Permit Roof 296 Seminole Rd 2012 g at CITY OF ATLANTIC BEACH
;� 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
, 7 INSPECTION PHONE LINE 247 -5814
Application Number . . . . . 12- 00000526 Date 5/03/12
Property Address 296 SEMINOLE RD
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 5000
Application desc
reroof
Owner Contractor
CERRATO IRENA H ROMANO BROTHERS ROOFING, INC
P 0 BOX 330191 P.O. BOX 33037
ATLANTIC BEACH FL 322330191 ATLANTIC BEACH FL 32233
(904) 246 -5649
Permit ROOF PERMIT
Additional desc .
Permit Fee . . 75.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 5000
Expiration Date . 10/30/12
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.
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of County of
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. Pe)..
Legal description of property being improved: 1� / rd. 1 l 4 3-2-/
Address of property being improved: <elf k)r (V- f C 'c" AL/ L/ 1,7 g
General description of improvements:
Owner s , / <_ r L
�p //-'W 1-0,11 j
Address r7y� ; .- ^�Yr /ry +'�' r rI ,� .1_<
Owner's interest in site of the improvement
Fee Simple Titleholder (if other than owner)
Name
Address
4 Contractor AivitA a r e-o C e :::r ,r.,
t Address = j 7 G>, ' d.�
\ om Fax No. / fr > a
` Phone No. '
i ., Surety Of any)
Address Amount of bond $
Phone 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
Phone 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 Statutes. (Fill in at Owner's option).
Name
Address
Phone 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 ; f 1 1
Signed: �..., ki`� ¢ . _ rc ti � DATE
Before me this day of in the
County of Duval, State of Florida, has personalty appeared
herein by
imself/ herself and affirms that-all statements and declarations herein
Doc # 2012096212, OR BK 15931 Page 742, re true and accurate
Number Pages: 1
Recorded 05,'0212012 at 12:33 PM, '
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00 Votary 11 1
my commi r �,`
Personalty' y , `'ill: ri t''lll > i >•. Lr. ithiLie.Mi1 C•1 or
Produced ' :7111 iTfAt 1 1 ' t!1i1 V11_11441
am A4- )404 -1C. Bra‹ 4
BUILDING PERMIT APPLICATION
*Pursuant to F.S. n 553.721 & F.S. 468.631, a surcharge fee will be collected on any permit regulated under the FBC.*
d
Job Address: 9C 4 /`"O k rd Permit Number:
Legal Description �
Project Valuation $ 45;0 0
Class of Work: ❑ New ❑ Addition ❑ Alteration ❑ Repair ove Replacement
Use of existing/proposed structure(s): ❑ Commercial esidential
If an existing structure, is a fire sprinkler system install ? es El No l / AFL Approval #
Roofing Materials: Main Material FL Approval #
Describe in detail the type of work to be performed: Z Cie
Property Owner Information: ' `
Name: - Au Cer A'1'�7 Registered Agent (If Applicable): / � �
Address - • G SPo.v4 fO G r. • City /
State Ft County 'J. »I Zip __D.fPhone / E -Mail
Contractor Information: L � 1� pn ����•
Company Name: r►•w••r'a Rco 7 Le.-5 R.0.4.1 Name of l Holder: `�
Address: p.o tar,) �.ZO 3''7 City i4`/ CY4 Stat �1 Zip s'
Office Pho a Qot' R io -av74 Office E -Mail or Fax #
State Certification/Registration # c e e i3a' 53 Job Site Contact Name/Number
Architect Name & Phone #
Engineer's Name & Phone #
Application is hereby made to obtain a permit to do the work and installations as. indicated I certi 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 hi of t i Thts permit any becomes
after
m s mill and
vo if work is not commenced within six (6) months, or if construction or work is sus l
nde b s monh Heaters, Tanks and work is
commenced. I understand that separate permits must be seared for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers,
Condi$Ioners, etc. y (y _
g rning i it: 1 work will be compl wit he sT pe ed n a grag p mt does not presume to givetauthoritty tars
o viola or cancel
the provisions ny other federal, state, or local la regulating construction or the perform oa o f cons
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.
IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH Y ! � LENDE : OR AN
M
ATTORNEY BEFO ' ,RECORDING YOUR NOTICE OF COME
Signature of Owne -- • 4__'i[....! . /L -,'.'/ Signature of Contractor'-
Print Name
- -/"f.•rt of L-r' ' ' Print Name Al ,
STATE OF FLORIDA, COUNTY OF Uw✓ o'\ ST • _ 2F FLORIDA, C 11 LINTY • F at I4
to (or • =armed) and subscribed before me this
S o to (or . dsursc %r•d before meth2 )
rn :�
ry O 20_ .rr s xL.
'� .�i .-.i� I. _ C.�ulr.� '' ,G f
N Pubh • gnature ( Print or Type Commissioned Name Below) .. i b11C S a Ur � , February 14, 2014
( Bel ow) (Affix Seal Below)
I F -- ==.s.... ?
ally Known/OR °• 1
idenn watt.
"Iv Pu' DANIEL S. ROMANO
r I Notary Pubjio t . r' : ELOW THIS LINE: OFFICE USE ONLY
a t � y.I, it . 5. ■ y omm. p ies ' • l'r ' :41: I + es: 1 1 orl•a :la ring or •
r,i; 2,.:" ci .t „,I...:.: # DD 8 063
A r u r'" • ... . •. - . - ditions Review Initials/Date:
bevelopment Size DCA/DBPR Surcharge$
Non- Habitable Impervious Area Total Area
Habitable Space Lanai Porches/Patios /Balcony
1st Floor 2nd Floor FlooddZZone
Miscellaneous Information
Occupancy Group Conditions /Comments:
Type of Construction
Number of Stories
Zoning District
# Parking Spaces
Max. Occupancy Load
Fire Sprinklers Required
11 North 3 Street Phone (904) 247 -6235 Fax (904) 247 -6107 FBC 2010 Revised 3/15/12