77 SHERRY DR ROOF CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NE)Cr DAY INSPECTION: 247-5814
YOSINFORMATION:
Job ID: 16-ROOF-1316
Job Type: ROOF PERMIT
Description: REROOF FL. 10674.1
Estimated Value: $12,380.00
Issue Date: 6/4/2015
Expiration Date: 12/1/2015
PROPERTY ADDRESS:
Address: 77 SHERRY DR
RE Number: 169726-0000
PROPERTYOWNER:
Name: IONADI, PATRICK
Address: 3175 BEECHWOOD DR
GENERAL CONTRACTOR INFORMATION:
Name: A J WELLS ROOFING
Address: 5432WELLERPL ARTHURJWELLSJR
Phone:
FEES:
BUILDING PERMIT FEE $111.90
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $115.90
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODE&
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office(904)247-5826 Fax(904)247-5845
JobAddress: �FI III (t 311 permit Number:
Legal Description I I Q1
6U., AT� .17`i' 6qarcel# /I
Valuation of Work S Ploor 01 Sq.Ft.
_jj43Zb. ProposedWork heated/cooled Ul,- non-heatediremaled f
4fe
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/pro structure(j) circle one): Commercial (79�
If an existing stmg.:Vis a rim spr=system installed?(Circle onI No (NDP
Florida Product proval# K � low,?.(
For multiple panels use product ap)m`v`aTIurm
Describe in detail the type of work to be performed: ju4;1w spi:I.4t 1--f-
Proverty Owner Information:
Nme: PLa��ek_r cAsrAwn, Address: "I 59?rt4 1), A7)^r,7III4 &!5'1 /1 $age'?
E-Mail or Fax (Optioia!�_'4—S�Zlp 14M�:Fhon
Contractor Information:
Company N III me: A. Qualif3in Agent: A�TI traA
AGUVI ll r&!!n- --City 3"!�,I I AF State PL
Office Phone S IIN� zip,5�%lr
q� IT9...69 Job Site(Cof!Norther S".-ogfi
State Certification/Registrution#__ig�Lgk!i�D _Fax*
Architect Name&Phone#
Engineer's Name&Phone
Fee Simple Title Holder
Bonding Company Name and Address
Mortgage Leader Name and Address
Application is herely made to Obtain operkrit to do the work and installations=judicaat I refla
issuance ofalocrout and that all work will III g7doe t twwwk�iwA211afimhmcommencedpti�tolhe
and void(fwark is nor commearedwiden six ii-dormedoe meet the standards ofall lawx re anagcomarecalminthisjurisdictim 7heirpormubLemesomit
6)months or if
warkwoonamenced I understand that sepatclepeenjis munoultuatio.or workis s..posadedo,alarahmedfora ,riod ofsaj.6),month,atany e
be scouredf-Recieres 11 Pre
Teske and Air CondhissuI aa W-I Montour,Arm; Wells,Pe^ tak,qii ,
arfiter;Boders,ff"I
WARNING TO OWNER: YOUR FAMURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU NOTICE OF
COMMENCEMENT.
I certify that I have readandrexamuned this icafi6nandkn�thes�tobe�eande�et. Allprovisions oflows and ordouncesgaroming this
i work will be compiled it w I r s ci red herein or am. The runtiI or a permit
onsafanyorherfede staI at aw regulating construction or the PerYbrovelme ofoomes no'Premake to give,authority to violate or camel the
ascrectan.
wh he he
Im
Signature of Owner of Con
Signatum
Print Name F_U�AT Print N..
