Permit Partial Roof 982 Ocean 2011 CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
J ;F
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002883 Date 11/14/11
Property Address . . . . . . 982 OCEAN BLVD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2700
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Application desc
Reroof upper story remainder excluding mansard
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Owner Contractor
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ROULEAU DAVID W MONAHAN ROOFING
982 OCEAN BLVD 2050 KING CR S
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 568-4920
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Permit . . . . . . ROOF PERMIT
Additional desc . . PARTIAL REROOF
Permit Fee . . . . 65 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 2700
Expiration Date . . 5/12/12
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Special Notes and Comments
NEED RECORDED NOC PRIOR TO FIRST
INSPECTION
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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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
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 69 . 00 69 . 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: C1 B Z 01C -�
C3 t` Permit Number:
Legal Description Parcel#
t
Valuation of Work$ 2, _7'32-w
,-7Gtrtw Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration . Kepair Move Demolition pool/spa window/door
Use of existing/pro osed structure(s)(circle one):. Commercial esidential
If an existing structure,is a fire sprinkler system >installed. (C ccle ons: o CN_/A�)
Florida Product Approval# FL J 95 C- l e tF_ rk y`1
For multiple products use pro uct approvalorm
Describe in detail the type of work to be performed: %e r` e J u p ee r s C�4
Cl
Property Owner Information:
Name: DOLVA
lZo a leak Address: 9 Z OC r3 I u 4
City PkicA ,i is 13&__<_V` Staten Zip Phone G3( -9,&'1 :
E-Mail or Fax# (Optional)
Contractor Information:
Company Name: (Y)0n-u+,0L," P.06 F)''`S C'b`}'v``k_c r t ryC Qualifying Agent: P i l
Address: ZG S� n� r Gt.-c.t t Ao-'_�. City N er 1, n- w3 e-c• State FL- Zip 3 �,c•
Office Phone 21 -oaSG, Job Site/Contact Number-Mm 549_y"Z-G Fax#
State Certification/Registration# C ' 9
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 madeal allbwork will be performed t work
meet the standardssof all aindicated
ws regulating construction to th&jurthat no work or gd installation has
This permit becomes null
issuance of a permit andconstructor p p Boilers,Kea ft e
and void tf work is not l understand that separate permits must be secured for Electrical Work,Plumbing,Signsr auras, Pools,Yl�urnaces,s at ytime after
work is comment
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO REORDFAORN IMPROVEMENTS
OF ENTS
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORERECORDINGYOUR NOTICE OF
COMMENCEMENT.
1 hereb certify that 1 have read and warm)r�teciaedlhertein or not. Theegranting of same to be to permit doesrue and ct. All not presumetons to gwelaws and authority to vtolatees gor cancel tthte
type of work will be complied with p
provisions ofany other federal,state, or local law regulati construction or the performance of construction.
Signature of Owner �c.L-- Signature of Contract
i (! Print Na r. .............................................
�.
Print Name �-U. % �.....�.�.. .. .......^.......................... ' :
1 ON A EE 057
Swo and su sc ijb f re m Swo .2011
th' Day of 2 this
�
Notary Public ,°" DEBORAH AMANDA WHITE Notary Public� f 3 0 =;, My COMMISSION NEE057349 Revised 01.26.10
EXPIRES:May 21,2015
d far}• BwdW ft NOary PaC UMOrwrners
�d �
NOV-14-2011 12:04 FROM:CLERK OF COURTS 904 270 1512
70:92475845 P:1/1
/fNOTICE OF COMMENCEMENT
'-.W
Permit No. !( ^ Tax Folio No.
State of Florida,County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chaptet 713,Florida Statutes,the following information is provided in this Notice of Commencement.
1. Description of property(legal description of property and address if available):
61 $2 �j. , , g1U
2. General Description of improvements;
3, Owner Information:
&)Name and Address: Cbug'd RO(Al2'aL-N (1&-1 or-c'. z 121.d . nFl�r•fr�, ' enc,- , F1 s,
b)Interest in property: (3wnQ9
c)Name and address of simple titleholder(if other than owner):
4. Contractor. Information:
a,)Name and Address: Morno.hn.- _bac�'�h, Gorr}rq���,n r l Ivt 2 0S G Cet-0�-_.
b)Phone Number: 2-2-C 00S N P FUw ,C ""`�'► , E
i 5. Surety Information:
a)Name and Address:
b)Phone Number.:
c)Amount of Bond:$ -
6. Lcndcr Information:
a)Name and Address: nc �
b)Phone Number:
7. Person within the State of Florida designated by owner upon wham notices or other documents maybe served as
provided.by 713.13(1)(a)7,Florida Statutes:
a)Name and Address: _ --
b)Phone Numbers of Designated Person:
8. in addition to himself/herself,Owner designates � of to receive a
copy of the Lienor's Notice as provided in Section 713.13 (1)(b),Florida Statutes.
a)Name and Address:
b)Phone Number of person or entity designated by owner.
9. Expiration date of Notice of Commencen ent(the expiration date may not be before the completion of construction
and final payment to the contractor,but will be one(1)year from the date of recording unless a different date is
specified:
WARNING TO OWNER: ANY PAYMEN'.1'S MADE BY THE OWNER. AFTER. THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDER.513 .IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,
SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT 1N YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMFNCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION_ IF YOU .INTEND TO OBTAIN FINANCING,
CONSUT,T 'WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing notice of commerreemerit and that the facts stated
there" itrctructotheb t of P knowledge and belief.
a'(,.
1g118ture of Owner or owner's Authorized Officer./Director/Partner/Manager Signatory's Printed Name&TitlelOfSice