1496 Jasmine St 2014 roof CITY OF ATLANTIC BEACH
AIN 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
Application Number . . . . . 14-00001303 Date 8/13/14
Property Address . . . . . . 1496 JASMINE ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6000
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Application desc
reroof
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Owner Contractor
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SMITH, BUCKLEY T & KRISTIN L ROMANO BROTHERS ROOFING, INC
1496 JASMINE ST 1188 12TH ST N
ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32250
(904) 246-S649
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 80 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 6000
Expiration Date . . 2/09/15
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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 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: Permit Number:
Legal Description F loor Area of -&q.Ft. Parcel# Sq.Ft
Va luation of Work$ �Q Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
0 nit s Zid e n t�iaa_I c
Use of existing/proposed structure(s) (circle o e ommercia
If an existing structure,is a fire sprinkler sys e installed? (Circle one� 0
Florida Product Approval# 12 -7-,aA& 0
For multiple products use orodifct hpproval torm
Describe in detail the type of work to be performed: ",41,0,J4 64w,!" 14 k2tA 6C42,ad4ea6w�_
3n 444 Azk,
Propertv Owner Information:
Name: ?2C4 C k :�^N i4f, Address: Sl;�2e
r Statyl 3D.-G`5 Phone
city A 6LIZ i 4�_ 29A -Zip
E-Mail or Fax#(optional,
Contractor Information:
A�v 0 ro, t2-, QuFalifying Agent:
Company,Namle: 0 2 - �q - c -16
Address:71 A _J -city ' 9tate Y�S Zip Z -
_10 ax
Office Phone Job Site/Contact Number L__ ax
State Certification[Registration tr LL 1:�aAM S
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
4pplication is hereby made to obtain a permit to do the work and installations as indicated. I 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 regu lating 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 abandonedfor aWeriod of six(6)months at any time after
mb ri rs, Heaters,
work is commenced I understand that separate permits must be securedfor Electrical Work,Pin ing,Signs, ells,Pools, F rnaces,Boile
Tanks andAir Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF rrQ
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENIS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. ��verning this
I here �ertify that I have read and examined thi's application and know the same to be true and correct. All provisions of laws and ordinancets
type 0�.,ork will be complied with whether specified her ' ornot. The granting of a permit does not presume to give authority to violi i or cancel the
ormance of construction.
provisions of any otherfederal,sta 10 al I lati g c nstruction or the pe�f
Signature of Owner Signature of or
Print am ..........
N e ............................ .................
Print Name U
Before me tMA. 'Faw
Before me .2 this I_3-Day of .2014
this D of 9 L)s 2S,
DANIEL S ROMANO MV
ota P No taryl"11111110; Stu#of Florida ota Public
my Comm.Eom No 12.2016 Revised 01.26.10
Comrwsaiw 0 EE 850643
Aug 13 14 12:31 p Romano Brothers Roofing 904-246-4810 P.1
NOTICE OF COYMNCEM-ENT
TaxFolio No.
Permit No
State-of Florida, County of Duval
THE UNDERS.IGNED hereby give.notibe. that the impto-vement will be.iriidd to certain reAl property in accordance witi
Cha.pter 713,Florida S�atutes,the following ii�fbrjnation is provided in this Notice of Commencement.
1. Desen"intion of property(legal description of property and address if available):
( IM M.41f,;,-je
2. General.Description of iniprovements:
WA 0-d-
3- Owner Information:
a)Nam; and Address:
b)Interest in property:
c)Name, and address of siOple titicholder(if other than owner):
4. ontractor Information- i,
a Name,and Address:
b) Phore Number:
5. $Urety Information:
a)Name*and Address: Doc 20141,32093,OR BI<168-71 page ab--.
b)Phone Number: Number Pages: I
6)Amount of Bond: $ Recoted 08,1 t 3,f2ol 4 at 12:25 PM
Rorne FusW1 CLERK CIRCUIT COURT DUVAL
COUNTY
6. Lender Information; RECORMNS SI0.00
a)Name and Address:
b)Phone Number:,
7. Person within the State of Florida desi ated by owner upon whom notices or other documents may be-served as
gn
es:
provid6d by 713.13. (1)(a) 7,Florida Statut
a)Name and Address.:-
b)Phone lqumbers of Designated Person:
of to receive a
8. In addition to birriself/her-self, OV'Frler designates
C.ppy I J-1 .. "od i 713.1 loridaStatutes.
NT3. .1 sectuioii, 3 (1)
of+ 0-r,s. as pra-r,"
T
a)Name and Address:
'b) Phone Number of person-or putity designated by owner:
put (the expiration date may not be beford the complefion of construction
9... Expiration date of Notice of Commi=cem e date of rocordin 'unless a different dab-is
and final payment to the contractor,.but will be one (1).year from th 9
E BY THE* OVVNEk*AFTEPt.-THE EXPfRATION OF -TEE
WARNING TO OWNER: ANY PAYNENTS MAD
11DERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1,
NOTICE OF COMMPINCEhEN'T ARE CONS RESULT IN YOUR- PAYING TWICE FOR
.SECTION. _713.13, FLORIDA STATUTES, AND CAN NTT MUST BE RECORDED AND
INTROVEMENTS TO YOUR PROPERTY. A NOTICE OF CONMENCEME
POSTED ON,THE JOB SITE BEFORE TBE MRST INSPECTION. IF yOU INTEND TO OBTAIN FINANCING, ,
MNIENCING-WORK' OR RECORDiNG.
CONSULT WrM YOUR LENDER OR AN ATTORNEY BEFORE CO
YOUR N017CF, OF COM_N�i CEIvMNT-
-Under penalty of pe�um I declwe tha I have rea..d the foregoing notice of commencement and that the-facts stated
therein!��to the be edge and belief
Of I -Y,.a&orizud.Gj.i1c;er[D ire ctor/PartfiedMaDager signatory's Printed-Name&Title/Offke
Tho foregoing instrument.w,14 acknowledged before me this day of U,S1 )20
as
'y for
.b
00fp
Crype of Authorfty, i.e.Offic e ama�of P InstrLime t ..or)
LinNi ,' t f
i NOTARY PUBLIC, STA F FLORJ"ELam
Ste"
OANIEL S ROMANO
dMV Pubft
s Notary.Public-State of lFlov j1dw
-2 PrintName: " AA __ W
45F My Comm..UpWas Nov 12.2016 spy W-Vism" r"FF39W
CorrmidsWon 0 EE 850643
0 PersonaEy Known
enti-ficationlType: —D L
(Affix Not-my Seal Above,)
Rrvised 3/15111'