_t 0-
Sworn to and subscribed before me b
thi Day of 20 AC_ Sworn to,and subscri ;0-before me
this qjDayof AI 20
Notary PubI
nFu
P
40"EN hkQkI P.M.$Wdk&III dy Baker
KImbedy Baker M,C.vm,nI.�FF012633
My CommI FF 012sa3 Expres0412.W017 eyised 0 1.26.10
,umulu'_",
In E.P1kMN*&2017
.WI
06/01/2015 at 11:41 AM, Ronnie Fu;Se.11 CLERK CIRCUIT-COURT'DUVAL COUNTY
RECORDING $10.00
NOTICE OF CONMNCEAUNT
TUX Folio No� MOO
To Wbom It.May Concern- Of
The und eigued hereby ilome,You Umf MgMkonouts Will be made io corral,real properly,oed M ,aadama
the Florida Staimes,the"lowing information is stated in lids C,0FC0 -.'C E T Wth SMMM 713 of
LePt Lesonl`tion Of Property being improwd: NOn F , MMFN W N
Addrmofprojjenybftlmp,mve&
0 moral descriproo otjrapro�omeers: f- A
0— Addmss: -,j"f:jL
0,alIer's intenst in sile of dw impnov"Matz
V-
Fee Simple Titleholder
Contrarrew-
Address:
Telepluxle No.:
FAX No: L
Address:
Telephone No:
Fax No:
Name and addressofoyp"M Mloggalamfortk mWucdw of the inlamytaossas
phong,No� Pu Noc�........
Now of pmo,witbin da,Sbal of Florida,oths,#mm hjn_lf, dc&,Pated by 0�upea whom maices or caller docummu may be
served: Nw=
Addreso:
relept"o'No' Fu No:
Io addido. 1. himself, o� &agllmaea a, &00%joIl P,,ma to a VIPY Of III, 1,111or', Nmjc og wvid See,
713.06(2)(b),Florida Statues. (Fill in at Oom"is.0w,) lee ed in I"
Naroo:
Address:
Telephone Fm No:—
Rxprmfioa deve of Nosi�of <&e eWmom date is ore(1)Year fivat the clate of n000ling urde..a diffitrent daw Is
sperifled):
rHIS SpxCg FOR RECORDVWS USE ONLY OWNER
Sivem:7—
Be(.,. 6*t ('Awr� Dau,:
7�—d�;70-f Yj -
f�r C
NObowl'ablice. litaL.M.'
Of Florid. -&W—A
ri�,,coaaj,ofj�oi.
pat,oralb Know.-
7Z
9 as g
0U�7
NOTICE OECONEWENCEMENT
State of V'L-X!OX Tax Folio No.
County of D�,P,�
To Whom It May Concern:
The undersigned hereby informs you that improvemmu,will be made m cer real property, d
the Florida Statutes, tain an in accordance with Section 713 of
the following information is stated in this NOTICE OF COMMENC
Legal Description ofproperty being improved: SAA L I -VS 9,29r. 7� EMENT.
Address OfWPertY being hnpmved: :10 SWSAIL-4 DA.
General description of improvemants: hhhv OL—F-
Owner: jzc,�O-c _ Address: jqaitp� Dit k 3W
Owner's interestin site ofthe improveramt. 5Ln��Ift-t-
Fee Simple Titleholder(ifotbw dim owner):
Name-
Contract- A-1. VAIRMS
Address: 2tj Apej�Fj�j�p
Telephone No.: FaxNo;_
Surety(ifany)
Address, AmountofBondS
Telephone No: Fwc No:
Name and address Of my person malcing 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,
Telephone No: Fu No.,
In addition to himself owner designates the following Person LD rCC=Ve a copy of the Lienor's Noti ce as provided in Section
713.D6(2)(b),Florida Statues. (Fill in m Owner's Option)
Name:
Address:
Telephone No: Fax No:
Expiration data of Notica Of Commencement(the expiration time is one(1)yew from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed
(4411;t Dau;: SIZ71/ 1
Deloma"cuns A:l day of Duval,Stu�
Of Pl.-ida.has persorally appauxd VS y1a
I - -—1----,"—.,
My commission expim- Oq-7-T-1-7
Personally ItZ.
Produced ld ficauM L-
MYC"Md*WFF012Saa
07
Consideratton: $311,000.00
This document prepared by(and after
recording return to):
Name: David leakirs;
Ptermium Title Services, Inc.
