1512 Jordan RERF18-0262 REROOF SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RERF18-0262
800 SEMINOLE ROAD ISSUED: 11/7/2018
EXPIRES: 5/6/2019
ATLANTIC BEACH. FL 32233
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
NOTICE:In addition tothe requirementsof 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. —
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1512 JORDAN ST REROOF SHINGLE SHINGLE ROOF $3300.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1722950030 ED SMITH S/D
COMPANY: ADDRESS: CITY: STATE: ZIP:
EMPIRE ROOFING SALES& 28OG-1 GI GIBSON RD JACKSONVILLE FL 32207
SERVICE
OWNER: ADDRESS: CITY: STATE: ZIP:
Duncliff Trading Company 4240 FULTON AVE#112 Atlantic Beach A 32233
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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 ORAN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
DESCRIPtION ACCOUNT QUANTITY PAID AMOUNT
S70M
0
0
TOTAL:$74.00
Issued Date:11/7/2018 1 of 2
BUILDING PERMIT APPLICATION
CITY oF ATLANTic BFACH
WO Seminole Road,Atlantic Beach FL 32233
Office(914)247-5826 Feot(9��247-5845
Job Address% 1512 Jordan Street A flartic Beach FIL 32233 ParmAtNumber:
26 50 17 2S 29E,096 E)SMITH SM PT LOT 14 RECD 0111 15731 933 BEIN$1AR.Cj1d SIX I
Letial Description— Floor f S J'i�dj or 17 zsq.r,V7229500M
Valuation o 3300 PM d 4ork htt cooled nort-heated/cooled_
f Work$ P��oa
Close,of Work(circle one): Now Addition Alteration Repair Move Demolition pml/spa windowidoor
Use of existing/pre osed.3uructarew I Arclo.ne)! Commercial
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Describe jr,detail the type of work to be performed: ReMOV't � OAd Aywe ell Roa&f eldivejeau
Prourty Owner Inforlauslow
Name:: ddre.
city state Lp Ph.- 3N-)� 5 11)
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compatry Name: Qued _eedw
ft TA Z97
Address: City Vills- st�u_�M_Zip—1�9
Ofte?hona o Sitelcomact It
State Cartificati gistration#
Architaot,Name&Pborn,#
Entimeer's Name&PILonz#
Fee Simple Title Holder Name,and Addr
Bonding Company Name and Address
M,nigai,,Lender Name and Address
oseworkandf=IIqt1qt;,7(pP..dj...ft)5,that work o,ieseaflgf..h.
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or
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WARNING TO 0 R: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMINTMAY SULT IN YOUR PAYING TWICE FOR BPROWMENTS
TO YOUR PROPERTY. 17 OU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN TTORNEY BEFORE RECORDING WOM NOTICE OF
COA11kIENCEMENT.
t Mott
er
0,ot a wor wl comfied w w 0 r ra h Mhv or.P..;t does not I to whority to Vzorht,o, the
ptv�utoao ?.at m I
Signature of Owner SignatureofContractor
print Narre ftim N.
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... . ILLA NotariP rum
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Doc # 2018263476, OR BK 18589 Page 905, Number Pages: 2,
Recorded 11/07/2018 08:53 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $18.50
NOTICE OF COMMENCEMENT
Some of Tax Folio'No.
county of
To Whom 11 may coneam):
nue,undersigned herebi unionns you that i'llproWalents will be made 10 comi real imaperty,and in accordance with Section 713 of
the Florida Stalums,aWfullowing information is gated in is,'.4011 gFCOMMENCEMENT
[.eL�] Des�r�ptionofpmper,yb�inginip�ed: ii—k :�M. —
-P! ef T
--r !=L -0/0-
Address of proptut,being innpru,ed' 1 x5 Q-
GenemldewriptionofimProvemm',K:—.
Owner. il,,4a 4ft&j
_T Address:
Owner's in"re's jrl,he of the inaparm,ement:
Mrs,
contractol:
Add.%: aL; b; r3 ILf Il-� 3
Telephone No,: Fax q49.�J� q I—1 9-7 7
Sarvl�(if my)
Address:
Telephone N.: Fax No:
Name and addrear of my small Takings loan for the Construction of the InfirOemcnals
Ne
Address:
Phone N.: Fax No
Nome of person within the some or Florida,other than himself.designated by owner upon whom rumors or Other documents Only be
sI Name:
Address:
Telephone NO: Fax NO:
In addition in himself. owner ciesignales, the following Factor, to twelve a COPY of the Lichar" Notice la, pro0died in Section
7 13 06(2)tb).Florida Statues, (Fill in-1 Owner's Opai0r)
Name:
Address:
Telephone No! Fax No:
apiration date of Notice of commencement thhe expiration date is one(1)year from the date of recording unless a diffierourl dale is
specifled):
THIS SPACE FOR RECORDEWS USE ONLY OWNEF��
Shires ua,. 10 7
Beto,emall
-J.the mc,
Cal,61.1i or�hnrlp'raaa.11yiij
0,c..rariwion expires.
PeT.WIN Kn...
ENNY ESCAMILLA
MM. #2154223 se
ryruclic-Calfforni.
LON County
Ais cana, ft 21,
OR BK 18589 PAGE 906
CALIFORNIA CERTIFICATE OF ACKNOWLEDGMENT
c or other officer courriplestIngth Is ourtificate jimlon
ratio signed the document whichthisceA a�Jytchhee'gi'
a,accuracyorwallofftyal'thandocurriess,
State of California
County of 0% A'111�
On u66, s`.zoao beribreme, IPA" f-j
personally appeared!
S
who proved to me on the basis of satisfactory evidence to be the pessionts)whose narri istare subscribed to
the within Instrument and acknoutledged to me that he/she/they executed the same in his/her/their
authorized capracity(ics),and that by his/her/their sIgnature(s)on the Instrument the person(s),or the entity
upon behalf of which the person(s)acted,executed the Instrument.
I certify under PENALTY OF PERJURY under the laws of the
State of California that the foregoing paragraph Is true and correct
JENNY ESCA 1A
M"
comm. #2'14223
Notary PistilIc-Callorria
WITNESS my It % Los Arvilifle
an andoufficialsesil. 14 com.=County
May 2�2 2020 r
Signature
(Sea])
Optional Information
A"thougol he Inforonation in this section is nor requirod by law,It could pnowant fraudulorn rearml and rertuachnuart Qfflis adno.i.dgment to an
unau, 'L
ed dimurnern and rna,rnwe usehil to persons relyIng on the attached docurnent.
Description of Attached Document
The preceding CertIficate of Acknowledgment Is attached to a document modroddsil nerldentification
titledlfbr the purpose of �A'4 QII oem~.oi-
Oftonnoodiclerafficution 0�11,IeWftnenueo
Slotarrial ewunt Is detalled in nown,jourrial on:
containing pages,and dated /- I 'p, Page a Entry I
Thesigner(s)capacity or authority is/are as: Nowryc.ntzct�
PKIndlWaW Otinar
ovorna�in-�
corporate curio.co
larnown-unfloadVGernaral
'nurnew
othan
representing:
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