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Permit Roof 63 Sartoga Cir 2011 ✓r 6' fi � '� CITY OF ATLANTIC BEACH + : gd y 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 J ,„ `�' =" "� INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002104 Date 5/19/11 Property Address 63 S SARATOGA CIR Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation . . . 8800 Application desc replace torch down roof Owner Contractor FLOURNOY, ROY ROMANO BROTHERS ROOFING, INC 63 SARATOGA CIRCLE S. P.O. BOX 33037 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246 -5649 Permit ROOF PERMIT Additional desc . REROOF TORCH DOWN Permit Fee . . . 95.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 8800 Expiration Date . 11/15/11 Other Fees STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 95.00 95.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 99.00 99.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. y BUILDING PERMIT APPLICATION , --, # CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: r r� �a C� 6' Permit Number: / 0/0 / Legal Description Parcel # 5''D Floor Area of Sq.Ft. S Ft Valuation of Work $ 8' Proposed Work heated /cooled n - 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 Residential If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A Florida Product Approval # i � ec , �� � For multiple products use product approval orf Describe in detail the type of work to be performed: f o. • Property Owner Information: [Name: Ni// - Pour Address: C3 5 -;,, , ,-7 1 .4 9 ,..... C'<c . City M-J bci- Stat _Zip `3 ,a2 3c Phone E -Mail or Fax # (Optional) Contractor Information: Company Nam R4 NGno 8 a s • C Qualify gg gent: Y ll n y ie o/i ^ a^ 0 Address: 1{/ © i . viv re- 5 s- �r t� City f/ ( State /"� Zip . ' 2 r- Dffice PhYSne' 9 ( «hr Ot/7 Job Sit Contact Number 4Co y CeCe /74, Fax # State Certification/Registration # C (C. /12 Architect Name & Phone # E'ngineer's Name & Phone # Fee Simple Title Holder Name and Address 3onding Company Name and Address Vlortgage Lender Name and Address 1pplication 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 ssuanrrat� ofa pArnzit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null ind vof`d 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 vork is commenced I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, ranks and Air Conditioners, etdtA 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 YOUR NOTICE OF COMIVIENCEMENT. hereby certify that I have read and examined this a.plication and know the same to be true and correct. All provisions of laws and ordinances governing this ype of work will be complied with whether sppeci herein or not. The granting of a permit does not presume t.: .• - "r' - • • or cancel the pr ovisions of any other federal state, or local 1s ng c on s ' coon or the perfo of cons / a gnature of Owner 4.0 _ _ /v6,, Signature of Contractor lli 'riot Name Print Name n n �� ��' ;worn to and subscribed be .. " m: ' - ... .,, . . bscribed e bef / his Day of 20 y �� 20 / _ _ ••••• this II a of DANIEL S. ROMANO y d l Wck6cr..i. Nohry Pubpc - 8tate o1 Florida of Totary Public Publi r sox My Comm. Expires Nov 12, 2012 Y OEBORAHA WHITE ;‘• ir ) z.� i a,s ••° Commission 0 D0 837083 MY COMMISSI �1�1 0 '•am •�: o�= Y 011 _li.. � EXPIRES: May 21, 2 R u11111 Bonded Th u Notary Public Underw tars 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. Descripijokri,of property rty (legs description of prope and add a if avail b1e)• f - - --� 2. General Description of improvements: f or 3. Owner Information: -7 I a) Name and Address: i , Imek c i ikr /l d 6 ,) v al o e� C i ST / 6- / Interest in property: /`" / :?x7)3 S b) c) Name and address of simple titleholder (if other than owner): 4. Contractor Information: f�._. �� �� Y ,� /�-' h ` tlr ` � a) Name and Address: , A fl i % / *5 b) Phone Number: j'` z �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 R 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN IE RECORDED FO R IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENC EIVBNT MUST B POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A TTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. The foregoing instrument was acknowledged before me this IS,_ d of ,' 1/1 , 20 17/ 0 NOTARY PUB , F FLORIDA uoc # ' zo i E. i i U93. oR BK 1560 Page 146d, - Number Pages: 1 Print Name: �,,,� Recorded 05119,2011 at 09:00 AM. JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY pZ____ El P orally own RECORDING $10.00 Identification/Type: Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the 74, foregoing and that the facts stated in it are true to the best of my knowl, 4`e and belief. , Signature of Pr, . erty Owner- - -- --4 Mae 00 • u I PUWO3 / ) ZDOZ 11 AON $$* 3 •WWOM £ (!, HF to, sp0� w nas • *Wind �eiN na �� 001,4011 's 131NVG -d 10/1/2009 .y