1390 ROSE ST - REROOF ,�3 '. CITY OF ATLANTIC BEACH
a; '� 800 SEMINOLE ROAD
,� y ATLANTIC BEACH, FL 32233
t;3 INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0089
Description: RE ROOF
Estimated Value: 9000
Issue Date: 9/1/2017
Expiration Date: 2/28/2018
PROPERTY ADDRESS:
Address: 1390 ROSE ST
RE Number: 171063 0000
PROPERTY OWNER:
Name: HUTTO GREGORY D
Address: 1390 ROSE ST
ATLANTIC BEACH, FL 32233-2647
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: KLT CONSTRUCTION, INC
Address: 1951 OCEAN DR S#1A
JACKSONVILLE BEACH, FL 32250
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$7,500.
.,:11,,,„ Building Permit Application
• ..� . City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
`oFt'r Phone: (904) 247-5826 Fax: (904)247-5845 (� f `7 C�
Job Address: I-J4 O L Or>fr > i `i • Permit Number: ERF17 -/ - 008 /
Legal Description i
L.:,7- i
- s. 1 - L S - �-`� � (bi� A ;LnN!k.�r"1Cll St�C�( 6•k,:1.3(t RE#
Valuation of Work(Replacement Cost)$ 9000 „„ Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial IL___. )1
• 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
scribe in detail the type of work t be performed:
it 02_64F '30 St. iwIAikold SlJ IH6CJs'-t 30 yf
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: GRcE,(T' - b. 1\1,)Tribi Address: i' V >°L:,C ST,
City .AT-LA rO it i e- !b State R. Zip_>z-1-7 ) Phone
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: KL T e._,04 SNv4/ry.a.J 4 r • Qualifying Agent: ,,,J VJ . i)tlr S L,:La----4
Address Cl. t c) GY-ln:M b!- 3 Ad 1 A. City J/Jx Qt"1h-td State Zi in 2-L--S0
Office Phone ' G'( • t,3 ' c 13 Job Site/Contact Number c �!- e,3 ' 1 1t(3
State Certification/Registration# C(‘-11 3 066 ( E-Mail l<1+C.u.-1 )+T L c--f-i s, r,..,-}}vl al'
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation `k Il.-1 4 l
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 NOTIC OF COMMENCEMENT.
1\ti.,'
V
/(‘nature of Owner or Agent including Contractor) (Signatur• of C tr clot)
d ad sworn to(or med), before� me this ( day of ' ned an swornorto(oraaffi med b or e this I day of
-J$ , ZO11 by' Cid i- / 11--c, � ,` ,b _ =6Y S
(Signature of Nota 0 Ignatrue.�fi+lotar`y}"�E �
f _ -': TON!GINULES t
v".-'y TONI GINDLESPERGER _ °"ri�ti' "trISS!ON it FF 9
!=,`•'4' MY COMMISSION t FF 924951 _': �` EXPIRES:October 6,2019
>5 EXPIRES:October 6,20 9 -;;; '�� T=tayPubiicUrAe cce
_,c a nded Thn Nota. f 9`,t, Sanded
[ ]Personally Known OR'-' yPuhtcUnderwr?ers [ ]Personally Known OR Lam;
[ ]Produced Identification r [ ]Produced Identification G 2
Type of Identification: k 3 0o -Z-8 4 - 15 C—OZ 4 Type of Identification: H S Z 4 -S( 7-�o (e — J
Doc # 2017177392, OR EK 18069 Page 1509, Number Pages: 1, Recorded
07/31/2017 at 11 :20 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 .00
. ,
Nat'icE,OF COM M IP,Ni;EM EN'r
• -
• luxN
folio o ),1 < 6 .. - (0003
.
county of )2t•-•'1," I
To Whom it MAY cs,„,e4rit. • .
I ne utatursinnot hosiby taltirms..you that improve/Awls will be made to cc(taio Iva'proputty.anti in acconlancv with Suction TO of
the Florida Stalutts,thu following Inforniation es s in%Ail lit:VIC%OF CX/141NitiNflitiellibil'.
Legal Duserip4itai uf properly Wing.irnproviA: I-04--. / ) >—2
. . ... . .. . ....... ........ . . ..... ... .
As T2». 44,4',4i e-At ;, 6,,f ....- . 11 .4 e,:r- 1 ia.), 3/4
Addrocs of ptevrty being improvesli. .. .)3i(3. 3-r2— '• /-1.. .j..dlY
(6.riwno tisiscripilua cif Improsoracits: aisep-e 44', ip
..,cjr") ?C:b .1 ft-.1 -,..=-- cc•Q T
. - •
.._ . ... . . • , . •
(Ahlwr ar4°.,.01115- j'i. c.,l'litz, Amtv.v.; .i9 ct• gc=•.5:1 .. . ..4"'ye-1
Owasit'A Interest in site of the totprowthont: .r.. stit•• '•-i-Si•!'04119/C . .. ... . .. . .
•••• •••••• ••• -• --- •
1•Ve:Nittatlu'nth:bolder(if 4%thel than 1.1W1491:
. . ......... •
CorbItalingen . F2)4422 a (..)14.47, ., -s ......-r-,.,.‘).
Alkiresii• Pe, 7'30)( ...44,4, y ..--.0>.....x. F4 "Z.2,?.< 5
11.1., ion,No.: ::,2 4, - z.,13 3.V rith N4r. • ---3eG --> Si-So
. ... .. . .
iiiiss:4 lit•• y). . '
• ... . . .. . . . . . .. ' .
Addrutirt: /tomato%of Road I;
. . • "
I olephorte No. ... Fax No: 1..
•
N wit atid addrcls olany person mak iny a loan for the uon•ftiall ion of IN;impri.svensents
i
. . . .... .. . . .
•
AdthotAii '
. . . ' , . . •
Phone No: i Fax No... ..,
... ...... .. . ...
Nun c of per.ton within the Malt of Ploritila.ollwr than hintscif,dcsignatod by owncr upon•o•lawii hulks:::(ir Atha docintiunto may be
scr44.I:
Name i . . . .. .
Adios.
'1'..lunhoric No'. . N.Y his u .
hi athlitios to bitosulf. owina %lusigniitt.$ the Ri)lossitag permit% 1%i ruivivu a ropy of tint l.icaor'%. Notita: as provided in S:dion
713.0612)01). in. Statues. (HI)in at t>wintet•iiiltiori)
../e.r°,. -.).)1-.AC'ese ....r.0t)c,
dd
.• •
Aresi: .
. . . . .
AJlorktie.No: i'm No _
, . ...
itwirallito dam if Notice rd Corninonectoont(Ilic capita:into(tau in into(I)ye:1r trim the date of rc.:orrling unless.i Jilola%late I.
..pcslifiet1): liS . • • • • •
//i)).42 trl1:144).
i'llIS SPACE 111.R.
1;0E.C.:()R1) :
140S LIRE ONLY :OWNER :
.•
si,i.V.i)4,•.; THERESA I-RIHEL .tluforr au!ibis ...34..r... fill NI 424). ...1.6/1 iii he N.A.'
Cow:of I ittNal,
I)11 110.11thi.kr.i.vrsoi9sIty Hppc.iirrii 3 . .
•%mar,.P.14:e.A i.uvAlt!•SthleAt I.lorigui CimTtur;Jura.,
140'1.):My COMMISSIONpsA0111$727298027006
ExIR3
NA)CION:111.1KOHY11 eirtrctr Uldh..t.k. T•I 7, ••20<>11)
ecrsoratify Koottit: ....--:•\-- ., . m
1i6010 ri.vistsom - mmum
huliiced Wenlifleatitti2.
; 1) ( // •
• .
. I
. .
. .,,
.. : . .
. . ........................„....,...„ .