1660 Jordan St RERF18-0163 Permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NE)Cr DAY INSPECrION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0163
Description: SHINGLE ROOF
Estimated Value: 5164
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 1660 JORDAN ST
RE Number. 1722880020
PROPERTY OWNER:
Name: THOMAS JACQUELINE E
Address: 1660 JORDAN ST
ATLANTIC BEACH, FL 32233-4336
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 FAILLIRETO 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 Commencemetnt is only required when HVAC work
exceeds and estimated value of$7,500.
BUILDING PERmrr APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Offim(904)247-5826 Fax(904)247-5845 REPr1a—b((s,3
Job Address: Ike 6D J0060 SkALGt —Permiqit Number:
,A"OmI.
1 -7 AQU 0CQ0
Legal Descriptional two'5�0 sns c
Valuation of Work$5 1 VA Proposed Work 3hLrtLed/cooled n1n2heated/co o led—
Class of Work(circle one): New Addition Alteration Repair Mow Datrolition pool/spa vindm/door
Use of existing/pro
,=structureQ fircle one): Copp-gercial
If an a isa SPLI Lcer system installed?(Cirde om:')I��k N/A
Florida Product App -rl- lotp,448
For multiple products me product approv.Q
at form
Describe in detail the type of vlorkto be perfartned: RP kcp (�,Pw rzs�j.,
Property Ovroer Information:
F-Mail or Fax 4(Optio
Contractor Information:
Company N-�,: 4r 4-duIn k Quahfy-g Agent
'14 "v% - city 6ch- state
low WA-5A[- Car) JobSuelContactNtraber
e—o6c_ 12,522LVA
ArGhitectName&Phone 9
Engineer's Name&Phone
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage LenderName and Address
sf,,lkatian as hemby made to obtain a�ndt to do the work and installafia.as iodfastsd 1,16 do,a.work or instalLatton h��asonootadjiata the
inuanae%apema and that all work ad.I bep%(armed to mao the standards afall laws mgulanv coosowdon m thisjuriediodon. 77drporastbeconesoull
(6
aud�dd wo,kiynatw.s.sdwldnssur(� mom*s.�treono7iction�w�ki�Q�pmhdod�aband=df�a
0 RZad an
work.�.d. Work P".bhw,&Va; ea�Pool� Boilers,H. m,
TaaksasadAlre.ndtaaosrs,d�
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COM"ENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR 111"ROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y6M NOTICE OF
CONIMPICEMENT.
1hor h 'r.Hfy dmat I havo read and exanainad t1us jj�.and know th,s.to b�tras,and coorvot. Allpovina d ardlFoasans his
op.'��wtwk wdl b.ao,,,lisd with whoaher r1f0d Irian or not 77.gardi ols=an a
,,qfapwdtd..oPaanta sasohority to Wolologil-'aVche
,�t. fa,othwf�a..A stah%or la.1 ��dao-1&-PorfoTwoh4a-ftonso"wols"
Signanne of Ovrna,64k�e% a 6. dymao Signatare of
Print Name print Name
—76"Irw-- naoma--,
Sworn to and subscribed before me Sworn to and subs fare me
thisj(� Dayofj�U4. .20 V9 this lk� Day of 20 Ir
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N6taryPubhc
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20 EXPIRES March 27.2021
EXPIRES M�14.2021
AOTICE OF COMMENCEMEnT
(PREPARE N DUFUCXTE)
Permit No. T.Fol N -CW60
I- !M" 9
Stan,of FLORIDA County of
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 Standee,the following Information Is stated In Mae NOTICE OF
COMMENCEMENT.
Legal cleacription of property Wing impmed. r)(a '50 1-7 -.QS -09 E' . If
5A �
Address of property Wing improwect M* kal
General description of Irmsonverneetc RE ROOF/SO YR SHINGLES
Owner
A dd He 1c, �C' �1*�a 0!:1�1) Nn=+n OR I
Owners Interest in ske of Me improvement MHER
Fee Simple Tifflelholder(if other man�er)
Name
Addre.
lContractor K&C ROOFING A CONMUCTION COMP�Y,INC.
Add,5S 74 6TH MEET SOUTH,SUCTE IN JACKSONVILLE BEACH,FL 32250
phone No, B�l-170QEN�80aas Fax No 901 369 3249 E PAX
Surely(IF any)
Access; AnnourActihomilk
Phone No. Fax No.
Name,and address of any Bewn making a loan for the oposmIction of Me Inmonowerseents.
Name
Address
Phone No Fax No.
Name of persom within ft State 0 Flovda.Other Man himself.designated by owner upon whom notices or other
documents;May W seWed:
Nam
Address
phons,Ne. Fax No�
In addition W himseff,Owner designates the following Werson to recent,a coW of Me Unnor'S Neflo,as prowded m
Section 713.013(2)(b),Florida Stall(Fill in at Owner s option).
Name
Address
Phone N.� Fax No.
Expimfion date of Notes OF (Me Minshan case Is we(1)year from the date 0 Romping unless a
Ififferent data is pecified):
THIS SPACE FOR RE)CORDER'S USE ONLY OMER
DA'e—��'j
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Dec is 201816747,OR BK 18459 Page 974, .1,olp-1, te'� pTP g,ne
he'eln BY
Number Peg":I res., e.hown
ReDordlest 07117MI8 11:32 AM, Bus and....
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNW
RECORDING $10.00
St.d FDO comilas—
F—raff,K—�- =--ar
P..�.,M-po 28RERT 11111� I
My COMMISSION#GG082762
EXPIRES Mench 14.2021