1060 Seminole RERF20-0042 Shingle REROOF SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RERF20-0042
800 SEMINOLE ROAD ISSUED: 3/2/2020
<1.o'a Jr ATLANTIC BEACH. FL 32233 EXPIRES: 8/29/2020
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:
-
1060 SEMINOLE RD REROOF SHINGLE shingle re-roof
FL10124 $13939.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171975 0000 SELVA MARINA UNIT 03
COMPANY: ADDRESS: CITY: STATE: ZIP:
FLORIDA ROOFING 4320 DEERWOOD LAKE PARKWAY JACKSONVILLE FL 32216
EXPERTS 1001-403
OWNER: ADDRESS: CITY: STATE: ZIP:
NEVILLE ELIZABETH B/E 1060 SEMINOLE RD ATLANTIC BEACH FL 32233-5528
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.
1 BUILDING ROOF IN-PROGRESS INSPECTION INFORMATIONAL
Notes:
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $120.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date:3/2/2020 1 of 2
..A.,,,74, REROOF SHINGLE PERMIT PERMIT NUMBER
6' r 4 RERF20-0042
CITY OF ATLANTIC BEACH
,, �' ISSUED: 3/2/2020
800 SEMINOLE ROAD
��°'; .9>' ATLANTIC BEACH, FL 32233 EXPIRES: 8/29/2020
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$124.00
Issued Date: 3/2/2020 2 of 2
• sS "'''`% Building Permit Application Updated 10/9/18
A lo City of Atlantic Beach Building Department "ALL INFORMATION
.Y 800 Seminole Road, Atlantic Beach, FL 32233 HIGHUGHTED IN GRAY
pjj°` IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: 1060 Seminole Rd. ; Atlantic Beach, FL 32233 Permit Number: e E-' I`�J
- Fa 6)0 -(3,
Legal Description Sew. f1 geina UtieS-3 IIG \del.S fir} Wr% %til RE#
Valuation of Work(Replacement Cost)$ 13 ")3---1 . �� Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New DAddition []Alteration Repair DMove ❑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 proiect? ❑Yes(must submit separate Tree Removal Permit) ❑No
Describe in detail the type of work to be performed: Re-roof % 3 ZScA ` 3112
Florida Product Approval# ‘ u 12 -k - IZZO for multiple products use product approval form
Property Owner Information
Name Elizabeth Neville Address 1060 Seminole Rd.
City Atlantic Beach State FL Zip 32233 Phone 904-553-8223
E-Mail Patrick.neville@fvsps.com
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Compan 1„.. .,,, _ .: sa. Qualifying Agent —rz ar4 S
Address y fl L 463 City 5D�)( State R �Z1(.
Office Phone(qoy\ 32Y—(o %y4 � Job Site Contact Number
State Certification/Registration# (-(L\' 2. ' 1 E-Mail F ,g4S.ropL;nc3GxQtcQ004\01A.A.eill
Architect Name& Phone#
Engineer's Name&Phone#
Workers Compensation Insures Ic1.6 nue1'_cA\ OR Exempt ❑ Expiration Date —i 202_\
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
RECORDING YOUR NOTICE OF COMMENCEMENT.
(Signature of Owner or Agent) (Signature of Contractor)
Signed and sworn to(or affirmed)before me this 19 day of Signed—r�\D and sworn to(or affirmed)before me this 2\day of
February , 2020 ,by C Ll 413ETN c
N .l i LLt- ,IND , by .---\-- ;5 S\c. fit('
Signature of Notary) lana re of Nr tary)
� ��''•, BRIAN R�USON ,�*Y�� TIFFANY NEAL
NotaryPublic•Sate of FlonCa °
r: n MY COMMISSION#GG229074
f�ersonall Known OR 4, i ® Commission#66 951005 M ersonall Known OR EXPIRES.JUN 14,2022
y , .''or . My Comm.Expires Jan 26,2024 I y o Bonded through 1st State Insurance
[ )Produced Identification „• [ ]Produced Identification 9
q Bonded thrush National Notary Assn. 0
Type of Identification: Type of Identification:
Doc # 2020045803, OR BK 19118 Page 1743, Number Pages: 1 ,
Recorded 02/26/2020 04 :07 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. —__ Tax Folio No —_-- _—State of County of
To whom It may concern:
The undersigned hereby Informs you that Improvements will be made to certain real property,and In
accordance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF
COMMENCEMENT. C M '2
Legal description of property being improved: �+e_`Ui 1 yl!^r tf1 h Un't\ 3
N LOA- 1 6D c- Low It,
Address of property being improved: 1060 Seminole Rd.lAtlantic Beach, FL 32233
General description of improvements: Re-roof
Owner Elizabeth Neville
Address 1060 Seminole Rd. ;Atlantic Beach, FL 32233
Owner's interest in site of the improvement Owner N�
Fee Simple Titleholder(if other than owner)
Name
Address
contractor cif]r 4, am, V.Clokn
Address 4.32LI
�r14�r 1r� 5� hL.e )1CJt(��
Phone No.( \3Z%-i01-1� Fax No. l %(#V ) 1—t.i "AV)
Surety(if any) ----
Address Amount of bond$
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,designated by owner upon whom notices or other
documents may be served:
Name
Address
Phone No. Fax No.
In addition to hrnself,owner designates the following person to receive a copy of the Lienors Notice as provided in
Section 713.06(2)(b).Florida Statutes.(Fill in at Owner's option)
Name
Address
Phone No. Fax No.
Exprratton date of Nonce of Commencement(the expiration dates one(1)year from the date of recording unless a
different date is specified) _ -----
THIS SPACE FOR RECORDER'S USE ONLY OWNER yQ �)
Sien.d .,II 412I . DATE "Z �1 r 2z LGA
Wove mo.". day. ssTy tMg:�1t In IN*
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County d C tel Stab of Flartda.Ito. . . y nation
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hhnael6'Monett and earns that all Vats menet and dadaretbne nerve
I � URIAN AOLISOH I . aro rue w, eccvrab
• t1 Notary Public-State of Florida
CommHe xl t GG 951005
ry My Comm.Exptret Jan 26.2024
4 Bonded through National Notary Assn. I
Notary Pudic M Lags,StaeP L Coutiyor QuvtaL
ieonally xrt
Cao identftcabon