1002 Snug Harbor Ct RERF21-0028 ShingleOWNER:ADDRESS:CITY:STATE:ZIP:
MANN L CHARLES 165 ARLINGTON RD N JACKSONVILLE FL 32211-7863
COMPANY:ADDRESS:CITY:STATE:ZIP:
CNR ROOFING 9533 WATER SHED DR . N JACKSONVILLE FL 32220
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171088 0118 BEACH HARBOR
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1002 SNUG HARBOR CT REROOF SHINGLE Fl 1833.2, FL 17188.1 $11280.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $110.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $114.00
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 1Issued Date: 1/29/2021
PERMIT NUMBER
RERF21-0028
ISSUED: 1/29/2021
EXPIRES: 7/28/2021
REROOF SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $114.00
RERF21-0028 Address: 1002 SNUG HARBOR CT APN: 171088 0118 $114.00
BUILDING $110.00
BUILDING PERMIT 455-0000-322-1000 0 $110.00
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: R14746 $114.00
Printed: Friday, January 29, 2021 1:48 PM
Date Paid: Friday, January 29, 2021
Paid By: CNR ROOFING
Pay Method: CREDIT CARD 418426123
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R14746
Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: _
IS REQUIRED.
Job Address: /D D K 4-A° Bu A Permit Number:
la IDeflptil
ril"!' ' " ' '
7 $9 P0?-3 9 3Y 2$ ?? RE# 7/e8?- D//f57*
Valuation of Work(Replacement Cost)$ /7j o1 SCS Heated/Cooled SF J Non-Heated/Cooled
Class of Work: New Addition DAlteration Repair Move ODemo Pool Window/Door
Use of existing/proposed structure(s): OCommercial 131residential
If an existing structure,is a fire sprinkler system installed?: Yes o
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: xGot ,'Er/ACC T
Florida Product Approval# f /f-3.3. aZ /.L. /2i1 / for multiple products use product approval form
Property Owner Information
Name GeA 1/4J /P/4N I/Address /moo# sAla //14 &( cr
City,47 44/77 8.e1 I/? state FG zip 32.233 Phone 70 f SO 9- 551YZ.
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company CA" , / N6' Qualifyin Agent4A'/' s de../.si s
Address '$ 5 f(/A7 'Sjp,( N City G41'SMui%WC State, Zip 3ZZZd
Office Phone /Y 59/-.5-7+4.to Job Site Contact Number `O y - r%/ ---A—?.9b
State Certification/Registration# CC 5`3'D1 E-Mail 1 O U i`r,Q G-7- ® Gf-el A atL • C cy r/
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt Expiration Date
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 Y UR NOTICE OF COMMENCEMENT.
Signature of Owner or Agent) Signature of Contractor)
Signed and sworn to(or affirmed)beforea this 7Jday of Signed and sworn to(or affirmed)before me this day of
jaeljazir Ps0,0•7/ ,by' .Cha1I Nat VI , 2-V?/ ,by II LCIS IAN e
Skit (A- (54w•--g
Signature of Nota i Signature of otary)
personally Known OR Personally Known OR
Produced Identification IX Produced Identification
Type of Identification: Type of Identification: k1 \T2/1 V GCL
1 JUDITH D.CALIFANO
MY COMMISSION#GG297281 a ,a;pr"'''•SHIRLEY A BURNS
p ems= Notary Public- State of FloridaEXPIRESJanuary31,2023
m a Commission#GG 941370
I oboF- My Comm.Expires Jan 6,2024 F
Bonded through National Notary Assn.
RERF21-0028
Doc # 2021026249, OR BK 19563 Page 511 , Number Pages : 1 ,
Recorded 01/29/2021 09 : 53 AM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 . 00
NOTICE OF COMMENCEMENT • -
Permit No.
Tax Folio Na
State ofFlonda -
County of Duval
THE UNDERSIGNED hereby give notice that the.iagnovement Will be made M certain real piopertyin . -
accordance with Chapter713,Florida Statutes,the friHaag information is d d in this Notice of _ . - -.
Commencement I PE0'/7/6,81-off/8
I. D- .titaw,on of . :•••.. description of .. and address if available) `, —39 31-A 5- 9E
G _A N _ o. G• 5%
2 General Descaiplion aft QE= /T/DOF • 3223j
3. OwnerinfremafiOn:
a)Name andAddress tMf,f,L..0/0,9/1/1/' 7 Z jir/!lA.C.4i9l if -7
b)InierestinprOpelty_ If••2/11 Er OltJNeiQ
c)Name and address ofsmrple tidebOlder(if other-than owner): - -. -
4. Color(Nap end Addzess): = 9533 _.-'r •a - a f7iQC#teed d1
GA/if ReOi i%G: cT/taElseNt/1/Ic 322.E0 ?oil 0271-.1-1
s. surety Information: _ Z-9 -J-73/4
a)Name and Address: j4// Ib)Phone Nnmbea
I `c)Fax Numb=
d)Amount ofBond: I -
6. Lenderinfonmation.Ay//
a)Name and Address(
b)Phone Numb=
vvhomn aOhc s o orher Y
7_ Person within the State afFlmitta d by uwrier(golf
served as provided by 71312(1)(al F1 daStat.:. .rs//yp•-
a)Name and Addle=
b)Phone Number;
c)Fax Numb= j/ of
8. In adcftion to l owner
to receive a copy efts Liesm's Notice as paavidedin Sedum
from the date of
9.-Expiration date afNo eaf 1hc ars date ib_One(1)year
Recording unless a&anent date is specified:
Signature of Own=
f`jj.
E"''""". -
Sworn and subscribed before methis . .S"day of 20... -----0... — -
CaownPermaally 0IDShuwn: , -
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i
SignatureofNotmY: ` x,1..1 J .i_e ,:
My r:ommissicm empIIex (- ti / - /
z 4..
JUDITH D.CALIFANOLI7MYCOMMISSION#GG297281 -
EXPIRES:banuary 31,2023