94 W 3rd St 2014 Roof CITY OF ATLANTIC BEAVR
S 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000057 Date 1/16/14
Property Address . . . . . . 94 W 3RD ST
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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SCHNEIDER, CHRISTIAN C ROMANO BROTHERS ROOFING, INC
140 APPLEWOOD DR 601 OLEANDER COURT
EASTON PA 18045 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 . . 7/15/14
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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 N1.
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 folio g information is stated in this NOTICE OF
COMMENCEMENT.
Legal descriptio ofro erty being improved: St's .
c. 3
Address of property being improved: r
General description of improveme —
Owner r
Address �e-
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Nam
Address
Contra
Address ,
Phone N Fax No.
SJ
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 Lienor's Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name OANiEL
Address
_ R '- kc'! public-State of Florida
Fax No. f V=r
Phone No. 11, r xpires Nov 12,2
C -to y a.
Expiration date of Notice of Commencement(the expiration date is one(1)y he dateofrecordin8�InleF W064 ,
different date is specified)'
z �
THIS SPACE FOR RECORDER'S USE ONLY OWNER
�YATE
gned: _
efor me s day of in the n�
Coun uval,State of Florida,has personally appeared w
herein by
TE
ahimself/herself affiyms that al statements and declarations herein E E
Doc#2014012609,OR BK 16663 Page 366, ars true an uratef :�
Number Pages: 1 z '
Recorded 01/16/2014 at 03:54 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL ,•`�� ' �o'.
COUNTY ,L 12,2,G 16 see` bo':i
ary Public a
blit Large, i ate of
NotCounty of c a nae3 a
RECORDING$10.00
My commission expires: %}
Personally Known _ �"e/ or.r ;op I,,,"„�.•
Produced Identification
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: � Permit Number:
Legal Description `s 1,r J- '_pfd S-1- AS )f j`D3�arcel#
Floor Area ot S q. t. q. t
Valuation of Work M one
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 en Vit' C �
If an existing structure,is a fire s win system installed? (Circle one): Yes No 17Yl
Florida Product Approval# -
For multiple products use product approval orm
Describe in detail the type of work to be performed:
Provertv Owner Information:
w n
ame• � S Address: "1� �� P
i Phon
-Mail or Fax# (Optional)
Contractor or ation: NTRACT RL ADDRESS:
n
Company Na Qual} g Agent Qr%'%
Address- �J N ity-H[� State Zip
Office Phon - Job Site/Contact N tuber Fax#
State Certifica io egistration#�_I 3.
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 if 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, 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 hereb certify that I have read and examined this a plication and know the same to be true and correct. All provisions of la nd ordinances governing this
type o wor I be complied with whether spppeci:ed herein or not. The granting of a permit does not presume to auth ity to violate or cancel the
provisions f �ther eder 1, cal Law regulating construction or the performance of construction.
Signature o ner 0Signature of Contractor
A
/ p wc�
Print Name .......-SC.. I.�:�..C `.................... Print Name ......... �1 *. L.... - ...... ....................
...............................................
Before Befor me
this Day of '' " H 0. this 'Day of jkA 20-4
1 Notary Public-Stalsof Florid:
�1 My Comm.Expires Nov 12.2016
Notary Public ;,,••` Commission ifEE 8 3 Notary Public
Revised 01.26.10
W • W 401-0-i.