Permit Roof 525 Aquatic 2011 CITY OF ATLANTIC BEACH
, , ' sl 800 SEMINOLE ROAD
Te , , „ . Zr ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
- 011 to Application Number 11- 00002998 Date 12/14/11
Property Address 525 AQUATIC DR
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 3400
Application desc
REROOF
Owner Contractor
ONEILL ROBERT W JR & BROOKE ROMANO BROTHERS ROOFING, INC
377 PLAZA DRIVE P.O. BOX 33037
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 246 -5649
Permit ROOF PERMIT
Additional desc . REROOF
Permit Fee . . . 70.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 3400
Expiration Date . 6/11/12
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 70.00 70.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 74.00 74.00 .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 1 i
Job Address: �a? y .zpi 0'.. Permit Number: 6/ 8
Legal Description . ..01" ,4iiw c- dr. Parcel #
Floor Area of Sq.Ft. Sq.l~'t
Valuation of Work $ 3, X25,#' Proposed Work heated /cooled /Z non- heated /cooled /
Class of Work (circle one): New Addition ' Iteration Repair Move Demolition pool /spa window /door
Use of existing /proposed structure(s) (circle one): ial'
Commercial Resident
If an existing structure, is a fire sprinkler system installed? (Circle one : o '
Florida Product Approval # /9 ,c6
For multiple products use product approval form
Describe in detail the type of work to be performed: rc chi, CJ i ‘46P roo A zi- 4i / IA 4,, p trd-
3474 t‘4.N(''1 i Y� —`✓ !r t<
J f �j / ��/ i �iS `1a4^�� Az f/ 7TL/ �tt �i! JA
Property Owner Information: /°D l✓�L/VI s
,�
Name:
34131. a & Address: 6:2 4 , - ,
City 0 4- - T'/•a r ,/ 4;6 8e-.A. State Zip s'aa33 Phoney,V X07 36
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: 4 '^ 4 " IL ge0:1 Qualifying Agent: dt, A , .^� -«6
Address: p 0 b.
,c TTa337 AO' City ( �,cti #
? S $ t o t e j Zip ✓
Office Phone � W I'l -S C 5 Job Site/ Contact Number � 4- ,4-r��4' Fax
State Certification/Registration # CC C / : 3
Architect Name & Phone #
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 laws regulating construction in this jurisdiction. This permit becomes null
and void f work 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
work is commenced. 1 understand that separate permits must be secured for Electrical- Work, Plumbing, Signs, Wells, Pools, urnaces, Boilers, Heaters,
Tanks and Air Conditioners, etc.
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
COMMENCEMENT.
1 hereby certify that 1 have read and examined this a placation and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether speci ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, state or local law regulapng construction or the performance of construction.
, 'L. 2>i., .90 y , 1- 77� &YZ-.o
Signature of Owner 4' 1‘...o.-- Signature of Contractor de
Print Name 13. /p, 0 4/,.'l Print Name 1�sn� �rar --
Sworn to and subscribed before me Swore . ubscrt1. , /before me / (// this 0 Day of PP( , 20 >I this . Day of / 20
- - -- - -� -- — I L ' _
Of 4 Notary P �'-- �I/
Notary Public �+� ' i ° '� WN #EE 057 T.
�r Notary Public -State of Florida I ; *1 I Wri — tP1
i y � f 1 , 1 My Comm. Expires Nov 1 2012 ■ \N PU ' ' " " S ' +.2 6.10
sr4i a Commission # DD 887069 t � ' *VV.
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 proper ty (legal description of property and address if available): 4,4'
2. General Description of improvements:
/,,, sly; 1 , 5 <. ;A/ i~ � • v s .
3. Owner Information:
a) Name and Address: 1; =�jh ‘;'',+ ., // � J� .� A r ° ; z A . > i,> f
b) Interest in property: »e-
c) Name and address of simple titleholder (if other than owner):
4. Contractor Information:
a) Name and Address: 0.1a14 2e0e a y+ 0 Lac 'Z ` :.Q /7 P
bel r?. '
b) Phone Number: r' q 1 6/(1- _ et/ 7(.
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.
The foregoing instrument was acknowledged before me this 12 day of ®,�f,,. , 20 1/
•
Doc # 20112680 '76, OR BK 15795 Page 946, NOT Y PUBLIC, STATE O ORIDA