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535 PELICAN KEY - ROOF \ s� CITY OF ATLANTIC BEACH \ 1S. 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 REROOF SHINGLE - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RERF18-0044 Description: shingle re-roof FL18355-R1 & FL10124-R18 Estimated Value: 7281.71 Issue Date: Expiration Date: PROPERTY ADDRESS: Address: 535 PELICAN KEY RE Number: 172027 5586 PROPERTY OWNER: Name: GLICKSTEIN BETTY ANN Address: 535 PELICAN KEY ATLANTIC BEACH, FL 32233-4300 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: BIGFOOT ROOFING & CONSTRUCTION Address: 615720 RIVER RD KYLE S MAXWELL CALLAHAN, FL 32011 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. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. * 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 # 2018014537, OR BK 18256 Page 660, Number Pages: 1 , Recorded 01/19/2018 11 :26 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10. 00 NOTICE OF COMMENCEMENT ,PREP ARE IN CUFLICATEI 172027-5586 Permit No. Tax Folio No. State of Florida County of Duval To whom It may concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF COMMENCEMENT. Legal description of property being improved: 43-11 17-2S-29E SELVA LAKES UNIT 2 LOT 95 Address of property being improved: 535 Pelican Key,Atlantic Beach,FL 32233 General description of improvements. Tear off 8 Re-Roof Owner Betty Baxter Address 535 Pelican Key,Atlantic Beach,FL 32233 Owners interest in site of the improvement Fee Simple Titleholder(If other than owner) Name Address Contractor Bigfoot Roofing&Construction,Inc. Address 10737 New Kings Rd.Suite 104,Jacksonville,FL 32219 Phone No 904-751-6112 Fax No 866-257-5115 Surety{if any‘ Address Amount of bond S Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida.other than himself.designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself.owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b).Florida Statutes.{Fill in at Owners option). Name Address Phone No. Fax No Expiration date of Notice of Commencement{the expiration date is one(1)year from the date of recording unless a different date is specified). THIS SPACE FOR RECORDER'S USE ONLY y�0 ER Ili sg - �%Z �>l L(/�o 1/'R/j g Before me dos d of • in th Cour of Duval.State londa.has personally eppeered Betty Baxter hexer by himset$herself and efllrms{rat ell statements and m"� are true and accurate KYLE MAXWELL MY COMMISSION 9 FF220914 09 ��Ada / 'ha,w,• EXPIRES June 13.2019 PublicAis .1 Largef .. • • • NowrSoracc:orr My commission expires: Persona:ly Kno.••n __ -or Produced Identification�jL i w Building Permit Application Updated 12/8/17 - , City of Atlantic Beach _�,Lle 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 (j n r Job Address: 5"3 5 PF 1_,r4"Pr N KE-Y/ ATLAV1Trc StAcN,FL 3123.3 Permit Number: 1—CR 1� Si 004 Legal Description 4/-3—// /7-2S-2-9E SELVA LAKES UNST 2 Lor 95- RE# /72027-5c86 Valuation of Work(Replacement Cost)$ 72 is/. 7/ Heated/Cooled SF 134-6 Non-Heated/Cooled /S/it- • Class of Work(Circle one): New Addition Alteration pair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercialesidential • 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: ,R oo F gee, Ac e Al E 1,j T (re AR. o FI -RE-Roof) 6: 12/I& SQ/SHEN6L5- Florida Product Approval# fLI2 3 gS- RZ - L IOIZq-e-(? for multiple products use product approval form Property Owner Information Name: 3E TTY ANA/ 5A.,,crE R Address: 5-2 T PE LIGAN KE Y City Al-LANrrC FbI;PtcPi State FL Zip 3 2233 Phone (6) o`?-) 98 2 — 9.1/0 E-Mail eiG/a;, r 36( 0 ,. GO 414•—• Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company: 5z&Foor R•oprN6 2.Go,vsTRNcrroN,2Nc,Qualifying Agent: KYLE / 4AJC L h L Address !0727 /4E L., l<rN6s AD, S'-g /o /- City J eA'..SoN✓ru4 State FL Zip 222-19 Office Phone (9 0,9 76/- 6!1 Z Job Site/Contact Number(9 0 9-7 76-/- 6//2. State Certification/Registration# GCC 132017 6`i E-Mail in-Po @ b d: --Fo c+/-lo a it,n 9, c o.--) Architect Name&Phone# Engineer's Name&Phone# Workers Compensation FR 5 A l/ 1/2 0/ 9 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. NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. 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. (46.6-(?)/ ,tiLX-- (Signature of Owner or Agent) (Signa ure f Contractor) (including contractor) Signed and sworn to(or affirmed)before me this /9 day of Signed and sworn to(or affirmed)before me this /9 day of 0-11141AR_i , 201k , by6E7 "Y Aur., R.AJcrEIC 3 tiT�4/vt.',btV , 201fr , by /KYLE/ /�t,4�twGGL v (Signature of Nota (Signature of Notary) "` DAVID A HAINES - B�; DAVID A HAINE � Y'�B". [ ] Personally Known OR 30 . MY COMMISSION#FF14214 Personally Known OR :o <� [4.4/Produced Identification Ai _ 2Oi.4 Produced Identification = MY COMMISSION#FF1421 8 Type of Identification: ''?;,e.4o?° EXPIRES July 15, T e of Identification: -"� _e< PIRES July 15, 2018 FlondallotaryService.c•m °f Service.com (407)398-0153 (471 3g8-0153 Floridallotary Doc # 2018014537 , OR BK 18256 Page 660, Number Pages: 1 , Recorded 01/19/2018 11 :26 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10 . 00 NOTICE OF COMMENCEMENT PREPARE IN DUPLICATEI Permit No. Tax Folio No. 172027-5586 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: 43-11 17-2S-29E SELVA LAKES UNIT 2 LOT 95 Address of property being improved' 535 Pelican Key,Atlantic Beach,FL 32233 General description of improvements Tear off&Re-Roof Owner Betty Baxter Address 535 Pelican Key,Atlantic Beach,FL 32233 Owner's interest in site of the improvement Fee Simple Titleholder(If other then owner) Name Address Contractor Bigfoot Roofing&Construction,Inc. Address 10737 New Kings Rd.Suite 104,Jacksonville,FL 32219 Phone No 904-751-6112 Fax No 866-257-5115 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 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 Lienors Notice as provided in Section 713.06(2)(b).Florida Statutes.(Fill in at Owner's option). Name Address Phone No. Fax No Expiration date of Notice of Commencement(the expiration date is one(11 year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY �Y��OlE_RR // ' Syned: �1� w'- DnTE / I9/18 Before me this o (/of /in ei Countyof Duval,Stale of sande.has personally appeared Betty Baxter herein by hlrnsetf'herself and Berms mat all statements azl . -!s'^'""•''^ are true and accurate ✓' KYLE MAXWELL MY COMMISSION It FF220914 41110 EXPIRES June 73.2019 SalloS•vSavice cart N• —Public•1 Large.State of •• My commission expires: Persona:ly Kno ri _ ------ or Produced Identification DL