715 David St 2014 roof ' 1�3
Vis ` 'SS CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
�JF3 �•
Application Number . . . . . 14-00000470 Date 3/28/14
Property Address . . . . . . 715 DAVID ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6800
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Application desc
REROOF
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Owner Contractor
-
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CORNWALL ET AL,MARY D ROMANO BROTHERS ROOFING, INC
715 DAVID ST 601 OLEANDER COURT
ATLANTIC BEACH FL 322334116 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 . . . . 6800
Expiration Date . . 9/24/14
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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, Permit Number:
Legal Description Parcel #
� Floor Area o q. t. Sq.Ft
Valuation of Work$ 66., Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New AdditiontteratiaRepair Move Demolition pool/spa window/door
Use of existing/pro osed structure(s)((circle one): Commercial eside�'
If an existing structure,is a fire sprinkler system installed? (Circle one): es No /A
Florida Product Approval# ja 1gS-G ,/
For multiple products use product approvaorm
Describeindetail the type of work to be performed: j-e,r,,,��� d/ d� �Lrsi✓e r,�j��,��4,c,r s,(«�
Property Owner Information:
Name: C I a-u A L'A tA,) to C. Address: 7 S
City -t-&,-�_/ 4,L Stater,Zip Phone
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: RVP/M (3v-" Qualifying Agent:11)4 l7-a,e,4,,y
Address: City State Zip
Office Phone - Job Site/Contact Number�, � Sri/_�cr�� Fax#
State Certifica io egistration# `T—
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. 1 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 eriod 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,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 thisapplication 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 give authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contractor p
Print Name `...�..Ac,.dl.'. ...... ..MN....yT.4_ _ ........................................... Print Name ,.,4 t- r l`c
a....... . ................................................................................
Beforp me e
this f9 D of 20 i ay o 2
s -0ANIEL S NUMAhu
NOMY Poo—Its"
n•
Notary Publ l ' Nor 12,ZOti
My c.ww.� Ic
co mmfssw N EE 65OM3
Revised 01.26.10
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No.
State of Florida, County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chapter 713, Florida Statutes,the following information is provided in this Notice of Commencement.
1. Description of property(legal description of property and address if available):
2. General Description of improvements:
3. Owner Information:
a)Name and Address: ° &rN ,¢v' ,
b) Interest in property: If& 40 a
c)Name and address of simple titleholder(if other than owner):
4. Contractor Information: "
a)Name and Address: ,a ,,,,y, cane,., PO 60y" �3c�; '3'7 AJI kc A f-7 3.'41'33
f b)Phone Number:_15001
5. Surety Information:
a)Name and Address:
b)Phone Number:
c)Amount of Bond: $
6. Lender Information:
a)Name and Address:
b)Phone Number:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13 (1)(a) 7,Florida Statutes:
a)Name and Address:
b)Phone Numbers of Designated Person:
8. In addition to himself/herself, Owner designates of to receive
a copy of the Lienor's Notice as provided in Section 713.13 (1) (b),Florida Statutes.
a)Name and Address:
b) Phone Number of person or entity designated by owner:
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:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART
1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
The foregoing instrument was acknowledged before me this ?S day of Y'� '� "� , 20_Zy
Doc#2014067239,OR EIK 16730 Page 1662,
Number Pages:1 NOTARY PUBLIC, STATE OF FLORIDA
Recorded 03/27/2014 at 09:02 AM, nn
Ronnie Fussell CLERK CIRCUIT COURT DUVAL Print Name: �dInre );F01'&--D
COUNTY
RECORDING$10.00 ❑ Personally Known
❑ Identification/Type:
r
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the
foregoing and that the facts stated in it are true to the best of my knowledge and belief.
P
Signature of Property Owner
DANIEL S ROMAN]Flodda
�J
s
'`; • ' Notary Public-State of, My Comm.Expires Nov,,,;oF ;, commission#EE 85ed 10/1/2009
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