360 Garden Ln 2014 Roof r1 CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
r i3 �•
Application Number . . . . . 14-00000228 Date 2/18/14
Property Address . . . . . . 360 GARDEN LN
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 7000
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Application desc
REROOF FL 1956 . 3
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Owner Contractor
-
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KING WILLIAM D & CHRISTINA M ROMANO BROTHERS ROOFING, INC
360 GARDEN LANE 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 . . . . 7000
Expiration Date . . 8/17/14
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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.
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 Parcel#
Floor Area of Sq.Ft. Sq. t
Valuation of Work S Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition poollspa window/door
Use of existing/propofire
structure(s) circinstalled?
one): Commercial Residential
If an existing structure,is a re sprin=system (Circle one): Yes No N/A
Florida Product Approval# 14S U .
For multiple products use product approvat form ff
Describe in detail the type of work to be performed-
Prouertv Owner Information:
Name: G '% Address: 3�- C
City Stat Zip 33Phone
E-Mail or Fax#(Optional)
Contractor ation:
Company Name: Qua} Y�mg Agent:
Address:1 - I City State Zip X33_
Office Pho Job Site/Contact Number Fax#
State Certificati n/Registration# C r 13-a e>v q,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. Thispermit becomes null
and void:f work is not commenced within six(6}months, or if construction or work is suspended or abandoned for aper:od of six r6)months at any time after
work is commenced I utxderstand that separate permits must be secured for Electne World Plumbing,Signs, Wells,Pools, Furnaces,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 YOUk NOTICE OF
COMMENCEMENT.
I hereby certify that I have read and examined thisplication and w �, ;e o e true and correct. All provisions of laws and ordinances governing this
type o work will be complied with whether speci ted herein or no f a permit does not presume to give ori ty to violate or cancel the
provisions of any other federal,state, o local law regulating cons tq rmance of construction.
Signature of Owner v ignature of Contractor
Print Name - /2 - rint Name Avg•e................�Cj A
Sworn to and subscribed before me Sworn to and subscribed before me
this_D D .20 a �„ this Day of 20
Ar
Notary Public o Notary Public
oa
d Revised 01.26.10
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 information is provided in
this Notice of Commencement.
1. Description f property:
2. Dei scription of iprovements:
t rL
3. Owner information: nn
a. A Address: k"! r\Ck Cesar L n ten<
b. Interest in'property:
c. Name and address of fee simple titleholder,(other than owner):
4. Con ctor s name i addr ss: Ime npnq
a. Phone number b. Fax n ber: . `Zoe 3
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:
a. Phone number: b. Fax number:
8. In addition to himself/herself, owner designates =
of to receive a copy of the Lienor's Notice as provided in
Section 713.12(1)(b), Florida Statutes.
9. -Expiration date of Notice of Commencement (the expiration-date is one-(I) yem -
date of Recording unless a different date is specified).
Signature of Owner: ZLJ10 \/.✓4 �'
IV T C
Sworn to and cnb before me this-day of 20
w
Notary:
Known personally/ID shown: My commission expires:
Doc#2014027130,OR BK 16680 Page 2329,
Number Pages:1
Recorded 02/05/2014 at 11:59 AM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
- RECORDING$10.00