360 3RD St. ROOF PERMIT CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
,�t"° INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002450 Date 4/10/13
Property Address . . . . . . 360 3RD ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 9065
---------------------------------------------
Application desc
REMOVE AND REPLACE ROOF 1956 . 3
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Owner Contractor
------------------------
------------------------
BARKETT JANET JOHSTON ET AL ROMANO BROTHERS ROOFING, INC
GREENBERG MARCIA JOHSTON 601 OLEANDER COURT
3011 NASSAU DRIVE NEPTUNE BEACH FL 32266
VERO BEACH FL 32960 (904) 246-5649
-------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . . REROOF
Permit Fee 100 . 00 Plan Check Fee . 00
Issue Date . . . Valuation 9065
Expiration Date . . 10/07/13
----------------------------
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 100 . 00 100 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 104 . 00 104 . 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
Jib Address: S - Permit Number:
��a�---•
Legal Description N "011Parcel#
J t
Valuation of Work S 01()U5, Proposed Work hetated/cooled non-heated /cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition poouspa window/door
Use of existing/proposed structure(s)(circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/
Florida Product Approval# 145co . 3 �i
For multiple products use product apli—roval form
Describe in detail the type of work to be performed:
Property Owner Information:
N /
Name:
Address:
City e Stat Zip 372R3—Phone 772, -- ��R, �'
E-Mail or Fax#(Optional)
Contractor Information: -
Company Name: ��' -�" ''^ %� tl Qualifyin Agent: N�hi
Address: `i�C lCity tate F" zip3
Office Phone `t'o-�-<< o- tt Job Site/Contact Number �( �o 9-py76 Fax#
State Certification/Registration a
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 rconstruction or work is pegulating construction in tperiod hisjurisdiction. This permit becomes null
and work iser
commenced o nmenced I understand that sepawork is not commenced within six rate permits muor st be secured for Electrical Work,Plumbing,Sigended or ns,aWells,Pools,
xFurnaces,Boilemonths at r,t 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
BE OR RECORDING YOUR NOTICE OF
CO
I here certify that I have re d and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type owork will be comp 'ed with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other fe ral,state, or local law regulating construction or the peg formance of construction.
Signature of Owner — Signature of Contractor
Print Name ....................................................
Print Name t ^
.�.......... nor-v...............................................................
...................... .... . .:.............
Befo n1e Be fo me f^� 20
this� this Day of .gyp"
DANIEL S ROM"
Notary Publ z,, .: ota Public
N
,a My Comm.Etp m No 12,2016 �
z�.yfF � CommissW N EE 6i06�S Revised 10.24.12
''�li�NN��,,
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of .Ge County of_ D&-L^
To whom K 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:.
3 cr u 3r--r c+
Address of property being Improved• S / .
07-29
General description of improvements:
Owner
Address
Owner's Interest in site of the improvement OL¢s o✓
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor
Address t-( e vvr ( ,
igtlaa3,�i>
Phone No. �{t�`—U Lta- 1�` Fax No.
Sunaly Qf 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 o F�2
Doc#2013079449,OR BK 16309 PaSigned; �` � � � DATE 1
Page 1544, Before me thl day ofs L� the /�J
Number Pages:1 CawKyofo a,5tateofF aspersonalyappeared
Recorded 03i29l2013 at 02: 1 PM, by
himsa i here f and b statements and declarations herein herein
Ronnie Fussell CLERK CIRCUIT COURT DUVAL are true andaccu
COUNTY
RECORDING$10.00
Notary bli $tate of
My com
Person or
Produce i+
s
commission#EE 850843