332 7TH ST - ROOF .. y1,Jy j'',' CITY OF ATLANTIC BEACH
r4r ) 800 SEMINOLE ROAD
.
' ATLANTIC BEACH, FL 32233
.r4 oaw;- INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0067
• Description: RE ROOF SHINGLE
Estimated Value: 5350
Issue Date: 8/2/2017
Expiration Date: 1/29/2018
• PROPERTY ADDRESS:
Address: 332 7TH ST
RE Number: 169891 0000
PROPERTY OWNER:
Name: AGEE JAMES M
Address: 332 7TH ST
ATLANTIC BEACH, FL 32233-5434
GENERAL CONTRACTOR INFORMATION:
N3rne:
Address:
Phone:
N„me: Sunbelt Homes and Roofing LLC
Address: 450 SR 13 N Suite 106 Pmb 409 ST
JACKSONVILLE, FL 32259
Pf .)tie:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARN I NG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT ENCEMENT 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
_1 FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFO12 E RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For IIVAC work, a Notice of Commencement is only required when HVAC work
exceeds a'id estimated value of S7,500.
1
r
rI
�tt:, - Building Permit Application
Clty of Atlantic Beach Updated5/S/17
800 Seminole Road,Atlantic Beach, FL 32233
i w. Phone: (904) 247-5826 Fax: (904) 247-5845
Job Address: 32� 1 Y, ..yr..yrPermit Number: I E P--( 7 — OOG7
Legal Description )1. 25-2)6 AltAgull c- f3IACh Lo I I"J, a Lo Cl) 8 RE# 1 69 k9I- 0000
0.......i.)Valuation of Work(Replacement Cost)$ S3 sO Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteratio Repair ove Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Residential
• 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:
RERovG SHL, ) cLe iL I91cc. I TAmh0
Florida Product Approval# rt, I9 s. 1 for multiple products use product approval form
Property Owner Information
Name: -54 M LS A G E Address: alt 1 �1 S
City A'1-L AN Sf L a EA(P1 State rc Zip 32,1,13 Phone L109- c11)- .`") i V
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: .SL,.nJ 41:V Nu(ht, b no o cud(, Qualifying Agent: 110 ANAS L S thrill
Address "J' )-1u(7 Sn. 13 01105 City S/ait.f ".7.0 vINI State rlr Zip I2LirS
Office Phone 9 J`'1, (015.- 1 1/4.1 t GI Job Site/Contact Number
State Certification/Registration# C“- 13L7 4h E-Mail S El n/W.(I,Ap/6 Nun+LA e A o t• C 64.
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. r---"_..
(Si: ature of Owner or Agent) (Signature of Contractor)
(including contractor) p
Signed and sworn to(or affirmed)before me this I Lk'day of Signed and sworn to(or affirmed) before me this 20 day of
?c,L`'1 , 1.i v' ,by 3An.t.1 A G I✓I/ Jail , G �l., 1 x.15 S?Yl%tel
d- �I llegt!�►
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[ 1.4nally Known ' : _"'"'_------- - [ )Personally Known OR -- •" -
[ )Produced Identification tot Produced Identificat g A 5.4. . oiler�/ ��,a G
Type of Identification: Type of Identification: l• CSC K
NOTICE OF COMMENCEMENT
State of rt..0 al bA County of b v A L- Tax Folio No. I G 2c) I ' 0 O0 0
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: 16 -1£ 141-1-A N 71C-- (S f=A CN L o T t Q L O C h R
vK c2 - --3 $'i
Address of property being improved: kl S'r ,C 'f LA J 1'iC Q CAC14 rl 3 ZZ 3S
General description of improvements: (tE n 0 0 r
Owner: -3—/a in E S /\G 121 Address: 3 32 7 sr A it/UM l C— i each rk. 10.11
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
ontractor: . (Al a t l'( H Q M + 2 O o(A tJ G L t.L
ivtrAddress: LI Kv— I t) 90 .S A 1n1� J u kAit 1 L
Telephone No.: 01 09,-G35-1%)in Fax No: •
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
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
Signed:. l Date: 1-11..- 11
Before this I'v' day of 1'i.Ly Tut) in the County of Duval,State
Of Fl. • •. on ly appeared TAA,el 4 Ca(
Doc#2017179400,OR BK 18072 Page 1694, •ersonally Known: or
Number Pages:1 Pro.' -. - ation:
Recorded 08/02/2017 at 09:25 AM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL Notary Public: moms BRADLEY SMITH
COUNTY My commission expires: MY COMMISSION 0G0001103
RECORDING$10.00 .xf EXPIRE&August 22,2020
"..„2'....$e Bonded'Nu Notary Public Undawrlten
Page 1 of I
`:�°" 11111111111111111111111111111111111133
t .� Print Date: 8/2/2017 9:25:11
, : ;. AM
Transaction#: 3307440 `°""'
Receipt#: 3211200
Cashier Date: 8/2/2017 Ronnie Fussell
9:25.10 AM Clerk Circuit Court
(KJEWELL) Duval County
501 West Adams St RM 1051
Jacksonville, FL 32202
(904) 255-2000
Customer Information Transaction Information Payment Summary
DateReceived: 08/02/2017
Source Code: BEACH
0PONTE VEDRA TITLE Q Code: BEACH
Return Code: Over the Total Fees $10.00
Counter Total Payments $10.00
Trans Type: Recording
Agent Ref
Num:
1 Payments
$10.00
IPb'I CASH
1 Recorded Items
; BK/PG: 18072/1694 CFN:2017179400
(N/C) NOTICE COMMENCEMENT Date:8/2/2017 9:25:10 AM
From:AGEE JAMES To: SUNBELT HOMES&
ROOFING LLC
INDEXING 2 $0.00
RECORDING 1 $10.00
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file:///C:/Program%20Files/RecordingModule/default.htm 8/2/2017