354 6TH ST - ROOF CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
tti 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: RERF18-0230
Description:
Estimated Value: 5400
Issue Date: 9/17/2018
Expiration Date: 3/16/2019
PROPERTY ADDRESS:
Address: 354 6TH ST
RE Number: 169867 0000
PROPERTY OWNER:
Name: PRITCHARD DANIEL L
Address: 13485 AQUILINE RD
JACKSONVILLE, FL 32224-3004
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: H&K ROOFING
Address: 1540 -8 MO MONUMENT RD QA AUGUST KOKAL
JACKSONVILLE, FL 32225
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$7,500.
,. „ Building Permit Application Updated 12/8/17
c v City of Atlantic Beach
4.??..- 800 Seminole Road,Atlantic Beach,FL 32233
LI, Phone:(904)247-5826 Fax:(904)247-5845 /�Job Address: 3 6 L1 1 e't \ 1 " (� !?a 41, Permit Number:P-E-11/e &-- V 2-3 0
IIO-2-S—/1f6 - � ?i233 l RE# i0171)91---NO
Legal Description � vj
Valuation of Work(Replacement Cost)$ S •DU Heated/Cooled SF (� Non-Heated/Cooled/�� `` /23/
/G
• Class of Work(Circle one): New Addition Alteration Repair Move Demo 'ool Window/Door (�vOp.-
�'
• Use of existing/proposed structure(s)(Circle one): Commercia 'esidenti.
• If an existing structure,is a fire sprinkler system installed?(Cirde one): Yes N.
41110
• 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: ,�,�/ �`�,�, ZZ�t
r j ve, e)CSv S IVOc c ✓epl�c LAY 14cO `,j61j i Al'G/l J SJ ; l,�' �j�
1 I""
Florida Product Approval# '410 . L/ '41. r r for)ti�plle products use product approvalform
Property Owner Information ��(p J rap LU r.'
Name: l)Q)t'\\t\ (L (3. Address:\ (Yr.'
U\1W\e
City 7W. 1M/1\Xe State e.- Zip '2_422_1..1- P one CQ 4.- (1. 'r l
E-Mail (h..". A.Q(,O' Cct L f l J
Owner or Agent(If gent,Power of Attorney or Agency Letter Required)
Contractor Information /��,, ,...rd
Cal
of Company: i ne �/hG. Qualify► g Agent: �'f �f /'�^C-`
Address I. [7 - V►'IOvI l{me4,-f City V Gl.�- State Zip .32ZZS—
Office Phone No oq Z�f Job Site/Contact Num r'<l 44L141-1a01141114- gdi-l//pS SI;
State Certification/Registration# 6�-("f"1( E-Mail blot*4IM 0 �e9 ¢ ( !,1,,
Architect Name&Phone# Vl -rte
Engineer's Name&Phone# h R-
Workers Compensation 6)1? r
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 FINAN k, G, CO - LT WITH YOUR LENDER OR AN ATTORNEY BEFORE
7 RDING YOU ' NO C O' •MMENC MENT.
11 .10...p.r...._ A aLef ( _,.tyk- VCia-c\-6J‘
(Signatu '7f Owner or Agent) ()gnature of Contractor)
including contractor)
Signd and sworn to(tor affi -d be .( :1 :A:a •t i is ICIA- day of Sig d and sworn to or affirme.)before y e hi• day of
�se■r /e� 11.
w�-' i 1�II �/ IrrilViti
a
)(1.._
� raiiiien
- - , MY COMMISSION I FF918145
Jf.l Personally Known e •'oi�'" }personally Known OR , `r, EXPIRES September 14.2019
[]Produced Identification [ ]Produced Identification 1407)398-0151
Type of Identification: Type of Identification:
nnn•fl flCG_OT_L
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE) , j(5/tol'n -
Permit No. Tax Folio No. 1 11� i -
/�
State of ft County of ,/-G (
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.
c---00
Legal description of property being improved: i1.40— v
Brcic -'7
Address of property being improved: `, te �' ,Ti•
ce�n,'F� , "a• .3'
General description of improvements: `0
Owner 0.0\e ;0 \\ CN`(JX\V1,,��\\ rr��
Address 1 \A11‘ Kms. ,C,f 3Inv\1Loik-J 4
Owner's interest in site of the improvement fr 0-3ve
Fee Simple Titleholder(if other than owner) /7/ _
Name
Address f
/7 ' Contractor
,• v s (4- ,�00
/ Address I� - MOO (144- e.0( .7k4.- T�`
3ZZZ�
I Phone No. � (l!Z
c70o Fax No.
Id Surety(if any) V f i-
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name n I.7 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 b sed:
Name vi
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 il 1 ii-
Address I
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one(1)y:- a m = =ate of recording unless a
different date is specified): /
THIS SPACE FOR RECORDER'S USE ONLY C•_ . Awl, qS"�l .C.)- o- � DATE 4 8
Before me this stray of . ...r •� in the
County of I r al State o�,• •- •� - -•
4 .,_:-.17-4,7Fa
Doc#2018219346,OR BK 18529 Page 1053, himself/he eland afr s that- •-r� .nd dee:`. : ' e:.Number Pages: 1 are true and accurate : : MY COMMISSION#FF9111145
Recorded 09/17/2018 08:05 AM, ,r- EX• - S September 14,2019
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL / 1oi)�8e•C1 !y/ • •• ,o,n
COUNTY ( r �y' a
RECORDING $10.00 No' ubli at Large,• •f Y , County of ,fir
mmission e>qaire I '" I
ersonally Knownr or
Produced Identffica'