606 Paradise Ct RERF20-0242 Shingle -0-,v REROOF SHINGLE PERMIT PERMIT NUMBER 4
',';� RERF20-0242
\� ,;� .. v, CITY OF ATLANTIC BEACH ISSUED: 12/30/2020
800 SEMINOLE ROAD
0'i��" ATLANTIC BEACH. FL 32233 EXPIRES: 6/28/2021
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.
JOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
hat may be found in the public records of this county, and there may be additional permits required from other
:overnmental entities such as water management districts, state agencies, or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
606 PARADISE CT REROOF SHINGLE SHINGLE ROOF $9600.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172386 2100 PARADISE COVE
COMPANY: ADDRESS: CITY: STATE: ZIP:
LOCKHART
CONSTRUCTION & 5380 TIMBERLINE DRIVE JACKSONVILLE FL 32277
ROOFING SERVICES
OWNER: ADDRESS: CITY: STATE: ZIP:
DONALDSON KAREN L 606 PARADISE CT ATLANTIC BEACH FL 32233
NARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT II`
'OUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT
OUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU
NTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
ECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF CONDITIONS
toll 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 455-0000-322-1000 0 $100.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$104.00
Issued Date: 12/30/2020 1 of 2
r ''\' REROOF SHINGLE PERMIT PERMIT NUMBER
.r
' RERF20-0242
),' CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 12/30/2020
��
��x'31' ATLANTIC BEACH, FL 32233 EXPIRES: 6/28/2021
Issued Date: 12/30/2020 2 of 2
Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department **ALL INFORMATION
," v 800 Seminole Road, Atlantic Beach, FL 32233
HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
�- aISE ER('zd- a2/( z_
Job Address: � )�"r Permit Number:
Legal Description 8-Z5-246.I1 ave JOT 2.ORE#
Valuation of Work(Replacement Cost)$ (f(0170.0() Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial '14Residential
• If an existing structure, is a fire sprinkler system installed?: ❑Yes ❑No
• Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) ❑No
Describe in detail the type of work to be performed:
?-&-MovE FID IA-CE '-aoPp30 ��► Go I I z
Florida Product Approval# CiL ig35S 15 .1 c. for multiple products use product approval form
Property Owner Information 1 /l
Name i l.. –�ah1Ak 014 Address (ctX, aA- -D15& £1,uRsf'
City 4Avert P-� .- jjEA>;H State L Zip2`L],3 Phone
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company Ltvt^ 1�� UCS Qnf �itooDalifying Agent /VIES LLo
Address -5.38f5-11M$��IxE 1V City-ZA-C4oNVi E State pi Zip 3a.z77
Office Phone ?0,4- ??4-.3SCS Job Site Contact Number 904- 9 94- 38G-5-
State Certification/Registration# C2C (902.3 94 E-Mail
Architect Name& Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt'" Expiration Date R 4I /� 2 -L
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 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 OBT 1N FINANCING, I NSULT WIT /YOUR LENDER OR AN ATTORNEY BEFORE
RECORDWq YOUR NO,et % ,pigVCEMENT. c7k.n aaaatyzE___
%.7--rzCz,42-L_
(Signature .f Owner or Agent) (Signature of Contractor)
nal
d an swor to�,o1r a,ffir .• .efor - this(J1 ,d•, •f • • e• a • swor to{or affir' •efore a hi •a lof A
>GU , •v ... :. �� '_ ,iii. ,i _A
01".41 !il►�N!� (Signat1414Wotary)
Notary Put>lie State d Remitsf
�� Dana Hammett
p My Commission GG 917119 personally Known OR .€`'''"*, Notary H of Fonda
Personally Kn d' Expires 09126/2023
Produced Ider fi a • )Produced Identification 4 j My Commission GG 917119
ype of Identification: Type of Identification: and` Expires 09/26/2022
NOTICE OF COMMENCEMENT
State of r'o it 1 D4 Tax Folio No.
County of ZtiVA I
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 proererty being improved: - v — '
1'1124-D/sE _JOVE 1-07- ro]Address of property being improved: A-rhfrPria J I1-Cf'1 3 3
General description of improvements: 1�e7itoVE A-'4D PA-CE �/N
Owner:_ KA.R.51d, L ► JOKLAI nscm Address: ,a ; o. - id AN
Owner's interest in site of the improvement: VLA •Jl,vvrl e a 3
Fee Simple Titleholder(if other than owner):
Name:
Contractor: C0bJ4" ^-r-" ��/`�.5-ria-r-i " A-,4 D �1 N. ve LLC.-
Address:
CLC-
Address: .53O l t M t'Eg 1/Pie IClVE il-c NVI t ie IOe t 4 3 .277
Telephone No.: c 4-. 994-3 Fax No:
Surety(if any) /4 I
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name: NI l A-
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 Statues. (Fill in at Owner's option)
Name:
Address:
Telephone 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):
THIS SPACE FOR RECORDER'S USE ONl v ^WNER , ,
Doc#2021004386,OR BK 19526 Page 1560 "AL ail I' Date: 17 Ze 20zo
Number Pages. 1 •'
Recorded 01/07/2021 08 24 AM. Fo - me this 1 day of bI1IiJ�t1I►.�9 . 2,4Q fir* of Duval,State
JUDY PHILLIPS CLERK CIRCUIT COURT DUVAL Florida,has personally appeared %a �9J 1 % '. , /
COUNTY tary Public at Large,State • 'lorid. C•un of Duval. /
RECORDING $10.00 commission expi :-.
.. sonallyI/
■�
Kno • :.. �� �turr i►�1','ft /I'
Produced Identi a i . Notary Public Stated Florida
�r Dana Hammed
- My Commission GO 91 119
4�wn Explras 09/26/202