133 133 Pine St 2012 roof permits M s CITY OF ATLANTIC BEACH
0 800 SEMINOLE ROAD
0 , «. ,,r' '' ATLANTIC BEACH, FL 32233
` � INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000158 Date 2/08/12
Property Address 133 PINE ST
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 2080
Application desc
reroof
Owner Contractor
ASHBY, MARCIAN S. MONAHAN ROOFING
133 PINE STREET 2050 KING CR S
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 568 -4920
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 65.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 2080
Expiration Date . 8/06/12
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
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
r Address: / 3 3 pl h St . A4 n A f'L permit Number:
gal Description Parcel #
Valuation of Work $ )0 FO ,
Class of Work (circle one): New Addition Alteration Repair • - D emolition pool/spa window /door
Use of existing /proposed structure(s) (circle one): Commercial , ' esidentia
If an existing structure, is a fire sprinkler system installed? (Circle one): • es 4110 N /A
Florida Product Approval #
For multiple products use product app/Wal form
Describe in detail the type of work to be performed: L 6 nt,�% _ re _ 1'64> r r -5 ,'o( a. )
Property Owner Information:
Name: Ina rcicc it .5. A5 A4y Address: /3 3 , ei rn e- 57' ,
City /1 f�Bar�� "Z.- / StaterL�Zip 322-3 111r4 Phone � _ M 7
E -Mail or Fax # (Optional) AJcr - .
Contractor Information:
Company Name:Mau/ion & ,r 4Ps -Tc, Quali ing Agent:
Address: ;p 0o0,62:5 `,• ,.,5 ,s C . , ' Ci A `te. - S to fl..... Zip 3 A..a..G 4.
O f f i c e Pho a' tea. /r-6 e 3 5 --- f Job Site/ Contact Numbe 7 ) 6f` -- $r9Q6 Fax #:,,,' 4 7;21 _ ZC3
State Certification/Registration # (ZC-O_0 kI 3 4.-1 Architect Name & Phone # ( l
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 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 aperiod of six (6) months at any time after
work is commenced. I understand that separate permits must be secured for ElectricalWork, 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.
I hereby cert5 that I have read and examined this a placation and know the same to be true and correct. All provisions of laws and ordinanc -s • •verning this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume • ; ive a , or to • o a . o c- cel the
provisions of any other federal, state, or local law regulating construction or the performance of construction. /
•
Signature of O ..�. ,-�� Signature of Contrac or 1.&.‘r j -7
4 Print Name / r< l c �, �" � � W r ti / Print Naive 8 h • al S L d, 4/71
Swop to and subscribed before me Sworn to and subscribed before me
this Day of 20 1 Z F
� Y � � � C 4 r'- , t Day of , 201 Z.
Notary Public -q — — Ytf - _ i r i
.• `1N�� ^ �' '� No ry U. lc
sip _ .* e vs ry TERRISUE
S s_ Notary Pub Nc •S tate PORCHE odds
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;i �.. tr C � E M t ° «r�,� AMANDA - deG eO 1.1 10
•f „a� ,�r` iaalon aM 007 �� • = Notary Public - State of Florida
Bonded Tl QhNationalN�' N,,” fill « My Comm. Expires Jul 19, 2014
,,, -0 C ommission # EE 10061
k ° ' f1 CITY OF ATLANTIC BEACH
6 A r" r) 800 SEMINOLE ROAD
U Z~ ATLANTIC BEACH, FL 32233
t' r s ,,,tai v
ti INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000159 Date 2/08/12
Property Address 135 PINE ST
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 2080
Application desc
reroof
Owner Contractor
SHADDEN MONAHAN ROOFING
135 PINE STREET 2050 KING CR S
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 568 -4920
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 65.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 2080
Expiration Date . 8/06/12
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
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
ub Address: / J 5 /TN e 5 ,'1/4. itd ftic pe rmit Number:
Legal Description
-, Floor Area of Sq.Ft. Parcel # S >~t
Valuation of Work $ 14 sow Proposed Work heated /cooled n heated /cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window /door
Use of existing /proposed structure(s) (circle one): Commercial Residen
If an existing structure, is a fire sprinkler system in tailed? (Circle one): • es N /A
Florida Product Approval # i 3 as 7
For multiple products use product approv m
Describe in detail the type of work to be performed: f lit p ICife. fo eo W -- f 1 si`id // 4' I
Property Owner Information
Name: " /V /' g h di Address: 1 3X /"✓i4 3'7`.
City , 1 5 - G. State f l i p 3 y - 9 , 3 P h o n e (got ) Z `1`- Y) 5
E -Mail or Fax # (Optional) ■thl AI G
Contractor Information:
Company Name /,;,, � Df`w / ^T/, S i ualif Agent:
Address: / / tg e City olV )vi/c• Sc.-Seal State P1- Zip M
Office Pho . — ,Q Job Site/ Contact Number 04' Sir^ yo7 z9 Fax #00VO4.1— 44
State Certi ication/Registration # RC vo til 3 ctl
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. 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, F urnaces, Bo 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.
I hereby cert5 that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to giv authority to violate or cancel the
provisions of any other federal, state, or local law regulating construction or the performance of construction. /
Signature of Owner Ce"
Signature of Contr ctor tiyi
Print Name F rN,s t ,3. 5 / A Y c Print Name (%tY -t S ir AA (;rl (ley)
Swor 20 and subscribed before me Sw,to�and subscribed before me
this /' ' Da A s f [ I 40' th• .�a-L\Day of Fe • , 20 R. —
4— 44 6 1 ,.- Air
Nota N gtate of Fior a 7;?:F' blic AMANDA C. 'r EONS
Publi, 604
1 A , 15 Commiss : 2p1 fp Notary Public -State of Florida Notary ,.,,, M corm, expires Jan• My Comm. Expires Jul 19, Vitt ►iced 01.26.10
My "4,;v1`W Commission 0 EE 10061 0