1855 N Sherry Dr RERF21-0013 Permit PacketOWNER:ADDRESS:CITY:STATE:ZIP:
WIGHT ERIN LARGO 1855 SHERRY DR N ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
PRIME ROOF
CONTRACTING LLC 13725 BEACH BOULEVARD, #13 JACKSONVILLE FL 32224
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172020 0804 SELVA MARINA UNIT 10C
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1855 N SHERRY DR REROOF SHINGLE SHINGLE ROOF $12388.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $115.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $119.00
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 2Issued Date: 1/19/2021
PERMIT NUMBER
RERF21-0013
ISSUED: 1/19/2021
EXPIRES: 7/18/2021
REROOF SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 1/19/2021
PERMIT NUMBER
RERF21-0013
ISSUED: 1/19/2021
EXPIRES: 7/18/2021
REROOF SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $119.00
RERF21-0013 Address: 1855 N SHERRY DR APN: 172020 0804 $119.00
BUILDING $115.00
BUILDING PERMIT 455-0000-322-1000 0 $115.00
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: R14633 $119.00
Printed: Tuesday, January 19, 2021 3:45 PM
Date Paid: Tuesday, January 19, 2021
Paid By: PRIME ROOF CONTRACTING LLC
Pay Method: CREDIT CARD 415135610
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R14633
~+; CENTRALSQUARE
RERF21-0013
Building Permit Application
City of Atlantic Beach
800 Seminole Road, Atlantic Beach, FL 32233
Phone : (904) 247-5826 Fax : (904) 247-5845
Job Addre ss: 1855 NORTH SHERRY DR Atlantic Beach FL 32233 Perm it Number: -----------
Leg a I Descr i ption 37-40 09-2S-29E SELVA MARINA UNIT 10-C 3 LOT 1 RE# _________ _
Valuation of Work (Replacement Cost) $ 12,388 .00 Heated/Cooled SF 2856 Non-Heated/Cooled 782 ---------
• Class of Work (Circle one): New Addition ~ Repair Move Demo Pool Windo w/Door
• Use of existing/proposed structure(s) (Circle one): Comme rcial ~
• If an existing structure, is a fire sprinkler system i nstalled? (Circle one): Yes No @
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed : Replace roof with asphalt shingles
Florida Product Approval# FL 10674-R12 (shingles) FL 17420-R2 (synthetic) for multiple products use product approval form
Property Owner Information
Name: WIGHT ERIN LARGO and WIGHT JEFFREY THOMAS Ad dress : 1855 NORTH SHERRY DR
City ATLANTIC BEACH State FL Zi p 32233 Phone --=9-"0--'-4--'-6""2""'9--'-8~3~4--'-4 ______ _
E-Mail ________________________________________ _
Owner or Agent (If Agent , Power of Attorney or Agency Letter Required) ___________________ _
Contractor Information
Name of company : Prime Roof Contracting , LLC
Address 3500 Beachwood Ct., Suite 207
Office Phone (904) 530-1446
State Certification/Registration# CCC1329505
Qua l ifying Agent : _M_a_r_k_Y_o_u_n....cg __________ _
City Jacksonville state _F_L __ Zip 32224
Job Site/Contact Number _(~9_0_4~) _86_0_-_0_2_30 _________ _
E-Mail office@primeroofingfl.com
Arch itect Name & Phone# __________________________________ _
Engineer's Name & Phone# _________________________________ _
Workers Compensat ion FRSA Self Insurers Fund Inc. 01 /01 /2021 870-040093/3EE6142
Exempt / Insure r / Le ase Em pl oye es / Expi rat io n Date
Application is hereby made to obtain a permit to do the work and installation s 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 regulationg
construction i n this jurisdiction. I understand that a sepa r ate pe r mit must be secu r ed fo r ELECTRICAL WORK , PLUMBING , SIGNS ,
WELLS, POOLS , FURNACES , BOILERS , HEATERS , TANKS , and AIR CONDITIONERS , etc.
OWNER 'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance wi t h all
appl ic able 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
RECORDIN YOUR NO~F.COMMENCEMENT.
( · atu re of O or Ag ent inc luding Contra ct or) •
Signed and sworn to (or affirmed) before me this ~ay of
JM Z6Z(, by f +
(Signa t u
Signed and sworn to (or affi
J IA/'\ , 2,02.1, by ~~:.1§:,:,~'lC:f-----
(Signatu r e of Notary)
,~i~Y'.Pt~ And re w D. Da vis {j'"Ja r:f._~ COMMISSION# GG2412 20 \~6~ EXP IRE S: Sept 17, 202 2
,;,,~$Fl.~'~ 8o 11111 111 11''' nded lhru Aa ron Notary
R
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RERF21-0013
Page 667, Number Pages: 1, Doc# 2021012846, OR BK 19540
Recorded 01/16/2021 10:20 AM,
RECORDING $10.00
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. ___________ _
State of :..F;.::lo-'-'rid;:.;a=------------
To whom it may concern:
Tax Folio No.=,---,---------------
County of _-.:D:.cuc.cv.:;ac.cl _____________ _
The undersigned hereby Informs you that improvements will be made to certain real property, and in
accordance with Section 713 of the Florida Statutes, the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: _______________________ _
37-40 09-2S-29E SELVA MARINA UNIT 10-C 3 LOT 1
Address of property being improved: 1855 NORTH SHERRY DR Atlantic Beach FL 32233
General description of improvements: _R_e-_r0_0_1 _______________________ _
Owner WIGHT ERIN LARGO and WIGHT JEFFREY THOMAS
Address 1855 NORTH SHERRY DR ATLANTIC BEACH, FL 32233
Owner's interest in site of the improvement _______________________ _
Fee Simple Titleholder (if other than owner) _______________________ _
Name ___________________________________ _
Address _________________________________ _
Contractor Prime Roof Contracting, LLC
Address 3500 Beachwood Ct., Suite 207, Jacksonville, FL 32224
Phone No. (904) 530-1446 Fax No. Email: office@primeroofingfl.com
Surety(ifany) _________________________________ _
Address ____________________ Amount of bond$. ________ _
Phone No. ______________ Fax No. ________________ _
Name and address of any person making a loan for the construction of the improvements.
Name ___________________________________ _
Address _________________________________ _
PhoneNo. ______________ FaxNo. ________________ _
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. mvner designates the following person to receive a copy of the Uenor'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):------~-----------------------
THIS SPACE FOR RECORDER'S USE ONLY
: Andre\~ D. Davis
~COMMISSION# GG241220
J EXPIRES: Sept 17, 2022
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Bonded Thru Aaron Notary
My c
PersonallyKnown ____ ~~---------or
Produced lden!ificat!on----l\":FO-L-1.Ll'-------------