Permit Roof 308 Ocean 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000635 Date 5/23/12
Property Address . . . . . . 308 OCEAN BLVD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6500
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Application desc
reroof
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Owner Contractor
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WINTER, W. ALAN ESQ. ROMANO BROTHERS ROOFING, INC
308 OCEAN BLVD P.O. BOX 33037
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 246-5649
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Permit ROOF PERMIT
Additional desc . .
Permit Fee . . . . 85 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 6500
Expiration Date . . 11/19/12
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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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
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904) 247-5845
Job Address: y 6 d�^l721 tj k, Permit Number:
Legal Description Parcel#
Floor Area of Sq.Ft. Sq.1A
Valuation of Work$ !% Proposed Work heated/cooled non-heated/cooled 2
Class of Work(circle one): New Addition Alterations 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 N /
Florida Product Approval # M.�> ,
For multiple products use Product approval torm
Describe in detail the type of work to be performed: S e, tPaL 64,#4t _
Property Owner Information:
Name: A g,.2 L 2L42ka e Address: .•3Z>,6 PC_2A
City State nZip Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Qualifying Agent: J�j,�, d J1'1Ai✓�
Address: P• O 8tv 3;3;0S_,59_,57 City&I It j, State Zip ; �3
Office Phone _6444 Job Site/Contact Number 12,&., Fax#
State Certification/kegistration# CSC �—
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 well be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes 171111
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, Boileis, Healers,
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 ' ation and know the same to be true and correct. All provisions of laws and ordinances governing this
ope of work'will be complied with whether in or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any otherFede al,st e, local aw regu ng construction or the erfor,,,ofc nstruct�.
Signature of Owner ,4�_ Signature of Contractor
Print NamePrint Name
......................................................................................................................................... ..........................................................................................................................................
Sworn nd subscribed before me Sworn to and subscribed before me
thi Day-of s fil 11 this Day of 20
ROMANO
tary P blic M Comm.Expires Nov 12,2012 Notary Public
•ops Y P
'�oFf'11% Commission�DD 837063
Revised 01.26.10
NOTICE OF COMMENCEMENT
State ofTax Folio No.
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.
Legal Description of property being improved:
Address of property being improved: z% ' t ',• (�, .
General description of improvements: 5 G, Y (
Owner: �t. - = r' Address: , ;
Owner's interest in site of the improvement: 4N
Fee Simple Titleholder(if other than owner):
Name:
Contractor: e 7 '.r
Address: 0, o 6c
Telephone No.: GC `� 1�� 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): -,
e. 171.� 1,'''" 5, `
THIS SPACE FOR RECORDER'S USE ONLY OWNER
4 k j
igned: Date: '
Doc#201211192-1,OR SK 15952 Page 1160. ;efore e .is day of -1111 in the County of Duval,State
Number Pages:,1if Florida,has personally a ed
Recorded 0512312012 at 08:39 AM, o Public at Lar e oritt un of Duval.
JIM FULLER CLERK CIRCUIT COURT DUVAL 7 g a Ty
COUNTY ly commissi 2 es:
RECORDING$10.00 -rsonally Kn : ', or
-oduced Iden f af'% DANIEL S.RDMANo
Notary Public-State of Florida
My Comm.Expires Nov 12,2012
Commission#DD 637063