Firm 1000 Abernathy Road NE,Suite
200
Atlanta,GA 30328
Phone. (856)339-6325
Aften 2261 OGeanyialk Drive W
recording Atlantic Beech,FL, 3223�
retu m to
Asset No. 7091017769
File No. CE1505-FL-2593995
Above This Line Reserved
For Official Use Only
SPECIAL WARRANTY DEED
AND
SUPPORTING AFFIDAVIT OF POWER OF ATTORNEY
STATE OF FLORIDA
COUNTY OF Duval
THIS DEED, made this:�Iay of 2015 by and between The Bank
of New York Mellon f/k/a The Bank of New York as successor trustee for JPMorgan Chase Bank, N A.. as
Trustee for the benefit of the Cerfificateholders of Popular ABS, Inc. Mortgage Pass-Through Certificates
Series 2006-E, a nabonal banking association, organized and existing under the laws of The United States of
America; hereinafter called the Granto , whose mailing address is: c/o Ocwen Loan Servicing, U-C, 1661
Worthington Road, Suite 100, West Palm Beach, FL 33409; and Jacquelyn C. Castranova and Robert J.
Castranova, Husband and wife, tenants by the entirely hereinafter called the Grantee,whose mailing address
.ma
2261 Oceanwalk Drive W,Atlantic Beach, FL 32233
VMESSETH, that the Grantor, for and in consideration for the sum of Ten Dollars ($10.00) and other
valuable consideration, the receipt whereof is hereby acknowdedged, hereby grants, bargains, and sells unto
the Grantee,and Grantee's succesvom,heirs,and assigns forever.all that certain parce!of land in the County
of Duval, State of Florida,to wit
SEE EXHIBIT"A"ATTACHED HERETO AND MADE A PART HEREOF
PARCEL ID#: 169726-0000
Located at 77 Sherry Drive,Atlantic Beech, FIL 32233
TOGETHER, with all of the tenernerits, heredilaments and appurtenances thereto, belonging or in anywise
appertaining.
TO HAVE AND TO HOLD, the samai in fee simple forever.
AND the grantor does hereby fully warrant the tiffe to said land, and wilt defend the same against lawful claims
of all persons claiming by,through or under said Grantor but against none other.
Deed Cover Sheet-Ocwen
File Number. Client File Number/Asset Number
Amism-FL-2589155 1 7091017769
Property Address:
77 Sherry DriveAtia mic Beach,FL 32233(Ouval)
b Requirement
Inv If
Copy Attached: I Recording Info County of Duval
ins a:
Bw
Est Set Date:June 12,2015
Ll Date::
Additional Notes:
Executed deed showid he sent to the Closing Office indicated below-
Premium Title Services,Inc.
1000 Abernathy Road NE,Suite 200
Atlanta,GA 30328
After recending.please return recorded POA to the following addrew
sr Document,Submitted for SuppordgOwumends Witneen Notary
Omen Loan Servicing,I.I.C. Me, Exeauflon Rmllad required
Attention:Reexrd SerAces I Deed FC Deed
2 815
S720 Premileir Park Drive 3 T.Sheml,
West Palm Beach,FL 33407 4 Commitment
7-
2583043,1002
AmIgned to:Jacqueline Michaelson
QQ Chris HeInIchen Deed printed by.
j"Naelite S.Alichaebsom Db
In Witness Whereof, the grantor has hereunto set his hand and seal the day and yearfirst above written.
Signed,sealed and delivered in our presence
The Bank of New York Mellon 11kJa The Bank of New York as
successor trustee for JPMorgan Chase Bank,N.A_as Trustee for
the benefit of the Cerfificatelholders of Popular ABS, Inc.Mortgage
Chris"emichi Pass-Through Certificates Series 2006-E by Ocwen Loan
Servicing,LLC as Attorney-In-Fact
Print Nam
MOralma Medina
Print Name of Ociven Loan Servicing,LLC,w Aftmey-in-Fad
Address:CIO Ocwen Loan Servicing, LLC, 1661
Worthington Road,Sulla 100,West Palm Beech, FL 33409
Jacqueline S.Michaelw,
blAlIzUt- I-LORIDA
COUNTY OF PALM BEACH
day of
The foregoing instrument was acknowledged before me this
2015 by Jacqueline 8,Michaelson -as ODrdrW nxAsailCoxillror of Ocwen Loan
Servicing, LLC as Attorney 4n-Fad for The Bank of New York Mellon l/k/a The Bank at New York as successor
trustee for JPMorgan Chase Bank, N.A., as Twat" for the hanefit of the Cedirlicateholders; of Popular ABS,
Inc. Mortg%QWk=tfArt1lic_qtes Series 2006-E, who i's personally knownftm or who has
produced as Identification and whoiflid I tffid not) take an
oath.
