Permit 1515 Selva Marina Dr ReRoof 2012 CITY OF ATLANTIC BEACH
-� 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001363 Date 9/18/12
Property Address . . . . . . 1515 SELVA MARINA DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3500
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Application desc
REROOF
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Owner Contractor
LESTER, FRANCIS A ROMANO BROTHERS ROOFING, INC
1515 SELVA MARINA DR 2410 CYPRESS LANDING DR
ATLANTIC BEACH FL 322335613 ATLANTIC BEACH FL 32233
(904) 246-5649
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 3500
Expiration Date . . 3/17/13
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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 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
i
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
,roti Address: Permit Number:
Legal Description Parcel#
Floor Area of Sa.Ft. Sq. t
Valuation of Work$0 '5SSCL' 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
Commercial Residentia
If an existing structure,is a fire sprinkler system installed?(Circle one)--Yes—No /A
Florida Product Approval# S 02
For multiple products use product approval form
Describe in detail the type of work to be performed: f c-
Property Qwner Information:
Name: 41 A Address: c✓<-
City State - ip,Va3�_Phone Wit/ f t� ZG
E-Mail or k'ax#(Optional)
Contractor Information:
Company Name: .� � %3 �� ems JZ� .�:.r� Qualify' g Agent:
OfficesPhoy33'�'33 City State _Zip gam_
n y &o er V7.6 Job Site/Contact Number Fax#
State Certification/Registration# CLC /?9-S'873
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:f 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 I 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 certi,�y that 1 have read and examined thisapplication and know the same to be true and correct. All provisions of laws and ordinances governing this
type o work will be complied with whether specified ied herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of�4 other federal,state, or local law regulatin construction or the performance of construction.
Signature of OwnerY Signature of Contractor
Print Name C�►^�I /� r� Print a fin,' d /Po o"-0
........................................................................................................... ................ ................................................. ...........................................................................
Sworn to and subscribedorebefSwo to a d su cribe efore
this 1Z Day t is ay o 20
iPaY"neo DANIEL S.ROMANO
;q,"•'`•ey''•' RLE 1
Notary Public * My Comm.Expires Nov 12,2012 -r SIC?�!+D 95i ,�
��;�. t :r:February 4I,N'U4
;�°F F�o�.• COmmiSS100#DD 837063 %r'�p�y o�" Bonded 7hru Notary Publi.Under rrifei Ivised 01.26.10
4
NOTICE OF COMMENCEMENT
State of �� Tax 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: /S-'/S'- ,5'e'lo vw, A-
4+I & I , r ssd-2: 3
Address of property being improved: °^v� e-
General description of improvements:
Owner: Av+n /C5. rr— Address: / S f SY 5c�A e4
Owner's interest in site of the improvement: At/ 4a,
Fee Simple Titleholder(if other than owner):
Name:
Contractor: sf-cihf-":s
Address: a o Lo1C 3Ca S7 LC 4
Telephone No.: e70 y (c/t^ 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 Doc#2012202202,OR BK 1 s0 3 Page 2452,
NUmber
Name: Recorded 09e1&2012 at 03 33 PM,
,1SM FULLER CLERK CIRCUIT COURT DUVAL
Address: COUNTY
Phone No: Fax No: RECORDING$10.00
Name of person within the State of Florida, other than himself, designateu .,y vW„u, ui,.,,, W„vu, uU,wCs Ur ULnUr uocumems may oe
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,
7 M
Sign
,-ter'` x�-z�. r L.g�..: _ > ._.-� Date
Before a thi' ✓ day'of - in the County of Duval,State
Of Florida,has personally appeared
Notary Public at Large,State of Florint f Duyat:"y
My commission expi
Personally Known: or
S.ROMANO
Produced Identificati �.
My Comm.Expires Nov 12.2012
Commission#DD 837063