316 8th ST - ROOF YS y1�y1'jJ'
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
OV
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: RERF18-0242
Description:
Estimated Value: 13191
Issue Date: 9/28/2018
Expiration Date: 3/27/2019
PROPERTY ADDRESS:
Address: 316 8TH ST A
RE Number: 169918 0000
PROPERTY OWNER:
Name: KEYES ROSEMARY K
Address: 316 8TH ST
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: PREFERRED ROOFING LLC
Address: 2332 DUNN AVENUE 4540 SOUTHSIDE BOULEVARD, #303,
32216
JACKSONVILLE, FL 32218
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$7,500.
NOTICE OF' COMMENCEMENT
Q� r� iPREPARE IN CUPLICATE) (��
Perms No '` �� v Tax Folio No ( V 9 I ""'(3
State of County of t--)vv-a.
To whom it may concern:
The undersigned hereby informs you that improvements wilt be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT. Q C /��-j �,l�
Legal description of property being improved — ` I J^ pL l F MOOT,Cf g`W+ 1
Address of properly being improved ,(12 B4.1
n2 ZZ
fil� U o� J
General descnpt on of improvements fO
Address 61 4) 5Y• I i G V4t 7 li 333
O:.ners interest in site of the improvement ( f
Fee Semple Titleholder(if other than owner)
Name
Address
Contractor.-Y - p.p6-16; �/�t) �j I
Address /- n /�(1C�
Phone No ter S Fax No •
Surety of any)
Address Amount of bond$
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 vhom 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 Lienors Notice as provided in
Section 713.06(21(b).Florida Statutes (Frill in at Owner's option)
Name
Address
Phone No Fax No
Expiration date of Notice of Commencement(the expiration date is one(11 yr from the date of recording unless a ,vo
different date is specified) e 9;4
THIS SPACE FOR RECORDER'S USE ONLY NER A 1Q
` V
57,5n5n Signed �� Car�V rst
yo�_ JP/LJ/I��0 -- _ inth
•• !Duval, a.-of F r•a has ped orally app,-r-• V.r�<A
C�
Doc#2018232145,OR BK 18546 Page 455, e . herein by
rums herself and affirms hat alt statements and declarations harem 11*Number Pages:1 are true and eccr.rate
Recorded 09/28/2018 01:13 PM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00 11 •
No Pu at Large St1 L a County of_DI -
My Corn ssi0n expires:l • ZQ .__ pr G
Personally Knoavn ( or
Produced Identriication /__
NOTICE OF COMMENCEMENT
!PREPARE IN DUPLICATE)r ,, Q ]�
Permit No Tax Folio No l t.../� q 1 1(TJ- 0 I "Q
Slate of County of
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved 5- `Q - -' 2"I��yy
Aktcu H-i C P,ecz.ch iJ 2 Lo-f 7 B
Address of property being improved cSI(.0 ?A 9- •
Lan-1 I C, et Gh p fl -)-7,5
General descript on of improvements tr _-► Vo
O,onerjerinr Ili �-( e�/j�.yt �n� 2 7
Address 31 Lc, 9 5'f- • P t l Vl.r 6 I (C, Beau() F t
O:.ner's interest in site of the improvement ?V.0
pe- Qu0(1Q-1V
Fee Simple Titleholder(if other than owner)
Name
Address �y
Contractor J �"tV �,'n°/'f�I1_,V • �t
Address 239)7,
)2, au-v V\ 7,V T D . t l J2�
Phone No 104 - l.v co 00 Fax No qC1t-f '7 J 0 (O
Surety iif any)
Address Amount of bond$
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)(bi.Florida Statutes (Fill in at Owner's option:
Name
Address
Phone No Fax No
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a 24K
different date is specified)
THIS SPACE FOR RECORDER'S USE ONLY OWNER ',kw"
inC
signed A. _r- /441'1fj N o
Before me his 1," or ! e- __ in the �C)� a)Doc#2018232144 Coun r Duval S �.,. f ureatete of Fbr ha • • au -ppeared w m
OR BK 18546 Page 454, pherein by O5=
Number Pages: 1 nimsetP herself end affirms Iha II stsieme t and deUershons herein v. .
o
Recorded 09/28/2018 01:13 PM, are true and eccLrere 2-n"'
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL //j 0-n a
COUNTY (r. co o
cn
RECORDING $10.00 (it._ �/
No Pu c at Large St f County of_V_� N
My commission espies: d
Personally Kno.v �� �1 � - - - a d
Produced Id r=;near--u-1 �� - ---
I
Building Permit Application Updated 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 (}
Job Address: �UQ St �() Y (C Zermit Number: 1�-E-[L " � O L -
Legal Description 6-lDq - 2&296 AtlO.fltlC ge/iJk1 (" '/2 Loi RE# J co°1c't I? `OOCQ
Valuation of Work(Replacement Cost)$ (?7 16 I Heated/Cooled SF ]6c 3 Non-Heated/Cooled 1 9c.)
• Class of Work(Circle one): #Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial esidentia
• 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: Ye- yopf3g s, TU,rn]GO Heel-f--9t. FL I (j,3
Ft-I AO vtst`tv }-L I Qxn%cp- ‘,22. 5'•12- pi-t C In
Florida Product Approval# for multiple products use product approval form
Property Owner Information �{�,
Name: Ok �1/eft 1) Address: 51 bio U> 9-
City / \aYH IC (earn State f( Zip 372_3 • Phone Ttce"86 vJ
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information 1 1
Name of
� ✓Va r:: �ic '11, _ i 1 A.0 Qualifying Agent: 2-060 K �>•`') GS
5-11
0O �' y\ , City�C ,Asi1kr State Zip,: �
Office Phone 741 Job Site/Contact Number
State Certification/Registration# C i3,,nSq t4 E-Mail al 4x.1e46P (P(-3C$rOJ p_
Architect Name&Phone# l/
Engineer's Name&Phone#
Workers Compensation
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 • a YING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINA SING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
•RDING YOUR OF COMMENCEMENT.
I Alit
(Signature o Owner or Agent) (Signature of Contractor)
(including contractor)
Signed andLsworn to(or affirmed)before me this Z7day of Signed and sworn to(or affirmed before me this day of
j7e�ej, (l8 ,byId G _., S '~' er, 23)P ,by
11/ v Ii i
ignature o Notary) P "ignature of Notary)
[ ]Personally Known OR (personally Known OR
[ ]Produced Identification [ ]Produced Identification
Type• I•entification: ►i 'Carl_ Type of Identification:
„,•,0 PLNotary Public tate o '.".a
Y^
jci o N06 Notary Public State of Florida • Meagan Wolfla
hleagan Wolfla My Commission FF 962745 �1
to" Expires 02/18/2020
y� Pe My Commission FF 962745 ,y
"orno Expires 02/18/2020
A_