1830 Seminole Rd 2014 Roof �J SS1
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j :F ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
r/:J,119'"'
Application Number . . . . . 14-00000631 Date 4/22/14
Property Address . . . . . . 1830 SEMINOLE RD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 10600
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Application desc
REROOF
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Owner Contractor
------------------------
------------------------
GUARDIAN AMERICAN PROPERTIES ROMANO BROTHERS ROOFING, INC
1400 E OAKLAND PK BLVD STE 202 601 OLEANDER COURT
FORT LAUDERDALE FL 33334 N PTUNE BEACH FL 32266
-- -------------------------------------------------------------------------
Permit . . . . ROOF PERMIT
Additional desc . 00
Permit Fee 105 . 00 Plan Check Fee 10600
Issue Date . . . Valuation
Expiration Date . . 10/19/14
__ --------------------------------
Other Fees
STATE DCA SURCHARGE 2 . 0
STATE DBPR SURCHARGE 2 . 00
Fee summary Charged Paid Credited Due
----------
Permit Fee Total 105 . 00 105 . 00
. 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 109 . 00 109 . 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:
3.D-3 3 Permit Number:
'! Legal Description Parcel#
Floor Area o q. t. q t
` Valuation of Work S Iii ,1,tN-�,
C� 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 structs€re(s) circle one): Commercial esidentiaal )
If an existing structure,is a fere s rtnkler system installed?
(Circle one es N 'A
Florida Product Approval E s� N
For multiple products use—p—ro--a-u—ctapproval form
f
j Describe in detail the type of cork to be performed:
i r
iProperty Owner Information:
Name:V. LkQy6+Lih
+W\aAl4 ►b Address: v 3
city ate`��Zip�3'> Phone C 3.',�'IllB
E-Mail or F tional)
Contractor Informa ion:
Company N Qual •ring Agent: t e -
Address: City Stat Zi
Office Phone �' Job Site/Contact Number Fax
State Certificatio egistration#
Architect Name&Phone 9
Engineer's Name&Phone 9
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address —
I
Application is hereby made to obtain a permit to do the work mut installations as indicated I certify that i2o work or installation has commenced prior to the
issuance of a permit and thor all work will be performed to meet the standards of all laws
ion or work is srreegulating construction in thisjurisdiction.sixP
)months at any This permit becomes null
andwork is�commenced I uniderstand thmenced tatisepasix rate permits mumonths, or st be secctrred fortPlectriCal Worlr,P tnb nded or ng,j ns'donedfor aWeils, Priod ols u nnaces,Bollerss,Flo s,
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCE? NT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TD Y PROPERTY. IF YOU INTENT) TO OBTAIN FINANCING CONSULT WITH
` Y „�„;; ATTORNEY BEFORE RECORDING YOM NOTICE OF
r 1p" 13ANIEL S ROMANO COMMENCEMENT.
•: Notary Public.Si t
I hereb cert = b•,'MY Comm.: �'?IMa n and know the some to be true and correct. All provisions of laws acrd ordinances governing this
type 7 cel ;:;�1; Fco" 8ci or not.
The granting of a permit does not presume to give authority to violate or cancel the
type cons F sem 'E EQ6� a consb•tiction or the performance ofconstructiom
ProvSignature of Owner
Signature of Contractor
.._..._.......
_ .
Print Name - !., .._._. Print N .....
Notary Pu States asub ib before e
i Swor�-p�n to and subscribed be re me '° orf; Shirley y of 20
this/B D ' f r` / _ ___ �j ` MY Commission F 0869
??os a Expi
1I 'Vritn - nh -- --- otary u C
Doc#2001408-1590,OR 8K 161-56 Page 575,
Number Pages: 1
Recorded 04/22/2014 at 11:48 AM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00
NOTICE OF COMMENCEMENT
(PREPARE W DUPLICATE)
Permit N Tax Folio No.
State of County of yek_
To whom it may concern:
The undersigned hereby informs you that Improvements wilt be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved:
/8 3a scat i
crd AilA"--
Address of property being improved t � c ti. n i.�Q �( Ail
General description of improvements: P_ YC}Cr
Owner ( GS
Address e r
Owner's interest in site of the improvement UU"f\-e j
Fee Simple Titleholder(if other than o:vner)
Name
'V Address
C o n tral Cto I 11 `
Address V• (
Phone N al-j -a LN U Fax No.
I Surety(if anyj
Address Amount of bond S
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
Address
Phone No. Fax No.
Name of person within the State of Florid,
,,
nothe,than himself,designated by owner uponwhom notices or other
Namedocuments K - l
served;
YM
Name
Address v
Phone No. Fax No_
In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in
�Oesq�$
��'
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option)_ 5
Name
Address ;���ign .
Phone No, Fax No. z
n.Q
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date is specified)_ 3 _
THIS SPACE FOR RECORIDER'S USE ONLY OWNER g��p
Signed. Cn
D`TIErn= T o
before me thisdyyof V Adnr I in the
County`af� val, tate of Florida has personally appeared
/J herein by s T O
himself!herself and at all statements and declarations herein 'N
are true and acUmMIS
o+