Permit Folder 1730 Main Street „it Vla"i�: 9r t Q
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000586 Date 5/10/10
Property Address . . . . . . 1730 MAIN ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3000
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Application desc
reroof
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Owner Contractor
------------------------ ------------------------
MONAHAN ROOFING
2050 KING CR S
NEPTUNE BEACH FL 32266
(904) 568-4920
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 3000
Expiration Date . . 11/06/10
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 65 . 00 65 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 65 . 00 65 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Doc # 2010106136, OR EK 15238 Page 1105, Number Pages: 1, Recorded
05/10/2010 at 10:30 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING
$10.00
r
J
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of 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
COMMENCEMENT.
Legal description of property being improved:
1"100, 1-710 . L)2.0 1-7 30 (Y1a►n S+
A�Gnkic (; otich FlaridL
Address of property being improved: 1-100, 11 10 1 2 U 1- 30 ry, erg v�
General description of Improvements: MraO f
Owner
�( Address
Owner's Interest in site of the Improvement�er+ta l �rboerF y
Fee Simple Titleholder(if other than owner) .
Name
Address
Contractor-1 pAC4hAr% lzoo Cl n� rn 1 NC-
Addreaa2G�s01C.��s dile. �kj PtuKw Rozy-h t7l( d•r.
Phone No. 221-00S9 Fax No.2 Z 1-00 6 C�
Surety(If 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 following person to receive a copy of the Lienor's Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owners option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one 1)year from the of recording unless a
different date is specified):
THIS SPACE F6R RECORDER'S USE'ONLy R
r
fined: Date: ' f a
Before me this L_day of aClls In the
County of Duval,State of Florida,has personally appeared
E9.
MY t�1At11$$IOt'I i DD 813083 ExPIREB:Novaiber8,2010
eonaa nau N.ury►uWo 1Mil�mLn
No Public at Large,Stale of Florida,County of Duval
My commission expires: I l 411b
Personally Known or
Produced Identification f� R S("5 ay'S V%-)-%A7 v
CITY OF ATLANTIC BEACH
{/ 07-
' 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 I I
4, ri OFFICE:(904)247-5826•FAX NO.:(904)247-5845
J
BUILDING-DEPT@COAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
t:JOB ADDRESS: 2.VALUATION OF WORK:
,S, FT.UNDER ROOF,,
190 J 1-1 2- 0 MufnsF , ,1300,° " 14U(? �►-
4.LEGAL DESCRIPTION: 5.CLASS OF WORK:
6:USE OF STRUCTURE:
LOT_BLOCK;tz� 'P'
SUB IVISION ❑NEW BUILDING 0 DEMOLITION ESIDENTIAL
7.DESCRIPTIO �� ( + 0 ADDITION ❑CONVERTING USE 0 COMMERCIAL
0�,ALTERATION 0 ACCESSORY BLDG. 8.FIRE SPRINKLER:
favzs i 9 EPAIR
4Zoo� R M �-- ❑POOL/SPA ❑YES /q
OWNER: O MOVE 0 OTHER 0 NO
NAME:/ .� CONTRACTOR: + ARCHITECT/ENGINEER:
� h�I 1. �. 15.COMPANY NAME: ) 23.COMP NY NAME:
10 16.NAME:
24.LICENSE AME:
TUrYI
10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLO DA LICENSE NO.:
I?29-7- ST- '4 L14 -� 18.ADDRESS:
�' �� ��.�4�1 �L �2� � 20511(. (<,IC)s C.i r-ci 4Z. 26.ADDRESS:
ue Fun C( 10h
12.FAX NO
11.OFFICE P 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28. NO.:
24rr��' '� zz(-a0SC1 zZ I-ouG,v
13.CELL PHONE: 21.CELL PHONE:
29.CELL PHONE
14.EMAII!LfA�,DDDR,ESS: nr�) 22.EMAIL ADDRESS:
REI„ 11`1 rW�3@J'SDvt� +��} °^ 30.EMAIL DRESS:
TL MOrwAlI
FEE SIMPLE TITLE HOLDER: •{ co MCA.r�-
(IFOTHER THANOWNE F „ SONDING,COMPANY ;
R? - MORTGAGELENDERt
31.NAME: 33.NAME:
35 NAME:
32.ADDRESS: 34.ADDRESS:
36.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 if work is not commenced within six (6) months, or if construction or work is suspended or .
abandoned for a period 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, 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. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
ARNING TO OWNER:
YOUR FAILURE TO RECORD 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 INSPECT INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LEND A E BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
E oc;AG T .' .CONTRACTOR _
g t eL me y 'Agen y Letter Required) (Qualifier Only)
Signed: Date: Sign
- Date:S� �/O
Before me this(_day of YVIA 9667-4n the county of Bef re me this S da of fYl Cr p
Duval,State of Florida,has personally appeared aU�V y ------- 2Du/in the county of
Duval,State of Florida,has personally appeared
�C, �t;,tNikMl1J'r
herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affir s that all statements and declarations are
true and accurate. true and accurate.
Notary Public at Large,State of F County of QL)\/A I Notary Public at Large,State qY
ounty of �•
❑Personally Known
{{�� �� V ersonallyd'I Known
roduced Identification- ��.. 1�• '
❑Produced�l tificati n-
Notary Signature: Notary Signature
��µr k' Notary p,blit State of Florida
BRANDON KM ETKOWSIG
Mlcnenl=urgelowich
*: MY COMMISSION M DD 613083
COAB FORM BLDG01:REVISED:8/2/ { EXPIRES:November8,2010 M`- 'immission DD583850
iaf. SondsdTMuNotary Public Undennilers Of^` EA „es 10/19/2010