1648 Sea Oats RERF18-0254 REROOF SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RERF18-0254
ISSUED: 10/31/2018
800 SEMINOLE ROAD EXPIRES:4/29/2019
ATLANTIC BEACH. FIL 32233
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
i ALL TeIRK MYST CiTHF41AM TI;THE CYRRE74T fTH ElIT1474 (2117) 4F TME FL4RI1A SLUILDWG—
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
o 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,
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1648 SEA OATS DR REROOF SHINGLE $17905,00
FNCE n cid n-1hequre emn tmi
OT' I a "'o to e' m 's of I 5p
that may be f.-nclinth.P.bIHE'ec, cls of th s cc
gcrv�e'Eurrent.1 entities such as water .age e,
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1720200234 SELVA MARINA UNIT06
COMPANY: ADDRESS: CITY: STATE: ZIP:I
K & D ROOFING & 2758 DAWN RD SUITE 1NE JACKSONVILLE FL 32207
CONSTRUCTION
OWNER: ADDRESS: CITY: STATE: ZIP:
PERRYE JEFFREY H 1648 SEA OATS DR ATLANTIC BEACH FL 32233-5836
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 must be on City approved list. Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANYHY rARJ AW1UUn I
I
$140.00
UJL�iHGPERM117 1000 1 a
$2.10
STATE EBVR SURCHARGE 455 0000 208-0700 1 0
SURCHARGE 455 0000-208 0600 1 0 $2.0D
TOTAL:$144.10
issued Date: 10/31/2018 1 of 2
0 0
Duuj)iNG PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,Pl,32233
Office(904)247-5826 Fax(904)247-5845
Job Address: / (0 q5? SAE— ), -Permit NumberO�(&:A�2-5
31-sl a as ..Rqv
Legal Description
:ca.Toq Sq I
Valuation of Work 1, �Or Proposed Work heated/cooled mXheatcd/cooled_
Class;of Work(circle one): New Addition Alteration Move Demolition poollspa windw/door
Use of e3isting(pre stracture(=e one): counporcial d�
- =h;a lbe sp r system installed?(Circle one): Yes No eD
FloridaProduct pmval#
For multiple paucts we PF10.0.2ct!p2pd,—.'r%r(e�—'
Describe in detail the type of�rk to be performed: A0 MCIP
Property Q�er Information:
Nan:491f ev fj'tqsje� Address: I LO%AT a_ DONS
city Iff 444- rjea� -+Jzp 1 2
E-T,WorFInc#(0pt1onal)_9�x
Contractor Wortsoul0no
Company Name:Y�111 fying Agent ob
'L C4� state 11 Z.
Fax
now !a 4- Fill-1 Job Sthat=o;.tWa=ber qVC-_3_L19
StateCertification/Registration# 13-?L5ff
ArchiteaNarne&Phone 9
Engineer's Name&Phone#
Fee Simple Title llold�Name and A
Bonding Company Name and Addres
Mortgage Leader Name and Address
Appl�n Lt h�by made to obo�n aps.,,ot,to do the work and huralhmdons q 4noicahtd. Icv�d�ww�k�immil�hmeo�em�p�wtothe
=id�a *otallworkvVIbep W�et the siondwdy ofall Lows re,ula" _d1adom Tho�tbecomes=ll
9!k�b'==ed.Wdnsfx orft�tlono,.or gcora�on�thlsfiow
,=nded or abandorodYbr awSod eA,A),months W an,dou,
0 H=
workZycom�ed. lunderxtoodduw�-parazep�iu�bom�dfeE W0,4phoobbesk� dr; FooA; .�'Boltar%H.
rat,b andA�Cxndalooa,M
WARNING TO OWNER: YOUR FAIILUPE TO RECORD A NOTICE OF
COAjWNCEMENT MAY RESULT IN YOUR PAYING TWICE FOR RUPROVENIENTS
To YOUR PROPERTY.IF YOUINTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOM NOTICE OF
CONINIENCENIENT.
lhm�owtyji that 1how madaod�a000tod MIT lj�,,.,dkowd.,g�tob��aosdt��t Aflponrf ,d ordh000m th�
be to. 17Z ,or L Th� aaorg cf. arntrt d.oot P.��.=.rhwity W lh�
plMd with hath�,= �d h��&
=.or1=00therfam,rol,S or Ima f�onrft�.�
MIN6 of 0.e'. Signature of Contract.
PrimNameTM4 Print N.. z ......
......
Sworn to and sIibscrib!'t.2"t Sworn to and atib
fl,e�ay of f, 0 1 this _L-L.Day ofsa'g��e 2_0
Notary P115he NotaryMDRI; -----------6.10
'I OR,, Wgfflj*fit_2
ROBERT HiLE %t,,. L
ISWN#G
MYCOMM MY COMMISSION#GG0873451
EXPIRES Me"14 21191 EXPIRES Mamh 27,2M_
�iOTICE OF COMMENcEmm,r
(PREPARE IN CUPLrCArE)
Permit No. Tax Fol o No.
State of FLORIDA County of
To he.it may�mnciurn:
The undersigned hereby Indomen,you that Innimbrements will be made to certain real property,and In
accordance with Settle.713 of the Florida Statut",the following Information Is stated in MIS NOTICE OF
COMMENCEMENT.
Legal denoription of property being improned :ifLv5 I D Cl -as -,Aq E
Se_W(L rf-%c� v%c
Lo-tICL-) But.. lz
Address of Propar"Ing Imil 5ec- bQA5 0 P_
PAV�4-i r- 91"A cl� A W L'a'5
"Snend description of imparmwerrents.AL ROOF/SO YR SMNGU3S
Omer ,
N,hrA,,1 Pe.re 3e�
Add se-J,,,uilt ' 5f&. 06-+.S Dr. PAIll f5ear,h 37_M1"_">
Omer's interest in site of the imprwentent OWNER
Fee Simple Titleholder If other ban owner)
Name
Address
Cor,soia,K&D ROOIFNG&CONSTRUCTION COMPANY,INC.
Add..
Pln,N�.9��l-l��w--'�'�. 904:i�3249E X
surety(if MY)
Address -mount of bond$
phone No. Fax No.
Name and address of any person maling a loan for be construction of the improwerable.
Name
Address
Fibers No. Fox No.
Name of person within ft State of Florida,other Man himself,designated by owner upon whom notices or other
do.mants may"senied:
Name
Add..
phone No. Fox No
In addition to Nosself,o,ser designates be following Wevan 0 moeive a wW Of Me Uienors Hants as proAded In
Sedion 713,06(2)(b),Florida Startates,(Fill in at Owners opficim,
Name
Add..
Phone No. Fax No.
Expiration data 0 Notice of Commencement hins expiration data as one(1)yawner,Me date of recorl unless a
different date is lipsolfiedY
THIS SPACE FOR R�ORDER'S USE ONLY ONSINER twOr'! 12We
. .
In Is
NDu�m*bq2'p'R25Wl,OR 8K 18582 page ,,g,
ages.I
Re,,d,IWl/2018 02 10
RONNIE FUSSELL CLERK Fix
COUNTY C14CUIT COURT DUVAL
RECORDING $,000
arnmiuIlon e
Ntnaraff,K.
P.d I.W11
My C=S;EZON G
EXPIRES March 14,2021