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340 2nd St RERF19-0099 re-roof permit REROOF SHINGLE PERMIT PERMIT NUMBER RERF19-0099 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 7/26/2019 EXPIRES: 1/22/2020 ATLANTIC BEACH. FL 32233 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: 340 2ND ST REROOF SHINGLE shingle re-roof- FI-18355.1 $12000.00 & FL15216 TYPE OF REALESTATE BUILDING USE ZONING: SUBDIVISION: CONSTRUCTION: NUMBER. GROUP: 1697650000 ATLANTIC BEACH COMPANY: I ADDRESS: CITY: STATE: ZIP: LOCKHART CONSTRUCTION & 5380 TIMBERLINE DRIVE JACKSONVILLE FL 32277 ROOFING SERVICES OWNER: ADDRESS: CITY: STATE: ZIP: ROWEN PHILIP 340 2ND ST ATLANTIC BEACH FL 32233-5270 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. 7", 77" 77 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 4S5-0000-322-1000 0 $115.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$119.001 Issued Date: 7/26/2019 1 of 2 REROOF SHINGLE PERMIT PERMIT NUMBER RERF19-0099 CITY OF ATLANTIC BEACH ISSUED: 7/26/2019 800 SEMINOLE ROAD EXPIRES: 1/22/2020 ATLANTIC BEACH. FL 32233 Issued Date: 7/26/2019 2 of 2 Building Permit Application Updated 1019118 City of Atlantic Beach Building Department "ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED. JobAddress: 3-t& 4�' S-v y-ge—v Aj t o-vii —Recctl FL 327-3�3 Permit Number: 9 Legal Description 5-G9. I(Q- 2S- __>qF_7 VS-e(kc(, W Y-z ict Inj Is 6kv 3 RE# Valuation of Work(Replacement Cost)$ \-2.cc c Heated/Cooled SF Non-Heated/Cooled • ClassofWork: EINew ElAddition ElAlteration EIRepair OMove E]Demo OPool E]Window/Door • Use of existing/proposed structure(s): ElCommercial OResidential • If an existing structure, is a fire sprinkler system installed?: ElYes EINo • Will tree(s)be removed in association with proposed project? OYes(must submit separate Tree Removal Permit) ONo Describe in detail the type of work to be performed: y-k vy-\r,.-e- G_"c� �r_�o I 6k c--�_, y-c k (-V-,\ "0 C,&e- 13 o_-a��, I Florida Product Approval# *��_ for multiple products use product approval form Property Owner Information Name c oie v) Address 3-fo ;?',� S+V-C-,t Ci ___L�±ka�ytic State Zip 3-2-2 3-3 ,��hone -o E-Ma�tl�_4�e+SEC,�q,-124 e V440c). Co�,T_ wner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company �4��-t Cqv�sTy,ctioi-, f2cer-��4 "Qualifying Agent mX Address 55'3c Cityj�Nc(ts �IvkI(-C, State (--L Zi[) 30,;_;1_T-7 Office Phone To� 9�14 q3 L-S Job Site Contact Number ltol( 3&5 1 State Certification/Registration#QC-c 00 Z-3qi E-Mail Architect Name&Phone# Engineer's Name&Phone# WorkeAr Compensation Insurer OR Exempt Expiration Date AViZt 2D21 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no wo�k or inst�llation 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 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 RECO_RDiNGr46UR ��ICE OF COMMENCEMENT. (Signature of Owner or Agent) (Signature of Contractor) Signed and sworn to(or affirmed)before me this ft_!�_ay of Signed�nd sworn to(or affirmed) before me this-1�O day of 1� Z,�O by J LL LA C-1 b C L(Y\,k Lc)k k—KC,(J, 2 (Signature of Notary) JENNIFER JOHNSTON MY COMMISSION#GG 042984 HEIDI [LOUISE WILLIAMS EXPIRES:October 27,2020 ]Personally Known MY COMMISSION#GG077447 Personally Known 0 ific Bonded e ters ,h.v Thru Notary Public Underwriters Produced Identif A-'� EXPIRES February 27.2021 Produced Ident a Type of Identification-, Type of Identifi (Y- NOTICE OF COMMENCEMENT Permit No. Tax Folio No. State of Florida County of Duval 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 property being improved: 5-69 16-2S-29E Atlantic Beach W%lot 13,lot 15 blk 3 Address of property being improved: 340 2nd Street Atlantic Beach,FL 32233 General description of improvements: remove and replace roofing Owner Julieann Rowen Address 340 2nd Street,Atlantic Beach,FL 32233 Contractor Lockhart Construction and Roofine Services LLC Address 5380 Timberline Drive,Jacksonville,FL 32277 Phone No. (904)994-3865 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 or herself,designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself or herself,owner 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 specified): OW R THIS SPACE FOR RECORDER'S USE ONLY <:Z — Signed: Date:& B f I efor met ' day oi —.I-I Inth C untyol"M)WALN state of Florida,has personally appeared 'tC--.AV% 12jw^ herein by himself/herself and affirms that all statements and declarations herein are Doc#2019167901,OR BK 18868 Page 1908, true and accurate. Number Pages:1 Recorded 07/1812019 12i 16 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Notary Public at Large,State of LOUISE WILLIAMS COUNTY ro4w& RECORDING $10.00 My commission expires: rr)mMISSION#GG077447 Personally known rXp4RE—%Eabamvy 27,2021 Produced identification