555 Aquatic Dr 2013 roof CITY OF ATLANTIC BEACH
i 800 SEMINOLE ROAD
J ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . 13-00002521 Date 4/23/13
Property Address . . . . . . 555 AQUATIC DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4300
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Application desc
reroof
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Owner Contractor
-
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IBARRECHE, GERARD ROMANO BROTHERS ROOFING, INC
555 AQUATIC DRIVE 601 OLEANDER COURT
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 246-5649
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Permit ROOF PERMIT
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 4300
Expiration Date . . 10/20/13
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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 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
Job Address: 4�k c- -T->, Permit Number:
Legal Description Parcel#
Floor Area o q. t. Sq-1T
Valuation of Work S 3 Oct, �'' Proposed Work heated/cooled non-heated/cooled /9
Class of Work(circle one): New AdditionAlterat' n Repair Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial 4s:identiaN
If an existing structure,is a fire sprinkler system installed? (Circle one) ord
Florida Product Approval# �
For multiple products use product approval orm —
Describe in detail the type of work to be performed:
Property Owner Information:
Name: �Z)CA r ce ��r v.z�,,� Address: A .c,�� �j .t i,- +�G,13a, I'—I.
City_ A -t—t^.a•1 +i e .truce_State f5 t Phone
E-Mail or Fax#(Optional)
Contractor Information:
� ,� 'tic-r��S �,�4���City
Qualifying Agent: �•
Company Name: 1 ,k State
Address: 4� N
Office Phone �/ b — 4y9 Job Site/ er 5 /— �Ty Fax#
State Certification/Registration
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the
Application is hereby made to obtain a permit
t the standards of all laws regulating construction in this jurisdiction. This permit becomes null
issuance of a permit and that all work will be performed to mee
and void Zf work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of si P6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing, Signs, Wells,Pools, urnaces,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
BEFORE RECORDING YOOBTAIN UR NOTICE OF CONSULT H
YOUR LENDER OR AN ATTORNEY
Hype of work w that I have read and 11 be complied with whether�ptecihis aedlhertetn or not.n and
Theegranting of a permit doessame to be true and cnot t. All esumeitos of laws thorny toand vtolatences gor cancel the
provisions of any other federal,stat , or local law re ating constru ion or the performance of construction.
Signature of Owner Signature of Contr
Print Name '` d
Print Name f.. //.. ......... 'G... ' .............. ........... ..... ............ ^.......................................................................
.......C:rGG....Gl............... ...!C7 ..
Before me Before me 20
this Day 20 this Day of
Notary Public
Notary P Revised 10.24.12
����,PF�,�4�i
e •, DANIEL S ROMANO
. �: Notary Public-State of FWW
of My Comm.Expires Nor 12,2016
,_,F ,,3".:•`' Commission#F EE$sow
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No Tax Folio No.
State of County of f ✓
To whom It may concorn:
The undersigned hereby Informs you that improvements will be made to certain real properly,and In
accordance with Section 713 of the Florida Statutes,the following Information Is stated in this NOTICE OF
COMMENCEMENT.
Legal pescIptlon of property being improved:
Address of property being improved: C(� , .1 i�7.r—s -r-d-A-'t 1. &&,a&.
General desatpton of Miprovements: yl,�� �!� rrlr ht H,
Owner` ,�� ,� Z b�,�o-��L.� S4 2-, SXl
Address 4 T-
4
Owner's iriafest in site of the improvement i1eiQ
Fee Simple Titleholder(if other than owner)
Name
Address
C actor rv►a✓+ CD �� C .
Address l G 35-n
hone No. t/ Fax No.
(ff any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a ban for the construction of the improvements.
Name
Address
Phone No, Fax No.
Name of person within the State of Florida,other than himsaff,designated by owner upon whim notices or other
documents may be served:
Name
Address
Phone No. Fax No.
In addition to himself,owner designates the following person to reoeiva a copy of"Lienor's Notice as provided in
Section 713.06(2)(b).Florida Statutes.(FBI In at Owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one(1) ar from the date recording unless a
different date is speciffed):
THIS SPACE FOR RECORDER'S USE ONLY
t
Signed. DATE
Before day or_ in the
County of .State ofFlo erelir�l ppoared herein by
Doc#2013099507,OR BK 16337 Page 1575, �andsacminke that a1 ements dadarations herein
Number Pages:1
Recorded 04/22/2013 at 04:13 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00 Notary pf-- � °
My
Personally or
Produced 1
s
Commission#EE 850618