60tary Public 7
(Notarial Seal) KrIstin Frontare
Printed Nam
My Commission Expires
POA recorded simultaneously herewith.
EXHIBIT "A"
CE1505-FL-2593995
ALL THAT CERTAIN LAND SITUATE, LYING AND BEING IN DUVAL COUNTY, FLORIDA.VIZ:
A TRACT OF LAND LYING IN THE UNPLATTED PORTION AT THE WEST END OF BLOCK 2,
ATLANTIC BEACH,SUBDIVISION W,AS RECORDED IN PLAT BOOK 5, PAGE 69, OF THE
CURRENT PUBLIC RECORDS OF DUVAL COUNTY,FLORIDA. SAID TRACT OF LAND HAVING AS
ITS WESTERLY BOUNDARY LINE,THE EAST LINE OF OLD SHERRY DRIVE,AS SHOWN ON THE
AFOREMENTIONED PLAT. SAID TRACT BEING MORE PARTICULARLY DESCRIBED AS
FOLLOWS:
BEGINNING AT THE INTERSECTION OF THE WESTERLY PROJECTION OF THE SOUTH LINE OF
FIRST STREET AND THE EASTERLY LINE OF OLD SHERRY DRIVE:THENCE RUN NORTH 83
DEGREES 42 MINUTES 0(r EAST,ALONG SAID SOUTH LINE OF FIRST STREET.A DISTANCE OF
71.0 FEET;THENCE RUN SOUTH 15 DEGREES IS MINUTES 00 SECONDS EAST.A DISTANCE OF
121.50 FEET;THENCE RUN SOUTH 83 DEGREES 42 MINUTES 00'.WEST,ALONG A LINE 120.0
FEET SOUTH OF AND PARALLEL TO THE AFOREMENTIONED SOUTH LINE OF FIRST STREET,A
DISTANCE OF 76.27 FEET TO THE AFOREMENTIONED EASTERLY LINE OF OLD SHERRY DRIVE;
THENCE RUN NORTH 12 DEGREES 50 MINUTES 00 SECONDS WEST,ALONG SAID EASTERLY
LINE OF OLD SHERRY DRIVE,A DISTANCE OF 120.78 FEET TO THE POINT OF BEGINNING.
P�l ID No.: 169726-0000
Vill
CCC1328871,CGC1511202
21 Aderhold Ave,Jacksonville,FL 32216
Phone-904.553.0069-Fax-904.551-4283
wwv�.aiwcllsrixifirwcom
CONTRAC-F FOR SIMPLE HOME REPAIRS
-RONe—ACasumova Homeowner,desires t0crintract with, A.I.Wel1s?&fina&Conshwboo
0 Contractor,to
Perform certain work on property located at 77 ShOl Dr.,Atlantic Beasch,FL 32233
1. Job Description
Ile work to be performed muler this agreement consists of the following: fostall new rsiiif located at 77 Sherry Dr.
Atlantic Beech.IT,32233, Dull P111ghts,remove existing roaf. Install 4K SO of Owens COQ9112 StOmwe 3
shingleS install weatherlock Inel n seel rubber membrane for Odglammt on the entire roof. golf cobm ridge
M-ner for better attic ventilatim new lead Pim b".new 6"eave drip,2-kitchen vents. new valley nieta],and re-
nail all sbe—athing with 2%"rinor shank nails every 6"M code.Rgolace a]Ld#MW wood docking due to water
ged
intrwig-&"Y'4X8 sheets of QLB/plywood are included addiiti�nal 4X8 sheets an$50 00 M sha�j, Includes the wind
mitigation mont fminsimance purIoes. Remove]of all construction debris,
2. Payment Terms
In exchange for the specified work,Homeowner agrees to pay Contractor as fifllOws(choose one and check the
appropriate boxes):
Z a. $_j2.3V..G0 payable upon completion of the specified work by E]cash F-Icheck
El b. $�payable one half at the beginning of the specified work and one half at the completion of the
specified work by E]cash E]check.
