775 Amberjack Ln 2014 Roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . 14-00000618 Date 4/21/14
Property Address . . . . . . 775 AMBERJACK LN
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4500
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Application desc
reroof
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Owner Contractor
-
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REINHARDT TRUST ET AL, FRITZ E MONAHAN ROOFING
JUANA C 2050 KING CR S
1328 N 7TH STREET NEPTUNE BEACH FL 32266
JACKSONVILLE BEACH FL 322504704 (904) 568-4920
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Permit . . . . . . ROOF PERMIT
Additional desc .
Permit Fee 75 . 00 Plan Check Fee . 00
Issue Date . . . Valuation 4500
Expiration Date . . 10/18/14
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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 75 . 00 75 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 79 . 00 79 . 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: 7 PI-d b-0 , A C ,
Address of property being improved: -?5 1h be��. k
General d scription of improvements: Re F0X4 emf' --(tel 1 a alt n� 1 �h--tJ��`$-`cJ�s�•
Owner `rTA-z-- -
Address
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor. MOMho,,, V—co-Cj n Cee- -mcfoYj
Address 2DI SCO nr s- +c%q-
Phone No. -a2 1 -0-C)SFax No.
Surety(if any)
Address Amount of bond $
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
k
' BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: -S Prnbe,r- �qf,c LAJ , Permit Number:
Legal Description ----Floor Area o q. t. q•Ft
Valuation of Work$. Proposed Work heated/cooled non-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 esident'
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes N/A
Florida Product Approval# Q( I—V S"1PL N-�-f L �GZS 6.3
For multiple products use product approval orm ,
Describe in detail the type of work to be performed: VeMQ C- PuA-
Property Owner Information:
Name: r'r-i k• eQ rr.ho i Address: t^ J�c r'-L n/
City PCL-_"-- Statep(-,Zip Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: MoRocc�_r%x, or-S Qualifying Agent:
01-Address: 2050 K i n�CIL %rx-i-� City IUep�t,,�� (pe c h State . Zip 3a C�
Office Phone 2z e-GG S'� Job Site/Contact Number T6V6 � Fax#
State Certification/Registration# fZG06%4,B LACG
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. 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 rpegulating construction in tperiod his jurisdiction.. months at This permit becomes null
or and work is commenced o Wmenced.of commenced within six I understand that separate permits muor st be secution or work is red for Electrical Work,Plumbing, Sigended or ns,aWells,Pools,xPurnaces,Boiler,t 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.
1 hereb certify that I have read and examined this a plication ow the same to be true and correct. All provisions of laws and ordinances governing this
type
work will be complied with whether s i ied here" or n . The granting of a permit does not presume to give ut ority to violate or c cel the
provisions of any other fede , te, r loe a regulati g cons uction or the performance of construction.
gnature of Owner Signature of Contra or
rint Name r12 t �� Print Name �. .. a ......�(Y�. 1... . ....ctc- .................................................
....... ....�1. .. �.7J ...........................
Before me 1 20 y
Befor me this 1 Day of 1
this - y o
Florida „ Susan 1 Ludlam
Nota Pu is SION # FF 8073 Notary Public =
,�y ®�1MISSIO�#2p1f 715
rY � u� Expires: April 14, 2017 "�",�a�� eves W00