393 Ahern St RERF20-0046 Shingle 1924,„ REROOF SHINGLE PERMIT PERMIT NUMBER
RERF20-0046
CITY OF ATLANTIC BEACH
ISSUED: 3/11/2020
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 9/7/2020
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:
393 AHERN ST REROOF SHINGLE SHINGLE ROOF $12800.00
TYPE OF REAL ESTATE I ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169727 0020 ATLANTIC BEACH
COMPANY: j ADDRESS: CITY: STATE: ZIP:
Total Home Roofing LLC 2968 Rainbow Rd. Jacksonville FL 32217
OWNER: i ADDRESS: CITY: STATE: I ZIP:
PARDEE KEVIN D 393 AHERN 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
I
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 $115.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$119.00
Issued Date: 3/11/2020 1 of 1
.4 Building Permit Application Updated 10/9/18
' >j City of Atlantic Beach Building Department **ALL INFORMATION
800 SeminoleRoad, AtlanticBeach, FL 32233
��
HIGHLIGHTED IN GRAY
n.OIS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address 9 /946:: J � Attei-c ,ell {'L P�Number: RG`� GU
Legal Description %J~ 2,S`-''.�f, ti UZ' e C- /- 4 Lot 4 2 C/g !'�KE# /611017. w
Valuation of Work(Replacement Cost)$ /2) Heated/Cooled SF_ Non-Heated/Cooled
• Class of Work: ❑New ❑Addition ❑Alteration)(Repair LJMove ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial Vittesidential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes -ANo
• Will tree(s) be removed in association with proposed prefect?❑Yes(must submit separate Tree Removal Permit) .F <
Describe in detal('the type of work to be performed;
Florida Product Approval#FL !6 6.276/--£( -- for multiple products use product approval form
Pro's ert Owner Information
Name j Lf 13 del e sep-rcl-e�- Address ,a�r" ., _ ]�
City t; Ha Iii _—.
C # d 'if _ State FL Zip 4 1 + Phone' / MVP - b
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information _-)
Name of Com any ® `/11 '/Fi I I Qualifying Agent [ ....vu "r / a'"
Address ,. All �pq-f City : `'C0/ tylt-/((tate Et Zip __,Z__
Office Phone ��M .1Job Site Contact um er
State Certification/Registration#C e('13 al)4!ci E-Mail f/1 zei ' ren gib / . tad'✓l r. COM
Architect Name&Phone# �/ ,,/'
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt i3 Expiration Date ,
1 •
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that rib,wc lc 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 ruilqinemenq oft`
permit,there may be additional restrictions applicable to this property that may be found in the public records dins count+y, r.f"
there may be additional permits required from other governmental entities such as water management districts,state agencies,or
federal agencies.
BliikTh-,f1 P,.'''''4rn nt
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be dope in cor�tpliance with all 'r"'''''!
Ment
laws regulating construction and zoning. ..;ItY Ut eCAU.1antfc izleach, FL '
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR P'.I 'ER I, YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ,. t . Ai" • .EFORE
RECORDING YOUt� N OF COMMENCEMENT. "`"f
XCIOWN.)—Aej:TV-0::&.4—Z--- 0
(Signature of Owner or Agent) ;�;a�,..Y'= 4P'apl
'gnature of.Cgnlff.) � .*a
Signed and sworn to(or affirmed)before me this) day of Signed and sworn to(or affirmed)before me this 5 day of
P. •
FC°J , AO)I,by =� ¢ "mei), -zoo, ,.. e.646 S'�`'�v�J O
ccss,,��°° , ` , (Our tur of ary)
A040Z�7�,7a N= �� � � q „ g. co
m o
VOIaO13 JO 31V1S� a Cr
[ Personally Known OR slfi6Sog P 4 N ' �i� { $ersonally Known OR ?
