Permit Roof 525 Viking Ln 2011 E 'r J�
�4
6 ` . sy CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
�� * ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
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Application Number 11- 00002148 Date 5/31/11
Property Address 525 VIKINGS LN
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 6200
Application desc
reroof
Owner Contractor
PETERS, STEVEN ROMANO BROTHERS ROOFING, INC
525 VIKINGS LANE P.O. BOX 33037
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 246 -5649
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 85.00 Plan Check Fee . . .00
Issue Date . . . Valuation . • • • 6200
Expiration Date . 11/27/11
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 85.00 85.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 89.00 89.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
t , CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
v l ?L L 4,k e / -PL- ) 2237 Permit Number:
Job Address: 32-5 i � � Z �
�/ p LzhC It (3L ) Parcel
Legal Description .--a v l V` �J Floor Area of Sq.Ft. Sq.F't
Valuation of Work $ R i b / Z c7 0 Proposed osed Work heated /cooled non- heated/cooled
Class of Work (circle one): Addition Alteration ($ep ` Move Demolition pool/spa window /door
Use of existing /proposed structure(s) (circle one): Commercial Residential
If an existing structure, is a fir prinhler system installed. (Circle one): Yes No N /A
Florida Product Approval # 1- 1 S
For multiple products use product approval form �� ! u
Describe in detail the type of work to be performed:
4/ C 6./ 7'd v
Property Owner Information:
z V (K /n X '�'
game: /� Gi i c 1 l Address: � 3�5�
City ill
et " L f C State .Zip 7Z Phone I
E -Mail or Fax # (Optional)
Contractor Inform on:
® .9 � .A C ual• Agent: T it l e f 4 „--.0.,)
G ✓t u i � � C ' - If Q Y}� g 22
,ompa Name: • City ff State JL Zip 3 3
4ddress: ' ,il� %ig '�'�% Cit
' S 9 Fax # �o — Z ` 6 '� X
Jffice Phone 9 b &i Z 6 -56 y ' C Jolt Site/ Contact x � Number 7 () gr3y-- 5
state Certificatioegistration # t 1 3
4rchitect Name & Phone #
engineer's Name & Phone #
Fee Simple Title Holder Name and Address
3onding Company Name and Address
vlortgage Lender Name and Address
application is e r m t hreby made that to otain all be to meet the standards of all laws regula g onstruction in this jurisdiction. This permit becomes
Ind void of a permit and commenced the time after
and void o m mence en ied of understand that separate permits or must be secured for Electric Plumbing, Signs, .Wells, Pools, Furnaces, Boilers, months construction or work is
vork is c s, Seaters,
om
r and Air Conditioners, etc.
WARNING TO OWNER: YOUR F ��E.Y -IN TWICE FOR IlVIPROVEMENTS
COMMENCEMENT MAY RESULT IN YO
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN WITH H
YOUR LENDER OR AN ATTORNEY OM �NCMENT.
rein or not. The granting be a pea does not . presume to gave authority d to a. or cancel the
hereby certify that I have read and examined this eciaepolhe tarn and know the same to be true and correct. All provisions of laws and ordinances governing this
vpe si work any be rfe w h whether p
�rovasaons of any other federal/ ate, or local law r- a lating construction or the performance of construction. -
signature of Owner
1 / 7 � Signature of Contractor /
�� ye4 4, �J6Z'793.57 P are , Gh j e ( owe, ,. v
rant Nam.
Sworn to and sit/ scribed before me 20 /
worn to mid subscribed before 20 1 this 26 Day � . :
zis 2 b Day of ` ; ` , /OSEPH JUDE ROMAN •
�/�i�► Oft "i ommission 8 DD 832935
�►�..- -- Notary P r , , ∎ ' ' • 1 My Commission Expires.
1 . ,. ' X "" ° MEL S. ROMANO 0 •
Z otary Public October R1Avet�201 .10
� . Noah Palk • Mate of MOM
i '} f My COWL hilifel NOV 12. ►
� '' { ' Camisoles • 00 037001 ( „maw
MAY -31 -2011 09:25 FROM: CLERK OF COURTS 904 270 1512 TO:92475845 P:1/1
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. Description of property (legal descrip ionpf property and a dj G s if � ailable): �'-i--
2, General Description of improvements: t
Ai L-✓ 00 1 ,A �r d7 r 01i1 - - --
3. Owner Information: `� /�
a) Narnc and Address: / 474-e 5 ( i^ f' (41"1, ( G 3
b) Interest in property:
-
c) Name and address of simple titleholder (if other than owner):
40 Contractor Information: $� Z
R a Name and Ad * 01r- , .G�. o l .. o nr5 4 - +11 ) c /1 c q C,. t * .r ' r�
K N b) Phone Number: 1.. 6 ,
5, Surety Information:
a) Narne 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 713.0 (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:
WARMING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF TIE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1,
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 TICE OF GOMMENCEMENT.
SigiSature of Ow er or Owner's Authorized Officer /Director/Partner/Manager Signatory's Printed Name & Title /Office
The foregoing in ttument was acknowledged before me this SA. day of A Y , 20 1( , by
^(c( +.,-,- as 0 L,, --q l for i‘ O a--
(Name a Person) (Authority Type, i.e. Officer/Attorney) (Name of Party Instrument was Executed for)
Doc 4 '-U1 111875; , OR BK 15614 Page 46, -
Nu�t ber Pages: t NOTARY PUBLIC, STATE OF
Recorded 0513112011 at 09.36 AM,
JIM FULLER CLERK CIRCUIT COURT DUVAL Print Narne: Pat,1 '' r go s - H a
COUNTY
RECORDING 310.00 ❑ Personally K>a •
13- /9,/----
_
Verification pursuant to Section 92 - , ti Statutes. Under penalties of perjury, I declare that I have read the
foregoing and that the facts state• ' • •1 • 1 owledge and belief.
QMNEI S. ROMANO
` , •• Notify ibane - Side 01 Fluids S x
S ., ...
kip tam ► 20 of Natural Person Signing Above
'' r �, -,: = Oaand ,IO • OD 6WT068
Revised 10 /1/2009