Permit Reroof 83 S. Saratoga Cir 2012 CITY OF ATLANTIC BEACH
r) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001761 Date 12/03/12
Property Address . . . . . . 83 S SARATOGA CIR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6670
----------------------------------------------------------------------------
Application desc
REROOF
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
DELEON RAMON PISO & VIRGINIA AAA ROOFMASTERS INC
PAR TRUST 5355 LENOX AVE
1003 CARLOTTA RD E JACKSONVILLE FL 32207
JACKSONVILLE FL 32211 (904) 713-7663
--- Structure Information 000 000 TORCHDOWN ROOF
----------------------------------------------------------------------------
Permit ROOF PERMIT
Additional desc TORCHDOWN REROOF
Permit Fee . . . . 85 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 6670
Expiration Date . . 6/01/13
----------------------------------------------------------------------------
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
Job Address: � Permit Number- Z A0
Legal Description
�-' 'I%-,)
Le
g P � Floor� �
7Uea of—Sq. t. q+t
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 existing/proposed structure(s)(circle one):installed?
Residential
If an existing structure, is a fire sprinkler system nstalled?(Circle one): es No N/A
Florida Product Approval#
For multiple products use product approval form
Describe i detail the type of work to be performed:z�4/`
Proi)erty C wner Information:
Name: Address: 12,'0
City State ip��Phone
E-Mai or x (Optional)
Contractor Information:
Company�aame: X24Qualifying Agent:
Address: Ci
Phonty State/j_Zip Z �
Office e - Job Site/Contact Number r Fax#
State Certification/Registration#
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
.'pplication 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 prermit and that all work w211 be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void rf wo isnot commettced within six(t5)months,or if construction or work is sus�pended or abandoned for apenod of six/t5)months at any rime after
work is comm nced. I understand that separate permits must be secured for ElectticaiCWorl� Plumbing, Signs, Wells,Pools, Furnaces,Boilers,Heaters,
Tanks and A 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 herebycertify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governin this
type ojwork will be complied with whether speci red herein or not. The granting of a permit does not presume to give authority to violate or cancel the
Provisions of arty other federal,state,or local law regulating construction or the performance ofconstruction.
Signature of Own, Signature of Contracto
Print Name Print Name
.i....d .�- _. ---- .........
_..-_. - . -- ..
Sworn and subsc 'bed bef re me Sworn to and subscribed be€€o�re me
this Day of SQ��(1�Q,(' 20Q2r this Day o€0e_CeTDnQ C .20
• V� JASON MICHAEL DEGUTIS JASON MICHAEL DEGUTIS
liC ='c `: MY COMMISSION#EE052841 iC =' 616 'c MY COMMISSION#EE052841
EXPIRES January 04,2015EAPIRES jelnyaq�,0 j�,?015
(407)39"153 FlorWallotaryService.com (407)398-0153 FtoWeNoteryServiee.com
NOTICE OF COMMENCEMENT
State of Tax Folio No.
County of 1
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 NOJ CE F CC MMEN MENT.
Legal Description of property being improved: . "�3 ��'or�� Atla i 1, we h 41� j i) I
Uva'. U+11D 611-3
Address of property being improved: fid, /---
General description of improvements:
r A
Owner: - Address:
Owner's interest in site of the improvement:
Fee Si le Titleholder(if other than owner):
Name:
Contractor- ,44/1
�2� 44--
Address: 4f• r ✓1t i��r-' J:�_ �22
Telephone oL`Z- e'c' 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 S ACE FOR RECORDER'S USE ONLY OWNER
Signed; _' -%-- Date:
Before rde this ] y of �1�M —in the Coun of 13uval,State
Of Florida,has personally appeared.
>tary Public at to gF, o� ltTli6
Doc#Z 12274066,OR BK 16165 Page 1730 y commissionii
Number ages:1 rsonally Kno or
Recon 12103!2012 at 12:23 Pki, oduced Identi - Y 64.P046 ual
o
JIM FUL ER CLERK CIRCUIT COURT DUVAL r>3
(407)34',,--O!
COUNTw °
RECOR ING$10.00