363 SHERRY DR - ROOF -j L:Lyf
J) 'f CITY OF ATLANTIC BEACH
s1
"" 0 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
4'!013 !P INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0152
Description: re-roof FL18355.1, FL15487.1, FL3792.3, FL16160.1
Estimated Value: 5937.5
Issue Date: 11/3/2017
Expiration Date: 5/2/2018
PROPERTY ADDRESS:
Address: 363 SHERRY DR
RE Number: 169825 0270
PROPERTY OWNER:
Name: CHARLES H MCCRARY LIVING TRUST
Address: 363 SHERRY DR
ATLANTIC BEACH, FL 32233-5349
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: JACK C. WILSON ROOFING CO.
Address: 4522 ST AUGUSTINE RD 4522 ST. AUGUSTINE RD.
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$7,500.
rf'=1/.A Building Permit Application
-.- 'r, City of Atlantic Beach
uy 800 Seminole Road,Atlantic Beach,FL 32233
•on Dr Phone:(904)247-5826 Fax:(904)247-5845
Job Address: V?L S �� Permit Number: �&i-F�1— l
-v, 00.--as-9.0,V. ,os. , C c
Ceg I Destcription otof.CriQGr►, sat,.114 moi-oc 0 ia4c'nf# k 1 s" 64'10
�' ` 5
aluation otlWork(Replacement Cost)$ � . aJ Heated/Cooled SF Non-Heated/Cooled
�
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door ((,f'
• Use of existing/proposed structure(s)(Circle one): Commercial esiden ial
• 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:
V t3c0,(C
Florida Product Approval# NI,-J-'I • t5`Ri•I..5-6-k:), -tt0 L,0.1 for multiple products use product approval form
Pro a Owner Information
Name: ',�tintsK t.1 fr \-1,(1-e.,(04( Address: 3�_ S 'X r_
City t c4 ` 5ck ate Zip ' , , Phone - • • ' !WM
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Informati n + �� ,` - �, ` ` '�C t�
Name of Company: C. W v` 1 11&L Qualifyi g Agent: �'C 01A )i
Address � - L City ,� State_Vol._ Zip 14(Z1
Office Phone e'rt ►to - 1.6) Job Site/Contact Number(_9,6`-t- h(-r:,) '
State Certification/Registration# L OLVV�� E-Mail .C,4NJ 4:4),,k(4:4),,k(N.. .4.3 oY •� 41
6-1
Architect Name&Phone#
Engineer's Name&Phon #
Workers Compensation A-1Ca(ti.,c1 C.r1 (hC-(_.O ' ` ,\. 611
Exempt/Insurer/Lease Emplo es//IIEExpiration 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
REC f JJG YOUR NOTICE OF COMMENCEMENT.
(Signature of Owner or Agent Including Contr ft r) ( gnature of Contractor)
Si ned and sworn to(or affirmed)befo a me thi *day of Signed and sworn to(or affir d)before e t I�Q day of
Q101—t ,by .t. • h ,,,,1'o)2t';D'31-1,by ,�J a
�, (eiss
N'›vc c(t %au.Qi -,9;c,r.4_ .,4e__
tsignature of Notary
JESSIA)SOULS (Signature of Notary)
r r� JESSICA SOULS
AP., `` MY COMMISSION#G0083767
IXPIRES:MAR 15,2021 r° ��t+ MY COMMISSIOtteMG083767
Bonded through 1st State Insurance EXPIRES:MAR 15,2021
[ I Personally Known OR , Er Personally Known OR o Bonded through let State Insurance
[Produced identification [ ]Produced Identification
Type of Identification: ri:Y.WVS t lC4_X1SQ. Type of Identification:
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. \\OCI AS r�oC�0
State of c--1 t.YC;C.\c. County of IU it
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. r�
Legal description of property being improved:5_ O t \ to- X.2)-Q c-t , o 5
't.s.\-ra ,t, C
h s ab .L1e,c-F-- eNC ,n C16 .44 + Oyks '' ':5 ,�s
),c)nve bec / iYf, \ Inc, v.� k'i\tft, c4 'a\k. -a'"
Address of ro erty bei g improved: . J _ '-,yam
�`i ►c. .f i I� 2'_ _ .
General description of improvement: ---4103
OwnerCjC 1 vC`—, C \C C1cGr l,
Owner's interest in site of the improvement\ok_ D
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor R9,.(' (.,. 1 ---,
(l �' i[' ` - `/ _ M�
Address kit as C v v. r%Q. NNc.f ,0.,\�k ,,, 3d—
Phone No. �i'J�\ � l� 5 Fax No.AO'1-nJ 10- 11 0 0
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 than 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(the expiration date is one(1)year from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORnFD'O' - ' Mei
Pa a 1652, LY Signetl: ( RDATE ��/iG//7 a c c
Doc#2017237869.OR BK 18154 9 Before me this t In day of O C Ainntrc�r.C/ In the W �" —
Pa e5:1 Count of Duval State of Florida„)las personally appeared m co in y
Number 9 l ►rY, ►���{1� (.statements
LA herein by va Z cc
Recorded 10)1712017 1222 PM himself/hersa and affirms that at statemisnts and declarations herein Q r
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL are true and accurate
COUNTY G $10.00 1%^,Ca. n
RECORDING jk- III
Notary Public at Large,State of �1 County of 1. .)JG\ gilt-
My commission expires: I 3 I ;a n.l
Personally Known ' or r 1 i
Produced Identification V _ '