D c. $L—per how for each how of work perfornied,up to a rm,jmwo of$ payable at the
following times and in the following nowner:
3. Time of Performance
The work specified in this contract shall(check the boxes and provide dates):
Obegition ..June ja-as start date(weather Mrmitting)
E be completed on__jn%Aaysafter start day.
Time is of the essence
4. Independent Contract Status
It is agreed that Contractor shall perform the specified work as an independent contract. Contractor(check the
appropriate boxes and provide description,if necessary):
maintains his or her own independent business.
shall use his or her own tools and equipment except:
shall perform the work specified in Clause I independent of Homeowner's supervision,being responsible only for
satisfactory completion of the work.
5. License Status Number
Contractor shall comply with all state and local licensing and registration requirements for type of activity involved in
the specified work.
(Check one box and provide description)
0 Contractor's state license or registration is for the following type of work and carries the following number:
CCC 132887 1 &CGC 1 511202_
6. Liability Waiver
If contractor is injured in the course of performing the specific work, Homeowner shall be exempt main liability for
those injuries to the fullest extent allowed by law.
7. Permits and Approvals
(Check the appropriate boxes)
E Contractor El Homeowner shall be responsible for determining which permants we necessary and for obtaining the
permits.
E3 Contractor [_J Homeowner shall pay for all state and local permits necessary for performing the specific work.
E] Contractor E Homeowner shall be responsible for obtaining approval from the local homeovirrier's association, if
required.
Additional Agreements and Amendments
Homeowner and Contractor additionally agree that:
All agreements between Homeowner and Contractor related to the specified work ate incorporated in this contract,
Any modification to the contract shall be in writing.
ACCORDING TO FLORIDAS CONSTRUCTION LIEN LAW(SECTIONS 713.001-713.37 FLORIDA
STATUTES),THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND
ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR
PROPERTY.THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A
SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB-SUBCONTRACTORS, OR MATERIAL
SUPPLIERS,THOSE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR
PAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY
YOUR CONTRACTOR,YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY.THIS
MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR
LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACrOR OR A SUBCONTRACTOR MAY
HAVE FAILED TO PAY.TO PROTECT YOURSELF,YOU SHOULD STIPULATE IN THIS CONTRACT THAT
BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A
WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A
"NOTICE TO OWNER." FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX,AND IT IS
RECOMMENDED THAT YOU CONSULT AN ATTORNEY
HomeomaIm Dated: lr_ 77. ?is/)
contractw. - Dated:r �-?-—Z-1 y—
DISCL41W&- THIS FORM IN INTENDED TO PROVIDE ExINHUM OF THE KINDS OF TERNIS THAT, IT A NUNMIUK SHOULD BE
INCLUDED IN SUCH A CONTRACT.IT IS NOT INTENDED TO SERVE AS A SUBSTITUTE FOR THE AOVKM Or AN ATTORNEV-AT-LAW. BEFORE
ENTERING INTOA CONTRACT INVOLVING GIVING SOMEERUNG OF VALUE TO ANOTHER MR GOODS,SERVICES OR MATERIALS,BE CERTAIN
THAT YOU HIVE A CLEAR IEffEERSEAN,MG OF ALL OF TIME TERJWS IN� LIESTRACT AND WHAT REPILDIES ARE AVAILABLE GpON
DEFAULT OF ONE OF 71111 PARTEX AN A7TDRN&V-AF-"W A,,FEEL,VOU ,I,AN,QUESTIONS yoU NAy HAVE ABOUT THE PROPOSED
CONORICT
06/04/2015 16:42 9045514283 AJI,IELL� PAGE 03/04
