Personally Known .�i�i1 //� .J �x g,,,o 0 Q or Produced Identification