604 PARADISE CT - ROOF r, -1,J.i4./.,/,
at
S„ CITY OF ATLANTIC BEACH
r 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
"-.(;f !.)V INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0227
Description: SHINGLE ROOF
Estimated Value: 11000
Issue Date: 12/27/2017
Expiration Date: 6/25/2018
PROPERTY ADDRESS:
Address: 604 PARADISE CT
RE Number: 172386 2105
PROPERTY OWNER:
Name: OTTIE STEVEN
Address: 604 PARADISE CT
ATLANTIC BEACH, FL 32233-6946
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: DS KILLIAN ROOFING
Address: 3898 DUPONT CIR QA DAVID S KILLIAN
JACKSONVILLE, FL 32254
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$7,500.
Building Permit Application
City of Atlantic Beach
71800 Seminole Road,Atlantic Beach, FL 32233
" Phone: (904) 247-5826 Fax: (904)247-5845
Job Address: 604 PARADISE CT AB, FL 32233 Permit Number: R 1 7 - b Z._7:7
Legal Description 53-82 18-2S-29E. 137 PARADISE COVE LOT 21RE#
Valuation of Work(Replacement Cost)$l, 000 Heated/Cooled SF /0275 Non-Heated/Cooled /54#1
• Class of Work(Circle one): New Addition Alterati..s Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commerciesidenti
• 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: D
v
L - lSd-1
Florida Product Approval# `" /0/.2 y / d_i i n for multiple products use product approval form
Property Owner Information
Name:$Tit. 0-1 offcoptic Address: ‘Ciel 14r det u GT
City ia State FL Zip 3o . 3 3 Phone
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information / /
Name of Company: l2 %i(/Q#7 l(ovid0(76 Qualifying Agent: .�Avl G( S
Address/O3/ ',if 05 of eav C 7 7 City y4'6 State FL- Zip 3-V-3 3
Office Phone ci • ct 4Q op 67 Job Site/Contact Number Gesi
State Certification/Registration#C J I',A 5702.03 E-Mail G;43,14° (� s 4?//f(p 1. C c›.-1Architect Name&Phone# //�
Engineer's Name&Phone#
Workers Compensation ')--7 rat_
_
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 NOTICE OF COMMENCEMENT.
(Signature of Owner or Agent including Contractor) (Signature of Contractor)
Signed and sworn to(or affirmed)before me this 1 day of Signed and sworn to(or affirmed)before me this jc.'4'day of
-36Ll ,by 1v��i4 z 64e-de-r.( -the , .c17 ,�,by mmltn M1 (rr
A�e A.. .L
L . i/-ue.C•
o"` '0s; JANET M LEFEVRE I ignature of No� ) Si na ure of o ary
Notary Public-State of Florida I .. .. PRESTON k MILLER
r� oe,f Commission#GG 158536 I • c_. 1,1 Commission#GG 151997
My Comm.Expires Dec 1.2021 •of Expires October 16,2021
_—[a}li _yam __rii1� ! [ ]Personally Known OR "of;nY ' Bor�ThruTroy Fain Insurance 800.385-7,.'
[Produced Identificatio _ [iProduced Identification
Type of Identification: -VI-16(- Type of Identification: R. Drwerc LiLe,ts.' 1.045C -if 3 `0
-
6 - ]oI
N Livy /v'-�iv' v . //t4 �t 1 a dC.
NOTICE OF COMMENCEMENT
State of fL .'p Tax Folio No. 75702 2 092A. 0
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 stag in tj' OTICE OF COMMENCEMENT.
Legal Description of property being improved: — D it-• $ — /f . l 37
i4i1444SQ (o1/C L.o7- cZl
Address of property being improved: 601 �7#1`Q 'ie GT 14 if FL 30.20233
General description of improvements: 1 / 7)f
OwnerJ7 i fpt4f(j A¢ 0177e- _ Address: 00.-r-C
Owner's interest in site of the improvement: / S1 Ce~6.6
Fee Simple Titleholder(if other than owner): n//4
p Name: c /f
O lY Contractor: �S /C,V�, i /goe !�;t,- � &- 44free Cj 4 t. 4�f 0144_,
!I/ Address: /0W firtio j�1 &k4 G�� A �' FE_ 3?a33
I �7
r Telephone No.:T('q p2 y�P / �23 Fax No:
(� Surety(if any) /VA.
Address: Amount of Bond$
Telephone No: Fax No: Doc#2017295420,OR BK 18233 Page 31,
Name and address of any person making a loan for the construction of the improvements Number Pages:1
Ai/A
Recorded 1201:22 PM,
Name: RONNIE FUSSELL SSELL CLERK CIRCUIT COURT DUVAL
COUNTY
Address: RECORDING $10.00
Phone No: Fax No:
Name of person within t State of Florida, other than himself, designated by owner upon whom notices or other documents may be
served: Name: /Y A
Address:
Telephone 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 S gs. (Fill in at Owner's option)
Name: `,,qq�l
Address:
Telephone No: Fax No: q
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 ONLY OWNER
/�� /�
Signed: �. �� ra l`/'F® Date: ���-/ /
1 .�'�`" Y P ' Before me this (,51— day of '__ „.t in the County of Duval,State
4 � JANET M LEFEVRE
1 I. Notary Public-State of Florida •• Of Florida,has personally appearedx, c �
rr Commission#GG 158536 Notary Public at Large,State of Florida,County of Duval.
1 6 p My Comm.Expires Dec 1,2021 ( My commission expires: (tel--,>t
Personally Known: or
Produced Identification: 1714)1_ -
lUd14.& Pn. , � IA -000 -�- 53-5�0 �p
/ 6 , o Ili--5a-.a 0 e ,