1918 Sea Oats Dr - ReRoof s,\ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J 1.1 ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROOF-2975
Job Type: ROOF PERMIT
Description: reroof
Estimated Value: $8,200.00
Issue Date: 12/31/2015
Expiration Date: 6/28/2016
PROPERTY ADDRESS:
Address: 1918 SEA OATS DR
RE Number: 172020-0912
PROPERTY OWNER:
Name: JONES, DONALD W
Address: 1918 SEA OATS DR
GENERAL CONTRACTOR INFORMATION:
Name: MONAHAN ROOFING
Address: 2050 S KING CIR QA THOMAS L MONAHAN
Phone: - -
FEES:
BUILDING PERMIT FEE $91.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $95.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
A
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 19 (8 ,Se.c QG,fJ Q r i Permit Number:
Legal Description Parcel#
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ B3..C�U . Proposed Work heated/cooled non-heated/cooled
30
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
62erooCr
Use of existing/proposed structure(s)(circle one): Commercial ,Reside
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No
Florida Product Approval# L l�S G.3 Poet-ti sl-«is PI )3 4.5 7. (-7
For multiple products use product approval form
Describe in detail the type of work to be performed: Re co. F er.-1 i c e_ ro c) F / tti ) 3 6 Y ., C L:FAIL%r►—,
Reck:}ec14,01 ((;-4 t= tvl bet, lin.¢) fr% 4 `S4- f-e ks- o. hale..-+
Property Owner Information: n
Name: 00�d do n e1' Address: I °l I 'a S C O�IJ P r
City f I-1c 1- 1 c. Q ec..c.k Stated Zip Phone 2 2 d-9 tt I Z
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: My,a kc..._ ( C c. ct.,) COIN E rcc 4or) (MI ualifying Agent: 141 -
Address: ?u co ki..ss C4 tee.I .4- City Negg I.+..i.. State Fi-e■ Zip 2z e_ . c-
Office Phone SC4.4— 'lS t a Job Site/Contact Number —7o t•^■ .ca J_yg7 1x#
State Certification/Registration# (LC Qv.,1"7't' 1
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 of a 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 if 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'York, 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 I have read and examined thisplication 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 spec/fled herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federa ate, or local taw reg lating construction or the performance of construction. -
Qgnature of Owner C/'l/ /� g
Si nature of Contract,,r /,,,‘4,/i ///
Print Name D‘,yJA/ 00 Print Name /*0 T►ZC,X 2 MG"N
Before me 1 Before me ���_ /4 , 20 �.
this )4, Day of `1 b , 20 �� this1's' Day of "Qz-l'•'"r-�
CP - Susan D.Ludlam I,Iv ry/RT;!*'1► _ � ,
Nota a lic State of Flonda No , IE,i • • •1, '..•' ,,, ;• i
MY COMMISSION#FF103715 I �;;�;,..„. eo it uZa,6,
°' �'� Expires;April 2,2018 L ---- z°-_I-ed 10.24.12
Permit Number Tax Folio Number
NOTICE OF COMMENCEMENT
STATE OF FLORIDA
COUNTY OF DUVAL
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in
accordance with Chapter 713,Florida Statutes,the following information is provided in this Notice of
Commencement. A/ 4 7Ggti/c � 4/
10 Description of property(Street address): / // SG4 �,�7s r'1. rte.:; /(2.6)--g--7
2. Legal Description: LI 4- 4„D- 9 f-.79 e ..Sc v4 im 4,,pi v'1 Z/.ti f % iQi 4.-.6M..7
aGeneral description of improvement: /?C• — /l O O i
0 Owner information: ,�v1v q4 '6 ' eirsrAt i/`C JN '
a. Name and Address: 1 /f'/4 fc2 O4' 4 74'4 i ,1-2 2 j L 2-,.?....7
b. Interest in property: 6 .NejQ1"
c. Name and address of fee simple titleholder(other than owner):
I/4
O. Contactor's name and address: mOrvah�„ Roc,c(n) C.or4rc c ko ar 20_50 k�:■ r Ccccf p
b. Phone number: ( S�2 -c-1 q2_0 Fax number: klCr F,.4 geA,irtc
5. Surety Information: 3 Z 2C G
a. Name and address:
6 b. Phone Number: V Fax Number:
c. Amount of Bond:
6. a.Lender's name and address: 1\ 1 la
b. Phone Number:
7.a.Person within the State of Florida designated by Owner upon whom notices or other documents may be
served as provided by 713.12(1)(a)7.Florida Statutes.
a. Name and address: „ r �\
b. Phone numbers of designated persons: 4' 661 i'"
8. a. In addition to himself/herself,Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
b. Phone number of person or entity designated by owner:
9. Expiration date of notice of commencement(the expiration date is one(1)year from the date of recording
unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNERAFTER THE EXPIRATION
OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER
CHAPTER 713,PART I,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTED TO OBTAIN FINANCING,CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR
NOTICE OF COMMENCEMENT.
Signa e of Owner Owner's thorized Officer/Director/Partner/Manager:
(Si natory's ►tle/Office)
The foregoing instrument was acknowledged before me this L day of �OtZ,,,� ,20
by �Gj�n1 )D/N'>' for .
. )6 A ai
Notary: t a. i%.
r-
Personally Known Or Produced Indentification ✓Type of identification Produced: )--L, 01—
My commission expires: Per, "2 ) '2_0 "
Under penalties of perjury,I declare that I have read the foregoing and that the facts stated in it are r
true to the best of my knowledge and belief.
Doc#2015295768,OR'OK 17414 Page 1248, SPAY Aye Susan D.Ludlam
Number Pages:1 2 Al `' ^ State of Florida
Recorded 12/31/2015 at 09:36 AM, N 7 MY COMMISSION#FF103715
Ronnie Fussell CLERK CIRCUIT COURT DUVAL �-
COUNTY 9R}v Expires:April 2,2018
RECORDING$10.00