403 Oceanwalk Drive North ROOF CITY OF ATLANTIC BEACH
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: RERF18-0166
Description:
Estimated Value: 27230
Issue Date: 8/3/2018
Expiration Date: 1/30/2019
PROPERTY ADDRESS:
Address: 403 N OCEANWALK DR
RE Number: 169463 1520
PROPERTY OWNER:
Name: ABRASS LINDA J TRUST
Address: C/O LINDA J &JOSEPH D ABRASS403 OCEANWALK DR N
ATLANTIC BEACH, FL 32233-4684
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: JACK C. WILSON ROOFING CO.
Address: 4522 ST AUGUSTINE RD
JACKSONVILLE, FL 32207
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$7,500.
„,,,,,,,,,\
Building Permit Application
City of Atlantic Beach
J 800 Seminole Road,Atlantic Beach, FL 32233
A ra lir/
Phone:pp(904))2247-58(26 Fax:(904)247-5845 f I '` �/�
V �iXLt„. 1�;c�•� 1 ' Permit Number: �`�'11F— `e-01
Job Address: e'`�_ t a
Legal Description`'1/41t.-1 . _)1"'), ” fit. (l(E'..1-r,,,,tNAC, L)n,-.1/4---ti
„.....-
Valuation
Valuation of Work(Replacement Cost)$ ��� l,) Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door i�
• Use of existing/proposed structure(s)(Circle one): Commercial Residential
• 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:
V U-acr
Florida Product Approval# \l ea-*-t • 15�S1y," tULO\ 1C-ill-or multiple products use product approval form
Property Owner Information
Name: LA,y.kgriaS Addres: `C e. L ,
•C\'
City
State ',- Zip -....).1-' Phone ,\r10- bl.,1✓
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) \
Contractor Inform.tion \ ( V `CC
Name of C an R.' _ _ . k r. •ualifyl g Agent: ` Li
Address • 1, j City State Zip
Office Phon jt4 T i v �S Job Site/Contact Num er
State Certification/Registration# ( CATiC ) E-Mail – , i' -.-Q.- e. TMg.CXX '..-1
Architect Name&Phone# (,
Engineer's Name&Phone#
•Workers Compensation da• . - C-...... . . -a. _ .....t , 41.. - `' - ' -'S'.-- a,-O(
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.
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. J.
C� _ e ,
'� .O O
i I �, o • C'3
! ce � �y C!' O
(Signature of Owner or Agent including Contractpr) (Signature of Contractor) G .o 6 2
Signed and sworn to(or affirmed before m- this day of Signed and sworn to(o affirm-d)befoorje -ethis f Zia`° f o •
-C -- [) ,by (AA I. w``• _r~ Zc)/',by / bid vu __S g° ' E E
,oke:'!" ,, CHRISTOPHER VOSS !n - V
=S' to. '..- MY COMMISSION#GG 1• • (7nature of Notary) / Sign. re.f Notary)
y. .,
Q' EXPIRES:December 3,2021
V'l' EOF ksBonded Thru Notary Public Undery„ry0r$
[ ]Personally Known OR [ ]Personally Known OR
VfProduced Identification \,, r n� [f roduced Identification / ,, c
Type of Identification: UO* �w'•V :e- Type of Identification: )fit'/ Lf Lc..J1S-
1N V L 14 i Vii" U V1YliMlttill ULr-1V1I N 1'
(PREPARE IN DUPLICATE)
----
((
Permit No. \ Tax Folio No. 4�6t Itc,,, ,C�'"V
State of \Ai)\ A.,:_'- ' 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 Statutes,the following information is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: \i(k �U
c1,. (YYr:).,- • .N3A4kc
Address of property being improved: iLk bI .,�-ry .n.),A ` L -
II." U - 3.)--
General description of improvements: \c( X
Owner \Aic--v.-- NI-3\i'
Address Lti. 6(?.�r�.W` ,k, _, t-N\ 4'NA & .->i'-
Owner's interest in site of the improvement
v \(:)
Fee Simple Titleholder(if other than owner)
Name
Address
Contractoriitr,N C. r
Address
Phone No. 4522 St. August/ fe.•No.
Surety(if any) Jac son,fi!e, FL 32,.'.0
Address (904) J5_1546 Amount of bond$
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 Owner's option).
Name
Address
Phone No. Fax No. E
Expiration date of Notice of Commencement(the expiration date Is one(1)year from the date of recording unless a
different date is specified): 8
THIS SPACE FOR RECORDER'S USE ONLY 0 ER re i«
Signed: DATE 6. j/ / put i
oarora nw thl c day w '4'A^ — 1`1;� In the r3
County of Duval, aQ�Fbr dda csonally:... ed IG .'1 w
'Ir1s 4,,,N. . ,, heroin by S g I
himself/lrersett and aflU all state s= .e ons herein
V
Doc#2018165230,OR BK 18456 Page 448, are Wo and accurate uJ
Number Pages. 1
Recorded 07/13/2018 03:40 PM, f•`0jda;
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL \ r '. i
1
COUNTY '17+. 1.$
Notary Public at Large, of _1� County of Of: td`- o•...•P':
RECORDING $10.00s<,,,
My cocorrutysalon expires: 1
Personally Known 'S\• � �/ or
Produced Identiticatton ` Y