66 W 9TH ST - ROOF rel \'<
` CITY OF ATLANTIC BEACH
- - . , 0 800 SEMINOLE ROAD
1-3V,,,,, x ATLANTIC BEACH, FL 32233
1i 1 INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0010
Description: reroof 50 yr shingles
Estimated Value: 8075.85
Issue Date: 1/16/2018
Expiration Date: 7/15/2018
PROPERTY ADDRESS:
Address: 66 W 9TH ST
RE Number: 170813 9000
PROPERTY OWNER:
Name: BUTTERWORTH MATTHEW J
Address: 66 9TH ST W
ATLANTIC BEACH, FL 32233-3465
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: K & D ROOFING & CONSTRUCTION
Address: 2758 DAWN RD SUITE 1 NE QA ROBERT ANTHONY HILE
JACKSONVILLE, FL 32207
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.
Doc # 2018002339, OR BK 18240 Page 1784, Number Pages: 1,
Recorded 01/04/2018 11 :05 AN, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
1
.TICE OF COMMENCEMET
.PREPARE N C,.PL.CA E c1
Permit No Tax Folio No I os3 13 1007
State of FLORA).\ County of pttaVQQ
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 co Ifs-39 i-] .2'S r , o9 ti-
tOk1c..".-4-it:8eaGM1SEC W
E A\.3VT L.,trr 16u4sL,
Address of prcpert;being improved t49 10 10 `7+h S k . 1t)tsf
\+I&41 c- ac..- 1.1 37233
General description of improvementRI:ROOF Si))\R sl il\o)i:-i
s
Owner ma4kh�tt ata..4 erworih
Address lelo city- St • IiBSI- , (A1-10."1-ic_ 8e ac j--,. 1 ( 322:1D
O,:ner's interest in site of the improvement Ot\\t R
Fee Simple Titleholder(if other than owner
Name
Address
Contractor Km)it,)()PINI;x,('(i\1I12'.c'liON C()\II':\\S.I\l.
Address 'I 61'11 STREET Sltt-Til.SI'ITE 11,1 I:\CKS(l\VII.IP.IiiL\('I I,FI.5)22I1i
Phone No.904-541-1700/904-223-6068 Fax No xi.)-:iii!r3210 E-FAX
Surety(if any)
Address Amount of bond S
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 ormer 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
Address
Phone No Fax No
N
co
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a N N
d,fferent date is specified). U.S o N
THIS SPACE FOR RECORDER'S USE ONLY y / • HER = aXSigned -',/ ' - :. "(CATE !.IN13- ~ O 4Before •-y o • .. ._- - n e
W rn2
' Canty of Ova a of Fo daa h personaNy appeared m _N rA
_ Y`n c.{�4�¢ �tle/woYk41 herein by p g
i himself.herself and affirms that al statements and xec!arations here," Crw
, are true and accurate r4 0 O-
0 X
T y
1. aki
Notary Public at Large.State of FLORIDA . County of DI"CAI.
hty commission expires V)-AROI 14 'ii"1
Personally Kno..n_-- _ _----__---.— or .,•i
' Produced Identification_.-- --- _-- ....
Building Permit Application
414. Cityof Atlantic Beach_
800 Seminole Road,Atlantic Beach, FL 32233
' (l, Phone: (904) 247-5826 Fax: (904)247-5845 R
Job Address: �k �1 ,,�' •�13 Ax•c C 3'c-k Permit Number: - - )c — (3 O\Q
Legal Description I`6-3y I'1•�5Lr1C,O'tto t1-lo,r.4«OCachSAN W 4L3-irLo ( ARE#
Valuation of Work(Replacement Cost)$ 2 t O1`5. 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 Idee n� tial
• 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: RE ROOFING 50 YR SHINGLES
Florida Product Approval# FL 10124R7/FL.UNDERLAYMENT APPROVAL#FL18686-1 for multiple products use product approval form
Property Owner Information
Name: 1A-AC,-1-1r\c„.; Qju1-4t7tl,uOr-1-1•' Address: loif 1-n 5VV
City IAA L- t-rc,c6' State T-1 Zip 32ZZ33 Phone Soyf 11155
E-Mail N/0--
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: K&D ROOFING&CONSTRUCTION COMPANY,INC. Qualifying Agent: Robert Hile,Owner/President
Address 74 6TH STREET SOUTH,SUITE 104 City JACKSONVILLE BEACH State FL Zip 32250
Office Phone 904-541-1700 Job Site/Contact Number
State Certification/Registration# CCC 1325852 E-Mail kdroofinga@hotmail.com
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation
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.
re of Owttef or Agent including Contractor) (Signature of Contractor)
Signed and sworn to(or affirmed)before me this i4S day of Signed and sworn to(or affirmed)before me this 1 6 day of
cue ry t ( , bIJ ,by r mo -`wle,, 12-.),,j 4 ''w Iib 1) zrnber" bt) .by t�n1 :-1 t' I I�
--R
;�"•�;: iTirmatary) (Signature of Notary)
Ti: MY COMMISSION#GG082762
. EXPIRES March 14,2021 4,0:'j!%4 LORI WHISNANT
MY COMMISSION#GG087345.
'Persona'QRnown un [t)Personally Known OR EXPIRES March 27,2021
[ ]Produced Identification [ ]Produced Identificati R'"'"
Type of Identification: Type of Identification: