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Permit Roof 237 Magnolia St 2012 CITY OF ATLANTIC BEACH r 800 SEMINOLE ROAD w ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00000752 Date 6/15/12 Property Address . . . . . . 237 MAGNOLIA ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3400 ---'------------------------------------------------------------------------- Application desc REROOF FPA #1956 . 3 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SUMMERS, COLLIER ROMANO BROTHERS ROOFING, INC 237 MAGNOLIA STREET 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 . . 12/12/12 ---------------------------------------------------------------------------- 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. Doo#2012123396,OR SK 15969 Page 882. NOTICE OF COMMENCEMENT Number Pages: -I Recorded 06'15;2012 at 09:13 AM, JIMI FULLER CLERK CIRCUIT COURT DUVAL COUNTY Permit No. RECORDING$10.00 Tax Folio No. THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. LDescription of property(legal description): ✓' 111�r9 3 J�Ll C� A a)Street(job)Address: 2.General description of improvements: 3.Owner Information a)Name and address:- (y ,I, t "' wx—lea t S z.,�►t' tn5 CJS�o v L. b)Name and address of fee simple titleholder(if other than owner) c)Interest in property ca,.vr1 t 4.Contractor Information a)Name and address: f OC, pL V b)Telephone No.: cj0y Fax. o.(Opt.) �J 5.Surety Information r102J a)Name and address: b)Amount of Bond: c)Telephone No.: Fax No.(Opt.) 6.Lender a)Name and address: Phone No. 7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a)Name and address: b)Telephone No.: Fax No.(Opt.) 8.Inaddition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 71313(1)(b),Florida Statutes: a)Name and address: b)Telephone No.: Fax No.(Opt.) 9.Expiration date of Notice of Commencement(the expiration date is one 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 YOUR LENDER-OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA COUNTY OF PINELLAS I0. '; --- Signature of Owdnertor Owner's Authorized Officer/Director/Partner/Manager cc-, Pant Name The foregoing instrument was acknowledged before me this C day of .1 kKe- ,20_;?by as (type of authority,e.g,officer,trustee, attorney in fact)for (name of party on behalf of whom instrument was executed). Personally Known OR Produced Identification Notary Signature Type]of Identification Produced Name(print) ✓Jat ;4*py OR Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that the flIcts stated in it are true to the best of my knowledge and belief. FORMS/tJ0C,rvsd2o10 ��.M��uN.y ucalp e n net o) s. t1tOti1 C�� e�rT rl0ali08 ve •;uy My Comm.Expires yov 12,2012 '':'{,q�n�,.••' Commission #DC 837063 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904)247-5845 Job Address: (932 r c%g q p )ick s� Permit Number: Legal Description r,-4 )•ox .S'�• Parcel# Floor Area of Sq.Ft. S.Ft Valuation of Work Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of asting/pro osed structure(j)(circle one): Commercial Residential If an exis�ing structure ,is a fire sprinkler system installed?(Circle one): Yes No N/A Florida Product Approval# i 9S-6 For multiple products use pro uct approval form _A_ Describe'in detail the type of work to be performed: )eeo-r Property FOwner Information: Name: (f a 11 i of Sorvi e ' er ` Address: ' City ~' State a_Zip V33 Phone E-Mail or Fax#(Optional) Contractor Information: Company dame: ~2.0✓'t'►t.'►t: rj-'r rq_ Qualifying Aent: 94•11*14 ' s*lrti_ v Address: O"'"' _-f Ci Office Phone 40 �' 4State :l Zip- 2233 i L/�t9 T(� G Job Site/Contact Number Fax# State CertCertification/Registration# C_(..0 r�Qe3Ef� Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage sender 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 cf 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,Furnaces,Boilers,Healers, Tanks and Air Conditioners,eta 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 here,,,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 o work will be complied withwhether spec:ied r not. The granting of a permit does not presume to give authority to violate or cancel the provisions ofany other federal,st o " law re la cOV4ction or the performance ofconstruction. Signature of Owner "°"� '' � Signature of Contract r i Print Name 0 Cil cr................5 ..................... -S Print Name AO.C' n.�Q .......................... ........................................ .............................................---........................................................................................ Sworn to and subscribe before me Sw d subscribed before me this Day of this .x 20 0, ioy r p4i`C'w DANIEL S.RO9837663 ,= UA WK Tt _ NotaryPublic Notary Public %� +o�c My Comm.Expires NO 1 dedThruNotarypublicUndi=nirrF;- Commission#DD ' L Revised 01.26.10