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340 DUDLEY ST - ROOF ,, „it„ CITY OF ATLANTIC BEACH � 800 SEMINOLE ROAD z ATLANTIC BEACH, FL 32233 ~�.o;il!%. INSPECTION PHONE LINE 247-5814 REROOF SHINGLE - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RERF17-0226 Description: SHINGLE ROOF Estimated Value: 7000 Issue Date: 12/27/2017 Expiration Date: 6/25/2018 PROPERTY ADDRESS: Address: 340 DUDLEY ST RE Number: 172347 0000 PROPERTY OWNER: Name: JOHNSON JOHNNIE E Address: 340 DUDLEY ST ATLANTIC BEACH, FL 32233-1910 GENERAL CONTRACTOR INFORMATION: Name: Address: , Phone: Name: OAK CREST CONTRACTING, INC Address: 536 SE 291 HWY LEES SUMMIT, MO 64063 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$7,500. Building Permit Application City of Atlantic Beach .40 800 Seminole Road,Atlantic Beach, FL 32233 41r=i'34'-'-'c' Phone: (904) 247-5826 Fax:(904)247-5845 Job Address: 3y O'Oi Y 7% MkJ pre. BE flCH FL 343ermit Number: E-RF 17 Legal Description ,9•4-94 17—d 5 —19% L Ewt 5 Sowory JSE0 Lor 8`A`E# 17 a3c{) - 0006 Valuation of Work(Replacement Cost)$ 7,00b Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration 41IMMI Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial esidenti� • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No <OP • 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: Florida Product Approval# SMTIA.8 — 1OF7'4 V-4-R717'Rultiple products use product approval form Property Owner Information Name:3D1+ NZE DoH 6.)So t`7 Address: 340 b VD LEY ST City ATt*,41 . t3 ►tcN State S'rL Zip 3;233 Phone 904.1 3943 3a35 E-Mail Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Name of Company: OR KCti;i ST C:44TV+et u 6 Qualifying Agent: c)v 5 T"fr N T)©L Address (D3 CAMw1r-y "trefaVE•z Sear€3.03 City 'TC.1e-4o14v=11e State TA- Zip 3a'x1(3 Office Phone 9OY logo CX)S$ Job Site/Contact Number State Certification/Registration# C.C.C. 13304 07 E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation TRAvi<(-L' S "TNlr irtt)xTY ?ocscr *" 185793415 5Xi° 3/7/4018 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 Own "or Agent including Contractor (Signature of Contractor) ".,.�' Signe and sworn to(or affirmed)before me this 1(e day of Signed and sworn to(or affirmed)before me this jbr'day of NOvFn76r f<, 2017 ,by 0-ot4 J 1..rpe tt a NotRa1$[ , M I7 ,by 1)0'51'2 0.3 0— `t (Signature of Notary) (Signature of Notary) Notary Pubic State of Florida 'f1i. Nop1 a State of Aorida tib lM My ConwrissionGG 118704 _ y� BMy Commission GG 118704 [ ' r,,4� Expires OS/25/2021 ........Known • or r++� E Commission 92021 [ ]Produced Identification Type of Identification: FL Teft. ype of Identification: Doc # 2017265450, OR BK 18191 Page 1726, Number Pages : 1 , Recorded 11/17/2017 10:52 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10. 00 NOTICE OF COMMENCEMENT (99(}09-C)� (PREPARE IN DUPLICATE) Permit No. Tax FolioNo. State.of_Florida County of:Duval To whom it may concern: •The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with-section 713.of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. L=:.1 descriptio1 of property being improved:Single Family Residential —9. - t7, . —.w 1r 8 J I u : • .LS L. "L LK Address of property being improved: b - -General descriptiom.of iruproveme, Re-roof Owner Name: 61^04' JOlI\AJ0 A) Address: rA /O D c d 4 j5 r' �}�-16vu G ��a at! F l 3 7-'-? Owner's interest in site of the improvement: Fee Simple Titleholder Mother than owner): • Name: Address: Contractor:..Oak.-Crest Contracting • Address:4217 Bilvmeadows Road,Suite 3,Jacksonville,FL 32217 Phone No.(914) 68O-0058 Fax No. Surety(if any): • Address: Amount of Bond$ Phone# Fax Nb. Name and address of any person making a loan for the construction of the improvements. Name: Address: Phone No. Fax No. Name of the person within the State of Florida,other than themseif,designated by owner upon whom notices or other documents may be served: Name: Address: . Phone No. Fax No. In addition tothemsett owner designates the following person to receive a copy of the Lienor's Notice as pt twirled in Section 713:.06(2)(b),Florida.Statutes.(Fill in at Owner's option) Name: Address: Phone No. Fax No. Expizaton date Of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a ,ditfetentidateis.specif . 'FFIss`SP�" `URDER's tTSE ONLY 0 • Signed: DATE:R 1 a Before this of ()C*dnP.r t 2 1 lathe malty of • Duval,State of Florida,has personally appeared 3Ohnn'.v•e, E. Ohy,�rxr) herein by himcAlf)herself and affirms that all statements and declarations herein are true and accurate. 4L0) 1. Y(Y1 Notary Public at Large,State of n t) ' iU ,County of D l!\i C+I My commission expires: CDL 1 01 I t Persouall r or Produced .I; p ri rici t)r-►vers it cen S-e 143;* , My Comrtdssssial Fires 0210112021 • Conenfaion No.GG 68713