455 IREX RD - ROOF `'3 ' PP CITY OF ATLANTIC BEACH
s> 800 SEMINOLE ROAD
V� ATLANTIC BEACH,FL 32233
.
e;3 INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0009
Description: shingle re-roof FL10124 & FL18686-R1
Estimated Value: 6000
Issue Date: 1/9/2018
Expiration Date: 7/8/2018
PROPERTY ADDRESS:
Address: 455 IREX RD
RE Number: 171410 0000
PROPERTY OWNER:
Name: Tacoma Properties
Address: 3721 DuPont Station Court South
Jacksonville, FL 32217
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: JADA ROOFING, LLC
Address: 4137 PINTO RD
MIDDLEBURG, FL 32068
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$7,500.
0, Building Permit Application
r, • ` 4 City of Atlantic Beach
IF
"'cult_:+',.
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 F
Job Address: 455 IREX RD. ATLANTIC BEACH, FL 32233. Permit Number: Come. i DG
—COO c;
Legal Description 31-If 17-28-29E R/P OF PT OF ROYAL PALMS UNIT 2A LOT 19 SLR I• RE# 16215-00072
Valuation of Work(Replacement Cost)$ 6,000.00 Heated/Cooled SF 1378 Non-Heated/Cooled 1378
• Class of Work(Grcle 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 to be performed: RESIDENTIAL REROOF
Florida Product Approval# FL10124 FL 18686-RI for multiple products use product approval form
Property Owner Information ---
Name:TACOMA PROPERTIES LLC Address: 3721 DUPONT STATION CT. S.
City JACKSONVILLE _ State FL Zip 32217 Phone (904)SO4-9876
E-Mail monealclp(aggatail.cam
Owner orAgent(IfAgent,Power of Attorneyor
Agency Letter Required)
Contractor Information
Name of Company: JADA Roofing, LLC Qualifying Agent:
Address 4137 Nato Road City Middleburg State Florida Zip 32068
Office Phone 904-606-7663 Job Site/Contact Number 904-505-1773
State Certification/Registration# CCC1331050 E-Mail info(JADAroofia j,.coat
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Frank Crum WC201800000 Exp. 01/01/2019
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 Y U NOTICE OF COMMENCEMENT.
/ 1 �%� ern
(Signature of Owner or Agent including Contra�t�r) (Signature of Contractor) t,,
Signed and sworn to(or affirmed)before me this'E day of Signed and sworn to(or affirmed)before this Vv day of
�_._ ,_... __\._1,` by It)'-c P4sk.• ,rZ�- OtAX1a`I , 2018 ,b LTTFF WCPcilirt
;')`Jaye,"' CARRIE JAMES - . - --'----..s.---\___,_-- 4....G.,(ilCCtyCt(,,t _
a„ x MY COMMISSION#FF 115053 (Signature of Notary) (Signature of Notary)
' - EXPIRES:April 22,2018
i.:.':,..„:0 Pianism Thru WOK RdarY Sen'Kes
aDONNA MATI-IENY
MY 56109
�rsonall Known OR EXPIRES: SION if
30,,2021
Y ersonaHy Known OR �,��� EXPIRES:October 2021
[ ]Produced Identification [ ]Produced Identification
Type of Identification'.____ Type of Identification:
Doc # 2018001390, OR BK 18239 Page 63, Number Pages: 2 ,
Recorded 01/03/2018 11 : 11 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $18.50 DEED DOC ST $1022 .00
tr./pared bd'and ret[:
Sophie Genkin
GiennelI Title,LLC
800 Silks Run,Suite 2330
Hallandale Beach,FL 33009
(954)449-6896
File Number: FL17-M1235-2
Parcel Identification No.171410-0000
[Space Above This f..ine For Rewrding Data]..
Warranty Deed
(STATUTORY FORM-SEC1 JON 689.02,F.S.)
