Loading...
Permit Roof 2335 Oceanwalk W 2011 4 � ' CITY OF ATLANTIC BEACH f� � �� 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 11- 00001698 Date 2/18/11 Property Address 2335 W OCEANWALK DR Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation . . . 15000 Application desc REROOF 5447 Owner Contractor BELL JEFFREY & PATRICIA R BOHEMIA CO, INC (ROOFING) 2335 OCEANWALK DRIVE W 3950 ST ISABEL DR E ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32277 (904) 859 -3539 Permit ROOF PERMIT Additional desc . REROOF Permit Fee . . . 125.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 15000 Expiration Date . 8/17/11 Other Fees STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 125.00 125.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 129.00 129.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 �J Job Address: 2335 OCEANWALK DR W., JACKSONVILLE, FL 32233 Permit Number: // — / 0 ( r Legal Description 42 -74 37- 2S -29F ODOFANWPJ K l lbJI ,3 I OT 32 Parcel # 19463 -1064 Floor Area ott q. t. Sq.l t Valuation of Work $ Lc 0 Proposed Work heated /cooled non- heated /cooled Class of Work (circle one): New Addition Alteration OP Move Demolition pool /spa window /door Use of existing /proposed structure(s) (circle one): Commercial sidential If an existing structure, is a fire s rinkler system installecj? (Circle one): , o N /A / /J Florida Product Approval # 1.- J�'� LQctd c< µ - 307 I� Q K Gwc ' ° u u ki. C .,c'� ) . For multiple products use prodddduct approval form / �✓ Describe in detail the type of work to be performed: COMPLETE RE -ROOF, REPLACEMENT WITH SHINGLE Property Owner Information: Name: BELL JEFFREY K 8 PATRICIA R Address: 2335 OCEANWALK DR W. City JACKSONVILLE , FL State _Zip 32233 Phone 904-635-2447 E -Mail or Fax # (Optional) Contractor Information: Company Name: BOHEMIA ROOFING CO., INC. Qualifying Agent: IVANA HODULOVA Address: 3950 ST ISABEL DR E City JACKSONVILLE St FL Zip 32277 Office Phone 904- 859 -3539 Job Site/ Contact Number 904 - 982-2114 Fax # 904-353 -2700 State Certification/Registration # CCC1328464 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. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will he 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. 1 understand that separate permits must he 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 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 NOTICE 0 F R 4�n( ^"" COMMENCEMENT. l EAS�S\CaN // 0 0,:„. ` 1 hereby ertify that 1 have read and xamined this application and know the same to he true and correct. All provisions of laws and ordt i�j c: governing this NE type of work will be complied with hether specified herein or not. The granting 01 a permit does not presume to give authority is Y•1. e or cancel the provisions of any other federal, scat. or lo •11» regulating construction or the performance of construction. 1 Signature of Owner L' • Signature of Contractor �1 A' Print Name % ..._``. ....*..._ .............j......., Print Nam e . ©�L� °X . ............. / Y /V...... . . ......... Sworn to and suo cribed befo ,re me Swo kip .�•■ " � s c ► 20 ) this / Kf Day of 20 t t this r I �,2 i/j.:S 5/ _1 1 '" '∎∎,,,.. .' y , -7 .. Notary Public / i t ate of Florida rotary 'us is ui" t , , 24, Notary; Sep.. 4, 2011 Revised 01.26.10 My c ' t ; m 1306 ` • DD 71 C fi ,y . : I bK , <L.; -age 3n 5. NOTICE OF COMMENCEMENT -zs a.^ per Saes cc -raea „2 20" at J:,9 PM Jim ER R ' .. ;RC 3URT CU'vAL ::',":17 Permit No. CCRC;�J ; , Tax Folio No. THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 1.Description of property (legal description): 42 -74 37- 2S -29E OCEANWALK UNIT 3 LOT 32 a) Street (job) Address: :; I (�ttl� tI. a �� 2.General description of improvements: COMPLETE RE -ROOF, REPLACEMENT WITH S INGLE 3.Owner Information a) Name and address: BELL JEFFREY K & PATRICIA R 2335 OCEANWALK DR W., ATLANTIC BEACH, FL 32233 b) Name and address of fee simple titleholder (if other than owner) c) Interest in property OWNER R 4.Contractor Information Q ` a) Name and address: BOHEMIA ROOFING CO.. INC. 3950 ST. ISABEL DR E, JACKSONVILLE, FL 32277 V „, � b) Telephone No.: 904 -859 -3539 Fax No. (Opt.) 904- 353 -2700 5. urety Information a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No. (Opt.) 6.Lender a) Name and address: Phone No. 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a) Name and address: b) Telephone No.: Fax No. (Opt.) 8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: a) Name and address: b) Telephone No.: Fax No. (Opt.) 9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTX, 1 A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST _ INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE` COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA 1 t � il COUNTY OF PINELLAS 10. ! � Signature o caner or w s Authorized Officer/Di tor/Partner/Manager i Print Name The foregoing instrument was acknowledged before me this 'day of / 44 a 7 20 j( , by C 4 ---Z- 1 7 F r as 'i(v --' (type of authorityi ;DUSKY , e.$. i leer, trustee, attorney in fact) for (name of party on behalf of whom iit , Tent was executed). Personall y Known OR Produced Identification Notary Signature i I ; MY com ; i • ° lorida Type of Identification Produced Name (print) P. Sep. 4 41 OR R c 'Sr ■ y /. `'" 711308 emu,; .,. Verification pursuant to Section 92.525, Florida Statutes. Under penalties of p erjury, I declare that I have ead the foregoing and that the facts stated in it are true to the best of my knowledge and belief. , (n , , FORMS/NOC.nsd2UIU -' Signat . - • - 'antral Person Signing (in li "10. Above ,', V