BONITA 710 Address of property being improved:
General description of improvements: Rp r-,4---
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Owner Fri 4 z-- P,cam:
X Address r-7 fr., -Isla)t-f:Ir'a ti
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor n o�CA kC f'—c . r Nj c_..
! Address 2u3G '
' e4�� f Car �I
Phone No. 2`t 2 - L°i Fax No.
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.
M addition to himself,owner designates the following person to receive a copy of the Uenoes 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 i one(1)year from the date of regIding unless a
different date is specified):
THIS E--FO,--R RECORD-ER"S""IM'ONLY O
Signed, Da
a�
Sefore me this day of f��C' in the ZOO..
County of Duval, State of Florida, has personally a peared
Doc
N ��1QT .OR BK 13798 page 1 ."'
Filed$R7 c1t 02-09
294,
JIM FULLER CLERK
R�2R(1CpUIT CO RT DUVgL COUNTY RECORDING$10.00 Notary Public at Large, tate of Flo�Coujnty Du I
My commission expire,
Personally Known or
Produced Identification-- _
Y, DONNA G,I�AMBY "
COMMISSION#QD 31480.8
:• EXPIRES;August 29,2008
Bonged Th'Netary Pah'Undemmnters
CITY OF ATLANTIC BEACH
-- s 800 SENIINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 07-00000070 Date 2/06/07
Property Address . . . . . . 710 BONITA RD
Application type description ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3300
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Application desc
REROOF
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Owner Contractor
------------------------ ------------------------
REINHART MONAHAN ROOFING
710 BONITA ROAD 2050 KING CR S
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 242-8246
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 46 . 50 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 3300
Expiration Date . . 8/05/07
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 46 . 50 46 . 50 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 46. 50 46 . 50 . 00 . 00
Pmmrr Is APPROVED ONLY IN ACCORDANCE WITH ALL MY OF ATLANTIC BEACH ORDINANCES ANA THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
PERMIT APPLICATION ROOFING
owner(s) :
Address: \ Phone: `l-A
Lot # +3lock or Unit # Subdivision
Contractor `(L ,{(L . p,0(DI'Nb
Address: -tob--, � 1
State License No.
Describe work to be done: � � �� �.� ^� Tin °A %�
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XN Q-a A - -
Materials to be used:
Signature OWNER-
te-
Signature CONTRACTOR