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209 S OCEANWALK DR - ROOF
.. 1+-��1T J, t 7,,, � SSS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 5v �� ATLANTIC BEACH, FL 32233 '':(9Ji»'?. INSPECTION PHONE LINE 247-5814 REROOF SHINGLE - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RERF18-0027 Description: SHINGLE ROOF Estimated Value: 22000 Issue Date: 1/22/2018 Expiration Date: 7/21/2018 PROPERTY ADDRESS: Address: 209 S OCEANWALK DR RE Number: 169463 0174 PROPERTY OWNER: Name: VEGA KENNETH J Address: 209 OCEANWALK DR S ATLANTIC BEACH, FL 32233-4674 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$7,500. Building Permit Application City of Atlantic Beach 4, 800 Seminole Road,Atlantic Beach, FL 32233 J Phone: (904) 247-5826 Fax: (904) 247-5845 Job Address: 201 Qceall Wet(k o_ S Permit Number: R E (.=- 1 (c3 - v D z7 Legal Description O."/ / S 05c 0c-tow l u/a1/(LA/1d 1 Loi J RE# D6.1.3-1-/- 0.2.475 Valuation of Work(Replacement Cost)$ Aa.,000.00 Heated/Cooled SF 36210 Non-Heated/Cooled `-ine • Class of Work(Circle one): New Addition Alterati.,4112M Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercia .esidentia • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes 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; f-G07 % ), 2Gf,1-2C —> -FL_— l/e& �' , / _- 1 Florida Product Approval# L 6.— / ,' Z/• / for multiple products use product approval form Property Owner Information Name: re/M•C I yAddress _ el A .- , _,, A City /,(Tf f c•a State FL Zip 3g? 3 3 Phone 0 Y 02 k4, 7663 E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information ,/ �J Name of Company:,©r- /C i///i 7 / '0c,f C &"c Qualifying A nt: HI. Je(r�1d 4�1 Address /O3 1/J1/H�IOS A rot/ C-T L" City A zs State -FL Zip 3a,12:2-.?3 Office Phone Cf t 7 if -2 L(&' 7 (o t ' Job Site/Contact Number , G[ Q State Certification/Registration#CCG /;..2.-11 03 E-Mail .../4,t/C G�.) /e//f/'a,"! • G' C)"'1 Architect Name&Phone# /lVA Engineer's Name&Phone# /l1/A- Workers Compensation 441 /Oa(_ _ 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 RECORDIN YOUR NOTICE OF COMMENCEMENT. A ,a( , ..__________ (S u: re of Owner or Agent including Contractor) (Signature of Contractor) Signed and swb to(or affirmed)before me this h day of Slued and sworn to(or affirmFjd)before me this 3t day of 0..61...E ,plc+n , by Y 'rt' i \)Q44 Nt')C•nix; , 901 ,b f re`.4-c,, i Ill r (Spature of Notary) ... ig19g 'MR A.''hirL' KATHRINE LAM KAHLER ` ...... � .� ,: Comm'�ssan#GG 1519gNotary Pubic,Stab of Florida ri.��.:i Expires October 16,2021 14 . „ �GG 24816 •.o,n?; Bonded TMu Troy Fain Insurance BGA-385.7u,: NOTICE OF COMMENCEMENT State of L— .. rialck Nu X0180 13'OR BK 18258 Page 16, Vo. I/6 / " 0,20.105- County Of 10v Recorded 01/2212018 12:14 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL To Whom It May Concern: COUNTY RECORDING $10.00 The undersigned hereby informs you than improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: HA—/ 11—R.5 —Agl 1 GxE/QA/la/At 4 v,A/)T 1 LAS Address of property being improved: o?O' ch-44,4.../e L- .5 46 FL 3),,..33 General description of improvements: 4. ,' Cre Owner: ,)4e f‘i :I /e4; _ Address: S�'s07 to Owner's interest in site of the improvement: 7Z.SI G€rG� Fee Simple Titleholder(if other than owner): //Ak Name: /� Contractor: J7f ,e../1.4,,, z 'e i z or 6-„0:416®"-a !r."'t f'etc fle-r1 j , . !tit Address: 0 3/ 01! 4.54 £(' !C !/�(� I4- 6 FL- 3-2133 p�J-( l ✓'6 Telephone No.: .01-( ..2 li 6 7 6e$' Fax No: Surety(if any) /t/�/a Address: Amount of Bond$ Telephone No: Fax No: Name and address of any erson making a loan for the construction of the improvements Name: /vA 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: �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),FloridaA(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): THIS SPACE FOR RECORDER'S USE ONLY OWNER I1 II I1 Signed: "' Date: Before me this NIk 1‘ day of ein the County of Duval,State NOWISE SE KAHLER Of Florida,has personally appeared rpy(-Ire�c�� r'�'�` State Notary Public at Large,State of Florida,Coun of Duval. `I ,ice,;,,, Commi&slon#OG 24918 My commission expires: g'—ZS -1.0 C V My oorom.expires Aug.25,2020 Personally Known: or Produced Identification: M'\ -t&t� Lr)