340 10TH ST - ROOF 6 t* A CITY OF ATLANTIC BEACH
rw. �,.
800 SEMINOLE ROAD
''7-=-'
ATLANTIC BEACH, FL 32233
�J,319/'2 INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0015
Description: ROOF-SHINGLES
Estimated Value: 5000
Issue Date: 6/2/2017
Expiration Date: 11/29/2017
PROPERTY ADDRESS:
Address: 340 10TH ST
RE Number: 170038 0010
PROPERTY OWNER:
Name: JEAN PIERRE VALDEZ
Address: 340 10TH ST
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: SOUTHERN COAST ROOFING & CONS
Address: 4557 EAST SENECA DR QA MEHMET ORS
JACKSONVILLE, FL 32259
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$7,500.
1
II
ar Building Permit Application Updated5/5/17
rI' '1 City of Atlantic Beach
800 Seminole Road, Atlantic Beach, FL 32233
9? Phone: (904) 247-5826 Fax: (904) 247-5845
Job Address: 3K) /0 A S &-'77Az.gi fisc jx7ty_N� 3ZZ33 Permit Number:
Legal Description s'6116-ZS-19 .fSATwanrn'.3Ep{MW 10 Frl,or , . egofrIe E#' Q a 0,38-00/0
Valuation of Work(Replacement Cost)$ ✓/OO 7•Co Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair,-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): 111010 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: ._reAR of f DOF .I4:NI 6,1_ Tb St-I'INejL,E
Florida Product Approval# -FL. 1012.4— PG 186 8 6• . - for multiple products use product approval form
Property Owner Information �((
Name: --GAJ--At7(/1� !/� c Z Address: 34 /(� ST/Zc 7'ITL, TIc Bp»A3ZZ33
City /a'TGAs.Yrrc t ?kN State Fc, Zip 302.33 Phone 90'/-35/3--Z y s?
E-Mail 27/3 P'//4/10 •COWS
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company:rsvI;TJ ul '1-•ROOFtKA'j Qualifying Agent: t-ikE1 Me--Q S
Address 361(o Q A 1,l.(Orl City TTACKSON Vi wE State Ft. Zip 32z oV-
Office Phone (404 —529 -393S Job Site/Contact Number :4y oleS 909 —305—849
State Certification/Registration# t C 132 2-9o/4 E-Mail }FPIGCOOD-keit `tUf2.00FIN6)•US
Architect Name&Phone#
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, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDIN •UR NOT E OF COMMENCEMENT.
(Signature of 0 erorgent) (Signature of Contractor)
(including contractor) n
Signed and sworn to(or affirmed)before me this 3D day of Signed and sworn to(or affirmed) before me this 12-"day of
M4 , 20 I , by Jr.A•r%►t' }ZRI✓ V4LpE Z. JUNE , 2O 1 by Mei—Weic3
1 �oCn°' ° - titin•Q�lo141100thcill4--z1
(Signature of Notary) .• of M PISONPHAKDY
PAMELA SOMPHONPHAKDY '': MY COMMISSION t FF221913
MY COMMISSION t FF221913
EXPIRES April 19.2019
EXPIRES19.2019 / X401 300•C•b3 fIoddSNOuy3•Mol.aar
[ J Per onally Known OR April [(,}-Personally Known OR
[ roduced Identification I'bh •4'4 POMMitionafivrvice.corr L J Lroduced Identification
Type of Identification: FG-DL. Type of Identification:
Prepared by:
Vickie Yost,an employee of
All Florida Title Services,Inc.,
4417 Beach Boulevard,Suite 105
Jacksonville,Florida 32207
File Number:32413
Contract Sales Price:$645,000.00
Trustee Deed
This Indenture, made,May 31,2017 A.D.Between Highlink,LLC,a Florida
limited liability company,as trustee of the 340 10th St Land Trust U/A/D 04/18/2017 whose
post office address is: , Grantor and Jean Pierre Valdez and Amanda Valdez,husband and
wife whose post office address is: ,Grantee,
THAT,the Grantor,pursuant to the powers and authority granted by the terms and provisions of
the aforesaid Trust Agreement, and in consideration of the sum of Ten and NO/100 Dollars and
other valuable considerations, in hand paid by Grantee, the receipt whereof is hereby
acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms
unto Grantee the following described land situate,lying and being in the County of Duval, State
of Florida to wit:
The Westerly 10 Feet of Lot 17,and the Easterly 40 Feet of Lot 19,Block 12,Plat No. 1
Subdivision "A" Atlantic Beach according to the map or plat thereof as recorded in Plat
Book 5,Page 69,of the public records of Duval County,Florida.
