395 Sailfish Dr 2014 roof 1
CITY OF ATLANTIC BEAM
800 SEMINOLE ROAD
s)
"J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000009 Date 1/07/14
Property Address . . . . . . 395 SAILFISH DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5000
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Application desc
reroof
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Owner Contractor
-
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ROMANO, ANTHONY ROMANO BROTHERS ROOFING, INC
395 SAILFISH DR 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 . . . . 5000
Expiration Date . . 7/06/14
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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 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.
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of / County of
To whom it 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: )y z} f I ''S 4 C If- A4/ �y /,�/ 39d-r3
I
Address of property being improved: ) l bc-fl
General description of improvements: Xe,-6 1-105-
Owner T 600 V � Ar+C
Address ���, F!5�l c�i All
���177-
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor �ri IA,ht� Arr 4.1 Ac.th��
Address Al", k.),x z--w 13 7
Phone No. `0V /_� -n�/7L Fax No.
Surety(if 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 Lienors 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 Commence nlJt #ra!4date is one(1)year from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S US '„ OWNER
'a4o� ¢v1e
this day of in[n
"rarrrodunty Duvai,State of Florida,flas personalty appeared
herein by
imsellillf! rseif and affirms that all statements and declarations herein
p c re true nd accuret�_„,...—
Doc#2014004359,OR BK 16653 Page 1656, H 3 z �—
Number Pages:1 H m , m
Recorded 01:07!2014 at 03;38 PM, on
�' r
Ronnie Fussell CLERK CIRCUIT COURT DUVAL a (0 blicatLarge,state of county of s
COUNTY 1MM g fission expires:
RECORDING$10.00 a on Known or
raduc Identification
p O C10
—
O �
W Y
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: _q957- —5AI �,� Permit Number:
Legal Description Parcel#
Floor ea o SaTt. t
Valuation of Work$ VDJ 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 Residen
If an existing structure,is a fire prinkler system installed? (Circle one): es No /A
Florida Product Approval#
For multiple products use product approva orm
Describe in detail the type of work to be performed:_
Proaerty Owner Information:
Name: ,. V ?E0r--~ <JC,'54 d,-
City
,City M1 State P Zips _Phone 16V r 1p—a yam/
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: rl"&rla /3rahvLf .Pac.�1.� Qualifying Agent: Ny z".w.•
Address: Tfr- -Z,1.Ctsh eir City &I 6e- State / Zip 792�
Office Phone 9 ?y e,16—,o yTs Job Site/Contact Number Fax#
State Certification/Registration# 4e—c /395 4 7
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
and void f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters,
Tanks and Air Conditioners,eta
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 o work will be complied with whether specified herein or not. The granting of a permit does not presume to g:v violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of OwnerP-As Signature of Contractor
Print Name r1
...�yt ........ ......... ......G.. a......70...... Print Na ...........�i�+��. ... ............................
Before me efore
thisDay of 0 is D y of 20
too#
,.�: Y°�•,''•., DANIEL S RJ850643
Notary Publi �-�'� ? Notary Pubk-S
My Comm.Expires
:;E,�,,d;:•• Commission+M Revised 01.26.10