312 19th St roof permit to CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
I U
ROOF PERMIT
MUST CALL BY 4PM FOR NE)lT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-2618
Job Type: ROOF PERMIT
Description: RE ROOF
Estimated Value: $11,000.00
Issue Date: 12/1/2016
Expiration Date: 5/30/2017
PROPERTY ADDRESS:
Address: 312 19TH ST
RE Number: 172020-0530
PROPERTY OWNER:
Name: DEVERILL, DIRK P
Address: PSC 81 BOX 136 PSC 81 BOX 136
GENERAL CONTRACTOR INFORMATION:
Name: MONAHAN ROOFING
, RC0047349
Address: 2050 S KING CIR QA THOMAS L MONAHAN
Phone: -
FEES:
BUILDING PERMIT FEE $105.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $109.00
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 1 ;7z�o (8)Office (904) 247-5826 Fax(904)247-5845 60 R00 F
Job Address: 312. I 'I f k S - c c t A i l an he Beach Permiitt ruipber:
S 9
Legal Description 36- ZD 09- 2 —29E SclvaM"naLhrfParcel#
oarArea of Sq.Pt. Sq.r
Valuation of Work S I 1000 . 00 Proposed Work heated/cooled ("o non-heated/cooled
Class of Work(circle one): Ne Addition Alteration Repair Move Demolition pooVspa window/door
Useofexisting/prop osed.structure(s)//circle one):. Commercial Residentia
ff an existing structure,is afire sprinkler system installed? (Circle one). o /A
Florida Product Approval# FL- "I3 F( too )./ct approve orm
For multiple products use pro u
Describe in detail the type of work to be performed: Roof A?LR ince.'( W114\ C'A tL
Property Owner Information:
Name: DI✓K /To ar.c_y DeVcr t I I Address: iy�i��t cti IJr
City ✓ State 1,6Zip LULL Phone Stn- 9 33 - V!39
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: MOIIAbil.n 9007fhlrlq QualitymgA ent: Tom Monahan
Address: 205D City�R c B act. State F—L Zip�la_
OfficePhone 904 21-1- MS!lJob Site/Contact Number S In g— `fG J r7 Fax#
State Certification/Registration
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 on,indicated I cert that no work or installation has commenced prior to the
Issuance ofa permit and that all workwill be ormed to meet the standards ofall laws regulating construction m this jurisdiction. This permit becomes null
andvoid(work isnot commenced within six(6,months,or ifcotvnuction or work is suspended or abandonedfor a period ofstx r)months at any time after
work is commenced. I understand that separate permits must be secured for Eleddcal Work,Plumbing,Signs, Wens,Pools, Furnaces,Bogen,Reuters,
Tanks and Air Conditioners,do
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 FINANCING YOYOUR PROPERTY. ]IF YOU INTEND TO OBTAIN M NOTICE OF
COMMENCEMENT.
I herebp certify that I have read and examined this hourlong andknow the same to be true and correct. All provisions oflows and ordinances governing this
type of work will be complied with whether sppecs ted herein or not. The granting ofa permit does not presume to give authority to violate or cancel the
Provisions ofany otherfederal,state,or local taw regulating construction or the performance ofcomtrucnon.
Signature of Owner f ixGf2 Signature of Contractor
Print Name ,,.,.,. Print Name ^7 a_... O`.."A` `'
o e Before me
this Day 201 this ;7 20
No Public'" ;. JENNIFERKYEE �.ry{c W.
MY COMMISSION#EE867102 �• &go d Flands Revised 10.24.12
E%PIRES January 22,201] 4 M1lld11"j kV� �ue 4AQ017
,inti axis,sa nwaanm_ swxum� ar ftaksion Na.FF 8073
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No.
State of Florida,County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be 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"
egal descripption of property and address if available):
16-70 (A 2S -29F S'rivit kAanna I(n f 9 In7IS 61K 1
2. General Description ofimprovements: 312- 1°Ift StYLct) 1�anTr 13r4ch FL 322b(c
Ptnlaa- Roof
3. Owner Information:
a)Name and Address: PIrK � TYa Cry Dcvcrlil
b)Interest in property: 0 W nII�
C)Name and address of simple titleholder(if other than owner):
Doc M 201626418,OR BK 1T784 Page 2304.
n� 4. Contractor Information: Numeer Pagm t
1 Q/ a)Name and Address: M o Recorded 11 rzv2016 at 10.17 AM'
In_ARonnre Fussell CLERK CIRCUIT COURT DUVAL
b) Phone Number: "I oz, 221 - 00 9 COUNTY
RECORDING$1000
5. Surety Information:
a)Name and Address:
b)Phone Number:
c)Amount of Bond: $
6. Lender Information: n
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: �1-
b)Phone Numbers of Designated Person: -
8. 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.
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. AV0'"'7n
oDDmM/ DUeI/dZle
Signature of Owner or Owner's Authorized Officer/Director/Partner/mmager (6) II Signatory Printed Name&Title/Office
The foregoing instrument was acknowledged before me this 1H day of 16)Qwyl 6 r •20
r���� o I r�? 1 for�p .
b (Name o ,prs n ype of A thority, e. cer Attorney) (Nara_e of Party lawmen t was mcuted for)
+"'• JENNIFER KYEE
' NOTA Y P IC, S TEIO FLORIDA
MY COMMISSIONp EE867102
EXPIRES January22,2017 PrintN
Iwrl aawire r+aaxwmrs�...+wm
❑ Personally Known
.;k Identification/Type:
(Affix Notary Seal Above)
Revis