Permit Roof 373 Sargo 2012 try
�� 41.1 CITY OF ATLANTIC BEACH
r"" j 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
)n z
Application Number 12- 00000230 Date 2/29/12
Property Address 373 SARGO RD
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 4100
Application desc
REROOF
Owner Contractor
SYNAN, TRACY ROMANO BROTHERS ROOFING, INC
373 SARGO ROAD 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 . . . . 4100
Expiration Date . 8/27/12
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
BLUILDING CODES.
• BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: 73 a,ecl a /eQ/ Permit Number:
Legal Description / . Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ ' ( / u 0 Proposed Work heated /cooled non - heated /cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa window /door
Use of existing /proposed structure(s) (circle one): Commercial Residential
If an existing structure, is a fire rinkle system installed? (Circle one): Yes No
Florida Product Approval # / '/
For multiple products use product approval form
Describe in detail the type of work to be performed: . krr
Pro •e`m+=l , n•r Information: 1 S /74n 77-3 Q
Name: / a t; s nt - o e 37,
City AP7 tate F7 Zip 3 3S Phone to •-0 ? 6
E - • ail or Fax # (Optional) I
Contractor Information ^ E0 1 j .� /3r•�' S 1�
Company Name: - ' ' ! 1 1 L.` ) Qualifying Agent: PdA e)�
Address: P• 0 box' •3 37 City A, / �c 4 / State f-/ Zip 'x.'33
Office Phone 90 Y gilt • - SC S/9 Job Site/ Contact Number �� „... 6 /1 --ef/ro Fax #
State Certification/Registration # CC C /3a 403
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 pernztt beconzes null
and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for aperiod of six (6) months at any time (Vier
work is conznzenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Bo 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 hereb certify that I have read and examined this a plication and know the sae to be true and correct. All provisions allows and ordinances governing this
type of work will be complied with whether specified n
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, stat or lo law regulating construction or the performance ofconstruction.
Signature of Owner Signature of Contractor
Print Name O t'/ Sy r\ a Print Name / i2 %� �
Swor s and -� • rib- • -f / '- me f Swo • t• ,and sub- ribed b- t
this � of 1/ I 0 1 20 ' % • _ :�. °_ __� 20/
th is
A 1 & VJL . SHI RLEY L GRAHAM M , F Nota : • ::: MY COMMISSION p DD 957760 i�� ” " w �
. d 9Q.d;P ►' • �r•+��% EXPIRES ;,.a 14, 2014
;, ♦ ; - EXPIRES: February 14, 2014
% pr - Bonded Thru Notary Public Undtrwntero _ 'P ° � onded Thru is Und
-- -- ' 1.26.10
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 o pf property and address if available):
373 x- /Hi c " 3 ?35
2. General Description of improvements:
3. Owner Information:
a) Name and Address: r =, Syrvi4ii 373 see/' a ,4-)1 d 4 /-'7 3 3
b) Interest in property: ( 2 ,,, t. , . r--
c) Name and address of simple titleholder (if other than owner):
4. Contractor Information: �^ c J
a) Name and Address: je_orri vy,-�, / rt, //leis £, ,,,, , / �Y'
vi k o
b) Phone Number: (? < ,� c 3 3
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
copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. to receive a
a) Name and Address:
b) Phone Number of person or entity designated by owner:
9. Expiration date of Notice of Commencement (the expiration date may not be before the completion of construction
and final payment to the contractor, but will be 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.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated
the (
A pe
in are •uetto the best of my knowledge and belief.
! "\ _- 1 r G er t / old
/ Signature of wner or Owner's Authorized Officer/Director/Partner/Manager Signatory's gnatory's Printed Name & Title/Office