1011 Big Pine Key RERF18-0233 CITY OF ATLANTIC BEACH
'y 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: RERF18-0233
Description:
Estimated value: 6860
Issue Date: 9/25/2018
Expiration Date: 3/24/2019
PROPERTY ADDRESS:
Address: 1011 BIG PINE KEY
RE Number: 172027 5068
PROPERTY OWNER:
Name: Jennifer Brandies
Address: 1011 BIG PINE KEY
ATLANTIC BEACH, FL 322334363
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ALL AROUND ROOFING INC
Address: 8540 WEST BEAVER ST OA STEVEN RAY BOZEMAN
JACKSONVILLE, FL 32220
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 22/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,R32211
Phone:(a04)247-5626 Fac.(900)347-5945 1 -8' 6233
Job Address: 1011 1�'A L7.' np Key Akan}to BeAcin I'Qu33 Permit mber.Nu
Legal Description 41,N5 1"1-a5-,ME Cvlva LAkee LA 3Ll RE» I12-0z3 —5070
Valuatlonof Work(Replacemem Cost)S thjbf00r Heated/Cooled SF `I6i4 Nal•Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Orcle one): Commercial Residentlal
• Nan existing structure,is afire 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:
RP-too - la a�pp�S�zTsquax�s20
Florlda ProductApprovalp FL 1017 -for multiple products use.productapptovai form -
Property Owner Information
Name: 'r .� La '3i -J Address: t�11 1�2.'g (D` teeY�t1 +• 'eZra.l. FL
city A+le vsd-C,. gNn.C. State PL- zip 3� 33 _Phone gnLY-33.1-�14�_
E-Mail c 3.rJ
Owner or ent(if Agent,Power of ttorney or Agency Letter Required)
Contractor Information _ p
Name of Company: Ql1 /irn rn.l ,Yd M, _ Qualifying Agent: r/%.. CeiJ-L P"d'iihi
AddressR14L h/ '!- Rt- CIry.T L[lY')r/le_ State zip -zy_n
Office Phone 9ac!-7fc2-9So0 Job Site/Contact Number - -
State Certification/Regtstratlon k WC/31AC96 E-Mail O//R/Hdl [O r04 fiq
Architect Name&Phone d
Engineer's Name&Phone a
Workers Compensation -
pt/louar/LewF Employees/auaritkn 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.l 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 FINANCING,CONSULT WITH YOUR LENDIl OR AN ATTORNEY BEFORE se 31
RECO ING YOUR NOTICE OF COMMENCEMENT
(Sign +I re of Owneror Agent) ignature of onma tor) Yi as
(including contactor) Pr�),�I bg w€
Signed and swom to(or affirmed)befor#pr�me this Lday of Si ed and sworn to(or armed)before met his ay of f ag
�a.artF 2014 by Je.,• Igr-* PJr:w.8,,,5 by $
s
(5lgmture of Notaryl (5I tureof Notary) 8
r+l NMNPWNaRIOrPat �laA� '• { S�
i ]Personally Known OR rsonally Known OR ilig-pSlKwaidal;SN141; x
: ]Produced Identification liEldliddaNDISSINYO M �• :�
r,T?"np•�, yylgy@tf®ggg'Ration: RV 6�'✓4 GI.E 71.5 Type of ldamifiation: 39/l0 J.3rNe 'S' •"6
tR �C0saregionlEGG05301T
- ti Expiras O.mbar22,2020
Recorded 09/18/2018 04:06 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
N TICE OF COMMENCEMENT 11
Smteof Tax FolioNo.1n2021 - 5070
County of U
To Whom It May Concern:
The undersigned hereby informs you that im vemants will be made to certain reel property,and in Wcorderm with Section 713 of
the Florida Statutes,the following intermafim is stand'.this NOTICE OF COMMENCEMENT'.
Legal Description of property being improve 41 - r,5 — —aw S-
K 's
Address of property being improved: i r_
-LQIL 9 zea
General description of imprwemavts:
Owner-zRvsn,4nr tutu l Addrose: I,n 11 BLA 2'n K A}_ L�_ F_ -
Owner's latera[inafteofrheimprove..ra: -�- 31233
' - - Fee Simple Thlehondar 0f.a er then owner):
Name: _
Contactor:
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Address S:tXAA-cS I1 F{.. 3
Telephone No.: t7 P-N..
Swuly(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a low for the construction of the impmemvama
Name:
Address:
Phone No: Fat No: —
Name of person within the State of Florida,ot Ler than himself,designated by owner upon whom notices or other documents may be
served: Name:
Address:
tutu - tutu Telephone No: tutu_ Pax No:
In addition . himself, owner designates the following person to receive a copy of the Liana's Notion as provided in Section
713.06(2)(b),Florida Statues. (Fill in a ownei a option)
Name:
Add.,:
Telephone No: dt Fat No:
Expiration daft of Notice of Commencement(qra expiration date is one(I)yea from the date of recording unless a different data is
specified): j99 -
THIS SPACE FOR RECORDER'S USE ONLY OWNER
S Signed: r Dae:
III BefortmeWi a �pthe� yl
Of Florida,ha,penmoa➢Y appearW
Not yNbliesi—xGSusemFlauds.0me yyfj�vel. ..—
My ower soon esphcs:
V Personally Knovm.
tutu <6f�t1'F>54'iu ' j —used Itlemikedon _'r IronIwn1= 11