88 4TH ST W - ROOF �� '
at
, CITY OF ATLANTIC BEACH
ss�-� , 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
",.o;3 >% INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0220
Description: shingle re-roof- FL10124-R19 & FL5259-R25
Estimated Value: 6500
Issue Date: 12/19/2017
Expiration Date: 6/17/2018
PROPERTY ADDRESS:
Address: 88 W 4TH ST
RE Number: 170827 0000
PROPERTY OWNER:
Name: KEYS JENNIFER L
Address: 88 W 4TH ST
JACKSONVILLE, FL 32206
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: Real Estate Busters, Inc.
Address: 4320 Deerwood Lake Parkway#327
Jacksonville, FL 32216
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$7,500.
71, Building Permit Application
City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
c
,,,_11., Phone: (904)247-5826 F•x:(904)247-5845 pp r
Job Address: 88 W 4th Street, Atlantic Beach FL 32233 Permit Number: C. �* (�'D d
Legal Description 18-34 17-2s-29e SEC H Atlantic Beach Lots a,6 BLK 78 RE#
Valuation of Work(Replacement Cost)$ (p}c0 0 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 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 o be performed: rj ~."'' ' ,t P"-; - FL 0/ -e f Cl
2e ' �Coa z LL,cc ,l •.-.— rPp - ft.<?sci -122,<
Florida Product Approval#_ ''S('5 FAL ( 2" 1 lc Z, .. 'r", vr>s for multiple products use product approval form
Property Owner Information
Name: Jennifer Keys Address: 88 W 4th Street
City Atlantic Beach State FL Zip 32233 Phone qOV- 207-67(5-Ci
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Owner
Contractor Information
Name of Company: Real Estate Busters Inc Qualifying Agent:
Address 4320 Deerwood Lake Parkway Suite 327 C ty Jacksonville State FL zip 32216
Office Phone 904'2190835 Job Site/Contact Number
State Certification/Registration# CCC1329655 E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Exempt July 26,2018 _
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 ac:urate and that all work will be done in compliance with all
applicable laws regulati�gconstruction and zoning.
WARN1 `O
1WNERef-0011 FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESUL,X IN YOUR,PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN F, HANCING.0 CONSULT WITH YOUR LEND • • • .• i. . • • •NEY BEFORE
RECdRDIN ,YOUR NOTICE OF •MMENCEMENT. / VirriairArr
.,.,sad. 0. 2 _
(Si nature of Own,-; gent including Contractor) (Signature of Contractor)
Si:ned a•• sw n to(• '. firm. )befor- me this Ko day of ',ned and swor to t+o-,r affirmed)before me this ((.p day of
Vit• t'1 ,by iU , l ,by PC�►t fir
x ^L ;.'.k. e
•• k Signat` feta KNIGHT
' .'c MY COMMISSIO #G0068769 ;�
MY COMMISSION#GG068769
��r�;;' EXPIRES April 21,2021
It. EXPIRES April 21,2021
( ]Personally Known OR (1 Personally Known OR
Produced Identificati n IjProduced Identificati9�} `
Type of Identification: CV t-r• a \,../-ype of Identification: (il (_}ejr- .e.A.c —
NOTICE OF COMMENCEMENT
State of C' Tax Folio No.
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 NOTIICE OF COMMENCEMENT.
Legal Description of property being improved: Ocean Side Plat book 44, Page 34 NOO'OO'03E 20.38'
Address of property being improved: Oceanwalk Beach Accessway,Seminole Road.Across from 131 Oceanwalk Dr.S.
General description of improvements: Replace wood decking with Trex boards.No structural changes to be made.
t
Owner: 6C CaotLk ,1 . t
Address: cin 5J vK( i1?�Ct Pi
t t
tLG Pet-)Aviv, 'c
l3tfuick
Owner's interest in site of the improvement: }-ee -I{
Fee Simple Titleholder(if other than owner):
Name:
Contractor: tACy`t" 'it zv.\ 6,0y`rlyvi rc, t4t1 6S;o W-,rev;v r
Address: 101 i r t-t<L4-scif_t t, 44o4-3r=41 li clrel y 32,06 !.
Telephone No.: 904 /ST( - 3Z.1 1 Fax No:
Surety(if any) 11'13 A-1
Address: Amount of Bond$
Telephone No: Fax No: Doc#2017285738,OR BK 18219 Page 1736,
Number Pages:1
Name and address of any person making a loan for the construction of the improvements Recorded 12/14/2017 11:38 AM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
Name: N. / COUNTY
RECORDING $10.00
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: Az,i1 ? l2,t h. y / 4_+i' `kv e `lei..H4y 4' klLnwygmF
Address: F ?O -.� t'`��+u2:-7 -? r ,,..�eit k. wv J( lfj-\ :i'i_. aLI .c'd)
Telephone No: cic`#- 6 2S-T /'1.3 Fax No: Cj d 4 - 2 I - 35-E,
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):
TEDS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: % Dale: I) '6,'^7.
Before me this3'ft day of {.]y in the County of Duval,State
n ANGELA BAXLEY Of Florida,has personally appeared 1 14 1:74-1610110"� • MY COMMISSION#FF 897525 Notary Public at Large,State of Florida,County of Duval.
— :a EXPIRES:November 8,2019 My commission expires: 1701 ilei _
.,Fg„r; Bonded Thru Notary Pubic Underwriters Personally Known: or
PM”
/'' Produced Identification: e L %ttO^3 d�t" t{,(v-L* 1-