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775 REDFIN DR - ROOF 4' v'}, CITY OF ATLANTIC BEACH �:; s) 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-724 Job Type: ROOF PERMIT Description: REROOF Estimated Value: $4,600.00 Issue Date: 3/25/2016 Expiration Date: 9/21/2016 PROPERTY ADDRESS: Address: 775 REDFIN DR RE Number: 171282-0000 PROPERTY OWNER: Name: QUILLEN, MARY C Address: 775 REDFIN DR GENERAL CONTRACTOR INFORMATION: Name: MONAHAN ROOFING Address: 2050 S KING CIR QA THOMAS L MONAHAN Phone: - - FEES: BUILDING PERMIT FEE $73.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $77.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION ` CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: -17 S Re-d-Pi r\ 0 r Permit Number: Legal Description Parcel# oor • ea o q. t. q. t Valuation of Work$ t1, I,Q Cl 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): Commerciale esi •a' If an existing structure,is a fire sprinkler system installed? (Circle one): es No • Florida Product Approval # R.--101 2 'i For multiple products use product approval form Describe in detail the type of work to be performed: R Cxc' ' S`h I n S I es u i n ) ., Pee■- N S 4 , (_L Mow liAre G-u-c,..-d , G R I= Ti rrrn 6 e r I i r\ e (A k(-‘; t< u \ &h.r,S i-) roper y Owner Information: N1 it re-y C.,2 c( i i f t-A/ e: Address: `77 S 2e a C,,--, 0,r' City (rH-Ic,.,. -i c Q es�c._■ State CL Zip Phone E-Mail or Fax#(Optional) Contractor Information: Company Name: (no r'aK`c•-^ R Co C i n S COr 1-re.c.l or' Qualifying Agent: U I 1 Address: 20 Co ILA nS s CI rc..%e. So..t'►-. City Iv-e 0-1,4 r,-Q State Cl Zip 22 Office Phone _ •Co 2,-4 9 2.0 Job Site/Contact Number'Tom cc,LP _y q Ze Fax# State Certification/Registration# RC 00 LI 7 3 c S 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 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 I 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 au orii to violate or cancel the provisions of any other federal,state, or local law regulr 'e: construction or the performance of construction. /at ure of Owner Signature of Contracto r v Print Name 04 fri -)i c Oat i G.L. 'l°" Print Name �C.»c,i J e-.c A . Before me Before no / this t 'Day of 10,,L AA 20 this 'J''Day of , 20 /4O Not. liC Cornn•:ssion#FF 967329 otai Pub 1c,, ...,, , _; h ,, ROSEMARIE a PERRY y;'Expires March 2,2020 ` MY COMASSI ' o,/ EXPIRES:Jan g 1 1 •4.12 Bence:Thru'ray Fain Insurance 800.385.101? _ .qi:;P Bonded Thru Notary Public Underwriter 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. 1. Descri tion of property(Street address): '-1'V'5 R.ed t- ,,, O r , Legal Description: L B t q - 6i-da K g ,Qqn-C-Pn-Lm,5 u N s± -`rvi/-0 C;-. 2. General description of improvement: Ccj,Y,P LeA--e_. ...erc-c;• - 3. Xwner information: a. Name and Address:, ar1.1 ,QVi l 775 kJ"'-I""` a. Interest in property: O(..01-...e,r- b. Name and address of fee simple titleholder(other than owner): 4. a. Contactor's name and address: Mo r,c.ti U.., CZ c). Fr(,) 2©,S 0 1�a.'13" C;r`i , k e'P 6v-e-$`.', b. Phone number: ._S 6 _4-tq 2,G Fax number: si--L_ 5. Surety Information: a. Name and address: Doc#2016067255,OR BK 17504 Page 879, b. Phone Number: Number Pages:1 Fax Number Recorded 03/25/2016 at 10:12 AM, c. Amount of Bond: Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 6. a.Lender's name and address: b. Phone Number: N 1 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. b. Name and address: j c. Phone numbers of designated persons: N 1 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. lySignature of Owner(Owner' 'uthorized Officer/Director/Partner/Manager): (Signatory's Titl/Office) The foregoing instrument was acknowledged before me this '251' day of u2 ,20 I e. by as for . Notary: 1,1 0. Q,t/l/L Personally Known Or Produced Indentificatiori y Type of identification Produced: UM) ,D. a My commission expires: �1 ZO2.O Under penalties of perjury;I declare that I have read the foregoing and t at,, m•facAtiji§ Ind are l true to the best of my knowledge and belief. . '` ,Commission#FF 967329 r,;:,7 Expires March 2,2020 6 F°F;E��� Borrdesibru royfainlnsurance800385.7)1 t . ,7?tG/<SJeii- b. //ieSi