675 SAILFISH DR RERF21-0018 r"'9�` REROOF SHINGLE PERMIT PERMIT NUMBER
J �� ° RERF21-0018
ter`,¢' > CITY OF ATLANTIC BEACH
�Y, J~~ 800 SEMINOLE ROAD ISSUED: 1/20/2021
r\P'i��r ATLANTIC BEACH. FL 32233 EXPIRES: 7/19/2021
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:
675 SAILFISH DR REROOF SHINGLE SHINGLE ROOF $6000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171226 0000 ROYAL PALMS UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
MONAHAN ROOFING 2050 S KING CIR NEPTUNE BEACH FL 32266
OWNER: I ADDRESS: CITY: STATE: ZIP:
RIPPLE MINA 0 675 SAILFISH DR ATLANTIC BEACH FL 32233
NARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT If\
'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
tECORDING YOUR NOTICE OF COMMENCEMENT. j
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 $85.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$89.00
Issued Date: 1/20/2021 1 of 1
Building Permit Application Updated 10/9/18
A City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
tt IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us RcgJob Address: G S Sar Int d h Of, Permit Number: EZ ( - 0 0 1
Legal Description f.s12-6 0 /-7 -2 S 2`'i E ,ecyc/"Pc f.>7 4-6,4- l RE# 1 7( Z Z Q
4./t d B/o c k
Valuation of Work(Replacement Cost)$ Cq UUO.`l Heated/Cooled SF Non-Heated/Cooled
• Class of Work: Ki ew ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial .idential
• If an existing structure, is a fire sprinkler system installed?: ❑Yes �fNo
• Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) 21(;
---
Describe in detail the type of work to be performed: e ,
i- ( l (
Q v1 tefc �e-(? ) uJrn GA- T�mbc�� Irr� / /
Florida Product Approval# r�- 4 0 (Z`1- t for multiple products use product approval form
'( Property Owner Information,�
Name /4 thin +�1 PAt• Address U75 J�{i�FISq- Ort, /�
City ,7Lk C $ H(}} State FL Zip 3 Z.2 3 Phone 901/ ace, of (o6
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company r710 rta ha Roc) -ttr) Ts Qualifying Agent lU ' ()-
Address ZC o& ICE nSs C.crcIe Stnsfl-' City Pa-ti4 State Plc Zip ?2.2Co l<,
Office Phone 22 1 -OOSc Job Site Contact Number
State Certification/Registration# RL O 0 4-41 34 ci E-Mail 'TC--MOc1Q ho r. (e2,cc,m ca %—
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer ekes?p/— OR Exempt o Expiration Date /air// , 70Z/
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 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT. alleA&
(Signature of Owner or Ag ) (Signature of Contractor)
rlf�
Signed and sworn to(or affirmed)before me this/9 day of Signed and swofpA(or affirmed)before me this W day of
3 4nn '2
siry , 2 ,by 4.n0. �,Ci-��M, ' kki V\ ,
4 �
`• i ir �lotary (Signature of Notary)
•'�N•P,'
EAU M
Commission#GG 328915
[ ]Personally Known OR a' "C.1,7-5Expires April 29,2023 [ 1 personal) Known OR .�"°
' ue!'•, LEANNE DONOHUE
tro'«S.�' Bonded 7hru Troy Fain Insurance 80038.x7019 y y ' • Commission#GG 943250
[E oduced Identificati [N)Produced Identificatio :
Type of Identification: rL �•�cc- L«: ✓�' Ex. resApri128,2024 , .00-385.7019
I..,;�s.` Type of Identification: • ...P:
• •
NOTICE OF COMMENCEMENT
6, Permit No.R 1 Q r Z L -00 (E, Parcel ID/Tax Folio No.
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.
)4. Description of property(legal description of property and address if available):
gyp—60 11 - 2.5-?� e (Zo.4.a1 ��m r � Led- .> $1Gc,tc:1)
2. General Description of improvements:
Corn le_Fie g er cc+ F
Owner Information: ,,,c I 1
n
a)Name and Address: M itiP let pp!c , (p15 6A ( P,, W'i11 t_ c�
1'� R ZjLZ%j
b)Interest in property: pwn e r-
c)Name and address of simple titleholder(if other than owner):
4. Contractor Information:
a)Name and Address: /flonaf+c.s^. Roo Ft., S Co„ Fr1 2o, o lens Circ I
b)Phone Number: 2 2 i —coo s S /V Cyd R-ea c , F<<
5. Surety Information: 7 z t. C c
a)Name and Address: pi / -
b)Phone Number:
c)Amount of Bond: $
6. Lender Information:
a)Name and Address: /V /
b)Phone Number:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13 (1)(a)7,Florida Statutes:
a)Name and Address: N / /'-1-
b)Phone Numbers of Designated Person:
8. In addition to himself/herself; Owner designates of to receive a
copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
a)Name and Address: P / /A--
b)Phone Number of person or entity designated by owner:
9. 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:
I
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, I 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.
4�1' 1,4 it. V1C1
ignature of Owner or er's Authorized Officer/Director/Partner/Manager Signatory's Printed N Title/Office
The foregoing instrument was acknowledged before me this /9 day of J�.+ r ,20 2. t ,
by N\leNo.. ? k. as ow eve_r for 1'ske- cc . -4-r//
(Name of Person) (Type of Authority,i.e.Officer/Attorney) (Name of Party InumtInt was'Executed for)
;� ►u� JOHN MARTIN
1'1. ;; Commission#GG 328915 )(NOTARY PUBLIC,STATE OF FLORIDA
„ Expires April 29,2023 ---- w
•tnF�°,- Bonded Thin Troy Fain Insurance 800-385-7019 Print Name: J o n J"`o-rA
D Personally Known
Doc#2021015303,OR BK 19544 Page 1507, entif catioITType: r L`«ns<
Number Pages 1
Recorded 01/20/2021 09 54 AM,
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL Revised 1/18/18
COUNTY
RECORDING $10.00