344 Plaza 2014 Roof . � CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
;) ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00001077 Date 7/07/14
Property Address . . . . . . 344 PLAZA
Application type description ROOF PERMIT
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 10000
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Application desc
FL 1956 . 3
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Owner Contractor
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KACHERGUS,MATTHEW R & JENNIFER ROMANO BROTHERS ROOFING, INC
344 PLAZA 1188 12TH ST N
ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32250
(904) 246-5649
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 100 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 10000
Expiration Date . . 1/03/15
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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 100 . 00 100 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 104 . 00 104 . 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: �� �I d-Z-Z�A 4a —AA 3�a 3� _Permit Number:
Legal Description Parcel#
Floor Area o Sq.Ft. AS non-heated/cooled
Valuation of Work S )(�r(� _Prroposed Work heated/cooled
Class of Work(circle one): flew Addition Alteration Repair Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial
If an existing structure,is a firesprinkler system installed? (Circle one): Yes No N/
Florida Product Approval# I q 1 e 3
For multiple products use product approva or
Describe in detail the type of work to be perform:
u
PrORerty Owner Informatio : `
N n. e 11Av jr a o S Address: Q 1
City stkt&l Zip Phone
E-Mail or Fax#(Optional)
Contractor tion:
en
Company Nam • c rt - Quatin g nt:� r". S to Zi
Address: ty r
Office Phon - Job Site/Contact Number Fax#
State Certificatio egistration# U C 0 15--1 v
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�'at
I cert 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 reing construction in this jurisdiction. This permit becomes null
and void f work is not commenced within six(6)months, or if constructior:or work is susped or abandoned for a_penod of sixth)months at arty time after
",kis
commenced I understand that separate permits must be secured for Electrical lti Plu►nbing,Sigt,s, Wells,Pools, urnaces,Boilers,Heaters,
Ta►tks artd Air Conditioners,eta
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 hereb certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type oj�work will be complied x ith whether speei:ed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions ofany other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contractor /
�CYt!-C...l. ._..1 !"'"``_
Print Name �e n n.�... er'. _K��.h.�..r.9.tom...........................- --- Print Name ........... 0, _..
Swo to and sub 'b I'd hefgre me Sworn tq,and subscripe*l before me
this Da �//,�/ .20 /7,
20 /7, this _�Day of LARI 20 I
;o:�" DANIEL Notary Public
Notary PuMc
Notary Public State of YIorW
'-'• '�'My Comm.Expires Nov 12.2016 Revised 01.26.10
�N r�
Commission#EE 850843
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit N Ta o.
4
State or County of , n
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 in tion is stated in this NOTICE OF
COMMENCEMENT. �!
GI T J(�
Legal description off property being improved: `C
Ad ress of property being improved:
3
General description of improvements:r>Z r C
Address
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Ad ress
Contractor t1 1
Address
Phone N - Fax No.
rely(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 vJthin the State of Florida.other than himself,desionated by o.-,ner upon whom notices or other
documents may be served:
Name
Address
Phone No. Fax No.
In addition to himself,o,�:ner 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
No.
Phone No. Fax
tion date is one(1) ear from the date of recording unless a
Expiration date of Notice of Commencement(the expira
different date is specified): N N tF SGA CR-U-9=6 IL S �Qa • o
THIS SPACE FOR RECORDER'S USE ONLY OWNER (
Sign
DATE .' "f e z
Doc#2014149804,OR BK 16835 Page 1328. I Count ma is in the 3 ` p
Number Pages: 1 Count"of uval, �of da.has pers� ally appeared 3. e
herein by p m Q
Re crded 07 0r 20 i 4 at 10:33 AM I himself.'herself and affirms that all statements and declarations herein �v" FV r
CM
Ronnie Fussell CLERK CIRCU'T COURT DUVAL I ara true and accurate to N y
COUNTY m oz m 3
RECORDING$10.00 co ` D
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Public
Notat Large.State of County of 1/..,!n! w o
ary a
hi, commission expires: or °
Personally Kna:.n °f
Produced Identification