301 SEMINOLE RD - ROOF s4 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: RERF17-0017
Description: SHINGLE ROOF
Estimated Value: 13000
Issue Date: 6/5/2017
Expiration Date: 12/2/2017
PROPERTY ADDRESS:
Address: 301 SEMINOLE RD
RE Number: 170438 0000
PROPERTY OWNER:
Name: JORDAN JAMES C
Address: 301 SEMINOLE RD
ATLANTIC BEACH, FL 32233-4144
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: A J WELLS ROOFING
Address: 5432 WELLER PL ARTHUR J WELLS JR
JACKSONVILLE, FL 32211
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.
Doc # 2017125259, OR BK 17998 Page 1588, Number Pages: 1, Recorded
05/30/2017 at 01 :52 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
(PREPARE N DUPLICATE)
Permit No.
State of FLORIDA Tax Folio No.
County of DUVAL
To whom ft may concern:
The undersigned hereby Informs
you
property,and
accordance with Section 7 3of the FloridaF Statutes,the following Information Is statednlIn stated NOTICEin
COMMENCEMENT.
Legal description of property being improved: 10 4 IL,,2:5—2q E
SEC. 2 :Sal-Farr
L +'2S7/
Address of property being improved: ,0/ k0( . / Q
ser. • e ri.I(t a.. Ai-- I , vZ
General description of improvements: ROOF PLACEMENT % —�`'
Owner 1/4---./"14. ' E' r/ '77,v151- .../-0,-14.--,
Address ' 00r ,�/W ,�
Owner's interest in site of the improvement PRIMARY ' 'SIDENCwirif
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor AJ WELLS ROOFING AND CONSTRUCTION
Address 5651 COLCORD AVE JACKSONVILLE FL 32211
Phone No.904-553-006g
Fax No. 904-551-4283
Surety(if any)
Address
Amount of bond S
Phone No. Fax No.
Name and a.•ress of any person making a loan for the construction of the improvements.
Name
Address
Phone No. n
Fax No.
Name of person within the St. -of Florida,other than himself,designated by owner upon whom notices or other
documents may be served:
Name
Address.
Phone No. Fax No.
In addition to himself,owner designates the followi •person to receive a copy of the Lienor's Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Own. 's option).
Name
Address --
Phone No.
Fax No.
Expiration date of Notice of Commencement(the expiration date is c -(1)year from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY7
' OOWNERSaped: / DATE 2-43//7___2-43//7___l
Before me this day of a- •a LOL2_ In the
Cou of Duval.S ate of a.ties pe ally appeared
himself/herself and a• rhos that a • heroin by
are true and accurate .��. KELLY
$ SHOTT
I
y_ `Y'c MY COMMISSION ti GG09.4622
/,iM `�� 44',,,t'' EXPIRES April 16,
IR
•
i 2021
INotary Pu• catLarge.Slate of it �.�
My commission expires: 9_ f♦`Z `.. %•• •,
Personafy Known
or
-- —
Produced Ids - --- -,
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904)247-5845 j E R --t-7 - 00 [7
Job Address: 30l Sim; note, 1201 Permit Number:
Legal Description I O-1 S I Co-ZS-29 a 5. ? ,,,Sq.Ft.Laf 287 Parcel# 110 y3' -OOc 0
Floor Area of q. t. Sq.Ft
Valuation of Work$ 13/OOO.CO Proposed Work heated/cooled /7.P non-heated/cooled a5-.P--S
Rennort- f re-plate &Spkiza-VII rs(e_ rev-C7
Class of Work(circle one): New Addition Alteration Repair Move Demolition pooUspa window/door
Use of existing/proposed structure(s)(circle one): Commercial Res' tial
If an existing structure,is a fire sprinkler system installed? ircle one): 40 No N/A
Florida Product Approval # ft.- (ao 7 ci. I FL 7177 7e / 1
For multiple products use product approval form
Describe in detail the type of work to be performed: 1.emoue ctrld. 9..pploro I *)H- -)14-.4 no,2(10c
Property Owner Information:
Name: -James, -30(-C1811 Address: 301 5enn; note 12d.
City ft-Marl-lie oak State FL Zip 32283 Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: itJ Lop_1 ROOF in3 F Cons4 r4ioe Qualifying Agent:
Address: SG S-1 Colcnrd A•v4 City acicsanliale State FL Zip 32211
Office Phone 904-333-CSOG9 Job Site/Contact Number log 55'Vc)Go/ Fax# ci041-531-41283
State Certification/Registration# e—GC---i3S'4 7
Architect Name& Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
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 laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six 6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, Furnaces, Boilers, Heaters,
Tanks and Air Conditioners,etc.
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 YOUR NOTICE OF
COMMENCEMENT.
I herebycertify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type ofworkwill be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
i ature of Owner Si nature of Contras
� g
Print Name J, s:s C�A�� Print Name A4 '-✓ LAOS
Sworn to and subscribed before me Sworn to and subscribed before me
this 23 Day of "ccbraary ,2011 this CS Day of Febrc arch ,2011
KELLY SHOTT m
• ii v�Jt J
Notary ublic ;R '
a. .9 MY COMMISSION# • .0 IC KELLY SHOTT
t.
;•.��,, 0009462221 :' MY COMMISSION#0;0940 sed 01.26.10
'%3a'r,� EXPIRES April 18,2021 a EXPIRES April 16.2021