150 2nd St RERF18-0147 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NE]ff DAY INSPECTION: 247-SS14
PERMIT INFORMATION:
PERMIT NO: RERF18-0147
Description: SHINGLE ROOF
Estimated Value: 9000
Issue Date: 6/26/2018
Expiration Date: 12/23/2018
PROPERTY ADDRESS:
Address: 150 2ND ST
RE Number. 1702110000
PROPERTY OWNER:
Name; 1941 BEACH AVE LLC
Address; 1541 SHIPVIEW RD
ANNAPOLIS, MD 21409
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: NPS INC
Address: 7442 SILVERLAKE TERR JACK RICHARD SCHEKIRA
JACKSONVILLE, FL 32211
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU 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.
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 my
be additional permits required from other goverrunental entities such as water matnagement
districts, state agencies, or federal agencies.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For RVAC work,a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
Building Permit Application Updated 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Pho (504)247 5826 F :(9134)247
"'-fi 5
PAM
A-lo Address: re er4mit Numb&
Legal Description -Q11S-C';9E R'ET'%j &6Z I I'. 6 d)&d)
Valuation of Work(Replacement Cost)$!j 66c> Heated/Cooled SIF_Non-Heatecl/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use ofexisting/proposed structure(s)(Orcle one): Commercial Reslclentlal��
• Ifan existing structure,is afire sprinkler system installed?(Circle orl Yes No N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
the type of work to be performed:
7
-*/- 0 '�/ /
Florida Product Approval for multiple products use product approval form
%PropearlivOwnerin rma on
VJName:
city StatefOD Zip,&!A� Phone, �$Of 40rf 1'79'7
E-Ma (�.'t r6A
Owner or Agent(if Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Nameof Qualifying Agent:
Address City "�rp" State zip .3 2T77--
D State Certification/Registration#"' 0q512F el Job Site/Contact Nun---17—7 4
ffice Phone Iq 11 't ber T T'�'
E-Mail j-A-'S C1-I cp A IV-
Architect Name&Phone If
Engineer's Name&Phone#
Workers Compensation_ 4��;��AP7
Exempt/Inwrerl Lease Employees/Expinition Date
Application is hereby made to obtain a permit to do the work and installations as inclicafted.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 j u risd iction.I understand that a sepa rate permit m ust be secu red for ELECTRICAL WORK,FLU M BI N G,SIGNS,
WELLS,POOLS, FU RNACES,60 1 ILE RS,HEATE RS,TAN KS,a nd Al R CON DITI ON FIRS,etc.NOTICE:In addition to the req uirements 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 LENDE ORANATT RNEYBEFORE
REC NCEMENT.
_--49%fr-�wner or Agent) (Signature of Contractor)
(including contractor)
d s r t ( ffi ed)before me thi!
woln o ,�6day of 5 day of
gra won �a �rZd and t I r affirmed)before me thikw—
Ju U 4-)k X -by-M�X�-LADU r' alac--)
2.06ara PLP-�
*NOT ODOM of Notary)
STATE OF FLORIDA I STATE OF FLORIDA
C
[4P/er'sonally tf`�Peonially Known OR CO " GG212743
I I Produced Ide' Ccmm*GG21Z743
meas
Expires 4/3012022 1 Produced Identification Expires 4130/2022
Type of Identification- Type of Identification;
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 0 0 0��
State Of 10 County orT1
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 propeMg improved:
Address of property being improved:_160
9 QAA#-(2+ I'd he�Pb-- PrHZIOIJ(- P-VacL FL 3-44,33
General description of improvements: �FR09�
Xowne7rr—rr---, ( cy-y-cAhe.,-� --—
Address 15H I ol(fL�) Q--n Q=jCLL,-" /Vip -2)L/6-9
Owners interest in site of the improvement �M70
Fee Simple Titleholder(if other than owner) 19H ?35aCK P(r I LLC � --76-yn r Cz-ra4k&-,
Name
Address
C Ira
Adc'roer.. tt�q L(Lre VWr- DA- -l�
Phone No. !10q '72-( '40&1 Fax No.
Surety(if any)
Address __Amount of bond
Phone 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
Phone No. Fax No.
In addition to himself, ovmer designates the following person to receive a copy of the Lienor's Notice as provided in
Section 713-06(2)(b), Florida 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 spedfied):
THIS SPACE FOR RECORDER'S USE ONLY ——————CAN
Sig.d 11 , TE
Belore me th 14
--T�vffw PM-"Y appealed herein by
hermse,117 herself arid slams Met all statements anol declarabom,harem
D.NM1815>113,OR 31<18<15 Pa,aW7, are true and a=Urate Tra0VY Paulsen
Number Pages:1 NOTARY PUBLIC
Rs�ords,106�18N:lqpm, STATE OF FLORIDA
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL C,,,,*GG212743
COUNTY &I
RECORDING $10.W 01ploss
Notary Public at Large,
My commission expir..�)a �uoumyor �V�N
Personally"�n � . or
PrWuced Identification