1752 Ocean Grove Dr RERF20-0045 Shingle „..,„,...A.6-----„,,,,, REROOF SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RERF20-0045
��”v" ISSUED: 3/4/2020
KV,\ 800 SEMINOLE ROAD
Oai9r ATLANTIC BEACH, FL 32233 EXPIRES: 8/31/2020
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:
1752 OCEAN GROVE DR REROOF SHINGLE SHINGLE ROOF $8649.00
TYPE OF REAL ESTATE ZONING: I BUILDING USE SUBDIVISION:
CONSTRUCTION: I NUMBER: GROUP:
169617 0000 OCEAN GROVE UNIT 02
COMPANY: ADDRESS: CITY: STATE: : ZIP:
K & D ROOFING & JACKSONVILLE
74 6th St. S#104 FL 32250
CONSTRUCTION BEACH
OWNER: ADDRESS: CITY: STATE: I ZIP:
ANTONE MARY JO 1752 OCEAN GROVE DR ATLANTIC BEACH FL 32233-5845
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $95.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$99.00
Issued Date:3/4/2020 1 of 2
"'''' - REROOF SHINGLE PERMIT PERMIT NUMBER
J 1S- rJ
r r ,
'' CITY OF ATLANTIC BEACH RERF20-0045
\,0 / 800 SEMINOLE ROAD ISSUED: 3/4/2020
\ r / EXPIRES: 8 31/2020
��5; ATLANTIC BEACH. FL 32233 /
Issued Date: 3/4/2020 2 of 2
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904)247-5845
Job Address: I-15a Wan C71bV De-• 3aa3 Permit Number: RER P — �'`-C,
tion 2 O '2 D9-a�_ octo f k C�,ros(e_ Wn NO
Legal Descri 2
p " aqE wl t 2 Liq__ Parcel# 1109 I1--bb
Floor Area of Sq.l�t. Sq.Ft
Valuation of Work S �0 (�L l.lOu Proposed Work heated/cooled `?)SR non-heated/cooled 0
Class of Work(circle one): New Addition teratio' Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial 'esi•enti.
If an existing structure,is a fire sprinkler system installed?(Circle one): ' - No
Florida Product Approval# l eyta_4:Lib1Q&RO
For multiple products use product approval form I "�
Describe in detail the type of work to be performed: ea Y-( ) 1.(2) gn, 0 3l 12 TU
Property Owner Information:
Name: m_Q b Address: fl59, act \ c,(D C
City ( 1]'�.Q C� G State�rL Zip V2` Phone 9 -Len pS$"4-
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: •" �.� . �.I�i� :1 1.1 Qua ing Agent: !p I_ 1 �$ e.
Address: (.9.4V\ -4 • .‘iva •III City _1 _ AL • 7•7411a& State Zip X71
Office Phone (i- 9-Ob Job Site/Contact Number 'A& • 1. - Fax#
State Certification/Registration#(' 15(6r-.)Q ko. •
r
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 cenYfy 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 if work is not conzmenced within six(6)months, or if coruti uction or work is suspended or abandoned for aperiod of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters,
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
CONL ENCEMENT 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 NOTICE OF
COMMENCEMENT.
I hereby certii5,that I have read and examined this application and lazow the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local lay.,regulating construction or the performance of construction.
Sionature of Owner . t I tirilL Signature of Contractor Jfll,L
Print Name
.._ 4..... T;-/I—prrogb.......... Print Name a6....Hite __.._.._...._.
Sworn to and subscribed before me Sworn to and subscribed before me
this 5 Day . 20'2_0 this '� Day o, Ve..b v v11' ,20 ao
Notary Public Notary P /
Revised 01.26.10
O„pr.<4
�.y+►y Notary Public State of Florida ?. cam. LORI WHISNANT
Y Angela Hue y; MY COMMISSION#
My Commission GG 306927 ;,• GG087345
Expires 02/28/2023 EXPIRES March 27,2021
Doc # 2020030854 , OR BK 19098 Page 189, Number Pages: 1,
Recorded 02/08/2020 10:04 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
'PREPARE IN DUPLICATE,
Pemrt No Tax Fry -
Folio No t�-%u)t " I)�?
State of 19.f lttthA Cour of +CSI
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 improv d.
2D 2D oct- a -i E, ()ee.An gni 2. 1,4
ib 22
Address of property being unproved.
1�5 ,uY4 i ;ftpM c=�x41C��, fit -3�8-33
General description of Improvements nl.itnrn 1It v[INGLES
Owner 3D t,'ra
Address ,(fir`�f� 1 C. Lf 1� •r Y 2
Owners.nterest in Ste of the improvement nWNFU
Fee Simple Titleholder id other than owner I
Name
Address
Contractor hWl)KIUFlNC,It CU1ti'rlii CTIIIN CONII':1NY,INC
Address 7.1 0T1l STHI:17 u)IJTI I,SINT:414'JAC:101INVII.IJ:Itl..tCi I,I.I.32251)
Phone No 1/04.541-1700/904.223-6068 Fax No `-1114:ui!I•:r24!I F r,1S
Surety Of any)
Address Amount of bond S
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 foltowmg person to receive a copy of the Lienors Notice as provided In
Section 713 06(2h(bi,Florida Statutes (Fill In at Owners option)
Name
Address
Phone No Fax No
F�tpiration date of Notice of Commencement(the expiration date is one fit year from the date of recording unless a
different date is specified)
THISSPACEFOR RECORDER'S USE ONLY O R
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Bens,me p j� ar n,a a t(7 ry
Canty d eun y nitRNst Main
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ere taw and accurate
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