1504 Jordan Rerf18-0260 REROOF SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RERF18-0260
ISSUED: 11/7/2018
800 SEMINOLE ROAD EXPIRES:5/6/2019
ATLANTIC BEACH. FIL 32233
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT ISTH 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 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 DO
governmental entities such as water management districts,state agencies,orfecleral agencies.
JOBADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF I WORK:
1504 JORDAN ST REROOF SHINGLE SHINGLE ROOF $2700.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1722950010 ED SMITH S/D
COMPANY: ADDRESS: CITY: STATE: ZIP:
EMPIRE ROOFING SALES & 2806 -1 GI GIBSON RD JACKSONVILLE FL 32207
SERVICE
OWNER: ADDRESS: CITY: STATE: ZIP:
Duncliff Trading Company 4240 FULTON AVE #112 Atlantic Beach ri 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 OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF CONDITIONS
Roll off container company mustbeon Cityapproved list. Container cannot be placed on City right-of-way.
DESCRIPTION ACLOUNI NTITY PAIDAMOUNT
UEUD'�T'U. QU C $65,00
ON
L
BUILDING PERM T
STATE DBPR SURCHARGE 455 BAD)208 07M 0 $200
STATE DCA SURCHARGE Sq 0000-208-0500 0 $2,00
TOTAL:$69.00
Issued Date:11/7/2018 1 of 2
3UILDOG PERMIT APPLICATION
CITY OF ATLANTIC BEACH
i(N)Scam Ole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax:(904)247-5845 F
Job Address: 1504 Jordan St Ali ntic Beach Fl,32233 Pornalt Number:
Legal Description 26 5017 IS 29E.047 E SMITH SID FT LOT U RECD OM 15731 933 BLK 1 1712950111
jo A
ddre"'
CB
51
6
4
or
ri d
da
2
n
9
St At' Tait B
m S
ga D E 147;EH
Le ' c P on 2 S IT
oc�
V ot I OrArolsof Sti.m.
aluation of Work$ 11 Proposed Work beated/cooled to'go-thented/cooleti_
Class of Work(circle one): Ner, Addition Alteration Repair Move Demolition pool/spa window/door
riCt. � r�.
Use of exurdallproced sMMre(
M role one Commercial iden§�
ation r ottej��
if an existing 5truc missfireep n era to istatalled?(Circle
r 0
Florida Product Approval# 11 . D 3 FL I )Z Z
P,
For multiple praduebb one pro not a Oval IQM
he W
Describe in detail the typo of work t beperforated: qjEtb6(r nd Refle", q,!( R0911k AICABInorls
alf
Protairty Ovrner fultartabown
Nome; LLL CBS: MORI &-6. jW# Is*
city Stom, ip Phone JUIP) '1117-k -lji� ElCr ��
E-Mail or Fax# al) W
t
A =Name: Qualiftibig Agent: JiledfqP Alal, Ir
d= City Slow R zip 12,4607
Office Phone ob 51W C t Nmber ;?,Y -0-VJ F=# :rq 2f z 7
State Certificatiortllegistration
Araheo Nazoo&Phone#
Enginues Name&Phone 4
Fee Simple Title Holdu Name and Addr
Bonding Company Name and Address
Mortgage Jandur Name Bud Address
Appleadon U hereby�M il"MMMU A, C the wok.1 RZ fAdmod.
Usun.��,�,aftnldhhx.l.,V llb"q .4b"ass" eso 1,f
w cir oja� ora
andv� o,kh,CocmmergwdwRhr0ix6 = 'y
or
ygkW�,beswr,,d 7.�.W�dwrrabbr. loefribB Work,
rdAh�Bfftioows,—
WARNING TO 0 R: YOUR FAILURE TO RECORD A NOTICE OF
COMNMNCEMEENT MAY SULT IN YOUR PAYING TWICE FOR UsAPROVEMENTS
To YOUR PROPERTY.IF OU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING VOM NOTICE OF
COMMENCEMENT,
i,,o a W., will b,toniplied wan w 0 -1 3 herein no. The goall?Of.Wont dw no p,,,wo*b,S. Whg,b,w�lnta or.1 th,
P,�&fboy ,Coy b1hBjj4d&,,b4 mor.b,l..1
Signature of Owner Signature of Contractor
Print Name Print Name Nrls,2
Be a
this Day of '1'hirTJD1 of �20 1�1
A 31ykdo
otarypu lic JENNY ES AMI Notarypublit,
MCOMM�H# 154223, Revised0l.26,10
onY, �: Californi
Los Angelo Cixray
W Cisam.E.
