185 Pine St 2014 Roof CITY OF ATLANTIC BEACH
i1
Sy 800 SEMINOLE ROAD
v� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000573 Date 4/15/14
Property Address . . . . . . 185 PINE ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6000
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Application desc
REROOF 1956 . 3
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Owner Contractor
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SANDERSON, JOSEPH ROMANO BROTHERS ROOFING, INC
1101 SANDPIPER LN E 601 OLEANDER COURT
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 246-5649
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Permit ROOF PERMIT
Additional desc . . . 00
Permit Fee . . . . 80 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 6000
Expiration Date . . 10/12/14
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Other Fees STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
Fee summary Charged Paid Credited Due
----- ---------- ---------- -
Permit Fee Total 80 . 00 80 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 84 . 00 84 . 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: !Y.!Y. ,S�'�a�'�- _Permit Number:
Legal Description Parcel#
Floor Area of t
Valuation of Work (.000 Proposed Work t.heated/cooled_ non-heated/cooled
Class of Work(circle one): New Addition Alteration epa MovZsN
olition pool/spa window/door
Use of existing/pro osed structure(s)(circle one): Commercial esid
If an existing structure,is a fire sprinkler system installed? (Circle one). eo 0)
Florida Product Approval# M-6.3
-6.3
For multiple products use product approval form
Describe in detail the type of work to be performed: ze6204r
Property Owner Information:
Name: at a d rs " Address: 4—
City zi Z;"-- Stat Zip Phone 9r� /o -o yze
E-Mail or Fax#(Optional)
Contractor Information: p
,�,or,"tw �10 � :' Qualifyin Agent: `► �'� .�ory�+17
Company Name: State ' Zip J -�
Address: 1662 a s 3 7 City
Ay Office Phone 90 Y ��a - y7 6 _Job Site/Contact Number Fax#
State Certification/Registration# / a 9 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
t no work
llation
isst he
uance of a permit anmade to obtain d that al work e ill betpedbrnted towork
me t the stannd installations
dards of all laws regulating construction in t his juaisdi tion.Th permit becomes n
ull
and void f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of six L6)months at any time after
work is commenced I understand that separate permits must be secured for Electrical Work;Plumbing,Slgns, Wells,Pools, L'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 BEFOEERECORDING YOUR NOTICE OF
CON MENC
type hereb
work il�be complied with hethers pthis eciiFedlhertein or nknow
t o Theegraie to be nting of true and o permit doesct.no All
provisions
giveaws and autho ty tonances violateorcancel this
the
provisions of arty other federal,sta local!mv egulating construction or the perfoi mance of construction.
Signature of Own Signature of Contractor
Print Name _ ......__....._._____-
Print Name 1/QN
Sworn to and subscribed before i Sworn to and subscribed before me 20
this K' Day of /4p✓'
20 y this Day of
C2 e an Notary Public _ Not Public
Notuy Public-SUN of fbrids �
i; My Comm.Eq*vs Nov 12,2016 Revised 01.26.10
Commission#EE 650643
NOTICE OF COMMENCEMENT
(PREPAP,E IN DUPLICA;E;
Permit No. Tax Folio No.
State 0T �'��
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 dei ch tion of propecrtt being improved:
0 — h
Address of property being improved: . 4ne 0j �O�t
General description of improvements: ���
Owner JO t .Sa pvde •s e✓l
Address
e /Ic
Owner's interest in site of the mprovement
Fee Simple Titleholder(if other than owner)
Name
Address
S� Contractor 2 o
V
A, Address X" -737
3 0 3 3
P
Phone No. yid�1 ��B Fax No.
Surety(if any) '
r Amount of bond 5
Address
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 v✓ithin the State of Florida.other than himself.designated by owner upon ti,,hom 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 i.
Name l
Address I
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):
WNER 'R
THIS SPACE FOR RECORDER'S USE ONLY
. �..�'
I Signed, DATE in the
Before me this day of _
County of Duval.State of Florida.has personally appeared t e
herein by c � S
himself herseff a rms that all statements and declarat ons herein a 3 c =
Doc ff 2014082313,OR BK 16750 Page 85, are true an curate
Number Pages: 1 le x c m
Recorded 04;15/2014 at 01:13 PM,
— w
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY 'T' z
RECORDING$10.00 Notarf ublicatlar .State of County of cmmn j
i•.ty commission expires: or o
Personally Kna::n w S
Produced Identification w o S
C" ti