890 Main St. 07-00000047 RE-Roof CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
J �r ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
f-
Application Number . . . . . 07-00000047 Date 2/06/07
Property Address . . . . . . 890 MAIN ST
Application type description ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3000
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Application desc
RE-ROOF/ARCHITECTURAL SHINGLE
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Owner Contractor
------------------------ ------------------------
ADAMS, DAWN JAMES A. NEILL ROOF/WATERPROOF
Q/A:JAMES A. NEILL
ATLANTIC BEACH FL 32233 P.O. BOX 351404
JACKSONVILLE FL 32235
(904) 220-2584
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 45 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 3000
Expiration Date . . 8/05/07
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 45 . 00 45 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 45 . 00 45 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
I►
,J �j'•L`I r'V�i�
s CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
Date:
Job Address: C10 a i n S �-c e� c e c Li
Owner of Property: v� f/
Address: �r7o Ma r �Tre--e n , c /3eac H Telephone:
ContractorJAMES NEILL ROOFING &W.P. INC. State License Number:CC C-057937
Contractor's Address: 1 1 8 6 WATERFALL DR JACKSONVI LLE FL 3 2 2 2 5
Telephone: 904-220-2584c. 708-7064 -Fax: 904-220-4375
Scope of Work: REMOVE &INSTALL/A NEW ARCHITECTURAL SHINGLE
EXISTING ROOF /
Deck Slope: 3e ! 2 Greater than 2:12 Less than 2:12
Valuation of work: -10 n n r)n
Florida Product Approval#(or NOA#from Miami-Dade) FL 7.2- 1'
Product Name(Example: Timberline): RAISED PROFILE 30yr.
Manufacturer(Example: GAF): ELK
ASTM Designation(s): D 3 4 6 2
Required Inspections: Sheathing and Fina[
Signature of Owner: OL� Date: O/- 3o-o-2
AS TO OWNER:
Sworn to and subscribed before me this 30 TVA day of 20
State of Florida,County of Duval -
Notary's Signature: LA
* * MY COMMISSIO 511868
5• Personally known � EXPIRES:FoE ,2010
❑ Produced identification �1�s��c`O Based Thu W"somm
Type of identification produced
It
Signature of Contractor: Date:
AS TO CONTRACTOR:
Sworn to and subscribed before me this 3 D-tN day of 20 Q'
State of Florida,County of Duval
�-Notary's Signature:
Notary PvOic l.Y
�s- � Personally known
Produced identification UNDA E.f1LEY
'h eartin ^ 1I, 0 MY COMMISSION t DO 517868
o 1 Type of identification produced
B Y O • 4,per��•�' 8W*TMu WNobly sov= 6
20 10
Ob 4 800 Seminole Road •Atlantic Beach,Florida 32233-5445
I ' Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us
Page 1 Revised 11/06 DH
y
NOTICE OF COMMENCEMENT
State of /U Tax Folio No.
County of
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�COMMENCE�l4 N�, c �PGt�, 3 Z Z -�
Legal Description of property being improved: QS/ Jf
Address of property being improved: �jio
laG
General description of improvements: r o
Owner:
DoWliki Address: 'Y10 /n��h J7ree� / �5��'� HP4�Li �?23
Owner's interest in site of the improvement: OWNER
Fee Simple Titleholder(if other than owner):
Name:
Contractor: •
Address: 118 6
r
W" ( Telephone No.: $4 Fax No:
Surety(if any)
Amount of Bond$
Address:
Telephone 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:
Telephone 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 Statues. (Fill in at Owner's option)
Name:
Address:
Telephone 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 r
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER.(DOAI,y, (7
Signed: Date:
fore me this �:�.N ay of e County of Duval,State
Doc#2007039570,OR BK 13792 Page 76, Florida,has personally appeared
Number Pages:I tary Public at Large,State of Florida,County of Duval.
Filed&Recorded 02/02/2007 at 01:59 PM, v �"10
JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY commission expires: �u LINDAE.BALEY or
RECORDING$10.00 rsonally Known: 1UU*11VW
educed Identification: Febt 201
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