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1759 Ocean Grove Dr 2013 Roof CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 �Jlt >`} Application Number . . . . . 13-00002339 Date 3/20/13 Property Address . . . . . . 1759 OCEAN GROVE DR Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 13528 ---------------------------------------------------------------------------- Application desc reroof ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HALL, BARABARA BOHEMIA ROOFING INC 1759 OCEAN GROVE DR 3950 ST ISABEL DR E ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32277 (904) 859-3539 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 120 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 13528 Expiration Date . . 9/16/13 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 120 . 00 120 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 124 . 00 124 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 03/14/2013 11:16AM. FA4 [a 0001/0001 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BE, 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax(904) 247-5845 Job Address: Tz?9 OCEAN GROVE DR, ATLANTIC BEACH, FL 32233 Permit Number: Legal Descrip io 20.20 09-2S-29E .103 OCEAN GROVE UNIT NO 02 w 75FT L0 i a cel# 169604-1500 Floor Area o q. t. q. Valuation of Work S 3i Sz Proposed Work heated/cooled non-heated/cooled Class of Work( iicts e one): New Addition Alteration • Repat Move Demolition pool/spa window/door Use of existing/ rosed structure(s)((circle one): Commercial Resident If an existing A uure,is a fire spriinlcler system installed? (Circle one): es No N/A _ Florida Product Aroval # F L !O1 Z't tr�A_� rtc St int f/� For multiple p o use product approval form Describe indetail e type of work to be performed:COMPLETE RE-ROOF, REPLACEMENT WITH SHINGLE 02 S Property Owner T f rmati n; Name: #0/1 Address: 1759 OCEAN GROVE DR City ATLAI TI BEACH FL State_Zip 32233 phone 422-7578 1E-Mail or Fax# Optional) a Contractor Inform ti n: i B ROINC.HEMIA OFINd CO., IVANA HODULOVA Company Name: Qualifying Agent: Address:3950 ST ISABEL DR E i City'; JACKSONVILLE State FL Zip 32277 Office Phone 12A&59-3539 I Job Site/Contact Number 9104-982-2114 Fax# 904-353-2700 State Certificatio' egistration#CCC11328464 Architect Name;& F hone# Engineer's Name &Phone# 1 — Fee Simple Title lH lder Name and Address Bonding Company Name and Address Mortgage Lender Mune and Address 1 -1 ion Is hereby n1"I'derstandthatsepara de to ubtain a permit 1p do the work and installations'as indicated, I certify that no work or installation has commenced prior to the issuance oj'o permit anat all work will hr pc ormed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void Ifwork is notmenced within six(6)months,or if construction or work is suspended or abandonedAr a period ofs'lx(6)months at airy time a rr work Is commenced: te permits rrmuct be secured for�lectriea/Work, Plumbing,signs, Wells,Pools, Furnaces,Bollers,Hca ers, Tanks and Air Condltio iers,etc. WA".1NING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENC MENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR ROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSUL WITH YOUR L NDER OR AN ATTORNEY BEFORE RECORDING YOUR NO I OF COMMENCEMENT. I hereb certify that/h c read and examined this a plication and know the sante to be G-ue and correct. rill provisions of laws and n noes governing this type a�w,ork will he co plied with whether spec d herein or not. The granting:of u permit dors not presume to give authori iolatc or cant the provistons gl'anv other dcrot,state,or local l regulating constructlon or the pc;foemancc u/construction. Signature of 0w h 4 L / Signature of Contractor x Print Name `.-.i .R .. 'i .1Print Name ! UA ji64!,.Swo }nand subsc d bef a me Swor to and subscrib befo a me g{VlQZ ofd Da of 2 this Da of thisy Y u"Is 41 KQ Zip No , P ` o -i Notary Publin13037iO State r0,►RY°u otary Public State of Flor a ' �=My Comm.ExE-26.1 0 vonshatta Bland ��`` y r y Commission DD93395 r Commissi xpires 10/19/2013 Doc # 2013065990, OR BK 16290 Page 1176, Number Pages: 1, Recorded 03/14/2013 at 01:17 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COM3ONCEMIENr Permit No. Tax Folio No.