1080 W Plaza 2014 Roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J ATLANTIC BEACH FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000393 Date 3/14/14
Property Address . . . . . . 1080 W PLAZA
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3100
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Application desc
FL 1956 . 3
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Owner Contractor
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CASTERLINE, GLORIA J ROMANO BROTHERS ROOFING, INC
1080 W PLAZA 601 OLEANDER COURT
ATLANTIC BEACH FL 322331827 NEPTUNE BEACH FL 32266
(904) 246-5649
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 3100
Expiration Date . . 9/10/14
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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 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 74 . 00 74 . 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 ICATE)
Permit N Tax Folio N .
State of =H 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:
A dress of Property being improved: V p
General description of improvements: �� rt�0
Owner J 1
Address 0- -
Ov ner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contracto
Address V
Phone No. Fax No.
Surety(if any)
Address Amount of bond S
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
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date is specified): �%:°+ �'•`�
pmol'•
THIS SPACE FOR RECORDER'S USE ONLY 7 OWNER
Signed: /�l�)/r 1l/r l O_-,-e "I(. I_W DATE
c,
Before fee this day of in the 3 3 y >
County of Duval.State of Florida,has personally appeared a A
Doc#2014057532,OR BK 16718 Page 1918, herein by �• fir' r
himself,'herself and affirms that all statements and declarations herein 3 CA
Number Pages:1
Recorded 03/14/2014 at 12:42 PM, are true and accurate
Ronnie Fussell CLERK CIRCUIT COURT DUVAL m o
c' � � Z
COUNTY o N T O
RECORDING$10.00
0 0
Notary P491c at Large.State of County of �+
My commission expires:
Personally Kno,,n
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: IC>% 7
3 it Number:
Perm
Legal Description Parcel,#
� our ea o q. t. Sq.-Ft
Valuation of Work S�w Proposed Work heated cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Mo Demolition pool/spa window/door
Use of existing/proposed structure(s) circle one):. Commercial Residential
If an existing structure,is a fire�sprLkle system installed? (Circle one): o N/A
Florida Product Approval#
For multiple products use pro uct approval orm
Describe in detail the type of work to be performed: Ye- "
Property Owner Inform 'on:
Name: W$1 r L I% Address: loa
City Stat Zip Phone
E-Mail or Fax#(Optional}
Contractor nforma 'on:
Qua ' "ng Agent: v +''`e n
Company Nam city State Zip
Address: AOf I #
Office Phone - Job Site/Contact Number
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
t no
Application
onis a permit and that al work to obtain will beiperformed toork and meet the stanlations as dards of all laws regulatinicated. I g construction to othiinstallation
juraisdicttlom This permit bhas commenced e oor to the
mes n
ull
issuance or
and work time after
isho a rk is not
1 understand withihat n.
gix agate permits must be secured for Electrical Wont,Plums ng,Signs,aWi P eriod olsx tt'nates,Bot months at�,Heaters,
Tanks and Air Conditioners,etc
WARNING TO OWNER: YOUR FAITO LURE CE FOROTICE OF
IMPROVENIENTS
COMMENCEMENT MAY RESULT WI I
TO YOUR PROPERTY. IF YOU INTENDBEFO OBTAIN RECFINANCING
G CONSULT
OF H
YOUR LENDER OR AN ATTORNEY O�ENCEMENT.
1 hereb certify 11 t compli-eaded a with whetherht eciaedlhertein on noo The grantisame w theng of a permit be true adoescnotp t. Allesumeions to g feayysand horityrto vaolatences gor cancellthis
the
type q�wa P p
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contractor
n dv✓� ,v
Print Name ..a.... . .....-------_......_.. --
Print Name - ...-.__............
Sworn to and subscri d be oie Lc/ 20 (/
Sworn to and subscribed be o e me 20 this Da
this_jL Day o
Notal Pub
Notary Public ••,,ar DANIEL S ROMANO
Revised 01.26.10
III Public-Stne of Fknil s
• ,?My Comm.Exp ms Nov 12,20113
';� �, :• Commission I EE 85M3