385 5th St 2013 roof CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
J
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
bill
Application Number . . . . . 13-00003286 Date 8/20/13
Property Address . . . . . . 385 STH ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4000
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Application desc
reroof
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Owner Contractor
-
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BENNETT, THOMAS J MONAHAN ROOFING
385 5TH ST 2050 KING CR S
ATLANTIC BEACH FL 322335345 NEPTUNE BEACH FL 32266
(904) 568-4920
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Permit ROOF PERMIT
Additional desc . .
Permit Fee 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 4000
Expiration Date . . 2/16/14
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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 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 74 . 00 74 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of County of
To whom it may concern:
The 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.
Legal description of property being improved: S ►-) i
Address of property being improved:
General description of improvements:
Owner \—
Address—
Owner's interest in site of the improvement t i t, �� n
Fee Simple Titleholder (if other than owner)
Name
Address
aContractor ��,��.r.�_ :., C:, �.� r 4�•:� I� c .
\� Address "v a+�•, � �i,�.,-� ..� � t=�
Fax No.
Phone No. 22.4-y O QS
Surety (if any)
Amount of bond $
Address
Phone 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
Phone 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 Statutes. (Fill in at Owner's option).
Name
Address
Phone 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 plNNER
Signed Z4e7 DATE
Before me this a in the
Cou t of Duval e o lorida,has p nally a eare
• herein by
himself/herself and affirms I rations herein
Doc 4 2013215861,OR BK 16499 Page 123,
Number Pages:1 are true and a a, JENNIFER WALKER
1a''
Recorded 08;20./2013 at 11:22 AM, ._ MY COMMISSION N FF 011450
EXPIRES:April 24,2017
Ronnie Fussell CLERK CIRCUIT COURT
COUNT`/ DUVAL ^.;Eg 14oT• BondedThruNotaryPuWcUndenrtden
RECORDING$10.00
ary u lic t Larg ate o • county of
M c mission expire
Personally Known or
Produced Identification
- BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address:
3S s l h y Permit Number:
Legal Description Parcel#
oor ea o q. t. q. t
Valuation of Work$ oC) Proposed Work heated/cooledI�G� non-heated/cooled
Pa••��c,f �e ro_P"
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed. (Circle one): Yes No N/A
Florida Product Approval# F L 9 63f . -1
For multiple products use product approval orm
Describe in detail the type of work to be performed: &ro o F ect d S
low � � bGc�c rc �f owl
3G (:M 5tr ling A rch it c 11J
Property Owner Information:
Name: 7N o 94 8-5 ,.71 T T Address: 3 8S
sT
city 1, 72Fci. State F4Zip g6- PhoneF
E-Mail or Fax#(Optional)
Contractor Inf)rmation:
Company Name: (Yl d n e h4^ VEe°,'-1Nr, Co r, E."Ar-o tJ Qualifying Agent: 1J State _Zip_?ZZG �
Address: 20TO tea.. a C4''r tet Gwth City 0eob4N -s- �ge Fax#
Office Phone ,r R- Z Job Site/Contact Number tam
State Certification/Registration# c ci o u—I 3 `L
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
t to t no work or installation h.as commenced prior
the
Application is hereby made to nd that obtainll will betperfo�med tothe omeet the standards of all lawsrk and installations as tregulating onsatruction in this jurisdiction. This permit becomes onull
issuance of a permit or construction or w,
and void p commenced commenced within six understand that separate permits must be secured for Electrical Work�Plumb ng, Sigor ns,aWellseri�Pools,Xurnaces,Boilermonths at stHeaters,
work
Tanks and Air Conditioners,etc
A NOTICE OF
WARNING TO OWNER: YOUR FAIL PAY RECORD
OR IMPROVEMENTS
COMMENCEMENT MAY RESULT IN YOURNSULT
TO YOUR PROPERTY. IF YOU INTEND TO OBBTRAIN F NANO ECORDING Y 9 C NOTICE OF H
YOUR LENDER OR AN ATTOOMMENCEY BEFORE
EMENT.
1 hereb certify that
chafe fled an whetheed pt eciaedlhertein or not.i Pi Theegranting of a pesame to be true on t doesnd cno�prll esumet� gns�vf a autho ity to laws and violatenances orcancel this
type ojYwork will p
provisions of any other federal,state, or local[aw regulating construction or the performance of construction.
Signature of Own&Jn`� Signature of Contract
Print Name h6 • a^�' . 't. ,..�..........................
....................... .... . .
Print Name " '' 20
M.p.yl s............ .... ..2. .N.... T........................................
Be o
Befo � 20 3 thi of
this Day of
Nota P JENNIFER Y Q'+,+ u State of da• �' MY CAMMISSION ii FF Ot 1480
My Commission Expires 02f�1201e Revised 10.24.12
" EXPIRES:April 24,2017 Commission No.1332370
Bonded
n"tuM Pubk UndervOn