382 Skate Rd roof permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
30B INFORMATION:
Job ID: 16-ROOF-2617
Job Type: ROOF PERMIT
Description: RE ROOF
Estimated Value: $5,500.00
Issue Date: 1211/2016
Expiration Date: 5/30/2017
PROPERTY ADDRESS:
Address: 382 SKATE RD
RE Number: 171666-0000
PROPERTY OWNER:
Name: JOHNSON LIFE ESTATE, VEDA BELL,
Address: 382 SKATE RD
GENERAL CONTRACTOR INFORMATION:
Name: MONAHAN ROOFING
,R00047349
Address: 2050 S KING CIR QA THOMAS L MONAHAN
Phone: -
FEES:
BUILDING PERMIT FEE $77.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $81.50
PERMIT IS APPROVED ONLY M ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Lta� {)6affcQaeIX , 31-Ila lYdS }etEwPoEptof110tIHl(aA%-y^5VI'ria,t9
BUILDING PERMIT APPLICATION Lo} 17- VM-h e3
l CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, Z�p y
FL 32233 -
Office (904) 247-5826 Fax(904)247-5845 ( f
Job Address: �'A C4�h4- R'O Ael . 3E^'b 1-I 3) 33 Permit Number:
Legal Description-. 1 11a t-1 -n S -A o el
F oor Areao Wit. q-
Valuation of Work S -S Sou. — Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration (9a' Move Demolition pooVspa window/door
Use of existing/proposed structure(s)(circle one):.installed?
If an existing structure,is afire sprinkler system stalled?(Circle one L: Yes N/A
Florida Product Approval# frl r9 SC Yl-14,07/
For multiple products use product apptiiva orm
Describe in detail the type of work to be performedi' a"&", Na r k ra,6,5 - t a4_ f ro m prFrn°scs,
- fooe e -D
Property Owner Information:
Name:Qt' t% Alm A sin Address:- a' ,S)r& ' L kZ iNM*MVP UE b-0-� Z3aB
City G-1 StagZip Phone 4 AU-n-I t-1 4
E-Mail or Fax#(Optional) -
Contractor Information:
ti m
Company Name: • Qualifying
Address: - 'a--` . s r City n t1' 6¢ StateZip3�._
Office Phone �rf�t-y�r- C) Job Site/Contact Number CG!-ti4Z0 Fax#
State Certification/Registm[ion# 2c Cy`+7]45
Architect Name&Phone#
Engineer's Name&Phone If
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Leader 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
issvanee rmit andthat d/work will beperformed to meet the standards of all laws regulating construction m this jurisdiction. This permit becomes nut1
and er
If, ork isnot commenced widdn aix(6J months,or ifconstruction or work is sure kdor bandoned for aW��a pof�T pj months
Boil¢�rs�He aers,
work is commenced I understand that separate permits must be secured for Electrical g,Signs•
Tanks and Air ConaWoners,eta
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO OUR LENDER OR AN ATTORNEY BEFORE RECORDING YO'[)RONO ICA
YOUR PROPERTY. IF YOU INTEND TO OBTAIN E OF
COMMENCEMENT.
I hereby certify that l have read and examined the Plication and know the same to be true and correct. Allprovisiom oflaws and ordinances governing the
type of work well be complied with whether sppeeci ted herein or wt. The granting of a permit does not presume to give authority to violate or cancel the -
prwmom ofany other federal,state, or local law regulating construction or the per
ofcomhvction.
Signature of OwneN•ir�O T'a-s^Q-r^" Signature of Contracto
Print Name �p t C .r.L`..a.A..Q.h..1\5QN...-......_ Print Name ........:....... ..GC!a.f......._L ../Yla..^-t A a.1..........-...._........_.
.........-..ice,......_....
Before t�ye rr,^, Before me
this ay of 131'1- be 1( 20 (0 this ZJto3a f 20 A
No Publi o"A sty Pub Pu tic l
urm/alu,sicnF3stsaa ``�• l8aledPbnda Revised 10.24.12
EXPIPES:JUFy 12,2019 curmissi00 PVras4h4r&7
:fi,;o' • eonaarnw xovyv�eoo uma,wu. Or Commiiai kF1`8073
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No.
State of Florida,County of Duval
THE UNDERSIGNED hereby give notice that the improvement will he made to certain real property in accordance with
Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
1. Description of property(legal description of property and address if available):
Q^o�T�(2m,n L�ImSs.s�k�Lot 22e ej 4a
2. General Description of improvements:
3. Owner Information: ((��
a)Name and Address: a, , :oA�5U'\ -39B, SFr,ahrs Q D f*% A CiV!, &ACIIN FLA
b)Interest in property:
c)Name and address of simple titleholder(if other than owner):
If
aQ 4. Contractor Information:
)Name and Address: �c�na}}at� �OOC°mac. —a0 �G`nC S C°rcA.E _E_{�EtaLlr. Y-Ltg
b)Phone Number._W 04-x.2.1-0044 37,x(°(0
5. Surety Information:
a)Name and Address: Y Nu.�P�4A,OR BK 1776a aa9°2305. —
b)Phone Number: p it 0— Rmorde011/2712016 at 10:17 AM.
c)Amount of Bond: $
Ronnie
o Tv
nie�li CLERK CIRCUIT COURT DUVAL
6. Lender Information: RECORDING$10.o0
a)Name and Address:
b)Phone Number:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13 (1)(a) 7,Florida Statutes:
a)Name and Address:
b)Phone Numbers of Designated Person:
8. In addition to himself/hetself,Owner designates of to receive a
copy of the Lienor's Notice as provided in Section 713.13 (1)(b),Florida Statutes.
a)Name and Address:
b)Phone Number of person or entity designated by owner:
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction
and final payment to the contractor,but will be one(1)year from the date of recording unless a different date is
specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1,.
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 INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated
therein are true to the best of my knowledge and belief.
,a
� .� n r�• ��� ,.._n�.,. �° �.�tO+I�� ,U Sum-owv,�r
Signature of Owner or er's Authorized Officer/Director/Panner/Manager Signatory's Printed Name
ffName&Title/Office
The foregoing instrument was acknowledged before me this day of 0 d Vt4 4 V ,20 )(0,
by I�iC�/\/Ayt�, �OhhSDysas O(� Ae, for Ol� -I� Qd nfTc
(Name of Pelson) (Type of Authority,i.e.Officer/Attomey) metro N wax Executed for)Cwd,
"%h• NOTARY
_'...,a,' ourE.%coPInPaEaSss:Jwuly 12�20n19w PUBLC,Z S �A WO
F �Ptlnt Name:
$
�
❑ Personally Known IR
�'Identification/Type:
(Affix Notary Seal Above)
Revis