575 Vikings Ln RERF20-0041 Shingle =t'r'a--,,, REROOF SHINGLE PERMIT PERMIT NUMBER
r '! RERF20-0041
�y -) CITY OF ATLANTIC BEACH ISSUED: 3/2/2020
800 SEMINOLE ROAD
-4,i1 �'r EXPIRES: 8/29/2020
ATLANTIC BEACH. FL 32233
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:
575 VIKINGS LN REROOF SHINGLE shingle re-roof FL10124 $10700.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170703 0244 SEASPRAY
COMPANY: ADDRESS: CITY: STATE: ZIP:
FLORIDA ROOFING 4320 DEERWOOD LAKE PARKWAY JACKSONVILLE FL 32216
EXPERTS 1001-403
OWNER: ADDRESS: CITY: STATE: ZIP:
BASILE KAREN M 575 VIKINGS LN ATLANTIC BEACH FL 32233-4150
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 .x_
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $105.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date:3/2/2020 1 of 2
Or
7"-- '''%%, REROOF SHINGLE PERMIT PERMIT NUMBER
! .: t! RERF20-0041
�, CITY OF ATLANTIC BEACH
i, s; ISSUED: 3/2/2020
\\ 800 SEMINOLE ROAD
o'i} ATLANTIC BEACH, FL 32233 EXPIRES: 8/29/2020
STATE DCA SURCHARGE I 455-0000-208-0600 0 $2.001
TOTAL:$109.00
Issued Date:3/2/2020 2 of 2
1--- 'I .. Building Permit Application Updated 10/9/18
; City of Atlantic Beach Building Department **ALL INFORMATION
\r 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
''--,_"/it 9' IS REQUIRED.
Phone: (904) 247-582b Email: Building-Dept@coab.us
Job Address: 575 Vikings Lane ; Atlantic Beach, FL 32233 Permit Number: e-R-F d 0 U CD\-1 1
Legal Descriptiong(r 1-(3\- 'it ieML.. ` RE#
Valuation of Work(Replacement Cost)$ lO Cl 00 , b1' Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ElAddition CAlteration Aepair ❑Move ❑Demo ❑Pool ❑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: Re-roof 2 -7 Sci t LAI I Z,
Florida Product Approval# 1 D\ZtA - Z-0 for multiple products use product approval form
Property Owner Information
Name Karen Basile Address 575 Vikings Lane
City Atlantic Beach State FL Zip 32233 Phone 904-249-2118
E-Mail Karenmbasile@gmail.com
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information - \
Name of Company FI O-‘ &- 1~-Nc� Qualifying Agent-7;60A'S V`g;u, Cr
il
AddressL\T LO Ce.erk,00 a LAW-4- WPwt./ 4I0 5 City JGti C State *FL Zip - 1----1-k L
Office Phonergb- Z-7...`6-CP Yt{� I Job Site Contact Number �" ��
State Certification/Registration# CLC 122,9 O9, C. e E-Mail c\c-c t-w cr-A-5( Cure•torr,
Architect Name& Phone#
Engineer's Name& Phone#
Workers Compensation Insurer I IC S t-Aul ct_k_ . OR Exempt ❑ Expiration Date 1 - ) - 2O21
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
RECO NG YO NOTICE OF COMMENCEMENT.
Signature of Owner or Agent) (Signa ure of Contractor)
Signed and sworn to(or affirmed) before me this day of Signed
\and sworn to(or affirmed)before me this 24 day of
February 2020 by fLE '/, 5 I L C. VP rD , 2.�0, b -.......-777--6...4.4 �4k-€C
G7l-�" - • fit
ature of Notary) •nat a of Notary)
—----——-—— a a —♦ 4,0
PI
P(, TIFFANY NEAL
I :.� ,► BRIAN ROLISON COMMISSION#GG229074
[personally Known OR ( '_;, r `, Notary holic•State of Florida P' rsonally Known OREXPIRESJUN 14,2022
[ ) Produced Identificatio 'W° oi iR1.sE1011N Gn 26,2 [ i Produced Identification Bonded through 1st State Insurance
Type of Identification: ryor n My Comm.Ex,ires Jan 26,2024 I Type of Identification:
Doc # 2020045798, OR BK 19118 Page 1736, Number Pages: 1 ,
Recorded 02/26/2020 04 :05 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10. 00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. _ Tex Folio No,
State of
-__��---__ County of
To whom It may concern:
The undersigned hereby Informs you that Improvements will be made to certain real property,and In
accordance with Section 713 of the Florida Statutes,the following Information Is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property be,ng improved: Ofltit� LONr QL \\t. \
Address of property being improved: 575 Vikings Lane ;Atlantic Beach, FL 32233
General description of improvements: Re-roof
owner Karen Basile
Address 575 Vikings Lane ;Atlantic Beach, FL 32233
Owners interest In site of the improvement Owner
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Fla :4lS_QpCin :- EkpQ r s
Address 4k2l'
f\0 X•r wo. ( x,j, ?Ira L{03 Phone
tt
Phone No. D'1 Fax No.f P J WO `ae1k
Surety(if any)
Address Amount of bond$
Prion No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
Address
Phone No. Fax N0.
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 adds on to himself.owner designates the following person to receive a copy of the L:enox's Notice as provided in
Section 713.06(2)(b),Flonda 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 specs sed):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
/ • LR_
Ba r•m•this 'd U-d:�' DATE In 7N
County o!Curd.Stabs Of FIaAai,halo ly••• •fW
ILMFtt.G1J CS/1 i(-t Nordin by
Ili\.w rurnrBe Norval aro.shim that NI stalsmants aro deci.raions heroin
1J+ BRIAN BOLISOS i ato true and occurred
`+1/ � . Notary Public•Stitt Of Florida Commission 0 GG 951005
My Comm.Expires Jen 26,2024 IXCI
Bonded through satlontl?wary Aun. 11 -
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