351 11th St re-roof permit ' 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: RERF17-0080
Description: shingle re-roof-FL-74.1-R4 & FL-15216
Estimated Value: 10800
Issue Date: 8/21/2017
Expiration Date: 2/17/2018
PROPERTY ADDRESS:
Address: 351 11TH ST
RE Number: 170107 0100
PROPERTY OW NER:
Name: HOWELL JOHN
Address: 351 11TH ST
ATLANTIC BEACH, FL 32233-5531
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: HAMMER TIME ROOFING
Address: 13465 SOLEDAD CT DR
JACKSONVILLE, FL 32204
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.
® Building Permit Application
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
�,/ Phone:(904)247-5826 Fax:(904)247-5845
Job Address: 35-1 )/1171'r1 AAr�5� p Permit Number:
Legal Description a-r Il O(oq 1b'dJ'�E MImk '1 LA !H9 ®k I4 RE# M/07 -n100
Valuation of Work(Replacement Cost)S Zj , a(Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Orcle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercialesidential
• 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:
Florida Product Approval#_� A-
for multiple products use product approval form
Property Owner Information �� /!/4 0 '
Name: �Oh n W e U Addres£: +'rt (Xh
city_ 1-�rrn IVIG @7e State Zip , a�-zZ Phone
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information ,rP /�� // p I �1
Name of Company:.//.�arla..r /JiJ.� yi/► �J,C Qualifyin Agent:1�rt'rron l3tA'Gnrs/lX7
Address 13UL�5 L '� citvarCa wWi stat t rp
Office Phone tl 7)&-4tyo Job Site/Contact Number
State Certification/Registration# CiL(3 9 E-Mail
Architect Name&Phone#
Engineers Name&Phone#
Workers Compensation
E_mpt nsure Lea_Employees/Evinuon pate
Application is hereby made to obtain a permit to do the wor 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: 1 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 OBTA FINANCING, CONSULT WITH YOUR LENDE OR AN ATTORNEY BEFORE
ECOR 1 G YOUR NOTI OF COMMENCEMENT.
gnature of Owner or Agent including Contractor) (Signature of Contractor)
Sign d swom to(or affirmed)before me this IS day of Signed and swom to(or affirmed)before me this'�IL day of
y `JFALE V Elco l lS 5 bDt'A by jY Jnc
v NOIary PaMk-MMedibltla _
c,„nmisvonaccnmJ An-
(Sigifature of Notary) (Si natu f
:; % My(omm.Espi�eslun 11.1011 g ry)
NpnlMlnmgM1xaopW XNvryRwi.
rt;;p�:,',"+,_ JENNIFERJGHNSTGN
MY COMMISSION a GG 04RH
E%PIRES:Odotw2T,alai
[ ]Personally Known OR ( ]Personally Known OR �i of[e. � payrvpugE lygyn
yQ
Produced ltlentiflcation n� [,LProducec ntifcation
Type of ldentiflWtion: l7Ofn`IA Lt"�JPt �[fnSC Type of ldentiflwtlon: V
NOTICE OF COMMENCEMENT
(PREPA c01 DUFUCAT )
Permit No. lax Fotio No. / 70/07 - d/Oo
State of _ e, County of
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 Improve
tl:
Address ofproperty being improved:3$1
A41 LT is ,fL 4123
General description of improvements:_ R e - nnn i
Owner
Atldress ? T/ //C{ C �. �y.�.f Jj C r� ?as 33
O,nefs Interest in site of the improvement
Fee Simple TiUeholder(H other then owner)
Name
Address
Contractor
Address /34br s�f«I 1. 'Y 3aaa�{ J
Phone No.(2WI 7/L- 91 N 9 Fax No.
Surety(if any)
Address Amount of bond$
Phone 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 then 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 following person to receive a copy of the Lienor's Notice as provided In
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(Me expiration date is one(1)year from the date of recording unless e
different date Is specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
a"g"ed: PATE RI'`I"
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v
COY"h' uv I,StW FI tle,
poo d 2017196020,OR BK 16096 Page 355, Nmo seam am,ma mein ;a a¢iwa
Number Pages:) en ew acwnk Wae'PUt1x-5tmeal Fld,idii
Recorded OW112017at02:11 PM, ! CUmmistidnu GGr21,20
Ronnie Fussell CLERK CIRCUIT COURT DUVAL My Comm.EvM 1, AL
COUNTY mwm,n,wgnxnmmxalrrs,�.
RECORDING$10,00 E /rl. e"
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P..raN nemint_Sine 1, Gl
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