297 MAGNOLIA ST - ROOF hfr. CITY OF ATLANTIC BEACH
~� 800 SEMINOLE ROAD
,r �~ 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: RERF17-0033
Description: re-roof- FL10674-R12 & FL15216-R2
Estimated Value: 7000
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 297 MAGNOLIA ST
RE Number: 170541 0000
PROPERTY OWNER:
Name: MCCONNELL ANNE T
Address: 297 MAGNOLIA ST
ATLANTIC BEACH, FL 32233-4007
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ALL FLORIDA CUSTOM HOMES,ROOF
Address: 11111-70 N SAN JOSE BLVD 5459 RIVERWOOD ROAD N
ATLANTIC BEACH, FL 32233
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$7,500.
41
Building Permit Application
` =. City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
x ' Phone: (904) 247-5826 Fax: (904) 247-5845 .
Job Address: ...4:V1 _v`a� .� ST k\ot�.s-ac.1, -1, Permit Number: ?--ee-F-1-.4-b O
Legal Description to-1 1Q llo`.01-S - ;1101 t 4A\\c,.( 4ccc.. 3 LA- 5-,r RE# kin 541 ~ "M'''
Valuation of Work(Replacement Cost)$ 1 ' "• `7'a Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Doo f?4-.A.
• Use of existing/proposed structure(s)(Circle one): Commercial (Residentia
• 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: -5 k....o\s6--K6,r mos 30. //a '-??4-c1
o....�Y 7 Gm,,.r.4\ Ac 4-\—* 'S1-..\\\v �rL.— tolc.7 -
4RS I
.SP1-tr.rwJ� \1.
rov ,\ii7-0 Jr+AcaAoyr. c(-.-• I S.Z.1VR
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name:‘\4..t--)6 PAC Lo a,.& Address: a.P-1 Of\ l..ro\ 5t
City Akl o.-V,'�G cd\--) State F C Zip -3..1-a.5-7, Phone
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
'
Name of Company:\SLc;fn r, 3L.�c LI In�Agent:
v+,..0. x yv-
'
Address M\\-'1 1 s ,j.C'546.''-\vc:, City -ipc.\(s.,vAA State C‘. Zip .-}.a.-E
Office Phone c: ,--k -1501-al(-1.5 4 Job Site/Contact Number 'Za,— -? �ocl - 3)-k— 31 o?--
State Certification/Registratio # CCC.- ' 5(a°\on E-Mail V'j\? 1 c-\-\\oi`Z re\o►\ ,C,7 w-,
Architect Name&Phone# r,
Engineer's Name&Phone# r. `O
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
RECO.RDDIING YOUR NOTICE OF COMMENCEMENT.
(Signature of Owner or Agent including Contractor) ontractor)
Signed and sworn to(or affirmed)before me this.= -.- iiay of Signed and sworn to(or affirmed)before ,.-this?-3 day of
-7-17_,.,, .T ca-z3 Cl ,by •• o-kk _ --� v•-g- , c?-. 1'1 ,by ei,r-k . . ,_,.,"
nature of Notary) doe (Signature of Notary)
*g.Y Poe MARY ANN PICKERING skY Pu MARY ANN PICKERING
��` r MY COMMISSION q FF 948702 * - :.- MY COMMISSION#FF 918102
[ rsonally Known OR • 'II ' 19 X20 ersonally Known OR . �_.< •
EXPIRES:February ,. I EXPIRES:February 19,2020
[ ]Produced Identificatior4,�-1-. ez, ThruBud9etN�Y s [ ]Produced Identification op,'rvo 8ond� c D,op Bonded T ru Budget Notary Swriorrs
Type of Identification: Type of Identification:
Irl
Doc # 2017151256, OR BK 18034 Page 687, Number Pages: 1, Recorded 06/28/2017
at 10:31 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF COMMENCEMENT
State of "C-or\c).,2 Tax Folio No. 1-1 O 1 - C o Q
County of-- ,vp I
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: to-tc, i L.-0.5 -r7,01 i nika., 5s c- -S �50
Address of property being improved: a,°1'1 A4:1c.`e.$-`',Q '' Paoa-+�ic clnl cL 3'33
General description of improvements: .---/?' -rt,A.
Owner: 1kN N c; v\N`Co N,,tA Address:Acyl u qo..,`,s. ci'c' 09.1:u�et.1clLi cL 3.9.33
Owner's interest in site of the improvement: 'w 0..,
Fee Simple Titleholdel)(if other than owner): *-'to
Name: 1 61 N.
l l
Contractor: A 1\ cto; Ido G...,1---G...,1--- 4-1....,,,,,,\-, `a1.,..o�Py..,iN T,.r C .
?(met Address: k\\\\-'l) 7pNae,is- vrj
T'l Telephone N .: °w'k-`750 -°t'kS'I Fax No:
Surety(if any) 9.J 1 A
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of 11 any person making a loan for the construction of the improvements .
Name: ru tL.
Address:
Phone No: Fax No:
Name of person with'uaL
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: *-J (t
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): -7 -3 a - (`1
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: Date: i.rl. -3( 17
Before me this o".3 day of =v1.--is— in the County of Duval,State
Of Florida,has personally appeared A,,,,,f- INA t CvoJr.+aAI
Notary Public at Large,State of F .ri.. County of Duval.
My commission expires: - _...
Personally Known:
Produced Identifi ion• ' / * ,r, * Mt COMm1SStuniFF948102
f: Bonded TMu Budget Notary S.Mcae