Permit Roof 770 Bonita 2012 r J� lJ ��
sr i
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
'=> ATLANTIC BEACH, FL 32233
��,�� "�' INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000402 Date 4/09/12
Property Address 770 BONITA RD
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 5000
Application desc
REROOF 1956.1
Owner Contractor
CATRETT MICHAEL SHAYNE ROMANO BROTHERS ROOFING, INC
770 BONITA RD P.O. BOX 33037
ATLANTIC BEACH FL 322334207 ATLANTIC BEACH FL 32233
(904) 246 -5649
Permit ROOF PERMIT
Additional desc . REROOF
Permit Fee . . . 75.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 5000
Expiration Date . 10/06/12
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
BUILDING 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: 77o 530 n ; a- (d. Permit Number: I. `Jv'
Legal Description Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ ST066 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 identi
If an existing structure, is a fire sprinkler system installed? (Circle one): es No
Florida Product Approval # )95 . /
For multiple products use product approval orm
Describe in detail the type of work to be performed: i ' m
Property Owner Information:
Name: iv ay.- � CNA -4 Address: 770 pa /vim .rd
City 44-1 6 AI State gZip Phone ¢e y bc
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: /2.a r awii fife A ,.
�6-# �oll Qualifyin ent: V ..ti�
Address: p. O ,� 30 �fr7 •J City � 4 , i / Statt/ Zi�22 rf
Office Phone 9 D t( 0 -vo Job Site/ C ntact Number Fax #
State Certification/Registration # G(C. /,70�r�,3 , - - -y '
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. I 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 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 after
work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, 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.
I hereby certify that I have read and examined thisplication 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 specified herein or not. The granting of a permit does not presume to giv city to violate or cancel the
provisions of any other federal, state, or local law regulating construction or the performance of construction.
•
Signature of Owner A . .. _ _ • :_ Signature of Contract
Print Name Allici Co. i-re- 4" Print Name P An- n- e %" /}k 01-v
Sworn to and subscribed 4e re m
this Day of /9 ✓ 20 , 2 — Swo�ubscribed befo e . e /
this Day of ,. i 20 /.2-
`i lu,fli ' i1 a:. � u �l f ` 2 , 6 4 . l cif.
Notary P ► r, :lys b 'two '
�aa� 15
14 w W ° . , DANIEL S. ROMAN :.: ! EXpiRES: May 21,
1 Notary Public - State of Florida ■ "�`'` aeamN "0P0b1ic0t�8e� evised 01.26.10
1i
- _ say
� y � ; My Comm. Expires Nov 12, 2012 0
� •. ' � �' ' ' ' Commission DD 837063
6
NOTICE OF COMMENCEMENT
State of l - 1 Tax Folio No.
County of Dtfrk 1
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of
the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: 770 L -7, i rd M.-k/ bd.) /=/ 39.3.E
Address of property being improved: 773 80e # r L Al I 6C, A' '.7617 � 3
General description of improvements: 2 r ri
Owner: ,M; c. keaj 4c. re 4 Address: 3 /3o. i w 4. 11 All ga ,
Owner's interest in site of the improvement:
ee Simple Titleholder (if other than owner):
) I Name:
Contractor: /2,o, -41,... 9 o 'S e) re . 'rk
.; V --k_._, Address: p 3 -7 I ice h / 3o 3 .3
Telephone No.: y G / p - -(3 t/•771r Fax No:
Surety (if any)
Address: Amount of Bond $
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be
served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b), Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed' � ( Date: 0—
Befor me is day of in the County of Duval, State
Doc # 2012076945, OR BK 15906 Page 1870, Of Florida, has personally appeared
Number Pages: 1 Notary Public at Large, State o my of Duval.
Recorded 04/09/2012 at 03:17 PM,
JIM FULLER CLERK CIRCUIT COURT DUVAL My commission expires:
COUNTY Personally K or
RECORDING $10.00 Produced Iden) fi . "" . DANIEL S. ROMANO
1 g `, � s Notary Public - State of Florida ■
I y f , My Comm. Expires Nov 12, 2012 ( .
4 O;'iti V Commission #E DD 837063