416 IREX RD - ROOFING j CITY OF ATLANTIC BEACH
‘6' 1J`� �,) 800SEMINOLEROAD•• 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: RERF17-0062
Description: RE ROOF SHINGLES
Estimated Value: 12776
Issue Date: 7/31/2017
Expiration Date: 1/27/2018
PROPERTY ADDRESS:
Address: 416 IREX RD
RE Number: 171420 0000
PROPERTY OWNER:
Name: DANCEL FELIPE S
Address: 416 IREX RD
ATLANTIC BEACH, FL 32233-3904
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Carroll Bradford, Inc.
Address: 4776 New Broad ST#201
ORLANDO, FL 32814
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
I $2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
0
4
s~t `i'',, Building Permit Application
r,
r o City of Atlantic Beach
- 800 Seminole Road, Atlantic Beach, FL 32233
,t=''`tJr Phone: (904) 247-5826 Fax: (904) 247-5845
Job Address: I rex A f I oi vi -ti U 13e aC lit , .Permit Number: E RF I ` —60677..
Legal Description 31-Ito I1 ' ZS-2gE 1/P p•I^ PT5Zpt` 0ym,k RE# t "t- i920 .- Ooo
Patine G. IAN;+ 2R LO+. 3 i ik ri
Valuation of Work(Replacement Cost)$ I'LL 'r"1(0, 3 Qj Heated/Cooled SF I 05(0 Non-Heated/Cooled
• Class of Work(Circle one): New AdditionMW Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s) (Circle one): Commercial esidential
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes NN/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:
tresio(ev(-kal ( ve -1-00-' et splAoIk- S14 IA0Ie.
Florida Product Approval# ,O 12it' ( for multiple products use product approval form
Property Owner Information J
Name: lii�'f, t �jj✓a(Ce- Da 9 It VI Address: ( V�)c I2. •
City A+IBI['t-{-,c Br 016(4 StAte ti.. • Zip 3 -22 3 3 Phone '7 o y- ' 'J' - -lb/ o
E-Mail •i
61,-v 4$® Oj
Gvvo1( bvvra(, vd. 64/''vf
Owner dr Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information Q (�
Name of Company: car v o ( l v lir GI !('�(1\/6 3 Qualiing Agent: J O(n a tk.4 vi tvIe Vt ILS
Addresstjll(0 (v&W ( oefai St •S(-e.20( City (IV(Dt- ( O State Zip 3241`f
Office Phone '-101 (Qt f 1 ''f20 Job Site/Contact Number 51✓vfCi
State Certification/Registration# CCCA 27'3 2(.p 5(p E-Mail pexvt,t't 5e Ga tr vo(( I,vae({—PI/VC• Lwvt
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation
Exempt/Insurer/Lease Employees/Expiration Date
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulationg
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS, POOLS, FURNACES, BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
La) kms'-' - —•.._-- St
(Signature of wner or Agent including Contractor) (Si:nature•'Contractor)
Signed and sworn to(or affirmed)before me this 1-S day of Signed and sworn to or a termed)before me this 0 day of
�, I , 20 (1 ,by (t/aCZ Da ACC. ,'D 11 , by A"tat--f't4G4A 44-'..i41(--(---
A/
4-'x• 1(--(---
Signature of Notary)
SARAH 'OBINSON
SARAH ROBINSON `';'EYP
at'`►�'*1'= Notary Public-State of Florida
46::, Notary Public•State 01 Florida .� commission$ GG 026363
•, = CommlSfbn r GG 026363 ',h '� fd DI '
Personally Known O =� .rPersonallyKnown OR „ ��� Y Comm.Ex res Aup 31,202C
�'s ��� My Comm.Cornm.Expires Aug 3t,2020 [ ) ''%ror�� ° gonded through National Notary Assr,
[ I Produced Identificati n''•, of Bonded through National Notary Assn.C' I I Produced Identification ! "^"' ,
Type of Identification: • Type of Identification:
Doc if 2017164571, OR BK 1UU52 Page 142'1, Number Pages: 1, Recorctect
07/14/2017 at 08:05 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
9
Permit Number.
