333 Sargo Rd 2012 roof CIT OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
'= = ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
v'*✓J
Application Number . . . . . 12-00001002 Date 8/02/12
Property Address . . . . . . 333 SARGO RD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
_----Application valuation . . . 3600
-----------------------------------------------------------------------
Application desc
REROOF
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
VITALE, ANTHONY CASON ROOFING
310 7TH ST P O BOX 37323
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32236
(904) 982-9816
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . Valuation . . . . 3600
Expiration Date . . 1/29/13
----------------------------------------------------------------------------
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 OFATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantid Beach, FL 32233
Office (904) 247-5826 Fair. (904)247-5845
Job Andress: '333 s 4 Permit Number:
Legal Description Parcel#
loor Area of Ft S .Pt
Valuation of Work S �6GfJ ,_.-s___.Proposed Work heated ooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Rep I'ir Move Demolition pool/spa window/door
Use of existing/pro osed structure(s)(circle one):• Commercial sidenti
If an existing structure,is a fire s rinkler system installed? (Circle i ne): es No N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: c, .4 v-.
ea_ rJ n 1l �J
Property Owner Information:
Name: s' Address: � j 7?�� S -T—
City
_ !q !r'LA d4-TZ C Q c A S 1-1 State FL_Zip -ZPhone c� -
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: C , Quali ing Agent: ilcxewSCS
Address: 44
City State F! Zip YI?
Office Phone Job Site/Contact Number 2--SQ4 Fax#
State Certification/Registration# cc C I I
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 indic ted. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be to to meet the standards of all Z s regulating construction in this jurisdiction. This permit becomes null
and void tf work is not commenced within six(6)months, or,if construction or work is spended or abandoned for a period of six 16)months at any time after
work is commenced. I understand that separate permits must be secured for Electri 1 Work,Plumbing,Signs, Wells,Pools, Furnaces,Boilers,Heaters,
Tanks and Air Conditioners,etc
WARNING TO OWNER: YOUR FAILU TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR P YING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO O TAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFO RECORDING YOUR NOTICE OF
COMMENCE ENT.
I hereby certify that I have read and examined this application and know the same to b true and correct. All provisions of laws and ordinances governing this
type o1 work will be complied with whether specified herein or not. The granting qj a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the perfor nance of construction.
Signature of Owner �Ll "���?�-- Si ature of Contractor
Print Name /�
.. /..r. ................. nt Name ......_..... �. l .e................... .� --.........................................
i'l D.Y1, Pr
Sworn to and subscri before Ing Sworn'R, c ' of re
this Day of 2 thisD ,p 20
.►µy P�%, MARCIA SMITH = ota Public- 09351IM2
Mary Public-Stale
ic ;• =• My Comm.Expima Auq 31,2013 to ,y•, Commiaabn rr ECOmmiaii0n N EE 93582r'
1;���1,�,dFc• �i
OWN Tft*NdWW Not"Alm. .10
AUG-2-2012 14:10 FROM: TO:92475845 P:1/1
NOTICE OF COMM-1
IN
CEM
ANT
State of
County of
Tax Folio No_
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to c real
the Florida Statutes,the following information.is stated in this NOTICE O COMME CEMENer , �� accordance with Section 713 of
Legal Description of property being improved:
Address of property being improved:
General description
of'rmprovemcnts:
Owner: JQ��1.. —
' �- --Lr*.C- - . Address' C7 ,c r' A
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner),
Name: - •-- --,., •--
Contractor:
Telephone No.:_ j' f 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 im rovcmcnts
Name:
Address:
Phone No: _ Fax No:
Name of person within the State of Florida,other than himself,designated I owner upon wb.om notices or other docmilents may be
sa-rvcd: Namc:
Address:
Telephone No: Fax No:
in addition to himself, owner designates the following person to receive a copy of the Lieptor's Notice as provided in. Section
713.06(2)(b),Florida Statues. (Fill in at owner's option)
Name:
Address: �.,.� ..-..._.._
Tck;phone No: Fax No: _
Expiration date of Notice of Commencement(the expiration date is one(1) eear from the date of recording unless a.different date is
specified): . _..__
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: Date: ( ��
Before me this _ _ day of a County of Duval,State
Of Florida.has per_son 1
Doc#f?ar�!G;393::i,C)R f3K 1 X021 Page 1085, Notary Public at Large i n
pi
m,commission ex ryes: g �►7 N�-State of f
Number i'a��es 1
Recopied aslrmiLoi 2 at 02:14 PM, Personally Known: or
JIM FULLER CLERK CIRCUIT COURT DUVAL Produced Idcnti
COUNTY - _._._..__...
RECORDING$1000
i