26 Saratoga Cir N roof 2012 CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
—Oil >�
Application Number . . . . . 12-00001625 Date 11/05/12
Property Address . . . . . . 26 N SARATOGA CIR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5500
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Application desc
reroof
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Owner Contractor
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GUTHRIE, DONNA L ROMANO BROTHERS ROOFING, INC
26 SARATOGA CIRCLE N 2410 CYPRESS LANDING DR
ATLANTIC BEACH FL 32233 A(90L4NTIC BEACH
FL 32233
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Permit ROOF PERMIT
Additional desc . . 00
Permit Fee 80 . 00 Plan Check Fee 5500
Issue Date . . . Valuation
Expiration Date . . 5/04/13
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Other Fees STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
Fee summary Charged Paid Credited Due
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Permit Fee Total 80 . 00 80 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 84 . 00 84 . 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
112
Job Address: /U � VC Permit Number:
Legal Description Parcel#
Floor Area o q. t. q. t
Valuation of Work S 0'� Proposed or heated/cooled non-heated/cooled
Class of Work(circle one): New Additio Alterat Repair Move emolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercialesidential
If an existing structure,is a firesprinkler system )Installed? (Circle o Yes o
Florida Product Approval # 6' -G; 3
For multiple products use product approval orm
Describe in detail the type of work to be performed: AZ --of-
Property Owner Informaattion: /A L n
Name: J r>nl� /ice (�c� 7G• �-/r>/ Address:�� J;Q �¢ CL.
City State-,6Zip'=33 Phone Ivy
E-Mail or Fax# (Op Tonal)
Contractor Information:
Company Name: 9.o—sro!✓d gtpl1wr< Pn,,A& 1 Qualifying Agent:
Address: City &L
State_ Zip � ?
Office Phoife 90y /P -0{/76 Job Site/Contact Number 90/ Fax#
State Certification/Registration# C,L 1309 9993
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. 1 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 null
and void if work isnot
commenced within six(6)months, or if construction or work is suspended or abandoned for a pereod of six6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Sigi:s, Wells,Pools, urnaces,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 certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type o7 work will be complied with whether speci ted herein or not. The granting of 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 performance of construction.
Signature of Owner
� ►11 Signature of Contractor
Print Name ............................Print Namee-C4
Swo to and subs o me v Sworn to and subscribed b�ft�;e_me 20
this Day o 0 r this Day of ,/y�-V
,U�r PV
,�` e�•., DANIEL S.ROMANO
Notary Public ; Notary Public tate o on a Notary Public
My Comm.Expires Nov 12,2012
'•.'; oF fro? Commission#DD 837063 Revised 01.26.10
NOTICE OF COMMENCEMENT
State of County of Tax Folio No.
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:,2 4�F S,-rp. C'A r ,���,��,L� t, C41r1, J
General description of improvements:
Owner: ibd2.�a. G-U-lk W40-* Address: z(d
Owner's interest in site of the improvement: C��•�lv�r
Fee Simple Titleholder(if other than owner):
,) Name:
I�I/ Contractor: 9,QM4" R o W C''rS R cf, 'A kc-
Address: 0 L-ox 332)W? 0 3?
Telephone No.: !02t/ t,10-=0V7-4- 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):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: (, Date: 6 041`! L
Before me thiVperson`alfl-y—appe day of in the County of Duval,State
Of Florida,h _ _ —
Personally Known: ---or
Produced Identificatio ---- --
Notary Public: --
Doc#2012246768,OR BK 16131 Page 59, My commission expir " "',
Number Pages:1 £901£9 UO#uOlss ;;a* A��,
Recorded 11/05/2012 at 09:22 AM, ZIOZ'Zl AoN sandx3 wwo0 W_
JIM FULLER CLERK CIRCUIT COURT DUVAL EpuolA Io ate1S• oilqnd 1et0N •J±R `o?
COUNTY 'a;d A;
RECORDING$10.00 ONNWOd 'S 131Ndt1