•
This Indenture made this a.day of December,2017 between Christine Harrell,an unmarried woman whose post
office address is 1217 Lily St.,Atlantic Beach,FL 32233 of the County of Duval,State of Florida,grantor*,and Meridian
Trust,LLC,a Florida limited liability company,whose post office address is 800 Silks Run,Suite 2330,Hallandale,FL
33009 of the County of Broward,State of Florida,grantee*,
Witnesseth that said grantor, for and in consideration of the sum of TEN AND NO/100 DOLLARS ($10.00)and other
good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged,
has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land,
situate,lying and being in Duval,FL,to-wit:
Lot 19,Block 10,Replat of Part of Royal Palms Unit Two A,according to the plat thereof,recorded
in Plat Book 31,Page 16,of the Public Records of Duval County,Florida.
Property Address:455(rex Road,Atlantic Beach,FL 32233
Subject to any and all restrictions,reservations,easements,and limitations of record,if any,provided that this shall not serve
to reimpose same,zoning restrictions,and taxes for the year 2017 and subsequent years.
And said grantor does hereby fully warrant the title to said land,and will defend the same against lawful claims of all persons
whomsoever.
*"Grantor"and'Grantee"are used for singular or plural,as context requtres
In Witness Whereof,grantor has hereunto set grantor's hand and seal the day and year first above written.
FI.Warranty Deed—Statutory Form
File Number:FLI7-M1235-2
Page 1 of 2
OR BK 18239 PAGE 64
Signed,sealed anddelivered''it,our er enye
sw i� `3�.'..b..�. � \....:�� � - j•~t c�' .n+ > as 'a';..d:...�'ar`.•\.✓��•y¢ �`?•�<,,
Witness#1 Signature Chnstine Harrell
Witness#I Printed Name:' * .i
Witness#2 Signature
Witness#2 Printed Name: lcry-,,
STATE OF FLORIDA
COUNTY OFfiftOWARITA) .3 t s.s•._`: a c
The foregoing instrument was acknowledged t efore me this la.lsday of December,2017,by Christine Harrell,0 who is
personally known to me or li has produced a ` Ak4i lr:ea „ke:.::'.a. . as identification.
? .._.._..
[Notary Seai] Notary Public
Printed Name $rpt c }
My Commission Expires eilrl , to fir:..
.00.• Cr;ltt 1�CCRlL
�a Notsty pubCA .set41e at fiti4a
��..••��ii Co�mt�e4c�'�FF 255731
t,4 Vis. d, M Comm.Expltea,lost 5.2Q t9
FL Warranty Deed--Statutory Form
File Number:F1.17-M1235-2
Page 2 of 2
Doc # 2018001391 , OR BK 18239 Page 65, Number Pages : 2 ,
Recorded 01/03/2018 11 : 11 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $18 . 50 DEED DOC ST $1323 . 00
Prepared by and retur>l tLi:
Sophie Genkin
Giannell Title,LLC
800 Silks Run,Suite 2330
Hallandale Beach,FL 33009
(954)449-6896
File Number: FL17-M1235
Parcel identification No. 171410-0000
{Space Above This Line For Recording Data]. ,,
Warranty Deed
(sTA'r rroRY FORM-SECTION 689.02,F.S.)
This Indenture made this , day of December, 2017 between Meridian Trust, LLC, a Florida limited liability
company whose post office address is 800 Silks Run,Suite 2330, Hallandale,FL 33009 of the County of Broward, State
of Florida,grantor*,and Tacoma Properties LLC,a Florida limited liability company,whose post office address is 3721
Dupont Station Court,South,Jacksonville,FL 32217 of the County of Duval,Stale of Florida,grantee*,
Witnesseth that said grantor, for and in consideration of the sum of TEN AND NOIl(X)DOLLARS ($10.00) and other
good and valuable considerations to said grantor in hand paid by said grantee,the receipt whereof'is hereby acknowledged,
has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land,
situate,lying and being in Duval,FL,to-wit:
Lot 19, Block 10,Replat of Part of Royal Palms Unit Two A,according to the plat thereof,recorded
in Plat Book 31,Page 16,of the Public Records of Duval County,Florida.
Property Address:455 Ire Road,Atlantic Beach,FL 32233
Subject to any and all restrictions,reservations,easements,and limitations of record,if any,provided that this shall riot serve
to reimpose same,zoning restrictions,and taxes for the year 2017 and subsequent years.
