395 Skate Rd RERF20-0167 Roof PermitOWNER:ADDRESS:CITY:STATE:ZIP:
JOSEPH AND MICHELLE
VIEIRA 395 SKATE RD ATLANTIC BEACH FL 32233-3819
COMPANY:ADDRESS:CITY:STATE:ZIP:
FIRST COAST HOMES LLC 1719 10TH STREET NORTH JACKSONVILLE
BEACH FL 32250
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171669 0000 ROYAL PALMS UNIT
02A3.00
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
395 SKATE RD REROOF SHINGLE SHINGLE ROOF $4000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $75.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $79.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
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.
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.
1 of 2Issued Date: 9/2/2020
PERMIT NUMBER
RERF20-0167
ISSUED: 9/2/2020
EXPIRES: 3/1/2021
REROOF SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 9/2/2020
PERMIT NUMBER
RERF20-0167
ISSUED: 9/2/2020
EXPIRES: 3/1/2021
REROOF SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $79.00
RERF20-0167 Address: 395 SKATE RD APN: 171669 0000 $79.00
BUILDING $75.00
BUILDING PERMIT 455-0000-322-1000 0 $75.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R13092 $79.00
Printed: Wednesday, September 02, 2020 4:46 PM
Date Paid: Wednesday, September 02, 2020
Paid By: FIRST COAST HOMES LLC
Pay Method: CREDIT CARD 358505953
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R13092
Building Permit Applicatioon
City of Atlantic Beach Building Department
Updoted 10/9/18
ALL INFORMATION
800 Seminole Road,Atlantic Beach,FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address:315 Skate KalLlant.c Beach, E 3)23 Permit Number:
.
Legal Description Kayal falas at 2 ALT1 Slosk 2u eln dK 5s3212 RE_121L61 -oo0e
Valuation of Work (Replacement Cost) $Lece o_Heated/Cooled 5F L,2SNon- Heated/Cooled243
Class of Work: aNew Addition DAlteration ORepair OMove ODemo OPool OWindow/Door
Use of existing/proposed structurels): OCommercialResidential
If an existing structure, is a fire sprinkler system installed?: OYes No
rees) be removed in association with proposed proiect? CYes Imust submit separate Iree Removal Permit) iNo Describe in detall the type of work to be performed:Remove /Replace esyphal+ Sh.ngles
5lepe 3/12
Suascs /6
Florida Product Approval #See atachhed_preekuctsher t for'multiple products use product approval form
Property Owner Information
Name or Veta.
City Atla,te Leh
E
Owner or Agent (If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company F5t Cast Hemea LLC Address 7 10** 4treet lartK Office Phone 5
State Certification/Registration # CC 33/636_ E-Mail ddoer # 0f aol eCom Architect Name & Phone #_ 4
Engineer's Name & Phone #_ IA
Workers Compensation Insurer
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 agen cies, or federal agencies.
Address 35 Skate Rd Aloutic Besch, Fi 3223 3
State FZip3)2 33Phone y-24L-622 -Mail IA
Qualifying Agent cysas C DePr
City ax Beh- StateFLZip 3225 0 Job Site Contact Number c4SS7-6242_Eddi 228
OR Exempt Expiration Date S24/2e22
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
(Signatyferwner or Agent) (Signature of Contractor)
Signed and sworn to (or affirmed) before me this 2 day of Signed and sworn to (or affirmed) before me thisE day of Avzust20a A 2020 2 ALSAMDOERR LEAtAALBOERR
igta ttré bt rdarakotary Public|
Commission # G6 178343
My Commission Expires
aF9Alefda-NetaryPoblic ha@uaofistenyB GG 178343
My Commission Expires
January 24, 2022 OF FL January 24, 2022 Personally Known QR
Produced Identification
Type of ldentification: DAye Li4e
Personally Known OR
Produced ldentification
Type of ldentification:
RERF20-0167
NOTICE OF COMMENCEMENT
Floriela Tax Folio No./7/62- o00 State of
County of ual
To Whom It May Concern:
he 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 RIP f PT & Legal Description of property being improved: / Ol6 17-2S=292
Royal falus_Uait aA_ Lat 1 Block14 IR BK 5S3/-2212
Address of property being improved:395 kate ZlAtlaate Beh FL 3223S
General description of improvements: move Leslaceásphalf shinalés
Address 1S kat kAHateach f_3a133 Owner:
Owner's interest in site of the improvement: kesdenCY
Fee Simple Titleholder (if other than owner):/A
Name:
Contractor:Devgas ( Deetr Erst Coast o mes, LAC
Address:7/9_10 Th treEJUath Jax BchEL 3225 0 Mnp
n
Telephone No.: Cy-Sa 2& 4 Fax No: U/-
Surety (lif any) V/
Address: Amount of Bond $
Telephone 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:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2) (b), Florida Statúes., (Fill in at Owner's option)
Name: JU/A
Address:
Telephone No: Fax No:
Fxoiration 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
Siged:
Before mé tk day ofJuly 22in the County of Duval, State Of Florida, Has persónally appeared ae V Votary Public at Large, State of Florida, CountyHf y commission expires
ersonally Known:.
Produced ldentification: >ivs Li
Doc# 2020167050, OR BK 19312 Page 1736,
Date: 29 2020 Number Pages: 1
Recorded
08/05/2020 09:10 AM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00 ALLYSON DOERR
State of Florida-Notary Public||
CommiSSTON #G0 T73343
My66mtsS+efA-ExpiPes
anuary 24 2022
24/2O2
RERF20-0167
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