1629 BEACH AVE - ROOF ?t 1=LI iJv.'
r f CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0010
Description: SHINGLE 5/12 SLOPE
Estimated Value: 18500
Issue Date: 5/15/2017
Expiration Date: 11/11/2017
PROPERTY ADDRESS:
Address: 1629 BEACH AVE
RE Number: 169650 0000
PROPERTY OWNER:
Name: PFOTENHAUER KURT
Address: 1629& 1631 BEACH AVE
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: K & G CONSTRUCTION CO INC
Address: 7587 WILSON BLVD QA AARON JAMES GALLEY
JACKSONVILLE, FL 32210
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU 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.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
• r"-j."',%A Building Permit Application
City of Atlantic Beach
•
800 Seminole Road, Atlantic Beach, FL 32233
r ort 9r V Phone:(904)247-5826 Fax: (904)247-5845
i U2°1 Baca AV R E R 1 7 - 00 ( 0
Job Address: _ Permit Number:
Legal Description
15-10 Oq-ZS-zq E N A t1 tr & gt U�t UYI I+ No l 001q011'35(0'
Valuation of Work(Replacement Cost)$_j )r5o0— Heated/Cooled SF _Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repai Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial •esidentia•
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed:
RC - rooF 21 5q . q.2-
Honda
Product Approval#FL-f O(D 7-7 -
/ r LCl , - . I for multiple products use product approval form
PropertyrOwner Information �f !' {t r ^I
Name: P ottAlhaUlcr, KU�'t Address: 14 PCnnSylvannq (\Vf N`VVJIAlF 7c)
City !�y`1-')j ng t1)f _State PC Zip 2.0004 Phone
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: 't ---' A uCi n n Qualifying Agent:/Vi re,/ r76,i I ey
Address 1 "7 VV) 5( h :1VF . City2OX state FL Zip ;72i0 __
Office Phone clot'- 112— 131 ts Job Site/Contact Number goy-- 5o -Schou
State Certification/Registration it CU.132 0103 CG'ClS) 1011
Architect Name&Phone ft
Engineer's Name&Phone#
Workers Compensation
Exempt/insurer/Lease Employees/Expiration Date
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 regulationg
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.
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
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CO SULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORI ►V' . Ye • ,...-. . e << ►4 r, MENT.
2
I (Signature of Owner o •gent including Contractor) (Signature of Contractor)
Signed and sworn to(or affirme.)b: ore mel this Y.---:clay of Signed and sworn to(or affirmed)before me this..44.day of
_ X0/7 by •!.i kL i i . 4L_. j —,by 44 ren ,</Gy _
(Signature of Notary) (Signature of Notary)
"'t. LISA A. HOLMES
46 MY COMMISSION#.FF979683 er rpi JAYNE E.SHANNAHAN
0 )'Personally Known 0, %,,,,, EXPIRES:June 04,2020 (Pr-Personally Known OR �: .a t Notary Uablic,Stato of Florida
I )Produced Identlficat . ( )Produced Identification �„�r,/My Comm.Expires March 25,2920
Type of Identification: Type of Identification:__ �.ffi 'r_ .CnmtriS5ionMAT-853$38__
Page 1 of 1
Doc # 2017111629, OR BK 17980 Page 1869, Number Pages: 1, Recorded
05/12/2017 at 01:11 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
(PREPARE IN OOPUCAT'c)
Permit No. - Tax Folio No. 169650-0000
Stale of KNOW County of DUVAL
To whom It may concern:
The undersigned hereby Informs you that hnprovomenls will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information Is staled In this NOTICE OF
COMMENCEMENT.
Legal description of property being Improved:
15.10 09.2S-29E N ATLANTIC BEACH uNrr NO 1 1x1' LOT 6
Address of property being improved:
• 1629 BEACH AVE.ATLANTIC BEACH,FL 32233
General description of improvements:RI ROOF
owner PFOTENHAUER,KURT
Address 1955 YENNSYLVANNIA AVE NW,S1UTE 780.WASHINGTON DC.20009
Owner's interest in site of the Improvement
Foe Simple Titleholder(if other than owner)
Name
Address
Contractor AARON I l,l.EY/KRC CONSTRUCTION CCI328403 CCC15110E7
Address 7587 WILSON BLVD.JACKSONVILLE FI.32210
Phone No.904472431E Fax No.904'771.1912
• Surely(if any)_
Address ..,_ Amount of bond S
Phone No. Fax No.
Name end address of any person slaking a loan for the construction of the improvements.
Nome
Address
Phone No. Fax No.
Name of person within the State of Florida.other titan himself,designated by owner upon whom notices or other
documents may be served: c - POA)
Nome_ i _ ,r A 1p V• ►�J�_I`Ori J /���
Address 'e iA�1 a X t�ir1 _..I
Phone No.a O4- Q CI-3104- Fax No.
in addition to himself,owner designates the following person to receive a copy of the Llenor'a Notice es provided in
Section 713.06(2)(b).Florida Statutes.(Fill in of Owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(Jho expiration date Is one(1)year from the date of rocordin•unless a
different date is spcclfled): i . •a a A i, :! ,, & KU,1(t
THIS SPACE FOR RECORDER'S USE ONLY OVINE F°'">ccLLLISA A.HOLMES �{,{'lh[lU2i
a191�: e t G�IO O4.2O2 p6S1
Way mo day qrn�� P l ,,.a ��li G Jan01.201a
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NINNY nail and Wilms that al 14kmanle and dadtaieeans hale,
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POA -f-Dr KI Uri
t�RA1ac dm taiga.stag9r oerawirjagEd7. 12potnhatArev
tycanvnhsbn expires: 7g73,i.
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https://ep4.ingeo.com/Secure/Document/PrintDocuments.aspx?docId=2402... 5/12/2017