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Permit Roof 383 3rd St 2013 t±•=U`- CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002231 Date 2/27/13 Property Address . . . . . . 383 3RD ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4465 ---------------------------------------------------------------------------- Application desc reroof FL## 1956 . 3 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GAJEWSKI THADDEUS J & MARIANNE ROMANO BROTHERS ROOFING, INC 383 3RD ST 601 OLEANDER COURT ATLANTIC BEACH FL 322335231 NEPTUNE BEACH FL 32266 (904) 246-5649 --- Structure Information 000 000 REROOF ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . REROOF Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 4465 Expiration Date . . 8/26/13 ---------------------------------------------------------------------------- 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 jb Address: ��) /f'lfr�' fir, Permit Number: 13 4�a"3 Legal Description Parcel# fFloor Area of Sq.Ft. Sq.Ft 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/pro osed structure(s)((circle one):. Commercial :R:eiident�ia If an existing strucure,is a fire s n)klersystem installed? (Circle o s No " Florida Product Approval# For multiple products use pro uct approval form Describe in detail the type of work to be performed: �p Proaerty Owner Information: Name: ct�e J$/`t Address: 3 7 City State E Zip X33 Phone E-Mail or Fax#(Optional) Contractor Information: Company Name: Quali in Aen : Address: ,0 o" City ill g State�_Zip Office Phone 90V 0/0 "r(, Job Site/Contact Number Fax# State Certification/Registration# CC !3� $ 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 will be performed to meet the standards of a[!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 i's or abandoned for aperrod of six 6)months at any time after work is commenced. 1 understand that separate permits must be secured for Elech3cal Work,Plumbing,Signs, Wells,Poo/s, 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 certify that I have read and examined thisplication 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 speci 0 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 taw regulating construction or the performance of construction. Signature of Own Signature of Contractor Print Name ... .. .��._E. t_ f-\ . .......................................... Print Name � Via......... � Swo and subscribeA bef re me J3 Sworn to and subscribed before me this y of f-�. ,20 this Day of ,20 Notary Publ' Notary Public •`� '°�s DANIEL S ROMANO ` Notary Public-Sish of FloridaRevised 01.26.10 s� My Comm.E>piroo Nov 12,2016 Commisaim N EE 650643 Doc#2013051085,OR BK 16269 Page 1647, Number Pages: 1 J Recorded 02/27/2013 at 12:19 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL fj COUNTY RECORDING$10.00 Permit number_ _ Tax Folio number NOTICE OF COMMENCEMENT STATE OF FLORIDA COUNTY OF DUVAL THE UNDERSIDED hereby gives notice that improvement will hs made to certain real property, and in accordance with Chapter 713, Florida Statutes,the following;information is provided in this Notice of Colrunencement. 1. Descrition of rope hJ1 bc-'k 2. GenetaLt escripdou gf4mproveuieuts: 3. (honer information: r s f a. Name and Address: b. Interest in property: c. Name and address of f�e simple titleholder(other than owner): 4. Contractor's name ar.d ddre _o 33 f� a. Phone number- � �_ t. b.Fax number: -- 5. Surety information: a. Name and address: -- d ,�m�t of bond: b. Phone number. c. Fax number: 6. Lender's name and address: a. Phone number: . Fax number 7. Person within the State of Florida desiped by owner upon whom notices or other documents maybe served as provided by 713.12(1)(a), Florida Statues. Name and Address: a. Phone number: ----b. Fax number: 8. In addition to himself/herself, owner designates —of _ to receive a copy of the Lienor's Notice as provided in Section 713.12(1)(b), Florida Statutes. 9. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of Recording;unless a different elate is sPecifCd). ____