2302 W Oceanwalk Dr - ReRoof (si CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J 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: 16- ROOF -432
Job Type: ROOF PERMIT
Description: RE - ROOF
Estimated Value: $15,000.00
Issue Date: 2/19/2016
Expiration Date: 8/17/2016
PROPERTY ADDRESS:
Address: 2302 W OCEANWALK DR
RE Number: 169463 -1092
PROPERTY OWNER:
Name: CROCKER, JOHN R
Address: 2302 W OCEANWALK DR
GENERAL CONTRACTOR INFORMATION:
Name: MONAHAN ROOFING
Address: 2050 S KING CIR QA THOMAS L MONAHAN
Phone: - -
FEES:
BUILDING PERMIT FEE $125.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
1
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845 1 — R F _1 s z_
Job Address: 23 0 2 d c ea,. L,-) c, \ k D 1 l) 1- - Permit Number:
Legal Description Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ IS, OGic , ' 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 '
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes N /A
Florida Product Approval # FL 10 ( L S.? 2 S
For multiple products use product approval torm
Describe in detail the type of work to be performed: Re ro.' P r , „ r 1 E E -- ru ,,o, A-40 OA r
,
Ore -J- ec%ii c / _5A � , ,,t j / , Pa I , ✓c i t 111 r j .^
roe Owner Information: .
Name: JUAn Crock(' c Address: Zi 7 (.c rc, n U - Ck. Dl . W
City A- / f , c Ec.� � -. State F . -Zip Phone
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: IY t o„o..c. h Rte. ca f n C.Cd” l i c; `Far - Qualifying Agent: AJI /
Address: 2 0 5 0 l .-tr City fl--p 1,,,.,-`_ B c - State H Zip
Office Phone _Stoe — +-t . z-" Job Site/ Contact Number -- T — v , Y. Fax #
State Certification/Registration # a c c, 42''i
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 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 of six (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 NOTICE OF
COMMENCEMENT.
I hereby certify that 1 have read and examined this a plication 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 specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, state, or local law regulating construction or the performance of construction.
n ature of Owner G! �" �� r1711 per"
1 Signature of Contractor jp Z A'/ /i/�'
- _
Print Name .plt
9 gn / eg„. Print Name G4i
4‘_.1/4 , O TA q k:** " ,
Before me ■ 0 ;X ;' S L Before,m
this °\ Day of FQ;brvU() / My C .Q,; p Z thi " Da of F-€42 . � I , 20 I l
,tanuMV 06, 2020: ► 1 _ Fi • EMI •l — . e . ; i•41011' ii Neff '14073: u i ipiiii ,
Nota ublic N Nj'` Neal ! sr ' EXPIRES: January,, 2020
. -.. A V B L �G� � O � Z v.„f 6 . , ''� Bonded Thru Notary Pubic Uncle t .
i r�� '9i. •... Q . ` d 10.24.12
, O F F1 O`�•■
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. 2
1 Description of property (Street address): 4 23 ' 4.X l�i"e �1L' e , 4 5-2° 33
Legal Description: y Z —74 — ) 7— 23 — 2 r C L� �- Y c,.
2. General description of improvement: R er'oc, E c e e t er (-
3 , Owner information: �� //�� �)
a. Name and Address: J , £ &'G <8 23 2 OC6d/VAMe e D4 4/ 3 ZZ 3 3
a. Interest in property: _04(4:9A.)4L✓ ga446 -*/ ReS /D4CA-
b. Name and address of fee simple titleholder (other than owner):
4. a. Contactor's name and address: al v,na ■G v w0 F i nC U , � l rcr J1'c c 3, / &. L
b. Phone number: S C.. ,Z — LI' ZO Fa number:
5. Surety Information:
a. Name and address: 14 iti
b. Phone Number: Fax Number:
c. Amount of Bond:
6. a. Lender's name and address:
b. Phone Number: Doc # 2016037518, OR BK 17465 Page 2202,
Number Pages: 1
Recorded 02/19/2016 at 11:44 AM,
7.a. Person within the State of Florida designated by Owner Ronnie Fussell CLERK CIRCUIT COURT DUVAL
served as provided by 713.12(1) (a) 7. Florida Statutes. COUNTY
b. Name and address: RECORDING $10.00
c. Phone numbers of designated persons:
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.
E ignature of Owner (O er'sithorized Officer /Director /Partner/Manager):
/ (/ %
(Si a ory's Title/ ffice)
The foregoing instrument was acknowledged before me this 9 day of -- 0D e , 201
by J o 11 n C, IDcil -( as OviY for fry-4
Notary: V h G Gl
i
ir ,.% AEL ,R'" �i 1
Personally Known Or Produced Indentification ( /T P.at vo ' iced: � VL-
My commission expires: ) ) S ZOZO ; ; N t.
• �Y Cvmm, •
E i
• JanUa7 G. •
Under penalties of perjury I declare that I have read ffieJ tf4 Vie fits stated in it are
true to the best of my knowledge and belief. i A
Ire; �F �i F1..Q�``