Permit 893 Amberjack LaneCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 10-00000743 Date 6/09/10
Property Address 893 AMBERJACK LN
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation 3500
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Application desc
reroof fl 1481.2
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Owner Contractor
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LUNDGREN MAGALI ROMANO ROOFING SERVICES
893 AMBERJACK LANE P.O. BOX 33037
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 246-5649
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Permit ROOF PERMIT
Additional desc .
Permit Fee 70.00 Plan Check Fee .00
Issue Date Valuation 3500
Expiration Date 12/06/10
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total
Plan Check Total
Grand Total
70.00 70.00 .00 .00
.00 .00 .00 .00
70.00 70.00 .00 .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
Office (904) 247-5826 Fax (904) 247-5845
ob Address: ~~ ~rw bQr'J ~G ILA ~~ Permit Number: i
.egal Description
- z-- --
'aluation of Work $ ~ d~• ~~ Proposed Work heated/cooled
'lass of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
use of existinglproposed structure(s) (circle one): Commercial Residentia
fan existing structure, is a fire sprinkler system installed? (Circle one): es o N /A
iorida Product Approval # ~/ - 3~, ~ ~_~~, / y~`,
'or multiple products use product approvaTform
)escribe in detail the type of work to be performed: ~c=~~ ~
'roper Owner Information: /,. ~ u ~.,~
tame: l~ ~S ~ Address:~J7 I~~j~ C{'C/C L/, J~f~~f~~~~~`,,~/
'ity State _Zip Phone _ ~ ~ 3zZ33
Mail or Fax # (Optional)
'ontractor Information:
'ompany Name: ~~2~~ ~~~ Qualifying A ent: ~~~ ~ ~ j/~v~
,ddress: D dl City ~~z t~t~ State ~~ Zip ~°~~~
~ftice Phone / Job Site/ Contact Number Fax #
fate Certification/Registration #~eG ~~ ~3 ~~~~~~~~~
,rchitect Name & Phone #
ngineer's Name & Phone #
ee Simple Title Holder Name and Address
Bonding Company Name and Address
9ortgage Lender Name and Address
pplication is hereby made to obtain a permit to do the work and irzstallatiorts as indicated. I certify that no work or installation has conunenced prior to tl
suance of a permit and that all work will be performed to meet the standards of nll lau~.r regulating construction in this jurisdiction. This permit becomes nu
~zd void if work is not commenced within six (6) months, or if construction or work i.r suspended or abandoned for a period of six (6) months at any time afta
ork is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heater
anks and Air Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT
VIAY 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 YOUR NOTICE OF COMMENCEMENT.
hereby certify that I have read and
pe q/` work will he complied with
-ovisions of any other federal, st
ignature of Owne
rint Name
worn to u scribed before me
pis av ~...._
this application arzd know the same to be true and correct. Al! provisions of laws and ordinances governing th
peeified h in or not. The grantin of a permit does no e e a ority to violate or cancel t!
tw regul ~ g onstruction or the per~rmance of constr zon
~~ +
~~~
lµ~C ~n /v
DANIEL S. ROAi1AN0
• NaWy PrONc - Stets of Rorie
~Canmy:~OO~1tS~
~~ ~~
NOTICE OF COMMENCEMENT
(PREPARE IN l7UPUCATE)
f b~
Permit No. Tax Folio No.
State of /~ County of t~ vim: l
To whom it may concern:
The undersigned hereby irrfomrs you that improvements wpi be made to certain real property, and in
accordance with Section 7t3 of tfie Florida Statutes, the following inforrrrauon is stated in tt-is NOTICE OF
COMMENCEMENT.
Legal description of property being improved:
Addre of property being improved 0 9 ~ ~ btu-- v~ I n
~~Ga ~~'L
General description of improvements:
Owner VIP/ Ii
Address 893 Aw- bn. ~ h, 1+~, • '~ 3 ~
Owner's interest in site of the improvement
Fee Simple TNeholder (if other than owner)
Name
Address
Contractor
Addres
Phone
Surety ('rf any)
Address Amount of bond $
Phone No. Fax No.
Name and address 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 himse#, designated by owner upon whom notices or other
documents may be served:
Names
Address
Phone No. Fax No.
In addition to himself, owner designates the folk>w+ring 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
Address
Phone No. Fax No.
Expiration date of Notice of Commencement (the expiration date is a ~NjypSr from thed"at recording unless a
different date is specified): ,/ e~L_.__ e.,/
FOR
IJOC iF `[(!10132355, Ott t3K 152ts9 Nage 1413,
Number Pages: 1
Recorded 06i09i2010 at 01:46 PM,
JlM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $40.00.
Before day o in the
County of , I, Stye aF FI des, h personally appeared
herein by
himse~l herself and affirms that all statements and dedaratians herein
arear,....~.,~.,.r ~. _ .
My
. $.
M111ry Nlitik ~ New M FIO(ilU
or
L`/