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865 Sailfish Dr 2013 roof CITY OF ATLANTIC BEACH I:l J 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002078 Date 1/31/13 Property Address . . . . . . 865 SAILFISH DR Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4750 --------------------------------------------- Application desc reroof --------------------------------------------- Owner Contractor ----------- _ ------------------------ TUCKER, WADE ET AL ROMANO BROTHERS ROOFING, INC 1650 LEEWARD LN 601 OLEANDER COURT NEPTUNE BEACH FL 32266 NEPTUNE BEACH FL 32266 (904) 246-5649 ------------------------------------------ Permit . . . . . . ROOF PERMIT Additional desc . . . 00 Permit Fee . . . . 75 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 4750 Expiration Date . . 7/30/13 ----- Other Fees STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 Fee summary Charged Paid Credited Due _ ---------- ----- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 79 . 00 79 . 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 nno - � �, 1 r• �-T �Qpermit Number: Job Address: I, S Parcel# Legal Description ``J t q. t Jf oor ea o q non-heated/cooled_ Valuation of Work$ `t -7 s©, 0' Proposed Work heated/cooled Class of Work(circle one): New Addition Alteratio Repair Move Demolition pool/spa window/door Use of existing/proposed i / roposedstructure(s)(circle one): Commercial one). esidenfi No /A If an existing structure, s a fire sprinkler system installed? (Cir Florida Product Approval# '�/ / ��• 3 For multiple products use product approval orm Describe in detail the type of work to be performed: jrt rA ,Ill ill' p 1`11 Property Owner Information: '�C4 �� OcAddress: 8Name: State azip Phone o City 47t. E-Mail or Fax#(Optional) Contractor Information: _ Quali m Agent: CompanyName: State�Zip City /`•�) be Address: S'd`' SCi�.S—c fC$ Fax# Office Phone Mq j'� X1'7 Job Site/ ntact Number '��. State Certification/Registration# lif C / Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address mid to meet the standards of all laws regulating consndoneidnor a teriod of This the attany time after Anull pplication is hereby made to obtain a perm to do the work and installations as indicated. 1 certify that no win k or installation has commenced prior tot e issuance of a permit and that all work wtll per f and void if work is not commenced within six(6) months, or if construction or work is sus ended or aba Boilers,Heaters, p p � g Signs, ells,Pools, urnaces, Tanks and Air Conditioners,understand that separate permits must be secured for Electrica Work, Plumbing, ig work is commenced. I WARNING TO OWNER: YOUR FAILURE y TD RECORD��OR IMPROVEMENTS COMMENCEMENT MAY RESULT IN YOUR P ING YOUR NOTICE I TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FOIA CING, CONSULT WITH YOUR LENDER OR AN ATTORNEYCOMMENCEMRE ENT. i ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the I hereb certify that 1 have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this type o7work will be complied with whether sp or local law regulating construction or the performance of construction. provisions of any other federal,state, Signature of Contractor Signature of Ow er ` Print Name Print Name x ........................... .. ...... .......... ............ ..... Before m 2013 Before me o/3 thi '3 Day f this 9 y of J S ROMANO Notary Public Not uy • 'My Comm.EXONI Nov 12 2016 Revised 10.24.12 ° #EE 850643 ,P.• Commisnon NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of ,r=:r' County of_ �,;,�: il 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: j�' 7 ii I-t l j 1!s- _, a T��_„s, Sri[ /J`•tf,�� General description of improvements: .�Y9,_� } c V -- 1-z f 4 ✓ I4.L•Y_`5� in ' S Owner,�� a a. Address E,4 Owner's interest in site of the improvement fML t”' Fee Simple Titleholder(if other than owner) Name Address II Contractor c>ws, ^� %7 t t11.. �+'. -•n Address L"-1�X. '336 UU �) Phone No._IcY 0C -0 VA. Fax No. le`i �4G y�1 k% Surety(If any) Address Amount of bond$ Phone 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 Phone 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 Statutes.(Fill in at Owner's option). Name Address Phone 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 ////61. ..- DATE Before me this day of in the County of Duval,State of Florida,has personally appeared herein by DCC#2013028536,OR BK 16237 Page 985, himself/herself and affirms thatall statements and declarations herein are true and accurate Number Pages: 1 Recorded 01/31/2013 at 1 0:1 1 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY ; BANIEI RECORDING$10.00 lic `a3tQof C ROMANO Notary f rvey corn 0 t- pi `''t Personal[ o (n •= nemmExPi� or E SSG Produced yr Y" OMMISSIon