And said grantor does hereby fully warrant the title to said land,and will defend the same against lawful claims of all persons
whomsoever.
*"Grantor"and"Grantee"are used for singular or plural,as context requires.
In Witness Whereof,grantor has hereunto set grantor's hand and seal the day and year first above written,
FL Warranty l)e:d—Statutory Form
File Number.FL.I 7-M1235
Page 1 of 2
OR BK 18239 PAGE 66
SignedOcaled and Olivel•cd in our presence:
'''-,...1-tvo-t.•4:71 -,--
Meridian Trust LLC
.......-
Witness#1 Signature , 44 .-.,....„
,...„, ......-,,,- -....„,,,,.......v
By:
Witness#1 Printed NitiNerillq leei-te's: Carlos Saez,as authorized repreriefit
1 • ',. —
j Meridian Trust,LLC
(1. • . . .:
11/44,A)
Witnesi. #2 Signature
1 '
.
Witness#2 Printed Name:S.,Cit)01 t t ..r-lift' y!fl
..4\-9 I 1. '1 i
STATE OF FLORIDA
COUNTY OF BROWARD
The foregoing instrument was acknowledged before me this .. day of December, 2017, by Carlos Saez, as authorized
representative of Meridian Trust,LLC,0 who is personally known to me or 681 has pmdp#a FLDI.as identitication.
, .
<',..k...&,A•k„,
, , . ...
[Notary Scall Notary Public
Printed Name:
-------."-- --
'''..;•••••*k•vs'kkkt.,""2***kk'Nts'4":"'olts-'-'0 •Axt,
k My Commission Expires:
'-,Lt tv;,z AIM'y POU• :II:sf 4.x4,4 ,..
A 1Z. •'''k'zssz ''',?'4 c,..r....,;$1:....4,•,.:•z tz`;.',..,:.k$, N
'' ..:*•s:„..k.:,kt.,,,,p? s ,,,,,e..... , 2 „.._,..,..,, ,t,,,,
d ,,ss My(..opatr:.Expain May 12.2;,•0
. w,••••k)w•s\wo —,—P,-,—
•i
FL Warranty Daed--•Stall:tory Form
File Number:FL17-141235 ik
Page 2 of 2
1
::,
Doc # 2018003591 , OR BK 18242 Page 1281 , Number Pages : 1 ,
Recorded 01/05/2018 11 :43 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 .00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No._... Tax Folio No. 171410-0000
State of Florida County of Duval
To whom It may concern:
The undersigned hereby Informs you that Improvements will be made to certain real property,and In
accordance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: 31-16 17-2S-29E R/P OF PT OF ROYAL.PALMS UNIT 2A
LOT 19 BLK 10
Address of property being improved: 455 IRF.X RD Atlantic Beach FL 32233
General description of improvements: Roof Replacement
Owner Tacoma Properties LLC
Address 3721 DUPONT STATION CT S JACKSONVILLE, FL 32217
Owner's interest in site of the improvement Owner
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor JADA Roofing LLC
Address 4137 Pinto Rd.Middleburg,FL 32068
Phone No.904'505-1773 Fax No. 909-291-5010
Surety(if any)
Address -,. Amount of bond$
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 JADA Roofing LLC
Address 4137 Pinto Rd.Middleburg,Fl.32068
Phone No. 904-505-1773 Fax No. 904-291-5010
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date is specified): – 30 days— –
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: , N DATE Li 1 55
Before me this 1 day of— .:t_<_ in e
County of Duvp State State of Florida.hes paAsoialy appeared
•�=�':Y -s..•�_ herein by
hl..ssIt�hersetl and affirms that211 statements and declarations herein
are true and accurate :le
• CARRIE JAMES
:. MY COMMISSION it FF 11`059
a� EXPIRES:Apri 22,2018
ifre
Nmary Public at Large. •
S of \ co •.. of u. ,-d lir•DOW Notary Services
My commission expires:2- $y,t
unty
Personally Known '✓ or
Produced Identification