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452 Osprey Key RERF18-0164 'j- 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 INSPEC117014: 247-5814 PERMIT INFORMATION: PERMIT NO: RERF1 8-0164 Description: SHINGLE ROOF Estimated Value: 6436 Issue Date: Expiration Date: PROPERTY ADDRESS: Address: 452 OSPREY KY RE Number. 1720276092 PROPERTYOWNER.- Nam: HUTCHINSON DEBORAH CASIMO Address: 452 OSPREY KY ATLANTIC BEACH. FL 32233-4367 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: AMERICAN ROOFING OF JACKSONVILLE Address: 2117 University Blvd. S JACKSONVILLE, FL 32216 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,them 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$7,500. Building Permit Application City of Atlantic Beach 800 Se inole Road,Atlantic Beach,FL 32233 Phonem:(904)247-5826 Fax:(904)247-5845 Job Address: 145Z Os pre Ktq,kamh(El' �L;223-_�tp ermit Number: Legal Description Lq I- r,,5 14 -2 S-2 q E Sel Lin i a�e S I-o-� 6 RE# 509 2 Valuation of Work(Replacement Cost)$ (P53(0.? 1 Heated/CoolecISF ic;L15? Non-Hemed/Cooled 143j� • Class of Work(Circle one):(9)Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial (�� • Ifan existing structure,is a fire sprinkler system installed?(circleone): Yes No 67a) • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavrt of No Tree Removal Describe in d I he type of work e erformed, Cofn VIM M a�� (-,e -ii-oo Florida Product Approval# TL.14ge-5 FL aaz for multiple prod ucts use product approval form Pronerty Owner Information Name:113F.k6l 0 Address: q 5 2P R-1 Ile es/ 77— city A-"n. State F�l ZIP, More Q, �)Q 2 . 0 E-MaTl 17P arJa= � ku. 'A560 fd Q L/(a 1 (16 fn Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) IN I P, Contractor Information NameofCompany. American Roofing of Jacksonville Qualifying Agent: DanielP.Kinkel Address 3047 St Johns Bluff Road S,Kte_7 Clity-La—cksOnville State FL Zip 32246 officePhone 904-385-4375 — Job Site/Contact Number Chris Dennis,904-626-4636 State Certification/Registration# RC90227546 __E-Mail dan@americanroofinglax.com Architect Name&Phone# NA Engineer's Name&Phone j-_NA Workers Compensation Builder's Mutal Insurance#WCP1052393,expiration 5/3/2018 Enmpt/Insurer/wase E.plc,e.�/Upireti..Date Application is hereby made to obtain a permit to do the work and installations as indicated.I canify 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. 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. WARM NG TO OWNER:YOUR FAILURE TO RECORD A NOTI CE OF COM M E NCEM E NT 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 R XQING,Y0U OTICEOF COMMENCEMENT. (signature 6POwniar or Agent including Contractor) (Signatofie of contractor) sworn to(or affirmed)before me this_�k day of Signed and sworn to(or affirmed)before me this day of .)CA9 by'�)e�'R In/,? byd� (Signatu Notary) SigMnalune of Notary) A M w5bifi,ef� 7RrF1 it ,,,P'..Oic 00 Kno�n Di mw-ft 'Kn7; OR 2013.9 W30,2021 "' Expire, 'y 091114 tin �]Pr�d!.M Ida ti.,cardon 22 ,=n c em ad Id 'Ifica Type of identificatic I NOTICE OF COMMENCEMENT Permit No. Tax Folio No. 172027-5092 State of Florida,County of DUVAL THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with Chapter 713,Florida Statutes,the following information is provided in this Notice ofCommenccmem. 1. Description of property(legal description of property and address if available): 41�55 17-2S-29E SELVA LAKES LOT 45 452 OSPREY KEY,ATLANTIC BEACH, FL 32233 2. General Description ofimpravements: Complete Tear-Off aod Re-Roof 3. Owner Information: a)Name and Address: DEBBIE HUTCHINSON 452 OSPREY KY.,ATLANTIC BEACH, FL32233 b)Interest in 100% c)Name and address of'simple titleholder(ifother than owner): NA 4. Contractor Information: a)NameandAddness, American Roofing of Jacksonville 2117 University Blvd. S., Jacksonville, FL 32216 b)Phone Number: (904) 3854375 5. Expiration date ofNotice ofCommencement(the expiration date may not be before die completion ofconstruction and final payment to the contractor,but will be one(1)yen from the date ofrecording unless a different date is specified: WARNING TO OWNER: ANY PAYNIENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF CONMENCEMENT ARE CONSIDERED IIAPROPER PAYNIENTS UNDER CHAPTER 713,PART 1, SECTION 713.13 FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR HAPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COWIVIENCEMENT MUST BE RECORDED AND POSTED ON TBE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE CONaIENCING WORK OR RECORDING YOUR NOTICE OF CONMENCENEENT. Under penalty of poury,I declare that I have mad the foregoing notice of commencement and that the facts stated therein ofmy W dg d belief. Sipiat,ub �61`Owncr or Owner'!fitffiKfi.Iff Officer/Director/Partner/Manager 1 a�sPnntedNwe&Titlr)Offi� foregoing instrument was acknowledged before me this k day of X 20A_!a, by (Nanne ofPersan makIng stamwo 'r, wwlp��O� NOTARY PUBL=OF FLORIDA ON314 ;�Tj == PrintNamc: EVk.�Ml N Personally Known N IdentificationType: Doo#2018166823,OR BK 18458 Page 754, Number Pages:1 Recorded GM SM 8 02:30 PM. Revised 1/01/18 RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 INVOICE # City of Atlantic Beach INV-4948 800 Seminole Road Date Due: 8/22/2018 Atlantic Beach, FL, 32233 AMERICAN ROOFING OF JACKSONVILLE 2117 University Blvd. S Invoice Date: 7/23/2018 Record# Record Type Fee Group Fee Description Quantity Amount RERF18-0164 REROOF SHINGLE BUILDING BUILDING PERMIT 0 $85.00 STATE SURCHARGES STATE DBPR SURCHARGE 0 $2,00 STATE DCA SURCHARGE 0 $2 00 $89.00 Invoice Total:$89.00 CITY 01�ATIANI IL BEACH 800 SENINCLE RD ATLANTIC FAC,FL 32233 07,23 2018 14:03:30 DEBIT CARD DEBIT SALE Card XXWWXXXX7787 Network: VISA Cho Card: US DEBIT AID: AOOO0000980840 ATC: 0017 ARQC: 5B4FO7FAFE93OE3E SEQ;: 5 Bath;: 653 INVOICE 5 Approyal Code: 007605 Enty Method: Chip Read Mode: IS'Suer PIN Bypassed Tax Amount, $0.00 SAIE AMOUNT $89.00 CUSTOMER COPY Please send your payment to this address: Printed: Monday,July 23,2018 2:01 PM 1 of 1 I'-T