376 Main St 2014 roof CITY OF ATLANTIC BEACH
J ) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
=�w_ INSPECTION PHONE LINE 247-5814
Application Number . . 14-00001416 Date 8/28/14
Property Address . . . . . . 376 MAIN ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 7414
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Application desc
reroof
--------------------------------------------
Owner Contractor
------------------------ ------------------------
HROMCO, GEORGE S & PAMEL PRIME ROOF CONTRACTING LLC
376 MAIN ST 13792 HERONS LANDING WAY #9
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224
(904) 625-1446
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . Valuation 7414
Expiration Date . . 2/24/15
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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 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 94 . 00 94 . 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: 376 Main St Atlantic Beach,FL 32233 Permit Number:
Legal Description 18-34 18-2S-29E.117 ATLANTIC BEACH SEC H Parcel#
Floor Area of Sa.Ft. sq.Pt
Valuation of Work S 7414.19 Proposed Work heated/cooled 1251 non-heated/cooled 1785
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial stdent
If an existing structure,is a fire sprinkler system installed?(Circle one): es No /A
Florida Product Approval# FL10674-R7
For multiple products use product approva orm
Describe in detail the type of work to be performed:Single Family Home Re-roof
Property Owner Information:
Name:Pamela Hromco Address:376 Main St
City Atlantic Beach State FL Zip 32233 Phone (904)389-1379
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:Prime Roof Contracting Qualifying Agent:
Address:372 Royal Palms Dr City Atlantic Beach State FL Zip 32233
Office Phone (904)452-844o Job Site/Contact Number (904)625-1446 Fax#
State Certification/Registration# CCC1329505
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 herebv 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 ofa permii and shat all work will be performed to meet the standards of all laws regulating construction in this jurisdiclion. This permit becomes null
mut void tf work is no!commenced within six(6)months,or if construction or work is suspended or abandoned far a period of six(6)months a!any time after
work is commenced I understand that separate permits must be secured,for Eleciricat Rork,Plumbing,Signs, Wells,Pools,Furnaces,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 BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby certify Thai I have read exa d this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type o work will be comp/ie wi het r sppeeer ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other fede 1 r 1 al law regulating construction or the performance of construction.
Signature of O r Signature of Contractor
Print Name jZ(� �7___._..�_.-.__._._.KJ r` Print Name
Sworn to and subscr'bed before me Sworn to and subscribed before me
this Day of 20 this 2�-i'Day of v 20 114
Notary licoR tary Public
Revised 01.26.10
MARGARET M.MANAHAN
Notary Public-State of Florida �����1•T�•
" * 6,2015
My Comm.Expires Sep ��Q �. oTggy.• �
';;F�, d Commission#r EE 116021
=COD comm.
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NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of Florida County of Duval
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 description of property being improved: 18-34 18-2S-29E .117
ATLANTIC BEACH SEC H
Address of property being improved: 376 Main St Atlantic Beach FL 32233
General description of improvements: Re—roof
Owner Pamela Hromco
Address 376 Main St Atlantic Beach,FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
L Address
~ Contractor Prime Roof Contracting, INC.
Address PO Box 50247 Jacksonville Beach, FL 32240
Phone No. 904-452-8440 Fax No.
Surety(if any)
Amount of bond$
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 within the State of Florida,other than himself,designated by owner upon whom notices or other
documents may be served:
Name
Address
Fax No.
Phone 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). o N
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S u. �
Name z o g
Address e y w
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Phone No. Fax No.
ear from the date of recording unless a „ .2 w g
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Expiration date of Notice of Commencement(the expiration date is one( y a E H
different date is specified): Q ;. c E
� NERn';�Y'r, [ S v
THIS SPACE FOR RECORDER'S USE ONLY z DAT `�
Signed: iL1 c, 01
in the ,
Before me this day of eared "
,Fob•,
County o Duval tate of F nda,has ersonally app herein by n♦ off:
tet'-� t I
Page i y, himself/herself and affirms that all statements and declarations herein atz
Doe 4 201141803%+ OR 17K I r g are true and accurate d
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Number Pages:1
Recorded 08i12i2014 at 09:31 AM, n
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY car county of
RECORDING$10.00 Notary Public at ge,state of
My commission xpires� r or
Personally
Produced Identification