139 Jasmine St re-roof permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXr DAY INSPECnON: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-2467
Job Type: ROOF PERMIT
Description: re-roof with new architectural shingles
Estimated Value: $5,250.00
Issue Date: 11/3/2016
Expiration Date: 5/2/2017
PROPERTY ADDRESS:
Address: 139 JASMINE ST
RE Number: 170861-0600
PROPERTY OVMER:
Name: ANTHONY, SHELLY M
Address: 139 JASMINE ST
GENERAL CONTRACTOR INFORMATION:
Name: BRC Roofing & Construction, Inc.
Jerry Coleman Rowe,CCC 056398
Address: 6254 Powers AVE
Phone:
FEES:
BUILDING PERMIT FEE $76.25
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $80.25
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: IMJosminutgonat PermitN.rnber�
Legal Description 1844 3�2&29EO.094 Man 70861-06c4],
flwr= � r
Valuation of Work$j2,qQ<_Prop re rr ..... ntia-theated/coo led 48
Class ofWork(cimle one): New Addition Alteration Repair Move Demolition poroYsim window/door
Useofexisting/prorosed.structure(s) itch,mm) Commercial Ck�
.1famesisting'tr"c une." Yes �q NIA
Florida Pooduct A d;
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Describe in detail the type of work to be performed:goof aamocam, I,
,rvw a4A&—Aev�
PromsTrOwturlstimmunkos,
Name:Shelly Anthony _AAdms-139 Jesus,In
City tic Such StatsFl-Zip1Z2&__Pho. 9�1129
&Mail or Fus,4(Optional)—_—
Company Name:BRC,Roolloo&Conatruction no Qualifying Agent: Jam Rom
Addoess:39WI Smmage,Rd. ity jacksousal, on, Zip 32ZU—
Office Phone 90�288-U31 JobSimlCuiscomiNumber 9�3-2952 F.4
State Certificstion/Registratio,9 CCCO56398
Architect Name&Phone 9
Enginow's Name&Phone#
Fes Simple Title Holder Name and Addma
Hooding Company Name and Address
mortgage Lormor Name and Addoes
do lhao�&
Non 1�1.11�ank.i b,
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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 VO—Ki NOTICE OF
COMMENCEMENT.
hu
Vhamtn�nof Thegrnwnr,ofa�rmudmsnoc�spmlas aPih"iov1diraw=ha
Signature,of Own signagareofC
Print Name PH.tNe
Sam.to andubscrilmll before a Swoxand smambed before me,
this I Day of 20 1 tlbc� Dayof �7VEMAJ:& .20 1_6
P�hfi C
N Noway FUDI!X-�
A'R.W..,101.26.10
JERRY C HOWE r"
N0mfYPUbIsc-St.Ie.tFI.ma S BRIAN HYNES
Comoussion #FF 988264 )-1 my COMMISSION#FF0565ft
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I,[Opw MY Counts.Exsres Aug 26 2020 41,5011D) EXPIRES DessihAut 17.2017
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NOTICE OF COMMENCEMENT
COUNTY OF Duval
SrATEOF Florida
To whom It may concern:
The undersigned hereby Informs you that Improvements will be made to certain real property,and in accordance
with Section 713.23 of the Florida Statutes,the following Information Is gated In this NOTICE OF
COMMENCEMENT.
Description of property 18-34 18-2S-29E 0.094 2 ATLANTIC BEACH SEC H 3 S 30FT LOT 6 BLK 99,
4 N I OFT LOT 1 BLK 88 Buildings Building 1 139 Jasmine St., Atlantic Beach, Fl- 32233
General description of Improvements Roof Replacement
Owner Shelly Anthony
Address 139-1,asrnine SL, Aftantua-Reach,.171-3=
owner's interest Tn site of improvement Fee Simple
Fee Simpte Title holder(if other then Owner)
Name
Address
Contractor BRC Roofing&Construction, Inc. 904-288-0431
Address 3938-1 Sunbeam Rd., Jacksonville, FL 32257
Surety(if any)
Address Amount of Bond
Name of person within the State of Florida designated by owner upon whom notices or other documents may be
smedi
Address
In addition to himself, owner designates the following person to receive a copy of the Llenoes Notice as provided
In Section 713.06(2)(b),Florida Statutes Fill In at Owner's Option).
Name Add /4rd-h
Owner/Contractor Signature a
M lqtj-�hny
PrInt Name
Doc#2016251517.OR SK 17762 Page 1313, Sworn to and subscription before me this
Number Pages I
Recorded I WQZ2016 at 11,17 AM. day of &L-An%"
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY C/&�
RECORDING$10W Notary Public Signature
CountV of A� State of
personally Known V— or
Produced Identificatim_,
Notary Post-state of Florida
w! Commussion#1n.t.H.998244
9 My Comm.Expire,Aug 26.2020
Beftoledthro.ghfialmnallialaryAssn