551 STEWART ST REROOF SHING PERM ''`'c REROOF SHINGLE PERMIT PERMIT NUMBER
r s, RERF19-0029
CITY OF ATLANTIC BEACH
- 800 SEMINOLE ROAD
ISSUED: 2/15/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 8/14/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL •RK MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' DA BUILDING
CODE, ' OF BEACH CODEOF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies,or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
551 STEWART ST REROOF SHINGLE SHINGLE ROOF $5800.00
TYPE OF
• • GROUP:
172368 0000 LEWIS S/D
COMPANY: ADDRESS:
MONAHAN ROOFING 2050 S KING CIR NEPTUNE BEACH FL 32266
• ADDRESS:
HAMM JAMES MARTIN JR PO BOX 1696 PONTE VEDRA FL 32004-1696
BEACH
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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 RECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF CONDITIONS
(Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $80.00;
STATE DBPR SURCHARGE 4S5-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $84.00
Issued Date: 2/15/2019 1 of 2
(Ult1, Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS
Job Address: SS / - &fe_uyt r,f- S�re-e-t- Permit Number: l - 0(2)_Z-9
Legal Description 21-1 -c7 2., I-? Z 5 2 S t RE#
Valuation of Work(Replacement Cost)$ .s, $DG.a Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition ❑Alteration OKepair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑CommercialResidential
• If an existing structure, is a fire sprinkler system installed?: ❑Yes 2,KO
• Will trees be removed in association with proposed ro'ect? ❑Yes must submit separate Tree Removal Permit ❑1 0-
Describein detail the type of work to be performed:
Cc»Me teie R2rouC-, f e c { �+ �n�ngl� e � re-na, l dectctR g , Sy 1►.<<.'� c4 ray n. G A
(Zc Ia{ 3Gveri�h St�,n�(�L
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name M a r ti N I-1 a Address _
City florc{c I-)er4ra, State Zip Phone 2 'd
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company IZe,o(:in t C.,g rjrac4orQualifying Agent P1 R
Address V-i n Si C. rou h ti City Nab)a,._ Q_i, State F/c Zip ZZC,C.
Office Phone )G,S- `J cl 2 u Zz -VoS S Job Site Contact Number 'T0rn - S j�-`t `�'ZO
State Certification/Registration# K 0-004-73`'1 c) E-Mail 'TL M o na ha n. Q C O rh GC,J
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt❑ Expiration Date
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 the laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition to the requirements of this
permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and
there may be additional permits required from other governmental entities such as water management districts,state agencies,or
federal agencies.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
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
RECQFjD YOUR-NOTICE OF COMMENCEMENT.
i
� (Signature of Owner or Agent) ignature of C tractor)
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\\��A"i4 14fworn to(or affiirrm^oed)before me this'►{ day of + &V� !f*w (or affirmed)before e �„this ►t day of
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QNG; OTA •.ti ••�t S�
/. . (Signature of Notary) _a- MY Comm.Expires (Signature of Notary)
Qom.. .My C° 'E�t = November 16,2022:
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NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of County of
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in
accordance with Section 713 of the Florida Statutes, the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved:
Address of property being improved: _C S I I
General description of improvements: _ Co M p t4-F-c
3� ►c.b ,s h�„ t..,.t
Owner Mc.4r` l-, H C, r-n n-.
Address
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name N[ t1
Address
Contractor r` -1OrA a h a n RO O Fi n S Cor\\ r a cjor j
Address 2-o So \--kn s -cv r i d
41�x Phone No. -TGS—Lic,2o Fax No.
Surety(if any)
Address N { �, Amount of bond $
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name J
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 ` I�
Phone No. Fax No.
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option).
Name
AddressIa-
Phone No. Fax No.
Expiration 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 NER
Signe DATE Z // 9
Befo a this t� day of r in th
C y of Duval,State of Florida,has Pers Ily appeared \\N��'�1111/��/
Doc#2019037396,OR BK 18692 Page 1751,
Number Pa9 es:1 himself/herself and affirms that all statements and declarations r rN0TgR•••
Recorded 02/14/2019 03:26 PM, are true and accurate �'
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL =_ QQ*My
COrM.Ejowa)
COUNTY 'November 18,-2022
RECORDING $10.00 N i\ No,OG 26.V
IC
Notary Public at Large,State of County of ••• •"'� �� ���
My commission expires: t,I((Q lyziz L
Personally Known 111f \\\
Produced Identification i.cc_ -Az