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1488 Laurel Way RERF20-0031 Shingle REROOF SHINGLE PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH RERF20-0031 800 SEMINOLE ROAD ISSUED: 2/13/2020 ATLANTIC BEACH. FL 32233 EXPIRES: 8/11/2020 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: 1488 LAUREL WAY REROOF SHINGLE SHINGLE ROOF $10000.00 TYPE OF REAL ESTATE BUILDING USE CONSTRUCTION: ! NUMBER: i ZONING: GROUP: } SUBDIVISION: 170704 0045 HIDDEN PARADISE COMPANY: ADDRESS: CITY: STATE: ZIP: Commonwealth Roofing 8833 Perimeter Park Blvd Suite 1102 Jacksonville Fl 32216 Co OWNER: ADDRESS: CITY: STATE: ZIP: CRANDALL KELLY 1488 LAUREL WAY ATLANTIC BEACH FL 322334835 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 $105.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$109.00 Issued Date: 2/13/2020 1 of 2 r ' REROOF SHINGLE PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH RERF20-0031 Yof �� ISSUED: 2/13/2020 `J,; ,� 800 SEMINOLE ROAD EXPIRES: 8/11/2020 ATLANTIC BEACH. FL 32233 Issued Date: 2/13/2020 2 of 2 t'y''''` Building Permit Application Updated 10/9/18 rCity of Atlantic Beach Building Department **ALL INFORMATION Ili \ 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY • ur:v , QPhone:C (904) 247-5826 Email: Building-Dept@coab.us IS REQUIR(E�D. Job Address: ` p 0 �au•CC, Wok/ , ��'�,an.ht- Ejtw,ni PIS 3A,23 3 Permit Number: RERF ZC vo3 ( (SValLegal Description 5'1-97 38 -AS-ME •ii (}iol ie.' Par4,�5t 1...61' ' RE# I7o7O4 ' 0045-- Valuation uation of Work(Replacement Cost)$ 101000 Heated/Cooled SF Non-Heated/Cooled • Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ElPool ❑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: (e,- cobiS - 4-_‘1. sh'?7,c€, 5-,..-7,4K,,-,-_ .-// '/-lz .,, Florida Product Approval# A2-/s'/74.'—/?20 "/ T-'/J`16 %QL for multiple products use product approval form PropertyOwner Information Name /GC-rodAddress i L qt 1,041.-r t �ay City A+1ac - Lac&c-s State FL Zip 3d-D,32 Phone 90�(-a.33 - 5(.55- E-Mail (scE-Mail peraaatl Pr+tattice e Yahoo.cM Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information t Name of Company Cm h Vde,oA . R D i,k. Qualifying]Agent Address 151.3 3 Qtrtr 'cr ks14. Blvd surto I103. City TwK.sovmIk-t.t, State Fl, Zip 314klx Office Phone Roy - 3a61 - 1431 Job Site Contact Number] r State Certification/Registration# RC--2- 0 7-- 3 E-Mail fY1 !,.ia- (-01YV CAI w'� (%pCI{h/ i(PP'', Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer 0CAVVL OR Exempt O Expiration Date 0 2. 2- I . 2 a- 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 ' '• at ORNEY BEFORE RECORDING YOUR N TICE OF COMMENCEMENT . _,4_,...:,....,__ __-____\1/4 cx..,,,4,.... ........, ----.' .,,w" 1"0/411P..... (Signature of Owner or Agent) Signa u - of . • Signed and sworn to(or affirmed)before me this AD day of S n d and sworn to(or affir . before me this! day of 0.nUGt a©au b `f1 E\\ coag�� ,zaz ,�.r�it •�, ..L. rj I `, BlOb4I�_ i/ (Sig i ure of NI 1' W.Q. all-C.,otiayy a JUDY GRIGG :.,APV P�•�4c _ [ ]Personally Known O: n: Notary Public -State of Florida sonally Known OR [ roduced Identificat .n ", ; 1 Commission # FF 996522 ]Produced Identificatio :rsc` �` TONI GINDLESPERGER tlfo s Sep 23,2020 Type of Identification: (" 1 r�' i*= MY COMMISSION#GG 353118_ Type of Identification: �'A_•� 4.:..o"t's Bonded through National Notary Assn +,R ? EXPIRES:October 6,2023 '•0t.!O' Bonded Thru No tory Public JoOerMiters NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No.DUVAL State of FLORIDA 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. 54-97 38-2S-29E .17 HIDDEN PARADISE LOT 8 Legal description of property being improved: 1488 LAUREL WAY ATLANTIC BEACH, FL 32233 Address of property being improved: General description of improvements: RE-ROOF Owner KELLY CRANDALL Address 1488 LAUREL WAY ATLANTIC BEACH,FL 32233 Owner's interest in site of the improvement PRIMARY RESIDENCE Fee Simple Titleholder(if other than owner) NA ---- —Name Address Contractor COMMONWEALTH ROOFING Address 8833 PERIMETER PARK BLVD#1 1 0 2 JACKSONVILLE FL 32216 Phone No. 9046601954 Fax No. Surety(if any) NA Address Amount of bond$ — Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name NA Address Phone No. Fax No. Name of person within the State of Florida,other than himself or herself,designated by qwner upon whom notices or other documents may be served: Name NA 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 713.06(2)(b), Florida Statutes. (Fill in at Owner's option). Name NA 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): ER rkATE THIS SPACE FOR RECORDER'S USE ONLY OWt�5N-�1VN4/1".0 BeforeiSig nth` ofBefore me this day ofg� _ DC7 i Coun y of Duval,State of Florida,bas personally peered herein by Doc#2020034476,OR BK 19103 Page 275, — �--- Number Pages: 1 himself!hersel and affirms that all state • .n• •e '•I 9 Recorded 02/12/2020 0401 PM, are true and accurate JUDY GRIGG rr��r�s ary , RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL r°�-1`t?- Notary Public State of Florida I, COUNTY ° a,‘ ' ; Commission # FF 996522 o.; My Comm.Expires Sep 13,2020, Notary Public at arge.State o RECORDING $10.00 S'c a3`t�bf��;oh Nannnal Nola y Assn u-- Y My commission expires.'' — — or Personally Known — Produced Identification ‘Ve—CS 1-�CehSC --- .S y.�pj�lf CITY OF ATLANTIC BEACH BUILDING DEPARTMENT 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 CERTIFICATE OF COMPLETION RERF20-0031 REROOF SHINGLE ISSUED: JOB ADDRESS: REAL ESTATE NUMBER: ZONING: 3/11/2020 1488 LAUREL WAY 170704 0045 DESCRIPTION OF WORK: SHINGLE ROOF OWNER: CONTRACTOR: CRANDALL KELLY Commonwealth Roofing Co 1488 LAUREL WAY 8833 Perimeter Park Blvd Suite 1102 ATLANTIC BEACH, FL 32233-1835 Jacksonville, Fl 32216 APPROVED: t.kGorbA CHIEF BUILDING OFFICIAL VOID UNLESS SIGNED BY BUILDING OFFICIAL