2166 S Fairways Villas Ln 2013 Roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Application Number . . . . . 13-00002413 Date 4/02/13
Property Address . . . . . . 2166 S FAIRWAY VILLAS LN
Application t e description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4950
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Application de c
REROOF
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Owner Contractor
--------------- --------- ------------------------
SEELY ROMANO BROTHERS ROOFING, INC
2166 FAIRWAY V LLAS LN E 601 OLEANDER COURT
ATLANTIC BEACH FL 322334408 NEPTUNE BEACH FL 32266
(904) 246-5649
------------------- -------------------------------------------------------�
Permit . . . . ROOF PERMIT
Additional des
Permit Fee . . 75 . 00 Plan Check Fee . 00',
Issue Date . . Valuation . . . . 4950
Expiration Dat 9/29/13
------------------- --------------------------------------------------------
Other Fees . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
----- - --- ---------------------------------------------------
--- -------
Fee summary Charged Paid Credited Due
Permit Fee To al 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.
Doc#2013081690,OR BK 16312 Page 1829,
Number Pages:1
Recorded 04/02/2013 at 02:45 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
�, COUNTY
(-A Y RECORDING$10.00
Permit number Tax Folio number
NOTICE OF COMMENCEMENT
STATE OF FLOR A
COUNTY OF DUVAL
THE UNDERSIDED 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 Commencement.
1. Descrition of p rty: ?02M
1 GG � rF 4 i
Vr L � �P S� ��
2. General description of' provements:
3. Owner information: / l/
Na anc�Address:
Cpg ` G6 .�ll�-5 '� y����f L�••(' Svc`�`�
C ReLj
Interest in property:
Name and address of fee simple titleholder.(other than owner):
4. Co ctor's narr a and address _. ,� �
6 to
a. Phone number-
rt b. Fax n fiber. 2
5. Surety information;
a. Name and address:
b. Phone number. c. Fax number: d. Amount of bond:
6. Lender's name d address:
a. Phone numb r: b. Fax number:
7. Person within the: State of Florida designed 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( )(b), Florida Statutes.
9. Expiration dateofNotice of Commencement (the expiration date is one (1) year from the
date of Recording l�nldifferegX date is specified .
UILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
00 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax(904)247-5845
Job Address:
Z 1 / L✓4 1 Permit Number:
Legal DescriptionParcel#
(`,� Floor Area o q. t. Sq.Ft
Valuation of Work /f � 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'y Commercial Residential
If an existing structure,is a fires rm er system installed? (Circle one): Yes No (:N3/
Florida Product Approval#
For multiple products use product v pprova orm,�/ r
Describe in detail the type of work t be performed: /V �L-��4�i► �s'f t l/�-f/� ^
Prouerty Owner Information: ,
Name: �` SQ Q f Address: —Z- l SCjf% V
City 1 c L Z to_zip 3.LPhnne °mac G<O�XtZC _-- -----
E-Mail or Fax#(Optiona
Contractor Informa ' n:
Company Name: o
v-5apo t Qualifying Arent: /-110 o
Address: �� City !x, State E/
Office Phone o d Job Site/Contact Number Ag, Fax#
State Certification/Registration#
-KLL
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. I 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 all laws regulating construction in this jurisdiction(. This permit becomes null
!nced within six and work void
mmrk is not
comme i understand that separate to permits muor st be secuconstrucred for on or Electricrk is ual-Work,Plums ng,Sigspended or ns,aWells,Pools,XFu�naces,Boilmonths at ers timeafter
trs,
Tanks and Air Conditioners,etc.
WARNING TOOWNER- YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MA RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. F YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR N ATTORNEY E OR ENTE RECORDING YOUR NOTICE OF
COMI hereb certify that I have read and examined his a plication and know the same to be true and correct. All provisions of laws and ordinances governing th4,s
type ofYwork will be complied with whether s eci ted herein or not. The granting of a permit does not presume to i uthority to violate or cancel the
provisions,of arty other fe 1,state r local regulating construction or the performance of construction.
Signature of O r �� Signature of Contract
7 Print Name sYOa/o3.......y %rra................................ Print Name n,�t�'Y.(............/���v .+ ..........................................................
Sworit, and subscribed befo e me Swo d subscri e e me 20
this
y1�Day of 2 ay
Notary Public) ti N is
1!,=01� MY C MISSION DD 'i201
y :o`; EXPIRES:Febri 2014 ised 01.26.10
OVE ' Bonded Thn+Notary Public Underwrite
oF. ;