141 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 NEXT DAY INSPECTION: 247-5814
308 INFORMATION:
Job ID: 16-ROOF-2508
Job Type: ROOF PERMIT
Description: RE ROOF SHINGLES
Estimated Value: $5,250.00
Issue Date: 111/8/2016
Expiration Date: 5/7/2017
PROPERTY ADDRESS:
Address: 141 JASMINE ST
RE Number: 170861-0500
PROPERTY OWNER:
Name: JACKSON, W GLENN
Address: PO BOX 326
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 DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $80.25
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEAcia
900 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fas")247-5945
Job Address: 141 PonnitNumber.
Lep]D..riptio, 1&M 38-2S-NE 0,09 Aflardic Beach So-H 8201'T LOTS Parcel N 170861-0500
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Valuation of Work S g9so no Pruposed Work houted/cooled it" non-heatedlIcooled 48
ClassofWorkicirdeone): New Addition Alteration Repair 1X--peqT Ifti.. .U,,. windw/d.,
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Describe in detail the type of work to be perforated: Reclanconead 1;1&,W�L
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Proporte Owner Inamandon,
Narne:Glenn Jackson -------Add.. P.O.Box 326
City Multhn. Share SC Zip 29674 Phase 843464-6415
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Address-3936-1 Sunbecon,Rd, —Cdy��Stsac Zip 32
Office,Phone 90W2WD431 JobSitalOcashwaNumber 904-463-2962 Fax#_
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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 WITTI
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING VOK NOTICE OF
COMMENCEMENT.
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Print Narn. William G kmn"JIF07—�'�P:rint Narne, li-MA " C-Xa,-,s2-
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NOTICE OF COMMENCEMENT
COUNTY OF Duval
STATE OF F a
0 Towhomkmayconcam:
r reby Informs you that improvements will be made to certain real Properly,and In accordance
The undersigned he
2; with Section 713.13 of the Florida Statutes,the following Information is stated In this NOTICE OF
COMMENCEMENT.
TIC BEACH SEC H S 20FT LOT 6.
Description of property 18-34 38-2S-29E 0.094 ATLAN
N 20IFT LOT 6 BLK 99 141 Jasmine St.,Atlantic Beach, FL 32233
a'o Roof Replacement
8 so' General description of improvements
W
Owner
Address P 0 Box 326,Mullins,SC 29674-0326
O,nees Interest In site of improvement Fee Simple
Fee Simple Title holder(if other than Omer)
Name
Address
Contractor BRC Rodfing&Construction, Inc. GD4-288-0431
Address 3938-1 Sunbeam Rd.,Jacksonville,FIL 32257
Surety(if any)
Add Amount of Bond.
Name of pawn within the State of Florida designated by owner upon whom notices;or other clocturusirft may be
served: Robert MacDonald @ Home Finder Realty
Name
Address 2292 Mayport Road,Suite 1,Jacksonville, FIL 32233
In addition to himself,owner deftinates the followIng person to receive a copy of the Litanies Notice as PmWed
in section 713.06(2)(b),Florida Statutes(Fill in at owner's Option).
Name Addre
i�z�xolzws
William Glenn Jackson
Print Name
Sworn to and subscription before me this
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