CERTIFICATE OF LIABILITY INSURANCE 11120014
THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFRUA�Uy OR NEGATIVELY AIMED, E)1ENO OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUREPAS), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER
IMPORTANT: If the caftiftcale,holder In an ADDITIONAL INSURED,the poliy(Ins)most InO erdomed� If SUBROGATION IS WAIVED,sub]W W
the harnsi and condWons of the Policy,ftnain policies my require On endomennOed. A staterears on thils ctatilkw1a does no confor rights W Else
certificate holder in IWu In such rd.nawn.m,.�
PRODUCER Michelle Dickson
Insurance SolOom of America RN%. 407-332-0033 1 Mj 40
92,5 West$We Rosd 430,Ste 201
Wimsr Spdng$FL 321108 Anng�.certsMisolutionsli.00rn
��A��E HJUMN
--Amnshore Scechalty Inswrance Comps 25"S
INSURED FIRSCOA42
First Coast Pro as of Jackwnville,Inc
rwol�fing&Comillnuction
6432 Waller Place,
Jacksonville FL 32211
MVPPLAVIFIR CERTIFICATE HUM R'1 UMBER'
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANch L1�0-00W—Ml 16—MEN ISSUED�THE NSURRMO�FOR THE POLICY PERIOD
INDICATED. NOTVATHSTANDING My REQUIREMENT TERM M CONDMON OF ANY CONTRACT OR OTHER DOCUMENT VKTH RESPECT TO MICH THIS
CEFITIFIcATE MY HE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO �THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES�LIMITS SHOAN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
�ffp FPUCyExP
nm O"ImannYT,
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Pi;aso�.�wjuar III==
sum,=
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41
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NCIN.000160
HIREDAtUOS p�011
me H—R WHO00URRIENDS a
ASGRININT! a
uma— I�OaeNIMO a
RETENTioNt
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0"IA -la�
014�ymfflv
11 cI�.�
ow.1.0a 01 OPERAMMI I L00,10",�uax:Lu,(notes,101,asaaaw Ran.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY Ce rHe Moen,..RISED PoneoES BE C�ELUD BEFORE
THIS urutAncti MM fHnneor, NornmE WILL RIF MLIVERED IN
Atlantic Beach Building Dept
800 Seminole Rd
Atlantic Beach FL 32233 AUTHO DAR
(D 1938-2014 ACORD CORPO ON. All righim newal,06.
ACORD 25(2014101) The ACORD name and logo am mglMmd marks of ACORD
06/04/2015 16:42 9045514283 AJWELLS PAGE 02/04
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
194o NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
WELLS,ARTHUR J JR
A.J. WELLS ROOFING &CONSTRUCTION
W2 WELLER PLACE
JACKSONVILLE FIL 32211
Congratulations' Wlfihtlhisli�nse ou become one of the nearly ...... �Z--�
me million Floridians 11censed by t9s Department of Business end
Professional Regulation. Our professionals and businesses range STATE OF FLORIDA
from architects to yacht brokers,from boomrs to barbeque restaurant$, DEPARTMENT BUSINESS AND
and they keep Floncia's economy strong. PROF�,; 44
E.GULATION
Every day we work to improve the way we do business in order to CGC1511202, *-Oa/1 712014
%
serve you better. For information about our services, please log onto
There you can find mom information CERPICIED
about our divisions and the regulations that impact you,subscribe WE.U�S ARr
to department newsletters and learn more about the Departments i LLS I,V'ION
Initiatives. A
Our mission at the Department is;License Efficiently,Regulate Fairly.
VVL constantly strive to some you better so that you can serve your dbj at Cn.499 FS%
customers. Thank you for doing bUSIMSS in Florida, i):V;dez I
and congratulation$On Your A"IlCanse! I,.-1 8
DETACH HERE
RICK SCOTT,GOVERNOR KENLAw0msEcREEARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL RE43ULATION
CON$TRUCTIO,INDUSTRY LICENSING BOARD
L
ii�e—ORTE&'CONTRACTOR
Named below IS CERTIFIED
Under the provilti0fis of Cheri 480 FS.
