156 Belvedere St roof 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
C
Application Number . . . . . 12-00001614 Date 11/01/12
Property Address . . . . . . 156 BELVEDERE ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 7000 --------------
--------------------------------------------------------------
Application desc
reroof shingle 1956 . 3 --------------
--------------------------------------------------------------
Owner Contractor
------------------------
ROMANO BROTHERS ROOFING, INC
DOWNING GERALD M 2410 CYPRESS LANDING DR
156 BELVEDERE FL 32233
ATLANTIC BEACH FL 322334107 ATLANTIC BEACH
(904) 246-5649
----------------------------------------------------------------------------
Permit ROOF PERMIT
Additional desc REROOF Plan Check Fee . 00
Permit Fee . . . . 85 . 00 Valuation . . . . 7000
Issue Date . . . .
Expiration Date . . 4/30/13 -----------------------
-----------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
-- -------------------------------------------------------------------------
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
Permit Number:
Job Address: 5LI t/e-del, -12
Parcel#
Legal Description
A sq.Pt
I'loor rea of non-heated/cooled_�
Valuation of Work$rz Proposed Work 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 Residential
If an existing structure,is a fire sprin=system installed? (Circle one): Yes No N /A
Florida Product Approval 4 , -3
For multiple products use produc a lir—oval form
Describe in detail the type of work to be performed:
Property Owner Information: r,
Pol-'vel(�,l Address: 156 u�,4z (e,/q
Name: -St e ip Z2 hone 1 2
city ac!� -_
E-Mail or Fax#(optional)
Contractor inform ion:
CompanyName- 4,�,( ua i In& gent:
Q lify' A State:T_K�_Z�ip__7D�W
Address: C,
Ity Ar Fax#
Office Phone Job Site/Corktact Number
State Certification/Registration ccc -
Architect Name&Phone#—
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
4pplication 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 ofa permit and that all work will be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
or work is su ended or abandonedfor aWeriod of sixP6)months at any time ofter
months, or if construction ells, pools, urnaces, Boileis, Heiziers.
f work is not commenced within six(6 Y,
and void i r Electric Work,Plumbing,Skns,
work is commenced. I understand that separate permits must be securedfo
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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
fon and know the same to be true and correct. All provisions of laws and ordinances governing this
I hereby certify that I have read and examined this a U t resume to I ity to violate or cancel the
caj�
J_ ranting of a permit does not p sume to
'ci io g,- ity to voi-t, or ca,,c,, ,,,,:
ope p�work ivill be complied with whether S9 pe§1hrein or not. The g fconstruction.
provisions of any otherfederal,state, or local aw regula * construction or the peFformance o
Signature of 0 er Signature of Contractor
PrintName ......................................................................................................................................... Print Name A I.............I . ............................................................
Sworn Swo to and subscribe-Oefyre noe
iq,and subscri Ir Day of 02-,
this L;6Day of this
#EE oV349
Notary Public DANIEL S.ROMANO
ExFiRES.MAY
Notary Public-State of Florida Revised 0 1.26.10
I*%
My Comm.Expires Nov 12,2012 ......
OF FV Commission #DO 837063
Permit Number Tax Folio Number
NOTICE OF COMMENCEMENT
STATE OF FLORIDA
COUNTY OF DUVAL
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in
accordance with Chapter 713,Florida Statutes,the following information is provided in this Notice of S2
Commencement. I
1. Description of property(Street address): 156 Ta=t""f-,Reach "L 3
2. Legal Description:
3. General description of improvement:
4. Owner information: -5,
L6
a. Name and Address:
b. Interest in property: W V%C-r er(other than owner):
c. Name and address of fee simple titlehold
970-Tf,?
5.a. Contactor's name and address: zrdkw-� &A
b. Phone number: qp�4 t 0 — Fax number,/
5. Surety Information:
a. Name and address: Doc#2012243316,OR BK 16125 page 2482.
Number Pages:i
b. Phone Number: Recorded 11/01/2012 at 09:15 AM,URT DUVAL
c. Amount of Bond: JIM FULLER CLERK CIRCUIT CO
COUNTY
6. a. Lender's name and address: RECORDING$10-00
b. Phone Number:
7.a.Person within the State of Florida designated by owner upon whom notices or other documents may be
served as provided by 713.12(l)(a)7. Florida Statutes.
a. Name and address:
b. Phone numbers of designated persons:
8. a. In addition to himself/herself,I Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(l)(b),Florida Statutes.
b. Phone number of person or entity designated by owner:
9. Expiration date of notice of commencement(the expiration date is one(1)year from the date of recording
unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNERAFTER THE EXPIRATION
OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER
CHAPTER 713,PART 1,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 INTED TO OBTAIN FINANCING,CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR
NOTICE OF COMMENCEMENT.
e of Owner(Owner' thorized Officer/Director/Partner/Manager:
ff
Ic
(Si ory's Title/Office) day of 120
The foregoing instrument was acknowledged before me this
by as f0i
Notary:
of identification Produced:
Pers ow
My i t9! expire§ANIEL S.ROMANO
Z
Notary Public-State ot Florida
C Dmm.Expires Nov 12,2012
- 'EMY
0Z wris
L,�� I um
I of -21#DD 837063 av
Und declare a � e read the foregoing and that the facts stated in it are
li�elicf-
true 16
P — ;z 9"? -