414 AQUATIC DR - RERF23-0037 1..;_vr� REROOF SHINGLE PERMIT PERMIT NUMBER
: RERF23-0037
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ISSUED: 3/7/2023
ATLANTIC BEACH. FL 32233 EXPIRES: 9/3/2023
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:
414 AQUATIC DR REROOF SHINGLE SHINGLE ROOF $7000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171818 5138 AQUATIC GARDENS
COMPANY: ADDRESS: CITY: STATE: ZIP:
Williams Quality Roofing 8820 Cumbria Ct Jacksonville FL 32219
LLC
OWNER: ADDRESS: CITY: STATE: ZIP:
GORDON KADEEM K 414 AQUATIC DR ATLANTIC BEACH FL 32233
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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $90.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $94.00
Issued Date: 3/7/2023 1 of 2
' `'-'''''' Brk2uilding Permit Application Updated 10/9/18
City of Atlantic Beach Building Department **ALL INFORMATION
J HIGHLIGHTED IN GRAY
.:, 800 Seminole Road, Atlantic Beach, FL 32233
IS REQUIRED.
Phone: (904) 247-58nn2116 Email: Building-Dept@coab.usp
Job Address: ill 4Q-kc < V. OMertJ�tC Q�&tJ\cLI2 Permit Number: % ` - G 3 - DO3 7
f
Legal Description 3$---i I-7 17 —1----32-9 E RE# 17 I ''J(. O--- E ( 3
Valuation of Work(Replacement Cost)$ 70c>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 tesidential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No
• Will tree(s)be removed in association with proposed prosect? ❑Yes(must submit separate Tree Removal Permit) III No
Describe in detail the type of work to be performed:
S1 1'\\�‘cvs,'� `� J-C2..c7 .
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Florida Product Approval# I L i %') t q -1\33 1 (" 17(n for multiple products use product approval form
Property Owner Information 1 (�
Name K� rz4.1-M C ot-f Address L4(`( o -(C v(•
City ICSOt1A-,->' cam- gje...c.kr, State -� Zip 3-1.--1,35 Phone 90(f--,54./L' 112-1
E-Mail ,
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company Wt\\i, 'Ac) Q..k.c4�14.-:. 1 t.3 LLQ- Qualifying Agent
Address — Co-PAN-Nor-'0. (jv City-?d-50P0,(l'P State V-- Zip 31-19
Office Phone 9'O`( -553- I 1....N.1 Job Site Contact Number g0`('55'3•-(`),.b7 [
State Certification/Registration# (O.(3L&3' 1 E-Mail 1- —LJ�,�iewr.S a'V.o�rYw \iC.uh\
Architect Name& Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt Expiration Date 1/512-5
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
x. , LT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
ti BTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
- O I �Q
' 4NOTIE OF COMMENCEMENT. — _ c‘,.4,,,_____ _
co
0
= - o, (Signature of Owner or Agent) (Signature of Contractor) x �,;
tli N a*rid a d sworn to(or affir jd)before m this day of Signed and sworn to(or affirmed) before me this 7 day o' 5
m ✓ t 1A�3 ,by j�UQeG/1't (ADV rn/lf[,� ZfJZ3 by \i'� O VV,'��i rev' o ui
N U
(Signature of Notary) nature N tary) 2-
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[,/'Personally Known OR [ )/Personally Known OR �: - lI
[ I Produced Identification [y Produced Identification -�• «r
1. W 452-8O0- b-ODy-0 ''`.;.,.?:'•.
Type of Identification: Type of Identification: fl/D � "'�•'
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
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: 38-71 17-2S-29E
Aquatic Gardens
Lot 5-C
Address of property being improved: 414 Aquatic Drive, Atlantic Beach FL 32233
General description of improvements: roof replacement
Owner Kadeem Gordon
Address 414 Aquatic Drive, Atlantic Beach FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner) N/A
Name
Address
Contractor Williams Quality Roofing LLC
Address 8820 Cumbria Ct..Jacksonville FL 32219
Phone No.(904)553-1267 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 N/A
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 Alyce Denson
Address 6210 Alfredo Drive W., Jacksonville FL 32244
Phone No, (9oa>860-1124 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 Alyce Denson
Address 6210 Alfredo Drive W., Jacksonville FL 32244
Phone No. (904)860-1124 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 , OW
Signed' ' 1 •/ / (� DATE"``^2� :61, f2
Before me this tik day of , i1 ,a Z.�-- in the
Doc#202304.4492,OR BK 20603 Page 773, C•u ty of Duval.Stat-of Fior.a.has persosall •
•
Number Pages: 1 himsel',-iset,effirms that aU51Kl( 11b'1
rf 1d declarat• s herein rein by
Recorded 03/07/2023 11:33 AM, are true Notary Public•State of Florida
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL
.y ` Commission z HH OO8152
COUNTY 7),,w':: My Comm.:x:ires Sep 16,2024
RECORDING $10.00 gondedthrour."''onal Notary Assn.
•
Notary Public at Large.State of 'Il:r. ounty of MVP
My commission expirs• 0C41t • .1-
Personally Known . e_ii or al or
Produced gntific�n