Parcel ID: 170038-0010
SUBJECT TO taxes accruing subsequent to December 31,2016. however, this
SUBJECT TO covenants, restrictions and easements of record, if any;
reference shall not operate to reimpose same.
TOGETHER with all the tenements, hereditaments and appurtenances thereunto
bel;onging or in anywise appertaining.
AND Grantor,will defend the same against the lawful claims arising by,through or under
Grantor.
TO HAVE AND TO HOLD the same in fee simple forever.
AND Grantor hereby covenants with Grantee that Grantor is the duly appointed,
qualified and acting Trustee under the aforesaid Trust Agreement and in all things preliminary to
and in and about the sale and conveyance of the property herein described,the terms conditions
and provisions of the aforesaid Trust Agreement and the laws of the State of Florida have been
followed and complied with in all respects and that the undersigned Grantor has the full power
and authority to execute this deed for the uses and purposes herein expressed;and that said land
is free from all encumbrances.
Florida Corporate Deed/Letter
a
IN WITNESS WHEREOF, Grantor has signed and sealed these presents the day and
year first above written.
Signed and Sealed in Our Presence:
340 10th St L - rust U/A/D 04/18/2017
AT 419
Siouan BasAir,Managing Member of
/ r Highlink,LLC,as trustee
W itaest Print Name: l..i f id a- p `- J
iI 1_1'1'e
Witness Print Name: /L�/! 1%1.... l 4)f e
State of Florida
County of Duval
The foregoing instrument was acknowledged before me this 3 1 day of May, 2017, by Sinan
Bashir, Managing Member of Highlink, LLC, a Florida limited liability company, on behalf of
the company, as trustee of the 340 10th St Land Trust U/A/D 04/18/2017 . He is ersonall J
(Gcno‘dt�me or has produced as identification.
�LV'��/., Linda Peters (Seal)
.. * —_COMMISSION./. .. .. t -'o : ...Public..
EXPIRES:July 22.
%y' ;'+ ' WWW.AARONNOTARY.CONI Notary Printed Name:
My Commission Expires::. �� I c\
111
Florida Corporate Deed/Letter
�, NOTICE OF COMMENCEMENT
State of fcY�iC }
Tax Folio No.
County of Pvd44.
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 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: K4 1-7-0 O 3f3-0010
(£4.041-L DeS• 5.69 Ib -zs -29E•t5A744 %in4- 0e/tat tA) (o fTLoT19-, yaF? L.0► io/go< 12
Address of property being improved: 3 Y6 /D." 5774:-C-7- //7 -C A:746f i j4 30z3.3
General description of improvements: Rt-ROOFtn1E2)
3*0 /015 7Tr
Owner:�e��t"?��LC�r � Address: , C SE//C it,Ic 3 z2.3.3
Owner's interest in site of the improvement: 1 O 0•/.
Fee Simple Titleholder(if other than owner):
u0xmz
Name: r)1(2§ §
c,
o? 0 3 S
1 1 Contractor:S OLTD4 p i Co 1+07-o of IN( -. Cb1I STQU CI t ON INC . ,0-1�,a.` N
Address: 3`1 6 GAL- l,vN • j/-C SDNV'LL,L, f1 32Z-0 7- cai Yo o t N
d, ,o
Y Telephone No.: gal -3 DS--8g$ Fax No: c/o — 3 3 0- 0'2)3(, o m o nco
i
Surety(if any) S ; x�
0- W
Address: Amount of Bond$ 2 N x
Telephone No: Fax No: 8
o Name and address of any person making a loan for the construction of the improvements x m
o ,n
Name: oCo
c i
Address: D
r
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: 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 Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER / , 1, ISemigt410--flis 0
Signed: (/ / Date:5-13 0)2s-2I}
Befor this 0 �.•% y 2c/9- in the County of Duval,State
Of orida,has personall .ppeared Jrc4N .PIEpKE t ,4L,pEZ
Notary Public at Large,State of Florida,County of Duval.
iit"91 y PAMELA SOMPHONPHAKDY My commission expires: 04-11- 19
•e MY COMMISSION E FF221913 Personally Known: or
EXPIRES April 19.2019 Produced Identification: fl-.b I--
t404,344-a1 Na+Oigwysenteccar