1251 Tulip St 2014 Roof CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
"'41
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-ROOF-29
Job Type: ROOF PERMIT
Description: REREOOF FL 195643
Estimated Value: $4,700.00
Issue Date: 9/17/2014
Expiration Date: 3/16/2015
PROPERTY ADDRESS:
Address: 1251 TULIP ST
RE Number: 171023-0020
PROPERTY OWNER:
Name: COLLINS, TANIKIA L
Address: 1251 TULIP ST
GENERAL CONTRACTOR INFORMATION:
Name: ROMANO BROTHERS ROOFING, INC
Address:
Phone: - -
FEES:
PLAN CHECK FEES$36.75
Total Fees: $112.45
Total Payments: $112.45
Total Amount Due: $0.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach,FL 32233
Office (904) 247-5826 Fax (904)247-5845
Job Address: �S \y 1 t�> J� Permit Number:
Legal Description Parcel#
Floor Area of Sq.Ft. Sq.1,1
Valuation of Work S _�bo Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Additio Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structures) circle one): Commercial -Residential
If an existing structure,is a fire spi er system installed? (Circle one): Yes o N/A
Florida Product Approval#
For multiple products use product approva torDescribe in detail the type of work to be perfo2 bb t`
Property Owner Inform 7tion:
Name: Q r, r^ r� Add ss:
CiTy Sta _Zip 3 Phone
E-Mail or Fax#(Optional)
Contract nform ion:
Company N I-1 c,^ 3 Qualify' Agent: n c p
Address: 15$_ Ci S to Zi
Office Phone Job Site/Contsjct Number Fax#
State Certificatio egistration# CP0 13QLY,Ft13
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. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be per formed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void f work rs not commenced within six(6)months, or if construction or work is suspended or abandoned for aperrod of six(6)months at any time after
work is commenced I understand that separate per
must be secured for Electrical Wor/�Plumbing,Signs, Wells,Pools, Furnaces,Boilers,Heaters,
Tanks and 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 hereby certify that I have read and examined this a lication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be co lied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of airy other f al,state, or local 1 gul ing construction or the performance of construction.
Signature of O r Signature of Contractor
Print Name o r,_+..�ii�.......... ._.-.----------..._.................__.
Print Name ---
Swo and subscr` d before me Sworn to and subscribed before me -
�C 20 this Day of •20
otary Publi =_° Notary Public-State of Florida Notary Public
My Comm.Expires Nov 12,2016 Revised 01.26.10
F.,.. ?•`' Com'fission#r EE 850643
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio
State of t County of , ,. f
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. —
Legaicickeription operty b i pr ve
Addr s f pro being imKoved:
General description of improvements. L3
i
Owner
Address
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Na
„f Address
Contrac ✓� ` �`
Address)
Phone No2Wt L Fax No.
Surety(if any)
Address Amount of bond$
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 Florida,other than himself,designated by owner upon whom notices or other
documents may be served:
Name
% I '
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 �J
Section 713.06(2)(b).Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone No. Fax No. ;•r °%•-
Expiration date of Notice of Commencement(the expiration to is one(1)year from the date of recording unless a
different date is specified): •�!�������
THIS SPACE FOR RECORDER'S USE ONLY OW o n m
Signed: TE — 3: v a
Be a this day o in the �, c X.
-�o�t�-o�^uv i.State of lbrid .4as personally appeared } ' M = m
1 11e. tate
Ott 7 \ 1, herein b , `- Co
himself'herself and affirms that all statements and declarations herein
Doc#2014210.84,OR BK 169114 Page i 109. are true and accurate m = W o
Number Pages: 1
Recorded 0911 T2014 at 02:08 PM, Q " _
Ronnie Fussell CLERK CIRCUIT COURT DUVAL c �' o
✓► I /�I' 4ivi'
COUNTY o ff
RECORDING$10.00 NotaryPubli Large.State of Countyof
kly commission expires:
Personally Kna::n or
Produced Identification