511 CAMELIA ST - PERMIT RERF18-0128 �S�l
m CITY OF ATLANTIC BEACH
�i 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: RERF18-0128
Description: Rercof Shingle
Estimated Value: 5500
Issue Date: 6/1/2018
Expiration Date: 11/28/2018
PROPERTY ADDRESS:
Address: 511 CAMELIA ST
RE Number: 170899 0700
PROPERTY OWNER:
Name: HURM DEBORAH
Address: 1903 RIVER BLUFF RD N
JACKSONVILLE, FL 32211-4549
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: HAMMER TIME ROOFING
Address: 13465 SOLEDAD CT DR
JACKSONVILLE, FL 32204
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 them 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$7,500.
, I
BUILDING PERMIT APPLICATION
_ �)'i CITY OF ATLANTIC BEACH
800 Semimle Road,Atlantic Beach FL 32233
"✓� Office:(904)247-5826 • Fax:(904)247-5845
Job Address: _5_11 �.,,i.,¢ �-r_ 4��r_.�6 i3r,t�. 11 Permit Number: RER [R-6[2-6
Legal Description if-w q- .1S-aa LGr• N RE# / 7nN'9Fr -p�nn
S y+?tT3b Co q-�k 3
Valuation of Work eplace en[ Guost)$ 5 Sr,r,. u, eated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existingtproposed structure(s)(Circle one): Commercial Residential
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No
• 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: IZC._ ko,
Florida Product Approval# /_ ( - Cor multiple products tate product approval fom
r
Property Owner Info,,,,, 6d
Name:„ Zt ]{,.rte Address: . 10 —
City� ackS ,,. lle State[{Zip 31a b .Phone 90tt
E-Mail �T� r-.
OwnelnIAgent llf AgeN.Pawerof AHMrn Agercyrmer Requirotl__-_,___
Contractor Information: �ny ��II /� / //
Name of Company: (. Qualifyrn Agent: CAnihetn r4' ,r.�.rrJenX+-
Address: l3t/bt 4S, __X7 ( Cityr4l. u /le State Zip
Office Phone( 9no) Job Site/Contact Number -
State Certificeilion/Registration# fes)j,1,448 ? E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Worker's Compensation w
emin
n oyees pt non
Application a hereby made to obtain a permit ro do the work and installati..as indicated 1 cert that w nark r i to/latimi 4as ro nred
prmr to the issunn<e oja permit and that a/l work will be performed to meet Mc smndards ofall/aws mgulaling u coon in this ' 'crion.
This pemtlt beronres atilt and mid if with is wt commenced within sir(6 momhx or ifronslmcdoa or work t dad ar a do edmjor a
period afsir(6)momhs at any Fane aJler workiscommeneed. /mederstarW thatsepmnte parotin mutt be recur jo leCric. oak, u bog,
Sigrtx Wdrt,Fadi Furnans,Boi/r//er�x Hearns, T)a�nks and Air CondtiloneM ue
Signature oCPraperlyowner��Ar�^r/J f?I[A-N �AAa 2�+ir✓ Signature of Comae
Befo a me
this of Before me this y of C
( %,w., ••. SHERYLNSTILES
Notary Pibrc-alak M FbiMe
Notary N CanMwonMGG IIar79 Notary Public:
„• My Comm.Etoia*Jm%2)n
pwrisions o/7 nus id
=E1110RES:W
rr ll.. ..:.99�49 I$,2J1P1''1@rxiMz
Doc 9 2018129536, OR HK 18606 Page 1072, Number Pages: 1,
Recorded 06/01/2018 09:38 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
Nona ®r COMMS CEMBIT
FapNtshare or 1 COWty o!
To whom It may concern. a and in
Tho undersigned hereby informs you that imprbvemare will be mzde to wdzgl reel perp Wr
acco ,,nes with section 113 of the Florida Statutes•tna following Inrnrmailan Is shied In the NOi ICE OF
COMMENCEMENS
LeoM desClpeon ofpmparry being imPrwad: / - -a' -� -
all I 'n -t Sep !j
tj —
��,,11
.addrsssof property beln9 improved:��IJ
Ganarzi dettdpdpn of pnplov.menN:.3r
n ti
O.:mer./lt. e I 1 11 sL 61110.
address12 'Sri 1/enna',11[j FI-,
O•.v:sfs irtaraztln sirs a Ula bnPloremmt 371 6
iaa ample nn.hpMer Of other then armed
Nem.
Aa .-
Mon do
Cpn
Address
Phone No.r " eu Na.
surzb(if aryl Amaadditiontl3
address
phone No. Fex N------
Name anal addra.e of em/person making a Iwn fm the wnstnu m of the hmplpvementa.
Name
Address
phoria No. FUN..
mama of per.on r::dtin the State M Flonde.otlherRan himeel'.,d•>igreted by m:•aer Won whom nodcn or oMv
dommanda mey be served:
Name
Add.
Phoria No. Fax No.
In admton w himset,—deeiPleha Ura rollo"-di person�nrecaNee mpy of Ne LIdIn"Noece aenmvMadM
Sedlon 113.06 2f(b).Fuddle St.UU.(nil N.10:merz option).
Nem.
Address
phoria H. Fu Na.
Expiratlon data of Notice o;Cammm,"no e(the expire3on&Lwwa il)Year from the date of ramNing ule
different data W sPetlped):
_fHIS SPACE FORRECMDER'E NEE ONLY I OWN
�vam.,� hxtl, ruse
Ir.narll e�nf dam; sOnINFYiR�n ziL Ls /+ s.� tDtfNN OW"AROkeda
e
se.a
No PNbre
t ' '1 ComlirsbneGG 101315
JJ1199�� `.. .•. ,f MYGDmm.E,gNSFeb t],pPII
wwo
1 ' bameY.eW: f
n:naYro
:J Na .IL.MPe