1339 Camelia St 2013 roof I R
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
Application Number . . . . . 13-00002420 Date 4/03/13
Property Address . . . . . . 1339 CAMELIA ST
Application t e description ROOF PERMIT
Property Zonin TO BE UPDATED
Application valuation . . . . 7000
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Application de c
REROOF
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Owner Contractor
-
------------------------
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CICIORA, TIM ROMANO BROTHERS ROOFING, INC
1339 CAMELIA S REET 601 OLEANDER COURT
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 246-5649
------------------- ----------------------------------------
Permit . . . . ROOF PERMIT
Additional des . .
Permit Fee 85 . 00 Plan Check Fee . 00
Issue Date . . Valuation . . . . 7000',
Expiration Dat . . 9/30/13
------------------- -----------------------------
Other Fees . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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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 PERNUT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: 133q Permit Number:
Legal Description Floor Area of Sq.Ft. Parcel# -non-heated/cooled
Valuation of Work$_ �VCIO -Proposed Work heated/cooled 0'7
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/pro sed structure(s)(�ircle one'l: Commercial <-�esideih-Md
If an existing struccire,is a fire spri Ider system installed? (Circle one): Yes No
Florida Product Approval#
For multiple products use I approval form
Describe in detail the type of work be performed: Pce-ez�
ProRRrty Owner Information:
/"3 V
Name: r0% 4C411-01, Address:-
city State *,�j &10 -cYz19
E-Mail or Fax#(optional)—
Contractor Information:
Qualify 11 Agent:
tkw-c—
Company Natne:
State Zp—1122_Tj
City
Address: Fax
Office Ph e Number
qa-_q bL00S�7-c-- —Job Site/Contact
State Ce . ication/Registration#--��-<-C /32-YE01
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Ac dress
Bonding Company Name and Address
Mortgage Lender Name and Address fi to do the work and installations as indicated I certify that no work or installation has commencedprior to the
Application is hereby made to obtain a permii iting construction in thisjurisdiction. ThisXrmit becomes null
issuance o a pqrnit and that all work will be i7edbrined to meet the standards ofall laws reguk
work is not commenced within sixj r6)months, or ifconstruction or work is=h&!d or abandonedfor a ny time r
weriod of s�g)majiths at a afte
e
j I
and void if. rate permits must be securedfor Eledd Work,Phimbing,Sl,&S, dh,POTOIS, rnaces,Bone",Heah"'
work is commenced. I understand that sepa,
Tanb and Air Condidonem,dr-
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
CONUAENCEMENT RESULT IN YOUR PAYING TWICE FOR MROVEMENTS
TO yOUR PROPERT%Y.y]1F'YOU INTEND TO OBTAIN FINANCING CONSULT WITH
) N ATTORNEY BE
YOUR LENDER OR FORE RECORDING Y6M NOTICE OF
COMMENCEMENT-
f laws and ordinances governing this
Ihere certify that I have read and examine!I this lication and know the same to be true and correct. Allprovisions o
X0 rein or not. The granting of a permit does not presume to give authority to violate or cancel the
Vlwork will be cotnplied with whether sp_oe* , construction or the peifo�mance ofconstruction.
&ovisions ofany otherfederal,state,or loca�mw re
o.
Signature of Contractor
Signature o wner
Print Name 'y ... ...........
Print Name ... ........................................................ . .......................
.......... ' �i
Sworn subscribbe -fore me
to andjw*nbed b9fore me is 20.
Sworn 2015 ... D of 13
this
itty C WS10 D 57760
ua 14,2014
0 lic DANIEL S ROMANO EXPIR S:Fe Underwters
Bnndt)d Thro Nota ed 01.26.10
11104 Y Public-Stft of FlWorift I rvis
My C(Mm.EXIII(es Nov 12,2016
lie
EE
CO Mission# 850643
Tax Folio number
permit number
NOTICE OF COlvirvIENCEMENT
STATE OF FLORID
COUNTY OF DUV
Des notice that improvement will be made to certain real property,
THE UNDERSIDED h by gives information is provided in
and in accordance with Chapter 713, Florida Statutes,the following
this Notice of Commen ement.
1. Descr. do of property:
,tet ,a
2. General description of improvements:
3. Owner
information: r
Name end Address. (�
Interest in property:
Name and address of fee simple titleholder(other than owner):
4. Contractor's liar ie and address: ,(� b
1-2
b. Fax number:
a. Phone number'
5. Surety informati n:
a. Name and address: c. Fax number: d' Opt of bond:
b. Phone number. .
6. Lender's name and address:
ber:
a. Phone null
b. Fax number:
tate of Florida designe
maybe served as provided by 713.12( )( )d by owner upon whom notices or other document
7. person within he P 12(l)(a) Florida Statues.
,
Name and Address: b,Fax number:
a. Phone n ber:
g. In addition to himself/herse—
if, owner
receive a copy
Of the Lienor's Notice as provided in
of
Section 713. 2(1)(b), Florida Statutes. e� from the
'I-, the expiration date is one (1) y
9. Expiration to of Notice of Commencemencified)•
,i.tP of Rec riling unless a different daP _