[ ]Produced Identification /� /4S [ Produced Identification
ittType of Identification: IQ,,�+"0, !G ',7 Type of Identification: `� w o
Category/Subcategory Manufacturer Product Description limitation of Use State# Local#
C.PANEL WALL
1.Siding
2.Soffits
3.EIFS
4.Storefronts
5.Curtain walls
6.Wall louvers
7.Glass block
8.Membrane
9.Greenhouse
10.Synthetic stucco
11.Other
D.ROOFING PRODUCTS
1.Asphalt shingles O C.elor2 /667V Jels-
2. Underlayments 660P4f ie/ /7 ;.gn eyic1 /7 Zo -
3. Roofing fasteners f
4.Nonstructural metal
roof
5. Built-up roofing
6. Modified bitumen
7.Single ply roofing
8. Roofing tiles
9.Roofing insulation
10.Waterproofing
11.Wood shingles/shakes
12.Roofing slate
13.Liquid applied roofing
14.Cement-adhesive
coats
15. Roof tile adhesive
16.Spray applied
polyurethane roof
17.Other
Page 2 of 4 Updated 10/17/18
In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, the
Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and installation
instructions along with this Product Approval Sheet.
I certify that this product approval list is true and correct to the best of my knowledge. I further certify that use of different components other than the
ones listed in this document must be approved by the Building Official.
*Contractor Name(Print Name): .b r4 v6""70 *Contractor Signature:
*Company Name: 77r,/91 /bp&
*Mailing Address: Z9Ci
*City: Ct 1 'l t ` e *State: r *Zip Code: 3 2!i/--7
*Telephone Number:96V- S-3) - *E-mail Address: /7-4. -AJRn*1 1 7/T-)h q. 6
Cell Phone Number: Fax Number:
Page 4 of 4 Updated 10/17/18
Doc # 2020052334, OR BK 19128 Page 766, Number Pages: 1,
Recorded 03/04/2020 03:39 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10,00
.
NOTICE OF COMMENCEMENT /�"i�7�a��
Permit No. Tax Folio No. �"!
State of Florida,County of Duval •
THE UNDERSIGNED hereby give notice that the hnprovemeat will be made to certain real property in accordance with Ik
Chapter 713,Florida Statutes,the following Information Is provided In this Notice of Commencement, / t
1. Do ri tion of rope le a de rt ti n ofproperty and address if available): r�/
i'-7'3 -zfl&_ G'-1 pr epi f Lot t t w O(Q,o63- 1(44'
� Ltfg. rN( oF-*
2. General Description of improvements: 1 •' 1 l y
Re-Roof
3. Owner Information: ) 4 On g 233
a)Name and Address: 4 0Lail%/k m. n�Pa„ Qe .6 e3,a A�6-0) Sri� i {
b)interest in property; pub Q N
c)Name and address of simple titleholder(If other than owner):
•
4. Contractor Information:
a)Name and Address:Total Home Roofing 2988 Rainbow Road Jacksonville Florida 32217 — i •
b)Phone Number:(904)P31.0555
.5. Surety Information: ,
a)Name and Address: NIA
b)Phone Number: •
a)Amount of Bond:$ .
6. Lender Information:
a)Name and Address: N/A
b)Phone Number: 1
7, Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 113.13(1)(a)7,Florida Statutes: 1 '
a)Name and Address:N/A
•
b)Phone Numbers of Designated Person: ••
B. In addition to himself/hersell,Owner designates of to receive a •
.
copy of the Lienor'a Notice as provided in Section 713.13(1)(b),Florida Statutes.
a)Name and Address;N/A
b)Phone Number of person or entity designated by owner. :•
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction
•
and final payment to the contractor,but will be o_ae(1)year from the date of recording unless a different date is
specified:
•
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE •
OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION
713.13,FLORIDA STATUTES,AND CAN 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 COND/ENCINO WORK OR RECORDING YOUR NOTICE OF
COMMENCEMENT. I
•
•
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated •
therein.ate.tru4.to the•.b *"e my knowledge and belief.
tVtootslict...0..r
Signature of Owner or Owner's Authorized•' cer,iirectorIParfnerblanager Signatory's Printed Name 3s TitlelOttice
The foregoing Instrument was acknowledged before ate by means of Gdphysical presence orponline notarization,
this day of FlIA,-r+,tif ,2.0 lt.O,by_ 6->c,,,v Pea,-.,44'Y ,wbo Is personally known to j •
/, (Nome of Person) •
me or produced Qin _0,4 r as identfioation,as
1 0 o ty,e. fftoar tt ey in ct,etc.)
for 4111Plair
(Name of Party Instrument was Executed for) N e ' :m IGNATURE-STATE 0••FLO I e
BUZAtierHEAN11A00
e
,Orn Commissioned . A
* 2., * Coeimleeloni00302988
f �oel February 18,2023
(A •I ,*,rayl ThN9iAgalNdwY9errloea
Revised 1/1/2020