720 Bonita Road - ROOF J \St1
CITY OF ATLANTIC BEACH
-9, 800 SEMINOLE ROAD
- 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: 17-ROOF-3013
Job Type: ROOF PERMIT
Description: re-roof FL10124.1
Estimated Value: $5,000.00
Issue Date: 1/17/2017
Expiration Date: 7/16/2017
PROPERTY ADDRESS:
Address: 720 BONITA RD
RE Number: 171093-0000
PROPERTY OWNER:
Name: JEFFREY, DANE
Address: 720 BONITA RD
GENERAL CONTRACTOR INFORMATION:
Name: MERRITT ROOFING & GENERAL CONTRACTOR INC
, CCC1325919
Address: 1704 GIRVIN RD QA DAVID EDWARD MERRITT
Phone: - -
FEES:
BUILDING PERMIT FEE $75.00
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $79.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
(PREPARE N DUPLICATE)
Permit No. Tax Folio No. 1 7 / 0 r7 3-0000
State of County of
To whom R may concern:
The undersigned hereby informs you that Improvements will be made to Certain real property,and M
accordance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF
COMMENCEMENT.
Legal description of properly being Improved: : ,c)-(� 1 7- �S'
ko q / Pa,4 rrt s un it
lot 3Rik
/
Address of property being improvec: 7 a 0 Bo n 1-
�4'fil B OM1 ! 3ZZ33
General description of Improvements: iK£,12 0 O
Owner rt.tA Q 13-0
\tic eA''�1 S
Address 1 a 0 �1 Ao►n.l.-'ot_ 1 20t. . 44-[atn k i<< t tali, 3aa.3 3
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor ( Y i t-t (z uoc,n alio(
WnfAddress I 70ti r✓i nKoie J r l yZz z.r
e, Phone No. C1 tt 3!co Fax No.
i11Surety(Natty)
Address Amount of bond$
Phone No. Fax No.
Name and of any person making a loan for the construction of the improvements.
Name
Address
Phone No. Fax No.
Name of person within the State of Florida.other than himself.designated by owner upon whom notices or other
documents may be served:
Name
Address
Phone No. Fax No.
In addition to himself,owner designates the following person to receive a copy of the Uenor's Notice as provided is
Section 713.06(2) b),Florida Statutes.(Fill In at Owner's option).
Nance
Address
Phone No. Fax No.
_heoiratbn date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY I - t OWNER
F
DATEi/1314
earore me ars h day d J lr.rl . h .
Doc#2017012093.OR BK 17846 Page 54. rm"fitrib4ICT,MITIMITrir"
Number Pages: 1 w1,hsnNfandelemhsartoleMelomords dswrwIonshoni
in
Recorded 01/17/2017 at 01:30 PM. I are true end agar.
Ronnie Fussell CLERK CIRCUIT COURT DUVAL "
COUNTY r RIIANOEN MICHAEL POWEN
RECORDING S10.004.26
l � $lMa M Florida o
' Noaay P ie at aline,said.% r- ► , . Gv�rlt�:rori#G0 040128
Myoomht s prnr nom Etipires Oct 19,2020
Produced idihhaaceece >� r iiohhdte tlnougrt Ffalionel Notary Asan.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904) 247-5845
Job Address: 7a 0 a30,71+, fed Permit Number: t1- F -30 3
Legal Description 31)--- 490 i -1-35- '3-9 C gu -P-4 rns 0,4/Parcel# / 7/ 093- 0000
Qov -u Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ ` l 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):• Commercial sidentia
If an existing structure,is a fire sprinkler system installed?(Circle one): es o N/A
Florida Product Approval# Ft 101,Pcf, /
For multiple products use product approval form
Describe in detail the type of work to be performed: 12 (X0 P—
Property Owner Information:
Name: t Je-4e(4-j S Address: 70�v 16)0140-,20/
Cityt+i G (3•e�li State j 'Zi 3?-433 Phone
— P
E-Mail or Fax#(Optional)
Contractor Information: // /,,/
Company Name:_ eAcio u0�1 �`a C'on Qualifying Agent: I��i cs M 6(1'i/1--
Address:
4'✓i/-�
Address: 1 70 c 6-t r v i Y1 City J ac4 J Opt vile State / Zip 3 as 2-3Office
-�
Office Phone �1�i 3–l(o ct_] Job Site/Contact Number 147 5-1—! 2-15 Fax#
State Certification/Registration# C C:.0 l 3 2-S-°7/ ,
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,Healers,
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
. —vim T12-1 Qit A ATTORNEY BEFORE RECORDING YOUR NOTICE OF
i ,;:)8,'4% BRANDEN MICHAEL SOWEN COMMENCEMENT.
'i° Ft," Notary Public-Slats of Florida
I h: ;: •t/QRRmiIMIma/e4t IOfritl t application and know the same to be true and correct. All provisions of laws and ordinances governing this
typ% •'c;+., l':, jf Wirth r t „ l flied herein or not. The granting of a permit does not presume to give authority to violate or cancel the
pro 'Si y• . • Ir • • regulating cons ..- .,• . • •• ormance of construction. r
Signature of Owner :, o $ ^ ;I Signature of Contractor/ ,,�
Print Name b Ovv \-e... -+ ... J I•$ Print Name /W�!sj Q///�--/ei f/i
a. .
Sworn,to and subscribed .-ft _ -• .- Sworn to and subFr.De. .-f. e e
this 13 Da of U .:.:K `- N M .i.;` '- this /3 Day of . . ' . ,
h; •�' l -.--. ,� ���; taan
l
•` •= aaioa oc 00126
NotaryPublic `H""",' °°
NotaryPu tic _ i
Mr Comm.Ex:: Oct 10,20 an
—,,dei through National olar '
•►y .„.i+ ger ` 'lith Aam.