1035 Big Pine Key RERF19-0119 Shingle REROOF SHINGLE PERMIT PERMIT NUMBER
r ' CITY OF ATLANTIC BEACH RERF19-0119
800 SEMINOLE ROAD ISSUED: 8/28/2019
ATLANTIC BEACH, FL 32233 EXPIRES: 2/24/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL •RK MUST CONFORM T• THE CURRENT • 1 OF • + BUILDING
CODE, AND OF ATLANTIC + CH CODE OF ORDINANCES .
ALL • i OF APPLY, , , 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 other
governmental entities such as water management districts,state agencies, or federal agencies.
JOB ADDRESS: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
1035 BIG PINE KEY REROOF SHINGLE shingle re-roof- FL10124-R7 $6500.00
& FL15487
TYPE OF
ZONING: :D •
• • GROUP:
172027 5076 SELVA LAKES
COMPANY: ADDRESS:
K & D ROOFING & 74 6th St. S #104 JACKSONVILLE FL 32250
CONSTRUCTION BEACH
• ADDRESS:
BRITTLE CHERYL M 1035 BIG PINE KEY ATLANTIC BEACH FL 32233-4363
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 • .
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $85.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$89.00
Issued Date: 8/28/2019 1 of 2
REROOF SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RERF19-0119
800 SEMINOLE ROAD ISSUED: 8/28/2019
EXPIRES: 2/24/2020
ATLANTIC BEACH, FL 32233
Issued Date: 8/28/2019 2 of 2
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904) 247-5826 Fax(904) 247-5845
Job Address: MM�\CPer t Number:
Legal Description �- -4- lzqa e g
6D PloorAreaot Sq.IA. / I
Valuation of Work S '�' Proposed Wo . heated/cooled R4 ;a_ non-heated/cooled ` 4
Class of Work(circle one): New Additiontl erati Repair \ emolition pool/spa window/door
Use of existing/proposed structures) circle one): Commercial
If an existing structure,is a f e rin e sy e talleW(Circle one): Yes bT N/A
Florida Product Approval
For multiple products use product approval arm
Describe in detail the type of work to be performed: - O
Property Owner Information: p
Name: e- Address: IVI A
City State Zip hone -
E-Mor Fax+(Optional)
Contractor Information:
Company N e: `��C ualifyinQ Agent:
Address. 71-1-,r
State Zip
Office Phone - ontact Number Fax#
State Certification/Registration#
Architect Name&Phone# _
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
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 laws regulating construction in this jurisdiction. This permit becomes null
and void f work is not commenced within six(6)months, or if construction or work is suspended or abandoned fora period of six(6j months at anytime after
work is commenced I understand that separate permits must be secured for Electrical Rork,Plumbing,Signs, ells,ells,Pools,Furnaces,Boilers,Heaters,
Tanks and Air Conditioners,elm
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR M PROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMAMNCEMENT.
I here b cet�4fy that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether sppecified ein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions ofany other federal,state, or local law re construction or the performance of construction.
QW-
V
Signature of Owner Signature of Contrac r
Print Name Che. ._ . . _.L.. ....... ._. C'.L .}� _......_.. Print Name .__.Tl.l..le........................._........__.............
Sworn to and subsc bed before me Swerr�„tand subscribed before me
this Da r G � �__
Day �_,__0this ay of 20
Notary Publ Notary Public
:•��ryy evi ed 01.26.10
Notary Public State of Florida :7A �!: l WP NAN
Angela Mile y MY COMMISSION 8 GG087345
i � My Commission GG 309927 :' EXPIRES March 27,2021
M Expires 02/292023
Doc # 2019200168, OR BK 18913 Page 1068, Number Pages : 1 ,
Recorded 08/27/2019 01 :39 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10. 00
NOTICE OF COMMENCEMENT
=erml;No
State of I+I/IHIfL\ =ounya
To whom It may concern
The undersigned hereby Informs you that Improvements will be made to certain real property and in
accordance with Section 113 of the Florida Statutes,the rollawing Information is stated in this NOTICE OF
COMMENCEMENT
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