1305 Main St RERF20-0048 Shingle .;,' -:,,',,,'/'./c, REROOF SHINGLE PERMIT PERMIT NUMBER
-,./ , RERF28
r _s-,), CITY\, , CITY ISSUED: 3/6/20200-004
800OF SEMINOLEATANROAD IC BEACH
1:_01119., ATLANTIC BEACH. FL 32233 EXPIRES: 9/2/2020
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:
1305 MAIN ST REROOF SHINGLE shingle re roof FL10124 $9500.00
R20, FL15487
TYPE OF ' REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171053 0030 ATLANTIC BEACH SEC H
COMPANY: ADDRESS: CITY: , STATE: I ZIP:
FLORIDA ROOFING 4320 DEERWOOD LAKE PARKWAY
EXPERTS 1001403 JACKSONVILLE FL 32216
OWNER: ADDRESS: CITY: i STATE: ' ZIP:
ROGERS JULIA SUSAN 1305 MAIN ST ATLANTIC BEACH FL 32233
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 U $100.00
-
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$104.00
Issued Date: 3/6/2020 1 of 2
%'S'111.- REROOF SHINGLE PERMIT PERMIT NUMBER
'. J`� RERF20-0048
��,. r, CITY OF ATLANTIC BEACH ISSUED: 3/6/2020
800 SEMINOLE ROAD
��°'t»� ATLANTIC BEACH, FL 32233 EXPIRES: 9/2/2020
Issued Date: 3/6/2020 2 of 2
,- '1-0 Building Permit Application
tlpdntcd I0/9/I8
T: City of Atlantic Beach Building Department **ALL INFORMATION
x, 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
�.e.� IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: 1305 Main St Atlantic Beach Permit Number: -e t Fc), 0- 0L) 11
Legal Description 18-3417-25-29E 11 Sec H Atlantic Beach Lot 4 Blk 227 RE# 17t053.0030
Valuation of Work(Replacement Cost)$9500 co Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition [Alteration Q1Repair ❑Move LI Demo [,Pool UWindow/Door
• Use of existing/proposed structure(s): ❑Commercial SdResidential
• If an existing structure,is a fire sprinkler system installed?: UYes i7No
• Will tree(s)be removed in association with proposed project?GYes(must submit separate Tree Removal Permit) ii/No
Describe in detail the type of work to be performed: reroof,23sq 4,12 FLS 10124-R19
Florida Product Approval#10124-R20 / C U I S`-g1 for multiple products use product approval form
Property Owner Information
Name Julia Rogers Address 131)5 Main SI
City Atlantic Beach State FL Zip 32233 Phone 904-451-8617
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company Florida Roofings Experts,Inc. QualifyingTravis Slaughter
Address 4320 Deerwood Lake Parkway Suite 403 City Jacksonville Agent State FL Zip 32218
Office Phone 9d4-328.6146 Job Site Contact Number Travis 904-838-1659
State Certification/Registration# CCC 1329097 E-Mail flondaroofingexperts@outlook corn
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer 8uikders Mutual Insurance OR Exempt❑ Expiration Date 1-1-21
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,YANKS,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
REC,BRf3f YOUR NOTICE OF COMMENCEMENT. 9-?y------
( nature of Owner or Agent) (Signature of Contractor)
Si ned and sworn to(or affirm-. before me this 2-1 day of Signed and sworn to(or affirmed)before me t i is 2-1 day of
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epiioljJoa1e15-allgndA�e�oN :o �*?: ==.'T"1 ,, Notary Public-State of Florida
•
[ Personally Known OR AVM3901tA31HSV ' 00 Ato),,,' [*Personally Known OR •: A.; Commission#GG 077166
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T pe of Identification: '�( urZ" ` J 1 Type of Identification: , „f'F ', Ilondedthrough National Notary Assn.
Recorded 02/28/2020 06:58 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 . 00
�jt NOTICE OF COMMENCEMENT
Suite of . 1. r Tax folio No.
County of Y ky A& ..
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and it accordance with Section 713
of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved:
! - i 1 - 7 - 2_6\E- , 11 Seci, AV
\-- e h )7.CE-Cin Lo3z�
Lo- tA 1 & 1
Address of property being Improved: l?0 5 A 1--. '
l�� . J kri.{1 ,. 4 ' . g 7/7/33
>t`s
General description of improvements: -je i r
Owner. 14 Li A ga 61/J
--'',, Address: / DS NAI ill Cal;/ P
Owner's interest in site of the improvement: f71V`�i`+�/a F 13(74•1,�
Fee Simple Titleholder(if other than owner):
Name: , ��
Contractor: f IATv A.D4r h14,5j ! jj
Address: 43 V 24 o/ P (lc .in 41 44j1 ,p 3224(0
Telephone No.: 1�3 G (4(o Fax No:
Surety(if any)
Address: Amount of Bond S
Telephone No: Fax No:
Name and address of any person rt►aking a ban for the Construction of the improvements
Name: 1,`fl1(l Ac
Address:
Phone No: fax No:
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may
be served:Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Uenor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
ASHLEY 9ipGEWF� Signed' L- _� Date:
112 ice" p$-� My Public-Slale of Flalda Before me this 'Z_day of L,e►/ rr77----in the County of D ,State
CpmtiSibn M 00017,66 Of Florida,has personally appeared ..1,1,(.1 tt It(e r�
."....4). ,,, MyCo rn FxPiiez Jun 20,2021 Notary Public at large,State of Florida,County of Duval.
1(<' "'''' BondeddroughNonn�INoteilM�n,
... My commission expires
Personally Known: _or
Produced Identification: L 0 L 1L2-iO 2- 4.31 —SI-1 -11"),,,t.0 ' b _