748 Amberjack Ln Roof 2015 J
CITY OF ATLANTIC BEACH
Sl 800 SEMINOLE ROAD
.� ATLANTIC BEACH, FL 32233
+, K. INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROOF-259
Job Type: ROOF PERMIT
Description: RE ROOF
Estimated Value: $4,260.00
Issue Date: 2/6/2015
Expiration Date: 8/5/2015
PROPERTY ADDRESS:
Address: 748 AMBERJACK LN
RE Number: 171129-0000
PROPERTY OWNER:
Name: THOMPSON, JOHN
Address: 748 AMBERJACK LN
GENERAL CONTRACTOR INFORMATION:
Name: HESTER'S ROOFING AND COATING INC
Address: 210 Mimosa Rd ST
Phone: - -
FEES:
BUILDING PERMIT FEE $71.30
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $75.30
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
PREPARE IN DUPLICATE,
Permit Nc Tax Folio No. 171129-0000
State of FLORIDA County of DUVAL
To whom it may concern:
The undersigned hereby inforins 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: 30-60 38-2S-29E
ROYAL PALMS UNIT1 03120 ROYAL PALMS UNIT1
Address of property being improved: 748 AMBERJACK LANE JACKSONVILLE, FL 32233-4205
General description of improvements: SHINGLE RE-ROOF
Own_, DWAYNE THOMPSON
Address 748 AMBERJACK LANE JACKSONVILLE, FL 32233-4205
Owner's interes,,n site of the improvement OWNER
Fee Simple Titleholder;if other than owner,
Name
Address
Contractor KELLY J.HESTER NESTERS ROOFING AND COATING
Address 210 MIMOSA RD.ST.AUGUSTINE,FL 32086
Phone No. 904-315-5565
Surety(if any)
Address Amount of bond S
Phone No. Fax No
Name and address of any person making a loan for the construction of the improvements.
Name
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
Phone 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 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 1
different date is specified): /
THIS SPACE FOR RECORDER'S USE ONLY JNER
Signed: DATE2ld►n
Before me this dof
Coun f Duval.Mate of Florid .^ perSc ail�. eared --
Doc fF 2015029624,OR BK 17o5y page I i05 himself'herself and }firms that all statem=_^Gs 3n^ eclardtions erer
Number Pages:1 are true and accurate
Recorded 0206/2015 at 02:51 PM, �� A� JENNIFER HALL
Ronnie Fussell CLERK CIRCUIT COURT DUVAL $ Notary Public,State of Florida
COUNTY Commission#FF 151464
RECORDING$10.00 It" _
t> ry Pubiic at arge 2t t_ or comm.expires Aug, 14,2018
P ,commission xpires O
rsonally Kno.-n =
Produced Identificat�o, i
itl 1 VP Al1JAlIliv ya
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax(904) 247-5845
Job Address: 748 Ambpjack Lane Permit Number:
Legal Description 30-60 38-2S29E Royal Palms Unitl 03120 Royal Palms Unit 01
Parcel
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 4,260.00 Proposed Work heated/cooled 1100 non-heated/cooled
257
Class of Work(circle one): New Addition Alteration- Repair Move Demolition pool/spa window/door
Use of existing/pro osed structure(s)(circle one):. Commercial e_s ential
If an existing structure,is a fire sprinkler system installed? (Circle one): es o
Florida Product Approval#9792.1 and 11915-R4
For multiple products use product approval form
Describe in detail the type of work to be performed: Shingle re-roof
Property Owner Information:
Name: Dwane Thompson Address:758 Amberiack Lane
City Jacksonville FL_Zip 32233 Phone 904-626-4145
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Hesters Roofing and CoatingL Qualifying Agent: Kelly J.Hester
Address:210 Mimosa Road City St.Augustine State FL Zip 32086
Office Phone 904-315-5565 Job Site/Contact Number 904-669-2328 Fax#
State Certification/Registration# CCC 1329048
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
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 laws regulating construction in this jurisdiction. This permit becomes null
and void tf work is not commenced within six(6)months, or if construction or work is suspended or aban done for a p�ls Poriod ols, uinaces montBoilerys tHeat rs,
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, W
Tanks and Air Conditioners,eta
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 BEFR ENTE RECORDING YOUR NOTICE OF
I here certify that I have read and examined this plication and know the same to be true and correct. A11 provisions of laws and ordinances governing this
tyrovisi w o will be o ederea st
ate,ewohether sar I w regulhere n or not. The at ng construction o�the pe onting rmance of constructioermit does not nresume to give authority to vio ate or cancel the
p .f Y �f
Signature of Owner �I-� Signature of Contracto
1 Print Name L.l.... .. � ............................
Print Name _ .h±r..._ ............ ..... ...r. S o>`1......................... G� .....................
l
Swo o and subscribed before me Swo an subscri 20
this ay of 201 S th' D
NotWJQP lictc
JENNIFER WALKER
MY COMMISSION#FF 011480 s •`N91pry Publ t�'tl Ion
EXPIRES:April 24,2017 I^ M7 commission
L Graham
Bonded 7hru Notary
Public Underwriters �(J .1 Commission FF 086990
Expinas 02/14/2018