Permit Roof 2332 Oceanwalk W 2011 CITY OF ATLANTIC BEACH
p SEMINOLE ROAD
-. ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number 11- 00001737 Date 3/02/11
Property Address 2332 W OCEANWALK DR
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 13000
Application desc
reroof
Owner Contractor
PREITE, ROBERT /EDITH BOHEMIA CO, INC (ROOFING)
2332 OCEANWALK DR.W. 3950 ST ISABEL DR E
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32277
(904) 859 -3539
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 115.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 13000
Expiration Date . 8/29/11
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 115.00 115.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 119.00 119.00 .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
Job Address: 2332 OCEANWALK DR W., JACKSONVILLE, FL 32233 Permit Number:
Legal Description 42 -74 37- 7S -29F CF NWAJ K 11 IT 3 I OT 37 Parcel # 19463-1074
Floor Area of q.Ft. Sq.Ft
Valuation of Work $ 13DD a Proposed Work heated /cooled non - heated /cooled
Class of Work (circle one): New Addition Alteration ReplY Move Demolition pool /spa window /door
Use of existing/proposed structure(s) (circle one): Commercial esidenti }
If an existing structure, is a fire r}nkler stem installed? (Circle one): es No N /A // FL- /e3, f
Florida Product Approval # TL / - rho eA-1 1 LGQ 0 -- �' Q/�„ f'e*3 ez.IC CpLUz_. --
For multiple products use product approva orm
Describe in detail the type of work to be performed: COMPLETE RE -ROOF, REPLACEMENT WITH SHINGLE
Property Owner Information:
Name: PREITE ROBERT N & EDITH M Address: 2332 OCEANWALK DR W.
City ATLANTIC BEACH , FL State _Zip 32233 Phone 904- 6247 -1487
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: BOHEMIA ROOFING CO., INC. Qualifying Agent: IVANA HODULOVA
Address: 3950 ST ISABEL DR E Cit JACKSONVILLE St FL Zip 32277
Office Phone 804- 859 -3539 Job Site/ Contact Number 904 -982 -2114 Fax # 904 -353 -2700
State Certification/Registration 4 CCC1328464
Architect Name & Phone 4
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 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. I understand that separate permits must he secured tsr 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 OF
��
COMMENCEMENT. 9,` �i
t 4 1/4
I hereby certify that 1 have read and examined this application and know the .same to be true and correct All provisions of laws and 1r in ces governing this 4 o h
type of work wi be complied with whether specified herein or not. Th granting of a permit does not presume to give authority late or cancel the 'b), rj
provisions of any other fed .state, or local law retail ing construction or the performance of construction. j . f 9 4 q /��ti
Signature of Owner 1 Signature of Contractor
lif
Print Name V i `
..... / ( r C' 1. .......... Print Name 1/ b LD a ........._.. hy // .. /V _........
Sworn tc and subscribed b- for me Sworn to and subscrib before lri�re
this ' ay of + 10 r 20 i this aZ Day of / A lilt 20 /1
.' f CSa '� �+�„ .L i. I I .. i
Notary Public rotary • •u, lc 1.1.61"
Revised 01.26.10
ORTENCA GJINI
Notary Public, State of Florida 1,4`. ' *rte
c INOTARS. °"
; Commission# ' SUSAN K. SULLIVAN
o w l key COMMISSION # DD701752
My comm. expires Dec. 16, 2 014 EXPIRES: August 05, 2011
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Number Pages: 1
Recorded 03;`02!2011 at 09:36 AM
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
Permit No. RECORDING $10.00
Tax Folio No.
NOTICE OF COMMENCEMENT
State of Florida
County of DUVAL
Then 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.
1. Legal description of the property being improved: 169463 -1074
42 -74 37- 2S -29E OCEANWALK UNI T 3 LOT 37
2. Address of property being improved: 2332 OCEANWALK DR W, ATLANTIC BEACH, FL 32233
3. General description of improvement: COMPLETE RE -ROOF
4. Owner Information - name and address: PREITE ROBERT N & EDITH M
2332 OCEANWALK DR W , ATLANTIC BEACH , FL 32233
5. Owner's interest in site of the improvement: OWNER
6. Fee Simple Titleholder (if other than Owner):
7. Contractor - name and address: CO., INC.
sAi ,.).
POBOX 10854, JACKSONVILLE, FL 32247
Phone number 904.859.3539 Fax number 904.353.2700
Surety (if any) - name and address:
Address Amount of bond: $
Phone number Fax number
9. Name and address of any person making a loan for the construction of the improvements:
Name Address
Phone number Fax number
10. 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 number Fax number
11. 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 Owner's Option).
Address
Phone number Fax number
12. Expiration date of Notice of Commencement ( the expiration date is one (1) year from the date of recording
unless a different date is specified). ;` .4
Si • (aL �^ /v *41, /k>,•4
Signature of Owner *
Sworn to and subscribed before me this U ° / -e�� // by l7 ' —+" t" , . R f i ef{ e_
TOD Y'S DATE PRINT OWNERS NAME 1
who is personally know to me OR
>‹. who has produced drivers licence as identification
herein by himself/herself and affirms that all the statements and declarations herein are true and iflissed by/ Type - - L.. A 1 '
Issue Date O1 ` ApcilExp. Date (.1 f /
2nd ID Type (, (').6 , 1 debt/ NI 1 1'J,
Notary Public 4z
<<��p � , �#�, ORT!NCA OJINI
My Commission Expires: 1)1 / J 4/ 2 , i �'s WAN Pu State of Florida
-- M , Commission, EE 49709
� 1>�
My comm. expires Dec. iM0 d by BOHEMIA CO., INC.
2/24/2011