1642 MAIN ST - ROOF `1. .. \�� CITY OF ATLANTIC BEACH
- _ .f 800 SEMINOLE ROAD
j0ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
01-119 =
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-1869
Job Type: ROOF PERMIT
Description: re-roof using GAF architectural shingles, synthetic underlayment
Estimated Value: $5,800.00
Issue Date: 8/17/2016
Expiration Date: 2/13/2017
PROPERTY ADDRESS:
Address: 1642 MAIN ST
RE Number: 172385-0070
PROPERTY OWNER:
Name: REINHARDT TRUST ET AL, FRITZ E
Address: 1328 N 7TH ST 1328 N 7TH STREET
GENERAL CONTRACTOR INFORMATION:
Name: MONAHAN ROOFING
Address: 2050 S KING CIR QA THOMAS L MONAHAN
Phone: - -
FEES:
BUILDING PERMIT FEE $79.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $83.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: I G,42/ Li Li ('fl t n s 1- f` akkfA ) Permit Number: 119— (1-00 r' lg 3
Legal Description 1 d - 2S - 29E i d PT Lo i- I 3o8 -dZ Parcel#
Floor Area of Sq.ft. Sq.Ft
a
Valuation of Work$ S 8 . Proposed Work heated/cooled ✓ non-heated/cooled
RerooC
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial (sidential
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes o
r 40111
Florida Product Approval# Fl--c1G3/- .7 fL 100 7 ' N
For multiple products use product appro a form
Describe in detail the type of work to be performed: CO'meLe t e- r e roof us-,n) GR(= Arc 1.4 e.k..c:.i
.SYN►n S1.e/ , Sy the\-:c c...., d e� 1 c••y mer.v-
Property Owner Information:
Name: PI r. r'r i'1-z 2ei n hand.}- Address:
City Ja.c,Lsc'. u1te._ .e.ecc'- State FL Zip Phone ZHc, - -i( d
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: M o nc.ha,. Roc,C1 r,c C c,r. re..c.4.s,3• Qualifying Agent: N 1
Address: 2ocv k.ncs Crete. Soukti City Nee N., 1-e. 4ec , State Ftp Zip 322CC
Office Phone 2.2 i -00s; Job Site/Contact Number `Tem .E GI-Lt a2Cd Fax#
State Certification/Registration# Mc-00'-i-) 3 ti ti
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 f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six f6)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,eta
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
COM►A r EMENT.
I herebycertify that I have read a ex mined is.a.. ic• ion an, ow the s• a to be true and correct. All provisions of laws and ordinances governing this
type owork will be complied rth w ether c, ed ••rein or ot. The g anting of a permit does not presume to give authority to violate or cancel the
provisions of any other feder ,state, or loc s re acing co ,truction or the performance of construction.
r v Signature of Contractor
• i .,, ill/
ignature of Owner • . P••11r a: .,
Print Name , 2 (fa Pa, ���2 9� Print Name t �� r. •`�,1''
Before e �'
Before me �( � �n � it+:::., 2t�6
1� 41L / 20 - this 1 Day of *:My Comm.txP
this D•: ,f / "� e� : : cod. ; January c`` -'.?.°
1 rif/•
Notary Public '�� StateofFbrida 1' of Public =�1r). ......5.-••.•�PUBI- :''�N-t,-
\opvue My Commission Wires 4114120 C�4I
Commission No.FF 8373 ,,iibr'oto
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.
XDescription of property(Street address): I C,c-11/(-14 Main det-J-N,FI c,
Legal Description: 18- 2 S- 299E P-T, i- 1 i Od - 8 Z
2. General description of improvement: R eroo F a rls r, S 1
3. Owner information:
a. Name and Address: M r, I r`; R e,;r.tio.,-
a. Interest in property: own
b. Name and address of fee simple titleholder(other than owner):
4. a. Contactor's name and address: Iror.e,►Nc,,. Ro F,r, ) Con4-rc.c.b.oc- , t Inc-
b. Phone number: 2.2_1 -o o s s Fax number:
5. Surety Information:
a. Name and address:
b. Phone Number: Fax Number:
C. Amount of Bond: Doc#2016189895,OR BK 17675 Page 1140,
Number Pages:1
6. a. Lender's name and address: Recorded 08/17/2016 at 09:58 AM,
b. Phone Number: Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00
7.a. Person within the State of Florida designated by Owner u
served as provided by 713.i 2(1)(a)7. Florida Statutes.
b. Name and address:
c. Phone numbers of designated persons:
8. a. In addition to himself/herself,Owner designates of
•'1'414
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