NURIS PEREZ TAY
COMMISSION=
1132:159�
MY V�I
EXPRES:Augustll:6121
Doc # 2018263478, OR BK 18589 Page 909, Number Pages: 2,
Recorded 11/07/2018 08;53 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $18.50
NOTICE OF COMMENCEMENT
State,of Im
County Of__AAS-4jfg0"--
To Whon,11 may Concern:
The undersigned hem by informs you that impmvensoms will be anadto,certain real ppeny,and in accordance g,ith Section 713 of
the Florida Statutes,the following information Issaawd inthi,NOTICE OFCOMIVIEN m r.
3n of pmpcn3 be' I pnwed: eb 5
p- 19 -Wj0S'--- TA -7-
AddNaS Of NOPerrY being unproved: 1.)L)q
0eagral desci hiring of improvements: e,-
O,,ae, -j9,flr-j,:ff Address:JI-M -j[Nl -W
owiier*sjlltemsti,,�i,,�fli,�iinpmvcrncnt:—�-----------
Fee Sialple ritleholder(if other than Owner):
Name. �D- -
Cut.1m:
No.: "Ith-3817:1�0-7 Fax No:
Sura1y0faOy)-----
Address: of Bond$
Telephone No Fa,No
\N,c and address of any person maling a loan for tre,construction orthe mapso,ements
Naive
Address.
Phone No: Fu No:
Narrie of pence,within flit Sure of Fluids,Other than himself.designated by owner upon wheat norim or other document$inay be
,c,,ed: Narna
Adams:
Telephone NO: F.No: provided in Section
In addition to hiniself, owner designates the following W604 in receive a copy or the Liericar's Notice 0
Ti-06(2jib),Florida San,g, (Fill to an O-na's NXIOR)
NNW:
Address
TagphN.eNo:____ Fee No:
Expiration date of Notice of Commancernera(the expiration date is one k 1)year front the date of recarding unless a different date is
specitiod)
rHis SPACE rOR RECORDER'S LiSE ONLY OWN Case:
sitinedi
B�Vcm of, in th�
.d to
\..an,public A,Large. Co. .1,
M,v,rr...welpi,..
P.OnvesilyKno'n:
NY ESCA A
IEN
_4V"'"' T`U
C COY I
OMM� #2154223
M�
they California
Notery Public
ge Las .a CO."
Los Ar"'Ies County
on as .
Camin.Es res 22.2D20
OR BK 18589 PAGE 910
CALIFORNIA CERTIFICATE OF ACKNOWLEDGMENT
A no- Vc n1toto e.Id
[�ftllxc!Z�rCd- ly-h'-Tlhg=d��-,Tmet g11l5Ios"I11�j-j'-lan'Ch dVWO'
I
he
thettsthfulnessacounucy,orysillsifty0fthat h 6 1h Mfk I drust
document
S St fC
tate of Callibmia
te
Countyrof (01 Aaw).dn
On"IZI I ZOIG— lebmirl
personallyappeamd
who proved to me on the basis of satisfactory evidence to be the Person(s)whose narral is/am subscribed to
the within instrument and acknowledged to me that he/she/they executed the same In his/her/their
authorized capacity(les),and that by his/her/their sIgnatum(s) an the instrument the person(s),or the entity
upon behalf of which the persom(s)acted,executed the Instrument
I certify under PENALTY OF PERJURY under the lam of the
State of California that the foregoing paragraph Is true and correct
1JENNY ESCAM�ILLA
COMM. #2154223
WITN ESS my hand and official sea 1. 0"
24
Signature 1( vl
(Seal)
Optional Information
A"==Information In this section is not wu1nd!bylaw,bcould anwentinuadul.m,am i.nd�anch.e�tathisacknmie�gmenttoan
u na. . comment and may jsnwe useful to pawns reying on the attached document 'wa
Description of Attached Document
The preceding Genrlican?of Acknmledgment is attached to a document Method dSigner dentsficaution
titled/for the purpose of Y2 OVM�A ,,4L— ftyeo to meon the baskofealsoactory avidenca�
Ofia.Malklenificau.n Ocndlab�ybwueQ
N�rialewnttsdCalledinno�qiuur�ion:
containing pages,and dated 3 1- Z Page a I
The s ner(s)capacity or authority is/am as: Notacy contect
Other
El
Comosse0l
real
�sadimXon,eawato,
Parmor-urnhydII�enend
tal
Od,,..
representing:
Ma-41MX,0G,aalnv�lA%aII=7.Alfllygl,uwt� UMNUMberul7n