785 SABALO DR - ROOF `r .,0-1_T r f
(------
,h CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j T r: 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-1147
Job Type: ROOF PERMIT
Description: RE ROOF WITH SHINGLES
Estimated Value: $4.800.00
Issue Date: 5/20/2016
Expiration Date: 11/16/2016
PROPERTY ADDRESS:
Address: 785 SABALO DR
RE Number: 171305-0000
PROPERTY OWNER:
Name: APOSTOL ET AL, MARIANITO
Address: 785 SABALO DR
GENERAL CONTRACTOR INFORMATION:
Name: MONAHAN ROOFING
Address: 2050 S KING CIR QA THOMAS L MONAHAN
Phone: - -
FEES: ------- - ----BUILDING PERMIT FEE $74.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $78.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
A.
1. CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 I, 5'- R00c _ 1G17
Job Address: *7 s Sb�-ri- SAS A Lc L is\v E Permit Number: v�
�j(1cco7 LoT �� J �...l...L
)kegal Description 30-34\ - 2S -.)9c �' -�i"�S Parcel# g
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 4 _d0o. ' Proposed Work heated/cooled non-heated/cooled
�QrG4.D F
Class of Work(circle one): New Addition Alteration epair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial esidential
sprinkler system installed? (Circle one : o N/
If an existing structure,is a fire y
Florida Product Approval # F L- I 0 1 2 ci . I
s, For multiple products use product approval form
Describe in detail the type of work to be performed: g'€ -. F Sr`, s 1 a r ec, 0-, 1 ,1
GAC--E 'C,m b er t, ,`
\itroperty Owner Information: .•
Name: NA4RU;Z•1t APC610(.-I-62(3W1JIA)C.) Address: r4F35 C iO ('i Vt
City j4T t_.A t•kri C. '(3 16 E 1- State t� X
Zip 33 Phone S-2 1- (-Iti n 0 (9 1)0?49 3 (L
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: (17o r'c.h.- go c. c , h co,-.4-re..c�or,Qualifying Agent: N I ra
Address: 2.6 s u kt. S G r'c l 30-1-4'h City (e p+u..-c- B .— State `t c. Zip
Office Phone Zz i -00 s S Job Site/Contact Number dr-,-\ S G -<1-,7_0 Fax#
State Certification/Registration# 2c o o '1 1 3`'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 er
work void if
o commenced.work is not
commenced within six I understand that separate permits muor st be secured for Electricconstruction or work is al Work, or Plumbing, Sig s,or a period Wells, Pools,zFur aces,,Boilers,months at time
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 herebycertify 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 owork 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.
� , _. ,/
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;s,�•� � �,._ -�� !�t! vel • Signature of Contrac or � /6
Signature of Own �e —�_ �
11111111///
Print Name IAV21E,1c,-.APaSTDI.ee'ReiM OW Ej `OrWI ie F /�, r o,rn c,I 4 7)1c „ hs ,,,
Bethiso1T . Day of (IN 0"\ ,20 14 this 1�- Day df N�MU� ,201b
S My Comm.Expires: _
hrv.‘4"-L January US{, D0 i
Notary Pu Ill,„„,, N• ' �"''
on MICHELLE BROWNING WINSTEAD
• T 4:
Revised 10.24.12
,&� ':= Commission#MFFu 091275 �i�'9N 'Ol5F13A �Q`�
1.4..;,„7.. Expires March 21,2018 �� •...........................
'•••••' �
,84, e�ase Thor Troy Fein Murano eoa3es ro10 '/F OF F‘...0`•♦♦
'igt 1111
Permit Number
Tax Folio Number
NOTICE OF COMMENCEMENT
STATE OF FLORIDA
a
• o COUNTY OF DUVAL
a, °
l ?TTHE 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
11- Commencement.
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✓ is Y X Description of property(Street address): gFL 3,D='33
) to c 9, Legal Description: LN ( : 3rb - 9zt 3 --7_S - 36
gN�W iQ .5 t,�2. Ro �� s Uu_Ira
-- ..N0 L 3'.
= a,_ 0 2. General description of improvement: R e rc , r= \
o moo Z .��,r� _ Q1'}ch Qr eCl
" P a,z
• 2 Owner information:
g § o o w a. Name and Address: Mi4Rt-irl\1E j 01106
o z o:rr o o: a. Interest in property: ((7)2)%
b. Name and address of fee simple titleholder(other than owner):
LL V 4P?- (,tCAC)Ct-
Y4. a. Contactor's name and address: Mc,(‘‘k h o� IZo� , Co r. E rack cJ J
b. num -�h 2_c., Fax number:
i‘9‘)/ 5. Surety Information:Phone ber: S
a. Name and address:
b. Phone Number: (� r 1 r) -) Fax Number:
c. Amount of Bond: V
6. a.Lender's name and address:
b. Phone Number: 1 a..
7.a. Person within the State of Florida designated by Owner upon whom notices or other documents may be
served as provided by 713.1 2(1)(a)7.Florida Statutes.
b. Name and address: , r
c. Phone numbers of designated persons: IV j
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.
Signature of Owner(Owner's Authorized Officer/Director/Partner/Manager):
CL'4C-g2c ,_ .4/ 0 E3t-St- i-gfav•JY-
(Signatory's Title/Office)
• da m
The foregoing instrument was acknowledged before me this y of �"I ,20 1 6
by i'VkAc.-c O 1 w ti. 0''" ✓ for ql.4 ' l .
.n:'iy MICHELLE BROWNING WINSTEAD
' I. 1 `�-- p ,'•' ,::= Commission#FF 091275
/ lotary
: A �"� __ ch 21,2018
4,fj 'r, iia TMu Troy Fein Insurrae 800.0854010
Personally Known�. Or Produced Indentification Type of identification Producer
My commission expires: n\G.rcA 2.-I � 201 $'
Under penalties of perjury;I declare that I have read the foregoing and that the facts stated in it are
true to the best of my knowledge and belief.
6 I