Folio/Parcel ID#:
Prepared by.S I41YY1th"
Return to:candt Brad crd,i�c
4776 Now Broad C Re 201
CAando.FL n2814
NOTICE OF COMMENCEMENT
State of Florida and in accordance
The undersigned neat gives nobee that improvement w2 be made to certain real property,
with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement
1. DS rlptlon of opertY(legal description of the property,and street address if available)
41(i . 1441,14+-74- : amt "-Z?33 -1(v t1-2S `2q ' POFPT1Fect i flqlll1s Un•r zri to+3 8t4.11
2. General descrlon,otimproVemeltt
--,r1Sr.{�--t} r -
3. Owner Information.*Lessee Informatk3n If the
Lessee Name P..vV 4P (Alta , l Y�rf�
Address -. wl'Ic), pt4-r G -_.
Interest In Property 01,0 i-1.e e.
Name and address of fee simple titleholder(If different from Owner listed above)
Name
Address
4. Contractor Telephone Number sol e47 e42o
Name Carroll Bradford,Inc
Address 4778 New Drew UNA.Dui 201 Orlando.n-32814
5. Surety(if applicable,a copy of the payment bond Is attached) Telephone Number
Name Amount of Bond S
Address
6. Lender Telephone Number
Name
Address
7. Persona wlthUt the State of Florida
da designated by Dnor upon whom notices or other documents may
be served as provided by§713.13(1)(a)7,Florida Statutes. Telephone Number
Name
Address
8. In addition to himself or herself,Onor designates the following to receive a copy of the Llano s
Notice as provided In§713.13(1)(b),Florida Statutes. Telephone Number
Name
Address
9. Expiration date of notice of commencement(the expiration date will be 1 year from the date of recording
unless a different date is specified)
WARNING TO OWNER:ANY PAYMENTS MADE BY TtiE OWNER
THE
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 71S, EXPIRATION OF
PART I,SECTION 71313,FLORIDA STATUTES,AND CANCCOMMENCEMENT
RESULT IN YOUR PAYING Twice FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE
'MTORD,?'AND POSORD ON THE JOS BEFORE COMMENCING•ORK ORON.IF YOU INTEND TO OBTAIN RECORD NG YOUR NOTICE OFFlCOMMENcetsar T.LT
VVITHY•/r,'t.EHD�'OR�ATTO'•.
.• PJW
OM`C T� Orlicer/Inec6o lPortnen}/ane9er a SIOnatocle TweOrllCe
St :,re of Cwner or or owners or I.esaee'a Auttvxtzad
The foregoing Instrument was acknowledged before me this _41day of�eti( by persona
//�� mo
O L V'e-— for g'1 VQ Gt V a-S/l 5-*-1 esd
ac Hanle party m behalf vowel Maw
Type of 0ur)ta1ry,%9.•d:Eoer11fi'�atue,attorney in fact
/ `• g dLiU PAM.type,a stamp commissioned named taptary Public Signere*of Notmyy Pu Florida.
Personally Known V OR Produced lD
Type of ID Produced `C
ytiMmICcIHAEL LOUIS MAYER
a•jV*t NoCtaroy Purtrllicon.sSaGe OofstFIN
oNS
V.:11-.-1?)My Comm.Expires Nov S0,2020
Earn content revised:01/23/14
'481.40' 'Soled tlroutt,au o.is sotvy&na.
SATE DF FLORIDA
DUVAL COUNTY
I,UNDERSIGNED Clerk dale Circuit a County CaNts,Di"
County,Florida,DO HEREBY CERTIFY the,yitlrin end ioregpn.
consisting of pages,is r true and enrrect crpy Cr hyo original
as it appears on record and file in the office of the CMrk of CIrcnita
&County Cants of buv j County,t ro' .
