550 W. Dutton Island Rd shingle re-roof permit i
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
9' INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0025
Description: SHINGLE ROOF
Estimated Value: 18000
Issue Date: 1/22/2018
Expiration Date: 7/21/2018
PROPERTY ADDRESS:
Address: 550 W DUTTON ISLAND RD
RE Number: 172373 9000
PROPERTY OWNER:
Name: KALLAO STEPHEN C
Address: 550 DUTTON ISLAND DR
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: A.J. WELLS ROOFING
Address: 5432 WELLER PL QA ARTHUR J WELLS, JR
JACKSONVILLE, FL 32211
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$7,500.
BUILDING PERMIT APPLICATION �( U r
CITY OF ATLANTIC BEACH 416 800 Seminole Road,Atlantic Beach, FL 32233 10
Office (904)247-5826 Fax (904)247-5845
Job Address: �Jr(1 i --r� Ll.d 1)c 66# Fl 32-24ermit Number:
Legal Description Zq-9 (7'X S -,,;Z9G- ,�-1 t-*,Vt5 1_411 Jd/J,yf1 sQ 'y Parcel #1'7-�3 7 3 -9 090
Floor Aea o q. t. —'Sq.
Valuation of Work$ /�,0aa,00 Proposed Work lieated/cooled 1_51(.a non-heated/cooled , 9 c 4
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(j)(circle one):. Commercial Res�esNo
If an existing structure,is afire sprinkler system installed?(Circle one): /A
Florida Product Approval# �L 0
For multiple products use product approveform - C G z -1777
Describe in detail the type of work to be performed:- &&-Yto vy WC.-O a.sP�
ql (fig le I'oyIC,
Property Owner Information: 3 2233
Name: Address: 5-0 b(k4{yoyS tari Pg i e ger4 1—�
City t A e State,QZip 7 22?'-? Phone 9Gy-Cv la - 145 Ie
E-Mail or Fax#(Optional)
Contractor Information: / /�
Company Name: 1q-.l Av of 94d'S f-r�c�;ti ori Qualifying Agent: /�► 4,i r GJ"{5
Address: arc/ Ci Tai State - -Zip. _24l
Office Phone e) ry as _ Job Site/Contact Number 5 S-3 00 6_19 Fax# -7 .;)-173
State Certification/Registration# (ZCC V? 2--k9-7 I
Architect Name&Phone# rn
Engineer's Name&Phone#
I Az 1A
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
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 laws regulating construction in this jurisdiction. This permit becomes null
and void 1f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of six 16)months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters,
Tanks and Air Conditioners,
etc-
WARNING
tcWARNING 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.
1 hereb certify that 1 have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether sppeci:ed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local lmv regulating construction or the performance of construction.
)6ignature of Owner Signature of Con ctor
Print Name s !" 'f ..I.X}...L7 Print Name �Qp.....-......................................................
_._. rt�GY........ . ......... ....
Sworn to andsubscribed before me Sworn to and subscribed before me
this . W4 of- 20 ( ? this ay of 20
Notky Public Ly °"pry " ` a oL*r-c.."KKimbeBakerimberly BakeMyC ",..MGG 059111 MyCommissionGG 0591 ExpUe®04128/2021 Expires 04/26/2021 evi d 01.26.10
Doc # 2018014623, OR BK 18256 Page 938, Number Pages: 1,
Recorded 01/19/2018 12 : 04 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 . 00
NOTICE' ter' COMMENCEMENT
:PREPf,RE IN CJPLICA-
erm.r No. _ _ -ax Folio Nr
Sta'E kl
:i, f A DUVAL
To whom it may concern:
The undersigned hereby informs you that improvements will be made ,airs real proper y.and in
accordance with Section 713 of the Florida Statutes,the following inforriiadon is stated in this NOTIC E OF
COMMENCE1,11_N i. ll
_ogal description of property being improVed
Address•:,,roperty being improved: f )
General aescription of improven••=- '- A or REPLACEM 'NT
F.d iress
ovmer's interest , PR SIDENCI.
in site of:hr u.ame .
Fee Sirric'e T3leholder lit other titan onmer,
Name
Address
Contractor Alb EIJS RUM=AN0,CONSTRUC110N
Address 5651 CO LCO RD AVE JACKSON V LLE FL U?.]1 _
Phone No. 4n4-653-0tki9 Fax No. 904-551-4283
Surety of a ')
Address _Amount of bond
Phone No. Fax Nr. —
Nan-e and address of an erson makng a loan for the cons*.ruction of the i emems.
Name
Adaress - -
Phone No. x Nc.
Name of person within:he State of Flor-da,otn himself.designated by owner upon.rtlom notices of other
documents may be served:
Vame
Address
Ohone No. Fax No-
)n addition to himse -owner designates the folly ring person to receive a cop f the Lienors Notice as provided!r.
Section 713.06 )rbi,Florida slatates. Fili in a:Owner's option,
Name
Acs
Phos o. -- -- -' Fax Nc.----- ---
=xplrafion date of Notice of Commencement Cthe expiration date is one(1)year from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONIY
I
//
3�ned. DATE
_
,. aetore me Ms da•:of
Co,ohj ^.as � 1�!n
.-a�ly PpartiC
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Pfadu^eC IdentNiCetial - -_ '---.-_..
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