633 STOCKS ST - ROOF N 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: RERF17-0214
Description: shingle re-roof- FL18355.R2 FL16226-R2
Estimated Value: 6170
Issue Date: 12/11/2017
Expiration Date: 6/9/2018
PROPERTY ADDRESS:
Address: 633 STOCKS ST
RE Number: 170913 0700
PROPERTY OWNER:
Name: PETTIT JUNE GAGE
Address: 917 ARTHUR MOORE DR
GREENCOVE SPRINGS, FL 32043
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: EMPIRE ROOFING SALES & SERVICE
Address: 2806 -1 GI GIBSON RD QA PEDRO R NUNEZ
JACKSONVILLE, FL 32207
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$7,500.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach,FL 32233 . .
Office (904) 247-5826 Fax (904)247-5845
Job Address: 633 ,S Sc.kS S' 64-1-c... 3 c,(, Fl 32233 Permit Number: I q---01 t Lj
Legal Description 18-34 17-2S-29E.094 ATLANTIC BEACH SEC H N 40FT OF LOT 5 BLK 12 parcel# 1709130700
0 . Floor Area of Sq.Ft. Sq.N't
Valuation of Work$ bl 17 0 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Rep' Move Demolitionempool/spa window/door
es)
Use of existing/proposed structur (circle one): Commercial esidential
If an existing structure,is a fire sprinkler system installed? (Circle one): es o /A
Florida Product Approval# , ` _ • 7:,_.6,) .,.r
For multiple products use p oduc approval- i nil
Describe in detail the type of work to be performed: fie pi we- o IS l'Oc' , Mo.1 a!er_friap Proptr.1y/
any-i 11 iSt11 131e '
Property Owner Information:
Name: June Gage Pettit Address: 6,33 g f e c.fs ,5 I-
City ktliin 6,cick State Ft Zip Phone
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR`ENIAILADDRESS:
Company Name: G-�pi — tke,4 4,- Qualifying Ped 1
d • b Agent: � c,he .,
Address: ?1,9D6- I Gi voi'l R . City .),fac ,vi I I r' l State t-1. Zip I(2„ID7
Office Phone 3q i` 1007 Job Site/Contact Number R 11-i -Q Fax# 31 I - 1677
State Certification/Registration# C C-C- )3 2 6°07
Architect Name&Phone#
•
Engineer's Name &Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
001!( —1%,S L4 0 i 1Set n . .- a r -x —11J 1 .. 1. .1/ - r ,-::''. , j •
/.. 1; •
Applica ion is Hereby made to obtain a permit to do the work.and urst�latrons as indicate i.1 cert'that no work or installation'has c.mmenced prior to the
issuance of a permit and that all work will be per formed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void ifwork is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod ofsix_(6)mouths at airy time after
work is commenced. I understand that separate permits must be secured for Electrical-Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters,
Tanks and Air Conditioners,etc
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.
1 hereby certify that I have read and examined this a plication and know the same to be true and correct All provisions of i and ordinances-governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to : 'e utl ority to violate or cancel the
provisions ofany other federal,state, orlocal law regulating construction or the performance of construction.
Signature of Owner Signature of Conti etor 7/ /' - /1,/j -
Print Name June G ge Pettit Print Name Pe ciPO !C • Ain e z
Before me Before me n
thisth Day of ' ovember .20 17 this (_0 Day of !✓1 0 — / - .20 )
'Mir
Aid. ,/,,_ _. •-.0 '
A.
Nr ary Pub is / ” � 1 l u S PEREZ TAVAREZ 1
Notary Public State of Florida :4': .ps
S
Gail Ann Swyers •• • MY COMMISSION tE GG 13215'
MY Commission FF 201731 A �p EXPIRES:August 1B,2021vi, or evised 01.26.10
Explrs 02/18/2018 %F;,�ge'` Bonded Thru Notary Public Underwriters
OF F�•
0
Doc # 2017283247, OR BK 18216 Page 1299, Number Pages: 1,
Recorded 12/11/2017 12:41 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
I
l e, o •
w a NOTICE OF COMMENCEMENT
)PREPARE IN DUPLICATE) .
•
Permit No. i Tax Folio No. •
State of Plnrida • i County of Duval. 4
•To whom it may concern: 1
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: re—A 11-.15-age, .d i q
Ii-1an t7'L ?n eac.i Sec H
A O(t i�f+' lc+ S' BI1t1r�`'
Address of property being improved: �p 3 3 h7�.b t.%
,4 -1 an{-i G s oir tt 11—I ?AA3j___,_________:_
General description of improvements: !fit?CO'0
I
Owner • June Gage Pettit
Address lay J�ot�1'S S� !� 1�n�r�rL g�fA i . o�oZ 3�
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
•
• Name
, Address n/�
,nn Contractor �pZr4 PQtirjII
a.' cOK V • Address16(J6"I Gr1,sehr f( Jr'ckcal/vtI 1i f 1 52407
Phone No: ?91 '1007 Fax No. ,3 91—if177
Surety(if any)
Address Amount of bond S
•
Phone No. I Fax No.
I1
Name and address of any person making a loan for the construction of the improvements. .
Name
Address i .
Phone No. I 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 I
Address I • .
. Phone No. I Fax No. - • •
I -
• in addition to himself,owner designates the foilowing 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(the expiration date IS one(1)year from the date of recording unless a
different date is specified): .
THiS SPACE FOR RECORDER'S USE ONLYO ER
Signed: d DATE 11/28/17
Before me C- 28th da of Nnvrrn rr In the - -
CoUnty or'- -.State of Florida,tiaapersonally apps-r-d
une Gare Pett .
• hirneel&hersell and affirms that all statements and d- aralwakeln
- are Prue and accurate � Stale of Florid
Ann a� IIF
• . /i / / y +old Ali yvaoZ0171
•lazy Public at Large,State oT County 01 t)tvy 1
Mycamm1ssron expires :t�.
• . Personally Known • -of
• Produced Identigrattan _F1frida.^_sivess I.icease