400 Levy Rd 2013 roof CITY OF ATLANTIC BEACH
1 j 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
S}
Application Number . . . . . 13-00003057 Date 7/15/13
Property Address . . . . . . 400 LEVY RD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6875
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Application desc
REROOF
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Owner Contractor
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FREEDOM INDEP BAPTIST CHURCH ROMANO BROTHERS ROOFING, INC
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 . . . . 85 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 6875
Expiration Date . . 1/11/14
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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 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.
Doc#2013174974,OR BK 16443 Page 2119,
/ Number Pages:1
Recorded 07/09/2013 at 12:48 PM,
�; (} Ronnie Fussell CLERK CIRCUIT COURT DUVAL
r\�� COUNTY
\� RECORDING$10.00
Permit number Tax Folio number
NOTICE OF COMMENCEMENT
STATE OF FLORIDA
COUNTY OF DUVAL
THE UNDERSIDED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statutes,the following inforri ation is provided in
this Notice of Conunencernent.
1. Description of property:
2. General description of improvements:
3. Owner information:
a. Name and Ad ss:
b. Interest in property:
c. Name and address of fee simple titleholder(other than owner):
4. "1tractor's name and a ess: -
Phone number �j �' _.. -b4ax number: U
5. Surety information:
a. Name and address:
b. Phone number. c. Fax number: d. Amount of bond:
6. Lender's name and address:
a. Phone number: b. Fax number:
7. Person within the State of Florida designed by owner upon whom notices or other documents
maybe served as provided by 713.12(1)(a), Florida Statues.
Name and Address:
s N a. Phone number: b. Fax number:
>g
8. In addition to himself/herself, owner designates
Of to receive a copy of the Lienor's Notice as provided in
to
14
Section 713.12(1)(b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is one (1) year from the
_ date of Recording unless a different date is specified).
�== Signature of Owner.
Sworn to an cribed before me this _day of 20
Notare
Known personally/ID shown: My commission expires:
BUILDING PERMIT APPLICATION
• CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: �D® G V\i /P(� Permit Number:
Legal Description 4k1 !'__ Parcel #
.—O0Foor Area t Sq.Ft. Sq.1,t
Valuation of Work$ 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/proposed structure(s)(circle one): Commercial :esid '
If an existing structure,is a fire sprinkler system installed? (Circle one . es No
Florida Product Approval # :5-20 + /
For multiple products use product approval form / / /
Describe in detail the type of work to be performed: i �•o�.L �oTCh �ow►'t /►'LS �? 7�� drev,,
Property Owner Information:
Name: Address:
City State ZipPhone
E-Mail or Fax# (Optional)
Contractor Information:
Company me: 4WA4fo E Quali in Age t: � �iv LJ /!4r�AGLf/1
Address: City / c'l State _Zip 3�
Office Phone i 0'6 7C Job Site/Contact Number Fax#
State Certification/Registration# LC_C. I SAW-5
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 tom
the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a perrod of six(6)months at any time after
work is commenced. 1 understand that separate permits must be secured for Eleclrica 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 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 this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will he complied with whether speci ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the
p ovisions of any otheafe te, or local law regulating construction or the performance of construction.Signature of Own // --� Signature of Contractor
Print Name /Ji./� w.k Print Name 1✓n'�r�..L..�.........
Sworn o and subscribes fore me 20 / Sworn to and subscribed before me
this_Day of oo�� this Day of 20
Notary Pu DANIEL S ROMIANO Notary Public
Notary Pubiic-Sc
• :•: >Ke of F,201 Revised 01.26.10
My Comm.Expires Nov 12,
•'�� Commission# 2016
`„;�••` EE d5ON3