1907 OAK CIR RERF21-0071 REROOF SHINGLE PERMIT PERMIT NUMBER
41,
i CITY OF ATLANTIC BEACH RERF21-0071
yr 800 SEMINOLE ROAD ISSUED: 3/8/2021
ATLANTIC BEACH, FL 32233 EXPIRES: 9/4/2021
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF 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:
1907 OAK CIR REROOF SHINGLE SHINGLE ROOF $5600.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172020 1246 SELVA MARINA UNIT 12A
COMPANY: ADDRESS: CITY: STATE: ZIP:
MONAHAN ROOFING 2050 S KING CIR NEPTUNE BEACH FL 32266
OWNER: ADDRESS: CITY: STATE: ZIP:
FENNEL PETER 1907 OAK CIR ATLANTIC BEACH FL 32233
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT If\
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 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$84.00
Issued Date:3/8/2021 1 of 1
4 ' "!.
Building Permit Application
City of Atlantic Beach Building Department **ALL INFORMATION
;, ' ' 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
40101.),' IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us ((
Job Address: 1 9 0.7 Oalc CI rC 1-- Permit Number: '`E I�1Z 1 -6 D 71 (
Legal Description .....? -G 1 004-7- 2S - 2 4 RE# 17ZC>7e� - 1 z 1 (j
Valuation of Work(Replacement Cost)$ 5 ,I30 Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition Alteration 13‘pair ElMove ❑Demo ❑Pool ❑Window/Door Reroo F
•
• Use of existing/proposed structure(s): ❑Commercial idential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes IN
• Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) DKr-
Describe in detail the type of work to be performed:
GC;rnple(-e. rerc,c.F vr.,nte. co,...-f
Florida Product Approval# /-/ /D/ 2`/--226 for multiple products use product approval form
Property Owner Information
Name f7e-S-e-r Fen,-,.c. ( Address iCIO 1 Oc k. Ctrc%R
City (a}-►a..i-,c Q er-.c h State Etc Zip Phone
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company ff oncu hc�r• Rc�c.A r)) Go .t-rc,-k-(Qualifying Agent PJ I Pr
Address 2CSu I`t nS Ct rclg- .S-0....Fti City I.)e of-a,, � State I Zip 322.6
Office Phone 2 Z t -Uv SU Job Site Contact Number Tarn - S'c,, !-yryZc,
State Certification/Registration# R C v v,-t-i act ch E-Mail -1' l-('')o na hot-n a co r 'ca s f- . n e F-
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR ExemptExpiration Date Nora )
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
RECORDING l 0 SCE 0 F COMMENCEMENT.
(Signatur- . Owner or Agent) (Signature of Contractor)
Signed and sworn to(or affirmed)before me this -1 day of Signed and sworn to(or affirmed)before me this ill day of
a-re—k , 20?A,by /' ' ..eJ 1 MC.rch 1 ,by Ilf\4wtGs�L�M�nalrta"
(Signature of Notary) (Signature of Notary)
''';a: • . DACODAH PARRISH
Notary Public State of Florida . Commission#HH 024083
Personally Known OR Laurel Fowler-Heaton [ ]Personally Known OR
My ;;;���• ` Expires July 27,2024
[ ]Produced Identification Y Commission GG 190681 [7 rroduced Identification :Eo';,C�: g� Troy Fain Insurance 800.385-7019
712.0F Expires 02/27/2022 Type of Identification: ,7y
Type of Identification: yP !-""- .w•-•.-----
NOTICE OF COMMENCEMENT
State of F L Tax Folio No.
County of 0 Lt V r3 L
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:--3 — l,C Z-4 CJZ — ZJ t
Address of property being improved: J 6/ O 7 t) 4 L C. / IC._. h4 71-, ../r/ C 13 (AI-
General
AfGeneral description of improvements: f_.) C w t, 0 r
Owner: Pi= Tt f2 }- c w rv4 1 Address: 1 J Q 14k (, 1 f1
Owner's interest in site of the improvement: lVLU"C ✓ �E iG"�" per"`` ���
Fee Simple Titleholder(if other than owner): iJ I Po-
Name:Name:
Contractor: Mr,„t~hG RoO Fins Cc,„ Arr f Orr INC
Address: 2OS-6 LI n S u Ce rcl (-c nee 1 c,n e
Telephone No.: Z2 r —v u S C Fax No:
Surety(if any)
Address: (V / T- Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address: N I
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: /V ) �-
Telephone 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 Statues. (Fill in at Owner's option)
Name:
Address: /�/
Telephone 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 OWNER
Signed: / Date: 31,14 t ZC 2—(
Before me this 4 . of NU r C..1e` in the County of Duval,State
Of Florida,has personally appeared ee'A—L,r n
Notary Public at Large,State of Florida,County of Duval...
My commission expires: L—2: — 2 2Z ,. . Nntary Public State of Florida
Personally Known: f Laurel Fowler-Heatogr
Produced Identificati +� My Commission t;t,190681
�j �n Q�A�'A— Q • a�" Expuec 03r27/7827