WITNESS my hand and seal of Clerk of Cirtk Cot ntyCourts
etJecksonyiie,Florida,this the�dey012'444�.D.20,,J 7
RONNIE F SSELL
. Clerk,Circuli and c„ns
Duvet con kW
.. '
De uh Clrrftl����
Cash Register Receipt Receipt Number
''ir City of Atlantic Beach R2144
DESCRIPTION I ACCOUNT QTY PAID
PermitTRAK $119.00
RERF17-0062 Address: 416 IREX RD APN: 171420 0000 $119.00
BUILDING $115.00
BUILDING PERMIT 455-0000-322-1000 0 $115.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R2144 $119.00
Date Paid: Friday, July 28, 2017
Paid By: Carroll Bradford, Inc.
Cashier: CT
Pay Method: CREDIT CARD 06350D
Printed: Friday,July 28,2017 1:36 PM 1 of 1
TRW
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Permit Number.
Folio/Parcel ID#:
AM
Prepared by. S4-t- p h c ✓i (3a r✓1C Nc be20P 7164571 OR 8K 18052 Page 1427,
Recorded 0714
Carroll Bradford,Inc Ronnie Fussell CLERK CIRCUIT T COURT
4776 Return to: COUNTY DUVAL
4776 New Broad Street,Suite 201
C;18ndC.FL 32814 RECORDING$10.00
NOTICE OF COMMENCEMENT
State of Monde
The undersigned hereoy gives notice that improvement will be made to certain real property, and in accordance
with Chapter 713, Florida Statutes,the following information is provided in this Notice of Commencement.
1. Description of property(legal description of the property, and street address if available
41� -+�cx (6. A-harlhC Wactr, 'i 377.3-. 31-1(r' I7 -.2S -2' RIP OF PT OFQo .i Itis cnrq20 to+3 34k11 .
2. General descrlQtlon of improvement
3. Owner information dr Lessee Information If the Lessee contracted for the improvement
Name ��\: e 04101 (.. ,-‘4„./".e , �-Cl•I
Address A-i(� 'x.,rv)x 1'ccr-1, kl c,rtl-4r (3 e-Ae)4t 3 2Z 3
Interest in Property b tti Ise e.
Name and address of fee simple titleholder(if different from Owner listed above)
Name
Address
4. Contractor
Name Carroll Bradford,Inc Telephone Number 407-647-6420
Address 4776 New Broad Street.Su:m 201 Orlando.FL 32814
5. Surety(if applicable, a copy of the payment bond is attached)
Name Telephone Number
Address Amount of Bond $
6. Lender
Name Telephone Number ,,
Address
7. Persona within the State of Florida designated by Owner upon whom notices or other documents may
be served as provided by§713.13(1)(a)71 Florida Statutes.
Name Telephone Number
Address
8. In addition to himself or herself, Owner designates the following to receive a copy of the Llenor's
Notice as provided in§713.13(1)(b), Florida Statutes.
Name Telephone Number
Address
9. Expiration date of notice of commencement(the expiration date will be 1 year from the date of recording
unless a different date is specified)
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,FLORIDA STATUTES,AND CAN
RESULT IN YOUR 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 YQpft LENDER)OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
ry �_ 6 .C__ — (,W �
( '-r�-
Sign>kure of Owner or L ` ,or Owner's or Lessee's Authorized OffiiceriDirector/PannerrManager Signatory's re&Office
1.r7
•The foregoing Instrument was acknowledged before me this(P day of 'u��lq by Cilia Cr,. Da,v
mo nttv}�e�r h n of per'
as Ow r`2� for C--1 VQ C.c 1la. t/1
rrsvJmerx
Type of authority,e.g.,officer,tr utee,attorney in fact Name of party on betlatf of whom was ezaarte°
2--- --- e"- .)
—/ -.C.,1-) ----,,.„..
e '�� Print,, or stamp commissioned-lame of Notary Public
Signature of Notary Public-StatFlorida `Y�•
(-
Personally Known ✓ OR Produced ID
Type of ID Produced — — — —. . — - — —
„<;;:t."4 MICHAEL LOUIS MAYER I
' Notary Public•State oI Florida
ir_Ir
Commissloe C GG 051760I ,• _ . My Comm.Wires Nov 30,2020 F
tent revised:0123'14 1 „.,, Weed NStiorW Notary Asan
Form con HMO