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1862 Tierra Verde Dr RERF20-0008 Shingle rs'''lj%� REROOF SHINGLE PERMIT PERMIT NUMBER _'�j msRERF20-0008 �r. �, CITY OF ATLANTIC BEACH �r �" ISSUED: 1/22/2020 800 SEMINOLE ROAD��''y� ATLANTIC BEACH. FL 32233 EXPIRES: 7/20/2020 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 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: PERMIT TYPE: DESCRIPTION: ' VALUE OF WORK: 1862 TIERRA VERDE DR REROOF SHINGLE SHINGLE ROOF $12913.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169542 5066 SELVA TIERRA COMPANY: ADDRESS: I CITY: STATE: ZIP: K & D ROOFING & JACKSONVILLE 74 6th St. S #104 FL 32250 CONSTRUCTION BEACH OWNER: I ADDRESS: CITY: STATE: ZIP: DAVENPORT MARK 1862 TIERRA VERDE DR ATLANTIC BEACH F L 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 must be on City approved list . Container cannot be placed on City right-of-way. FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $115.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $119.00 Issued Date: 1/22/2020 1 of 2 %'S" '`'. REROOF SHINGLE PERMIT PERMIT NUMBER �s a Pr, , ' RERF20-0008 -. CITY OF ATLANTIC BEACH ISSUED: 1/22/2020 t 800 SEMINOLE ROAD EXPIRES: 7/20/2020 :: ATLANTIC BEACH. FL 32233 Issued Date: 1/22/2020 2 of 2 sf== Building Permit Application 11 City of Atlantic Beach 800 Seminole Road,Atlantic Beach, FL 32233 ,`rn , Vi Phone: (904) 247-5826 Fax: (904) 247-5845 Job Address: \t4a -TltyYac Y.Q�.Y+cie_ce • iZ2-J3 Permit Number: !��1 \��� v�v� Legal Description 3 9,-a� oa'a']-cJ''<"nn1E atq I TTWO c t" 3 RE# i lQq5{2,-alto Valuation of Work(Replacement Cost)$ 10 0)13.122 Heated/Cooled SF c):3—Ti Non-Heated/Cooled 5...9 1- • Class of Work(Circle one): New Additio Alterati.• Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial •esidentlal • If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No,� • 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: RE ROOFING 50 YR SHINGLES --4- 5112 p i i-Oh Florida Product Approval # FL 10124R7/FL.UNDERLAYMENT APPROVAL#FL18686-1 for multiple products use product approval form Property Owner Information (� Name: 0 ' 1I I I1 Address: IQ \,l.oa TiVitf(3L Y ivde _OV . City •_`. t • ('i Y State fl-- Zip PV2. Phone q0O4—OKA-31—k2_1c E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company: K&D ROOFING&CONSTRUCTION COMPANY,INC. Qualifying Agent: Robert He,Owner/President Address 74 6TH STREET SOUTH,SUITE 104 City JACKSONVILLE BEACH State FL Zip 32250 Office Phone 904-541-1700 Job Site/Contact Number State Certification/Registration# ccC 1325852 E-Mail kdroofing©hotmauLcom Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Exempt/Insurer/Lease Employees/Expiration 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.I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS, WELLS, POOLS, FURNACES,BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR OF COMMENCEMENT. /.1 (Signa re of Owner or Agent,:::,://' cluding Contractor) (Signature of Contractor) Signed and sworn to(or affirmed)before me this Ik day of Signed and sworn to(or affirmed)(� beforereme this 1 1.day of �''C , 2,,L.Lu ,by N\CA I. lli. t l�i:Alll�i , aQt�) , by K • F 1Ie 04_, , . e_,- ..ct (-- / .., • / 5: ature of Notary) �,,rt Notary Public State of Florida \?oa"� LORI WHISNANT Angela Hite • •Y (4 My Commission GG 306927 .. ;,, MY COMMISSION#GG087345 3� Expires 02/28/2023 -,..47,11,376 7 I`-'f Personally Known OR or ersonally Known OR a't;; EXPIRES March 27,2021 [ ]Produced Identification - [ ] Produced Identification Type of Identification: Type of Identification: __ _ _JTICE OF COMMENCEMEj,. W (PREPARE IN DUPLICATE) t Permit No. Tax Folio No. 1 t,!-g5�a- auti2 State of FLORIDA County of &ug/i k To whom it may concern: The undersigned hereby Informs you that Improvements will be made to certain real property,and In accordance with Section 713 of the Florida Statutes,the following Information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: 116-aa WA-W‘ 16 _WL Torry L.o+33 Address of property bei improved: If:610 a 1 arra '41L 012-• OciAtkoki c-ecac h t t . General description of improvements: RE ROOF/50 YR SHINGLES Owner rila ( /r ` Address pato- Itbeire Vofrit ai-ion-hc ?NW-3-3 • Owner's interest in site of the improvement OWNER Fee Simple Titleholder(if other than owner) Name Address Contractor K&D ROOFING&CONSTRUCTION COMPANY,INC. Address 74 6TH STREET SOUTH,SUITE 104 JACKSONVILLE BEACH,FL 32250 Phone No. 904-541-1700/904-223-6068 Fax No. 904-369-3249 E-FAX Surety(if any) Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida.other than himself,designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself.owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). Name Address Phone No. Fax No. Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY /L� OWNER 6 Signed: f/4 i ; 4 ( "1 " 2 i DATE ��'1 Lars Before me• day of LIT i • • ► in the County of Duval, of orld= asp-rsonall a••eared l ii b I' Of ' * *At herein by himself herself and affirms that al!statemen and declarations herein Doc#2020016334,OR BK 19077 Page 930, are true and accurate Number Pages: 1 3 Recorded 01SSELL LER6 CM, >ti ry RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL •fpT+ �/�J�-l. `� i; � U COUNTY • Notary Public at Large.State FLORIDA . County of DUVAL >g 4 a RECORDING $10.00 My commission expires: )— 7�{- ?.3 o..m o Personally Known ✓ or Z at n Produced Identification Z