730 Plaza RERF20-0029 Shingle f"'" REROOF SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RERF20-0029
0 - ISSUED: 2/13/2020
800 SEMINOLE ROAD
4D'ti9r 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:
730 PLAZA REROOF SHINGLE shingle re roof FL16305 RS $8488.00
&2135D-R3
TYPE OF I REAL ESTATE ! a BUILDING USE
ZONING: I SUBDIVISION:
CONSTRUCTION: j NUMBER: s GROUP:
171290 0000 ROYAL PALMS UNIT 02
COMPANY: ADDRESS: CITY: I STATE: ZIP:
All Pro Roofing &
Consulting LLC 9143 Philips HWY JACKSONVILLE FL 32256
OWNER: ADDRESS: i CITY: STATE: ZIP:
Rachel Martin 730 PLAZA ATLANTIC BEACH FL 32233-3932
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:$99.00
Issued Date: 2/13/2020 1 of 2
- rtJ:ur'
' „ REROOF SHINGLE PERMIT PERMIT NUMBER
YS fr
CITY OF ATLANTIC BEACH RERF20-0029
,, v 800 SEMINOLE ROAD ISSUED: 2/13/2020
`''; We ATLANTIC BEACH. FL 32233 EXPIRES: 8/11/2020
Issued Date:2/13/2020 2 of 2
Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department **ALL INFORMATION
011,- 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
u i IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.usg-
Job Address: —23D "PtnI(j 34.19enit Number: 61- I C
� d 0—d 0
Legal Description ��4 17-Is-NE '&¢,1 ?,ams Sl U f2 (rk 17 bllc\$ RE# (7 I 2_4 0 -Q 0 0 O
Valuation of Work(Replacement Cost)$% y�gf ob 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 ptesidential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes ONo
• Will trees)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:
re "Coo,
Florida Product Approvalic �' F1t. D Q3 for multiple products use product approval form
PropertyOwner Information
Name it'Y;c14totl L (Aca j,rt_ LLC/ Address 73 9( Vo 1e Deo/e_
City 3-4C.1/411 (\V t I 1 e, State a Zip :52.27 7 PhoneLTIO 'W4 y 3a 3
E-Mail CoA c - rip r-Sipcjlm,'l.ccwr
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company Alt prr.r Pt d-cortsuIft rk, Qualifying Agent ;O,r\ DA►yli G)
Address 1)Le33 Ft- i'i f"1LN `r l City,ScArA V I at. State FL Zip72J9_1 i
Office Phone L)y 7 /Q 2 _ Job Site Contact Number 4[Y-1 -S1-15-QCo x' 7
State Certification/Registration# ((�(' i?Z-1Oj�o E-Mail1J'Y'ic pa('pro(ex:PP:el 1(C .CDrv?
Architect Name&Phone# J
Engineer's Name&Phone#
Workers Compensation Insurer KOt3k j Leef^iO3 Gar ,ri.-A OR Exempt❑ Expiration Date �J��5 J 7O2cD
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 ATTORNEY BEFORE
R R I G,Y0pR NOTICE OF COMMENCEMENT.
(Signature of owner or A nt) (Signature of Con or)
Si ed and sworn to^(or affirm d)beforettme this� q
lday of Signed and sworn to(or affirmed)before me this, day of
• c O ,by +LVZI L.,1'/�ca— I'e,brgoc , "1.11,1J,by Brun ban-o c D
fkr i• .t r-oo ar )
11 NOTARY PUBLIC
rlr Notary Public State of Florida
``'I ' STATE OF FLORIDA Heather Knight
Personally Known OR `' Comm#GG0483851,4Personally Known *•v_ My Commission GG 939010
[ )Produced Identification Expires 11/20/2020 11 Produced Identific ion aw Expires 12711!2023
Type of Identification: Type of Identification:
--.---____ eea17ier -f`X,;c�r
Doc # 2020032600, OR BK 19100 Page 1396, Number Pages : 1 ,
Recorded 02/11/2020 09: 17 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 .00
NOTICE OF COMMENCEMENT
(PREPARE tl DUPLICATE)
Permit No. Tax Folio No.
State of b9. },k County of Dt)V A..
To whom It may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and In
accordance with Section 713 of the Florida Statutes,the following information is stated In this NOTICE OF
COMMENCEMENT. F
Legal description of pro ] bt;ing improved:
_ .)C ' 9 j 7_ v^
Lr 17 6 1
Address of property being improved: ) _
fucl� tFLl 54}`-.,f
General description of Improvements: IReo-Pr r+'C
Address?. V o C �C\ 1 \ )0011)( is I�r \" t 7)Z2:7
Owners interest in site of the improvement L)kiV Y( C
Fee Simple Titleholder(if other than owner) -_
Name
Address
Contractor 1\ I �"f<' 14) t j ? C 1- 11f,'l 1 _L
Address l l/n(�A 2, P�1 \ ;_ r�":'. ��vV 17l A`,rk1 1111( F L 1 75(p
Phone No.gill X31 1 4, Fax No.
Surety(1 any)
Address Amount of bond S
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
Address
Phone No. Fax No.
Name of person within the State of Florida,other than himself or herself,designated by owner upon whom
notices or other documents may be served:
Name
Address
Phone No- Fax No.
In addition to himself or herself,owner designates the following person to receive a copy of the Lienor's Notice as
provided in Section 713.06(2)(b),Florida Statutes.(FIN in at Owner's option).
Name
Address
Phone No- Fax No.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of records ig unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
s, , . ' • ,i ..: _ 11 .. ars
Dafor-me th,4 r a.y of :31 a7,7h re- h
nt
Couf Dv sl, ata brid has parson Q appeared.
AYrxaff!narsNr and aMrms e,al st..- , .., .Ti s
are true and accurate fNOTARY PUtiIJC
I
. STATE OF FLORIDA
•� •r rn##GG048385
r ''-•' is • J)t$lres 11/20/2020
Nota LaStatao County of�JyJ
My corrrnissbn excites:
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