16
Expirathn date'., AUG 31,2 16
�,Re -
06/04/2015 16:42 9045514283 AJWELLS PAGE 01/04
0 STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
� 1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
WELLS ARTHUR d JR
A.J,RLLS ROOFING&CONSTRUCTION
5432 WELLER PLACE
JACKSONVILLE FL 32211
Congratulationsl vvith this license you become one of the nmdy
one million Floridians licensed by the Department of Business and
Professional Regulation. our pmfealonals and businesses range STATE OF FLORIDA
brokers,from boxem to barbeque,m6tSumnts, 1 DEPARTMENT OF BUSINESS AND
from architeas to yacht
and they keep Florida's economy gtrang. i 0 PROF�,p I AULATION
Every day"work to improve the way we do business in order to CCC1328871 8/1712014
serve you better. For information about our mrdoes,please log onto i
vneresmytiorldaticense.com. Them you can find mom information CERTIFIED R
about our divisions and the regulations that impact you,subscribe WEL
to department newsletters and learn mom about the Deportmenfs L ION
Initiatives.
our mission at the Department is*License Efficiently,Regulate Fairly. F
We conslan%strive to same you better eo that you can same your . .....
mstomers. ank you for doing business in Florida, 1 t ION& of C1,489 FS.
and congratulations on your new license!
DETACH HERE
RICR§dj)-ff,GOVERNOR KENLA SONSEdRrTARY
..........
STATE OF FLORIDA
DEPARTRIIENT OF USI ESS AND PROFESSIONAL REGULATION
CONSTRU INDUSTRY LICENSING BOARD.
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The ROOFING CONTRACTOR
NaMad below IS CERTIFIED
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I Expiration date:,AUG 31;2TIS
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06/04/2015 16:42 9045514283 AJWELLS PAGE 04/04
CERTIFICATE OF LIABILM INSURANCE 12/3112014
prodmn Plymouth Inauranm Ageri mift D*and.M .
2739 U.S. Highway 19 N.
Holiday, FL 34691
(727)938-5562 Inswers Affording ONerege NAIC
insured: South East Personnel Leasing, Ina &Subsidiaries tri Lon Intextroce,Corchoary 11075
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BUILDINGDEPARTIMENT
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JACKSOW119 RMAJOK FL WM
06/e4/2015 16:46 9045514283 AJWELLS PAGE 01/01
2014-2015 BUSINESS TAX RECEIPT
MICHAEL CORRIGAN,DUVAL COUNTY TAX COLLECTOR
231 E.FORSYTH STREET,suiTE130,JACKSONVILLE.Fl-32202-3370
Phone (904)630,1916,option 3� Far(904)630-1432
wowite:�.coi.neltto;Email:botoolimear0col-ftle
Note-A penalty is imposed for NIIUM to Keep this receipt exhibited Conspicuously at Your place of business.
This business tax receiprt is furnished pursuant to Municipal Ordinance Code, Chapters 770-772,for the period
October 1, 2014 through September 30,2015.
A J WELLS ROOFING&CONSTRUCTION
FIRST COAST PROPERTIES OF JACKSONVILLE, INC
6432 WELLER PL
JACKSONVILLE, FL 32211
ACCOUNT NUMBER: M84
LOCATION ADDIRESS� 5473jii�111211 PIL
JACKSONVILLE. FL32211
E)ESCPJPTION: CONTRACTOR-ALL TYPES
COUNTY RECEIPT DESC: CONTRACTOR-ALL TYPES COUNTY TAX: 11.25
MUNICIPAL RECEIPT DESC: MO 772.309 MUNICIPAL TAX: 31.25
TOTAL TAX PAID: 42.60
VALID UNTIL September 30,2015
';w*ATTENT10N***
THIS RECEIPT 15 FOR BUSINESS TAX RECEIPT ONLY.
CERTAIN BUSINESSES MAY REQUIRE ADDITIONAL STATE LICENSING.
This is a business tax receipt only. It does not permit the receipt holder to violate any existing regulatory or zoning laws of
the County or City. It does not exempt the receipt holder from any other license or permit required by law. This is not a
oertification of the receipt holders qualifications.
TAXCOLLECTOR
THIS BECOMES A RECEIPT AFTER VALIDATION.
PAID-3962591 .0001-0001 M01 07/22/2014 42 .50