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24 Ardella 2014 Roof CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD Jg : ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 A �. Application Number . . . . . 14-00000288 Date 2/27/14 Property Address . . . . . . 24 ARDELLA RD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 14000 ---------------------------------------------------------------------------- Application desc reroof ------------------------------------------------------------- -------------- Owner Contractor - ------------------------ ----------------------- WHALEN PETER R & CARLA DE BOHEMIA ROOFING INC CAMPO 3950 ST ISABEL DR E 2019 SELVA MARINA DR JACKSONVILLE FL 32277 ATLANTIC BEACH FL 322334554 (904) 859-3539 -------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . 120 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 14000 Expiration Date . . 8/26/14 ------------------------------------------------------------------ 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. Doc # 2014039708, OR BK 16696 Page 1650, Number Pages: 1, Recorded 02/21/2014 at 11 :14 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10 .00 NOTICE OF C'OMMENCE FNT Fennit No. _ Tax Folio No, THE UNDERSIGNED hereby gives notice that improvements will be made to certain mesal property,and in accordance with Section 70.13 of the Florida Stawtes,the followlttg information is provided in this NOTICE OF COMMENCEMENT. I.Description of property(legal ddacripfinn): RE-0 172055,Q0D 1'!-2$-299:39 PT OOVTLM?.3 RECD O:]i 12355-1494.11EiNG WR LOTS fo,i i,i2 9LK.1e a)Street(job)Address ^- 24ARDELLA noATI.ANTIC BEACH FL 3223a - 2.General description of improvements: C-0-Lm Re-ROOF,REPLACEMENT WITH SHINGLE 3.0wricr Information^ _ a)Name and address: WHALTEN PETER R 2019 SELVA MARINA DR ATLANTIC BEACH.,FL 32233-4554 b)Name and address of fee simple titleholder(if other than owner)^ — C)Interest in property owNEn(3) - 4..Contractor Inromtation — — a)?bare and address: K EWA R00FINIG CO.;INC, 3950 ST.!SABEL DR E, ACKSONVILE,FL 32277 CGC1328464 b)Telephone No.: 904.959.3539 _ Fax No.(Opt.) 004-353.2700 5.Surety information _ a)Name and address: b)amount of Bond: c)Telephone No.. Fax.No.(Opt.)-- b..Lender — — ..-- a)Name and address: Phone No. _ 7.Identity of person within the State of Florida designated by owner upon whom notices or outer documents may be served: _ a)flame and address: b)Telephone No.: _ Fax No.(Opt.).__ _ 81t addition to hiinself,owner designates the following person to receive a copy of tht:Lienor's Notice as provided in Section. 713.13(1)(b),1:lorida Statutes: a)Name and address: b)'Telephone No.. _ Fax No.(Opt.) _ 9.Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different (tate is specified): 1.ARNING TO OWNER: ANY Pr1VM. .NTN N1ADE B1`THE OWNER AF'T'ER T19.F EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS U-;NDER CHAPTER 713,PART I,SEG I•ION 713.13, j FLORIDA STATUTES,.AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER'T'Y. A NOTICE OF C01VIME'NCEINIEN T M ST B.E RECORDED AND POSTED ON THE JOB SITE BEFORE THC FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CON-SULT YOURLENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT STATE OF FEDRIDA COUNTY OF PEN'ELLAS I0. f S giifltarc of. r w Owner's Au[it�nr f)€fI llirectoNi'rtrtner/Manmer ��`'.-�1`'" �,t� 1;/�r�� '..r�i A{-•fir�r Priat ltismr- The foregoing instrument vas acknowledged before me this day of ?' r'��' .00 - '0 b r� — ....—,� Y — ffff J J d# o authority,e.g/0 cf.,trustee, W attorneyin fact for YJ`' � ) _......_ (name of party on ,/� � fate et itiOPida Personally Known—tlItRroducesi ldentiticatian Notary Signature s;� 9 C3s�m :0f"5eP 74,2at5 Type of Identification Produced Va nite(print) 4, r OR R. f t ;��.U�� '�^- L t.A Verification pursuant to Section 92.525,Florida Statutes.Under penaltiesof perjury.;I declare that Ihave re [1 thr)foregoing and that the facts stated in it are tnie to the best of my knowledge and belief IUNMS'rxK,vs�ZUIU $ nartire ofT�atcra Persun Sig:vrm(tn7ie ii lUJ Alx+�e �— BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach,FL 32233 Office(904)247-5826 Fax(904)247-5845 Job Address: 24 ARDELLA RD ATLANTIC BEACH FL 32233 /Permit Number: K 14 �. Legal Description 17-2S-29E.36 PT GOVT LOT 2,3 RECD O/R 12355-1494 BEJubParce179bU-00if 0 Firr a of Sq.Ft. Sq.t1t Valuation of Work$ N P190 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration( Repa' 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# For multiple products use Trod—uctapproval form Describe in detail the type of work to be performed:COMPLETE RE-ROOF, REPLACEMENT WITH SHINGLE 67-irF-Fzwk« �ui 61A Ft- lotay>6 Property Owner Information: Name:WHALEN PETER R Address:24 ARDELLA RD City ATLANTIC BEACH. State E.LZip 32233 Phone 904-545-0670 E-Mail or Fax#(Optional) Contractor Information: Company Name: BOHEMIA ROOFING CO.,INC. Qualifying Agent: IVANA HODULOVA Address:3950 ST ISABEL DR E City JACKSONVILLE State FL Zip 32277 Office Phone 904-859-3539 Job Site/Contact Number 904-982-2114 Fax# 904-353-2700 State Certification/Registration#CCC1328464 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 ofa 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 ifwork is not commenced within six(6)months,or if construction or work is suspended or abandoned for a period ofsiz/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 N TICE OF COMMENCEMENT. I hereby certify that I have read and examined this a plicati and know the same to be true and correct. All provisions of laws a d nces governing this type owork will be complied with whether specified her or not. The granting of permit does not presume to give aur rt t io/ate or cancel the provisions ofany other federal,s e,or local law re g construction or the performance of construction. 2-12-011 Sig nature of Owner —�� Signature of Contractor -�f (`�F�/ ... . ... Print Name rD�.GDI//�.....tq�. ............._... Print Name f.......f,�..........1. .. Sworn to and subscribed b ore me Swom to and subscribo b fore me this A this OLI Day of e J2 a& 0 ids° 'P EL RATHOUSKY Not l' a of ubliC-Stab of Florida Notary Public ?N My qtn .Expires Sep 14,2015 R v' ed 1. 6.10 %;t,oFF.Q;P'• m ission#F EE 130370 YAVETHOUSKY 3, No -State of Florida My ires Sep 14.2015 ;A� C0 EE 130370