Permit Roof 1964 Beachside Ct 2010 yL`l,rj
4 1,:,1, 3 :: f, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
'"'` ` � ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
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Application Number 10- 00001304 Date 10/26/10
Property Address 1964 BEACHSIDE CT
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 5000
Application desc
reroof
Owner Contractor
RHODES, R.S. ROMANO BROTHERS ROOFING, INC
1964 BEACHSIDE CT. P.O. BOX 33037
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 246 -5649
Permit ROOF PERMIT
Additional desc .
Permit Fee • . • • 75.00 Plan Check Fee . . .00
Issue Date . . . . Valuation . . . . 5000
Expiration Date . . 4/24/11
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 79.00 79.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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. Descriptiop of property (legal description of property and address if available):
Y -A i.L i( VD33
2. General Description of improvements: /
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3. Owner Information: /
a) Name and Address: d / � ')". 1Ih 3 `
b) Interest in property:
c) Name and address of simple titleholder (if other than owner):
4. Contractor Information: �w d � �// J ! ,rY ra � j
a) Name and Address: r/2,44.4/ /�or�o /���_5 fw"� IA, �` `
\w\ b) Phone Number: / 5" q/
5. Surety Information:
a) Name and Address:
b) Phone Number:
c) Amount of Bond: $
6. Lender Information:
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:
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 is 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
I, 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.
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Signature of Owner or Owner's Authorized Officer /Director/Partner /Manager Signatory's Printed Name & Title /Office
The foregoing instrument was acknowledged before me this day of , 20 , by
'�� as for
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BUILDING PERMIT APPLICATION
e- ' CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: 9. Y Aieek..cit S ,dc 4 (4 Ak li k4 A7,0
Legal Description /9d� y ,&,.cA, e # Number:
Valuation of Work $ o2 oor A ea o q. t. ..:at
Parcel #
Proposed Work heated /cooled t
non - heated cooled
Class of Work (circle one):
New Addition Alteration Repair Move Demolition pool/spa window /door
Use of existing /proposed structures) (circle one): Commercial
If an existing structure, is a fire sprinkler system installed?
Florida Product Approval # ___90L (Circle one) : � No Mi.
For multiple products use pro uct appro or m
Describe in detail the type of work to be performed: & r4 on j M r s
Prop erty Owner Informati
Name:
City r4�J L � Address: tell '8.e&a., c-
E -Mail or Fax # (Optional) State Zip —i -Phone 5b Y f? / c
Contractor Information:
Company Name: '40 [adds !oci4 ,
Address: t o �, - A Qualifying Agent: Dan ��,,..,�,,,
sass /a act' d r City _ M b e.l ,
Office Phone Job Sit Contact Number c State F / Zip
State Certification/Registration. # C _ 3,988'13 90 if - oV� Fax # _ p y ,�
4rchitect Name & Phone #
Engineer's Name & Phone #
ee Simple Title Holder Name and Address
3onding Company Name and Address
✓Iortgage Lender Name and Address
pplication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation
. suance 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
nd void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a erzod of six has
) months at a prior time the
'ork is commenced I understand that separate permits must be secured for Elec trical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers He
anks and Air Conditioners, etc. ny rifler aters,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR I PRO
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUL WI TS
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE WTH
COMMENCEMENT. OF
OF
ereby certify that I have read and examined this
plication and know the same to be true and
e of w p ork will be complied with whether specified herein or not. The granting of a permit correct. All provisions of laws and ordinances governing this
t does not presume to g zve authori to violate or cancel the
?visions of any other federal, state, or local law regulating construction or the performance of construction.
le
„...41101 i, . ,A'
,
nature of Owner d 0 1
Signature of Contractor
nt Name i
Print Name
orn to and subscribed before me
ay 41 SWOr ,� f r• ,• pi; • • •
Lary Public M. \r i , • � V . • Missy ru t 7760 3 C O Cow E lion 12, 20 12 No�"` -Tr iiiI � U bh c �_ eys
/ 00 bli derwrAers
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Revised 01.26.10 •