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1309 VIOLET ST - ROOF CITY OF ATLANTIC BEACH j 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: RERF18-0080 Description: shingle re-roof FL10124.1 & FL15216 Estimated Value: 6900 Issue Date: 4/5/2018 Expiration Date: 10/2/2018 PROPERTY ADDRESS: Address: 1309 VIOLET ST RE Number: 171062 0000 PROPERTY OWNER: Name: REMLEY DONALD Address: 1015 ATLANTIC BLVD#236 ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: , Phone: Name: DS KILLIAN ROOFING Address: 1031 MIMOSA COVE CT E QA DAVID S KILLIAN ATLANTIC BEACH, FL 32233 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. 7" 7„, . Building Permit Application Updated 12/8/17 gi ; City of Atlantic Beach y. 4 _ 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 f '� D p /� Job Address: X30 r 1�'/ E°'-I SI Permit Number: ye,C ( D-0O J 20 Legal Description 1k- ' $ZJ 3-g- J.5 .?qc? /4 5 If.5 S .."S"J.."S" La'1-At' -,RE# OS-00 •-005 3c, Valuation of Work(Replacement Cost)$ &I! 61 U. c Heated/Cooled SF 7 7 / Non-Heated/Cooled /42 • Class of Work(Circle one): New Addition Alteratio Repair ove 9• o Pool Window/Door ` S/ Si, ff. • Use of existing/proposed structure(s)(Circle one): Commercial •esidential • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes Flo 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: k /vet-' U f,? 1,4 -F IA in_c_ -( ("LI,1-1.,45 <_,,. ,-) t- .44-,C/ i c:r 1Florida Product Approval# rL IO),.Z'1 1 F 1 5w"1 or multiple products use product approval form Property Owner Information h IFb'y. V 4Cfr-M0 Name: ®b4 1 id 4-0441,V Address: /3301 0.0Ge( 5 2.- City City A 41 State--C- Zip 3:).23 3 Phone 4-70i/ 6 ?/ / / 1/ E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information ^ l /l Name of Company: Os /l,//r<<vi 6- f CC Qualifying Agent: /�Je'c ,� ' 42.4.1 Address f OS 1 /'y i H c$ i4 C-'✓L ( i (� , City > 6 State Ft- Zip 'S.,..0-? 3 Office Phone /041 al(4, 7 4'&3 Job Site/Contact Number SG. State Certification/Registration#1-(C- /5 6'a0 3 E-Mail <<'-t' cs''_ 4-1‹. k, 1 CC �, c ci."N Architect Name&Phone# Ai /.. Engineer's Name&Phone#/\./ A Workers Compensation 6n-1 ,t VI 0 co - 600E) - 01S; 11 O I O t€ 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 RECO DING Y R NOTICE OF COMMENCEMENT. C/Q4-1 , I- (Signature of Owner or gent) (Signature of Contractor) (including contractor) • VA ----- d)before me thisd day of Si ned and sworn to(or affirmed)before me this3 day of *. '\ CNJ µFERJ NS N•4r `k�,1mLl\c& Eki-JCY& LEnif �n I c li b )�(1,1i A ��-a )c11:C � �, my comEXPIRES: 13S I 1 Y pr: _"�, `= EXPIRES:October 27.202Q ,......---------- V':;.••r oar Bonded Ttru Notary Public Unde °:«; —� (Sig atu'-v.f Notary) (Signature of Notary) [ 1 Personally Known OR [ ]Personally Known O• ,;i�:!yo�, ASHLEYWALTERS )roduced Identification .c Produced Identificati ,,' ,) `Commission#GG 025031 Type t} �1 Q.-I S ' .l L,�S Q. Type of Identification: 1 - �:Exp ti, ugust 26,2020•'•,_ 7019 T e of Identification: F L �`�` NOTICE OF COMMENCEMENT State of flori-d4 Tax Folio No. S"t`'C6 - 0" cl3? County of AJ[/+d 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: / 03y 3V - .A .5- cl'i ©- 011-/ fr rL SIG govil SFG hl S .2rFi Lor r/ Pr i- - o ' 6 (LL- D ©lit Address of property being improved: ArOf //iO4-15'* frelle CL .7"11 .-IIS J54.83 General description of improvements: ge re a)3e / ', 14 i`a 1-- Owner: DOA/AL 0 /?c P1IJ y Address: (epie Owner's interest in site of the improvement: f�-S . Fee Simple Titleholder(if other than owner): 4174. Name: t C ntractor: oj' ,'€ i/,` < .i (2 vu -F `' G - �'� Address: 10 3( 1�'I ! fh O Si4 C c..75- T - A EL 3-2-D-- 33 Telephone No.: e1 J I( 6, 2 l0 G3 Fax No: Surety(if any) 1Vtet- Address: Amount of Bond$ Telephone No: _ Fax No: Name and address of any person making a loan for the construction of the improvements Name: ,.VAS 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: /V./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),Florida�S/t$ij s. (Fill in at Owner's option) Name: 11✓✓ �� -FF 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 Signed: Date: efore me this o1'>1 day of kOJOh a Ot in th County of Duval,State Doc#2018076291,OR BK 18335 Page 1920, f Florida,has personally appeared o t1 Gt W t4 a e LM«fit Number Pages:1 Recorded 04/03/2018 10:38 AM, otary Public at Large,S .te•of Florida,C. nof Duval. RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL ly commission expires: N.,.1_,►. *t._____ _____COUNTY srsonally Known: r ‘641; r� JENNIFER JOHNSTON or RECORDING $10.00 roduced Identification: — WCOMMISSION 11GG042984 )AES-Ot Vef2T,2920 • a Bonded Thru Notary Public Undenvritere