Permit 2346 Ocean Forest Dr (vault) S r ra'
CITY OF ATLANTIC BEACH
,► r . j 800 SEMINOLE ROAD
J ? ' :~: ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
INSPECTION EMAIL REQUEST:
„rte tr'
Building- dept@coab.us
Application Number 07- 00000730 Date 5/29/07
Property Address 2346 W OCEANFOREST DR
Application type description ROOF
Property Zoning TO BE UPDATED
Application valuation . . . 16055
Application desc
RE ROOF 50 YEAR TAMKO
Owner Contractor
MONTAGNA SHORE ROOFING COMPANY
914 7TH AVENUE SOUTH
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 247 -6649 (904) 241 -8842
Permit ROOF PERMIT
Additional desc .
Permit Fee • • • • 110.00 Plan Check Fee . . .00
Issue Date . . . . Valuation . . . . 16055
Expiration Date . . 11/25/07
Fee summary Charged Paid Credited Due
Permit Fee Total 110.00 110.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 110.00 110.00 .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
`� J;31 " 8 00 Seminole Road, Atlantic Beach FL 32233
Office: (904)247 -5826 • Fax: (904) 247 -5845
Job Address: a / 1) £&c For tS t /) ors f Permit Number:
Legal Description L/1 / `i" 3 , `0/5 — A 5,E 0 l'c' ' A.A4/ (.)4A f L/ 4 • ' 4 3.
Valuation of Work (Replacement Cost) $ /4. ®S^,
• Class of Work (Circle one): New Addition Alteration Repair Move
• Use of existing/proposed structures) (Circle one): Commercial Residential
• If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A
• Is approval of homeowner's association or other private entity required? (Circle one): Yes No
Describe in detail the type of work to be performed: /
J c 1/ € 'ram if f Sti 6r f i s j 't4 r G i,z, r / / f fA t J(
Property Owner Information
Name: ..---27 6117-0- 2 ll a-'' Address:
City State _Zip Phone
Contractor Information:
Nacite oflCompany: s57k .� kad r: Aj, ec t Qualifying Agent: "" (4-01,-. Al' /. (/1c •- t-
Address: lit( 7 4 f4t t ,, City r‹ /5,e�� 4 State T=- Zip ,722$ '
Office Phone ,X4 - $$Y2 Job Site /Contact Number G -11 f f
State Certification/Registration # Oda v s 41' 1 l Office Fax # if/ _ *843
Architect Name & Phone #
Engineer's Name & Phone #
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 ov�a permit and that all work will be erformed to meet the standards of all
laws regulating construction in this jurisdiction. This permit becomes null and void i 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 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 certify that l 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 give authority to violate or cancel the provisions of any other federal, state, or local law
regulating construction or the performance of construction. - - 6
)( 1 / Signature of Property Owner: /I 4t/ „moat Signature of Contractor: 7 -------
c
Sworn to and subscribed befo , I. - Sworn o and sub cribed before me
$
this , Day of ‘N(10..\ ` '3m 9 this . 116 Day of V y aCY1r
`` ,
Notary Public:`` �. .. t,. 4� �'. �. ,w, ► - \t 1 .. . : .. Notary Publi : %, . , ` k .ii_? ) . ► - ' t ..,
• - E :ADAM
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UPr kCommit 000486623 r r Canine 000{00623
REVISED 03.05.07 �+ � `P"st O O"2009 3 1 , ` =
_ � Bonded � (600K3zrzsa �;.? = Expires 10/30/2009
0 ' ..,. Florida Notary Assn.. In rFO H P Bonded thru (B00µ32.4254
i Florida Notary Assn., Inc
NOTICE OF COMMENCEMENT
ate of r( Tax Folio No. / f • /..C6
ounty of f ki VPr
o Whom It May Concern:
be undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of
re Florida Statutes, the following information is stated in this NOTICE OF COMMEN
.egal Description of property being improved: 4 /A --/ 6' 3 ? d •'1 /= d - 4'II 0t, 1- `/ LO (32
kddress of property being improved - C C.44 h?, v -r S f' [) G✓ Ar4M'h- ( 3rcr 4 R 3223 3
3eneral description of improvements: kr
Owner: j h t.' f / /p/l Address: 1391 CC 4a (met f/ 1) 14/
Owner's interest in site of the improvement
Fee Simple Titleholder (if other than owner):
Name:
Contractor. —57trd et (in f r' f / AAA/
filDA Address: q/ .4(/ _ r47-- A r r G 4 3 Z a
Telephone No.: a L it 541(2— Fax No: cA / -53 25'70 5 3
Surety (if any)
Address: Amount of Bond $
•
Telephone 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:
Telephone 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 Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
k Sued: f ,; / Date•
t 0 7
Before , irr tt of Taiiitte " in the County of Duv,, " State
°f n. 'da, has personally appeared • •
No Public at Large, State of Florida, County of Duval. /l
Doc # 2007168411, OR BK 13993 Page 1382,
Notary
Number Pages 1 My commission expires. \O -10 - C)S
Filed & Recorded 05/22/2007 at 11:26 AM, Personally Known: , Identification: _
t)t r .
•. ...
JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY •'IE . •AMS- HARRUP''
RECORDING $10.00 ,.(1.613.1N . � r
r X2 66
ckExpi 10/30/2009
� �` °•�` 4cs aord.d re hu (800)432.4254
s Florida
Notary Asen., Inc
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