��.....»».... THE UNDERSIGNED hereby gives notice that ern!smvoments will be made I*certain real property,and in arcordiince with;Section 713.13 of the Florida Statutes,the following information ns provided nn this NO'T!C ,OF COMMENCEMENT. REdt1S9604-1500 LEGAL'.20.20 09-25-29F,103 OCEAN GROVE UNIT NO U2 W 75F?LOT 9 I.Description of property(legal description):----- ��._»».....-_....:_:::..................._..... ......................, — ------------------------ a)Street(IoN)Address:.1759OCEANGROVEOR,ATL&.NTr-BEACH, et13a _...... »». _ _ » w ».,........ ... ..... 2.General description of improvements: I-ONEPLErE SE.FJ00F,f;`aLAozMEN?wnta saaT LE »..».......................»................ ............. _ ..»_..,.. ,.,.»_...... ..._�: ... 3.Owner Infvrmetion ` a)Tame and address: HALL BARBARA 1759 OCEAN GROVE DR,ATLANTIC IC BEACH,FL 322$3 ..__.._ _ _ »_............_..................... ................------....................... b)l�iaraee and address(;ii'ee simple titleholder(if other ttaats ctvrttex} _ ................................................................ _ c)Interest it property onnt:tctsl .......»....: 4.Contractor Information 41 ame and address: � ».. 3950$7.iSASEL DR E,JACtSONVUE,FL V277 'T,0130454,8d5d � . -------- -.................................–.............. i _..,. .,...,».,....,. b)'Telephone No.: 904.85rti3s34Fax No. - ......................_....---................. . ........ . 5.Sumty Information a)Name tan?d:uidress:.....................»...».»..................,»...»............_.........»_»..,. »... _...»_........»..»»_.. ...»,_ -- b}Aart(yt?1t of I3ord:.....»...... .... _.........................» » . -�_ .,. c)Telephone No.; .....Fax No.(Opt.): »,». :.....»._:_ _ ............_.. O'Lender a)Name and address _»_,. . ._.. ..:.... ...................-............................. PI?ane No »:...........„,..,_....................... Idertlty of kersnn witltiax the State(af FIc?rida desigt?ated by owner upon whom notices or other documents may be served: a)'•.+;ame and address:,.,».,. .,......._..-».. ..,. ._»...._.......:..,.,..w,........................._........................................... ...... .--- b)'Felephone No.: Fax No.(Clpt,)....,.,.,.- .......... 8.In addition to himself,owner designates the follewin.S person to receive a copy of the I,ienor's Notice as provided in Section 713.13(I)(b)>Florida Statutes: r a)Name:and address:........._.:,..::..»». ..., »:. _......-.._...............................__..._..:,.._»... b)'TelephoneNo.: Fax No.(Opt.) . 9.F..xpirati(?n dote(af.Notice of Cornmencernent(the eaparsttaQn date is one year from the dare of recording unless sa a different date is specified). ........... WARN—ING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFFER T.HE EXPIRATION OF''Tt11s NOTICE OF COMMENCEMENT ARE CONST DEM iiD KN1Pld,(?PFR YA'YNIVITS UNDER CHAPTER 713,FART 1,SECTION 113.13, YeLORID 4,S TA'fUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR.CM t'FIOVE h'TENTS TO YOUR PRO PE:it'I'Y. 3 .A.NOTICE OF t<J 19 71: a€:;IG IP€)n;lti'I't41€'gT BE RECORDED AND POSTED ON'€'HE JOB SITE 13t+FORL THE"RST INSPECTION. IF YOU INTEND'TO OBTAIN FINANCING,CONSULTYOUR LENDER OR AN.A.'E"I'd:JldNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF C:`CJM1IMMENCIE,IV EN'r. ff ST?T E)F Fa 4R7D4 q a c � �+ 3 t f a► .� N trayPuiix.:a7at it Fllnls COUNTY riftRa@r.t;a:zYi a n •, .3 r3and • �.,a: . x t,�.r.t a�k..m a>4 t t z:,>.t:t t tt cx My C:rmnlbsion JUf+334n6S Fant'Natre. »_..»..,.»,_ __ _ _ g ,rl,,c torte iaa>r it? t ��tit Yc:as'aolsnovvled ed l7efbre me this ay of ` .._W-.._..s 2 a by »» 3 t e q asd� Qh , __ (type of atatlaterity,e.g.rt - trus'ets� t attorney in fact)for _ .(name off party ere behalf of-wh- 11 Yrlarri-at as Pcrsona!ly Known OR Produced Identification votary S1 <a:t:a Type of Idertificatior I'r(?dlace(I �ad OR verification pursuant to Section:92.525,Florida Statutes.Under psnalti.t:s of paiury,I declare that I have read the foregoing and that t the facts stated in it are trite to the beta of try knowledV-:eztd belief )* 3 Ft13cA13Ril:C.ras!?7aC »»..L E,,....A�,�...,, ...........:................- St eaaar it N ttt:tat Persnn SignitillOn lint i i