630 AQUATIC DR RERF20-0172 S 0
‘,.Yiltdik, Building Permit Application Updated 12/8/17
City of Atlantic Beach
• w,u- 800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 r '-7
Job Address: 630 Aquatic Drive,Atlantic Beach,FL 32233 Permit Number:KL I��Z.0 (D' I
Legal Description 38-71 17-2S-29E AQUATIC GARDENS LOT 14-A RE# 171818-5210
Valuation of Work(Replacement Cost) �/-5-n0 Heated/Cooled SF _Non-Heated/Cooled
• Class of Work(Circle on : New)ddition Alteration Repair Move • 'sol Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial •eside .- _
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes N' N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed:
Complete roof replacement. Install Complete Atlas Roofing System with a full peel and stick underlayment and Architectural Shingles.
Florida Product Approval#See Attached Product Approval Form for multiple products use product approval form
Property Owner Information
Name: Brian Topping Address: 630 Aquatic Drive
City Atlantic Beach State FL Zip 32233 Phone (904)887-9552
E-Mail BTopp76@gmail.com
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) NA
Contractor Information
Name of Company: American Roofing of Jacksonville, LLC. Qualifying Agent: Dan Kinkel
Address 2117 University Blvd S City Jacksonville State FL Zip 32216
Office Phone 904-385-4375 Job Site/Contact Number 904-385-4374
State Certification/Registration# RC29027546 E-Mail admin@americanroofingjax.com
Architect Name&Phone# NA
Engineer's Name&Phone# NA
Workers Compensation Builder's Mutal Insurance#WCP1052393,expiration 5/3/2021
Exempt/Insurer/Lease Employees/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 all work will be performed to meet the standards of all the laws regulationg
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. -
:„........>7
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(Signature of ,<ner or Ag-• ) (Signature of Con actor)
(i using contr- . •r) - ` 1
Si nednd s jorrntm
o(or affired)before me this 7 day of Sigjr ed a sworn to(or a . 1 d) bef. - e is I da of
/ t .�1� n ,D ,by p ' 2a-eU, bmiimini�. / a I.
1:1; �
JULIE KUPERINSKY . ��
MYCOMMISSION#GG912202 (Signature of Notary) :•. e of No •
hill P. EXPIRES.September 11,2023
OF . • 4ersonally Kn
I Produced Identification/ VER
[ ]Produced Ide fita`f`i'%��``•, TONI GINDLESPERGER
ype of Identification: t/ �1V° _ Type of Identifica off. '_ :+_ MY COMMISSION ftGG 333178
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---.:;',. .*6',:,°-' y'IRES:Cc;sber6,2023
,,P,, ;.., Bonded Thru Notary Public Underwriters
Doc # 2020126921, OR BK 19249 Page 459, Number ?ages: 1,
Recorded 06/21/2020 11 :07 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 . 00
NOTICE OF COMMENCEMENT
Permit No.
Tax Folio No. 1 71 81 8-521 0
State of Florida,County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance
with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
1. Description of property'iegal description of property and address if available):
' 38-71 17-2S-29E AQUATIC GARDENS LOT 14-A
630 AQUATIC DR Atlantic Beach, FL 32233
2. General Description of improvements:
Complete Tear-Off and Re-Roof
3. Owner Information:
a)Name and Address: TOPPING BRIAN 630 AQUATIC DR Atlantic Beach, FL 32233
b)Interest in 100%
c)Name and address of simple titleholder(if other than owner):
NA
4- Contractor Information:
a)Name and Address: American Roofing of Jacksonville
2117 University Blvd S, Jacksonville, FL 32216
b)Phone Number: (904) 385-4375
5. 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 one(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 COMMENCING WORK OR RECORDING
YOUR.NOTICE OF COMMENCEMENT.
Under penalty of perjury, [declare that I have read the foregoing notice of commencement and that the facts stated
therein are true to the best of my knowledge and belief.
ii)C1 Ade
t"Tr of Owner orOwni thori et a fficer/Director/Partner/Manager S ignatory Printed Name&Title/Office
The foregoing instrument was acknowledged before me this / 7 day of Ow VNa' ,20 0
by BRIAN TOPPING
(Name of Person making statement)
l'j/, JULIE KUPERINSKY NOTAR UBLIC,STATE OF FLORIDA
4�/ MY COMMISSIONMO09J2232 Print Name: SVI-.-T- � �
K-OP.E � S14?
c.„,"EXPIRES:September 11,2023
O Personally Known ��
(Affix Notary Seal Above)
O Identification'Type: PJ _ V
Revised 1/01/18