1857 Beach Ave RERF20-0039 Shingle `'S'�'''r%' REROOF SHINGLE PERMIT PERMIT NUMBER
titiCITY OF ATLANTIC BEACH
RERF20-0039
800 SEMINOLE ROAD
ISSUED: 3/4/2020
��v';'9� ATLANTIC BEACH. FL 32233 EXPIRES: 8/31/2020
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:
1857 BEACH AVE REROOF SHINGLE SHINGLE ROOF $8816.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169723 1120 THE NAUTILUS
CONDOMINIUM
COMPANY: ADDRESS: CITY: STATE: ZIP:
LOCKHART
CONSTRUCTION & 5380 TIMBERLINE DRIVE JACKSONVILLE FL 32277
ROOFING SERVICES
OWNER: ADDRESS: CITY: STATE: ZIP:
MILLER JASON SCOTT 1857 BEACH AVE ATLANTIC BEACH FL 32233-5938
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.
FEES
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: 3/4/2020 1 of 2
REROOF SHINGLE PERMIT PERMIT NUMBER
'"41-? CITY OF ATLANTIC BEACH RERF20-0039
B " S ISSUED: 3/4/2020
v f 800 SEMINOLE ROAD EXPIRES: 8/31/2020
ATLANTIC BEACH. FL 32233
Issued Date:3/4/2020 2 of 2
Building Permit Application U � �u
000., City of Atlantic Beach Building Department ••All INFORMAT1ON
800 Seminole Road, Atlantic Beach, Fl 32233 NIGNUGNTED IN GRAY
Phone: (9041247-5826 Email: Building-Dept:I b.ts REQUIRED.1 57 1_ ec..u-h RC---.RF20cob Address: -6039
4 : 1�� i� �r� �� li illy;r.� � :.1.,E r.. ,. . 3-, Permit Number_
Legal Description •- 'f Thi Mho . • •_ • - sr; 't',: . . RIM i•
L;
Valuation of Work"Replacement Cost)S - Heated/Cooled P Non-Heated/Cooled
• Claw of Work .7New L'AddibOn CAtteraron rtRepa+e ■Move Menlo Poo CWindovx/Door
• Use of existing/preposed stnrcturelsl: L."Commercial E ltesldentcal
• if an existing structure.is a fore sprinkler system installed?: CYes CNo
• W4 tree(sl De rerrto ed in association with oroc ed orolett?Dyes Intuit submit sesame Tree Removal Peeled Cho
Describe in deter the type of work to be performed.
r ycr'.+.- r e '
Florida Product Approval>r�L t OG7g,1 -�I,.LSZ/C for multiple products use productJapproval form
Property Owner Information
Kane , _ Address - , •
City , State Zip Phone ---
E-Mail
Owner or Agent tlE Agent Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company c., • - au Qualifying Agent
Address 4if City �' o
Office Phone '7 r,' `i4�• xk" _rob Site Contact latent •
State Certrecation/Registration a •= L• %_j+ E-sAaf L_a-
Ard ltect Name&Phone I
Engineer's dime&Phone rt -
Workers Compensation Insurer OR Exempt 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 aM work*III be performed to meet the standard:of all the laws regulating
constructon in this jurisdiction.i understand that a separate perrrnt must be secured for ELECTRICAL WORE, PLUMBING, SIGNS,
WELLS. POOLS.FURNACES, BOrLERS,HEATERS, TANKS and AIR CONDITIONERS.etc. NOTICE:In add1t O to the requirements of this
permit,there may be additional restrkrions applicable to this property that may be found in the public records of this county,and
there relay be additional permits required from other gcvernme eta:entities such as water management districts,state agencies,or
federal nennes.
OWNER'S AFFIDAVIT:I certify that aA the foregoing information Is accurate and that all work will be done in compaance with all
applicable laws regulating construction and toning
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 - . • Fl NCING, ONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
R'CORDI 4 /? ICF OF COMMENCEMENT. ��l
4F•J i — . i ,o_4garr (2
Agent! iSkne re ofCcmraawd
o..,o9ioA•'CO;.
,ed and swum to I• 31' rmtd!before me this 24 day of Signed nd worn to ids affirmed]before m,th-s_day of
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NOTICE OF COMMENCEMENT
Permit No. Tax Folio No.
State of Florida County of Duval
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 of property being improved: 09-2S-29E
The Nautilus Condominiums
Dwelling Unit 1857 0/R 6537-341
Address of property being improved: 1857 Beach Avenue
Atlantic Beach,FL 32233
General description of improvements: remove and replace roofing
Owner Jason Scott Miller
Address 1857 Beach Avenue,Atlantic Beach,FL 32233
n p� Contractor Lockhart Construction and Roofing Services LLC
)/191) Address 5380 Timberline Drive.Jacksonville.FL 32277
giiPhone No. (904)994 3865 Fax No.
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 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. (Fill 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 recording unless a different
date is specified):
THIS SPACE FOR RECORDER'S USE ONLY �� I NER e _
Signed: .�� r
Date: f -lis No,,
Doc#2020044239,OR BK 19116 Page 647, Before me this d• of /l , ,� �,_ .(C,)::51-r!'
Number Pages:1 in the County of pun/tot_ ,State of Florida,has personally appeardo\o4 ,"•:
Recorded 02/25/2020 03:08 PM, S YFlLE YO iris iy hereift. •'
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL imself erself ah• affirms that all statements and declarations herein ail a; o
COUNTY
RECORDING $10.00 a and:cc Ya e. ;o
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Not.ry Public at Large,State of ' .County of it c-„ A
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