1685 Selva Marina Dr 2014 roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-S814
JOB INFORMATION:
Job ID: 14-ROOF-487
Job Type: ROOF PERMIT
Description: reroof
Estimated Value: $18,200.00
Issue Date: 11/20/2014
Expiration Date: 5/19/2015
PROPERTY ADDRESS:
Address: 1685 SELVA MARINA DR
RE Number: 171998-0000
PROPERTY OWNER:
Name: CLARK, ROBERT W
Address: 1685 SELVA MARINA DR
GENERAL CONTRACTOR INFORMATION:
Name: ROMANO BROTHERS ROOFING, INC
Address: 1188N12THST QA DANIEL JOSEPH ROMANO
Phone:
FEES:
BUILDING PERMIT FEE $141.00
STATE DCA SURCHARGE $2.12
STATE DBPR SURCHARGE $2.12
Total Payments: $145.24
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of County of
To whom It may concern:
The undersigned hereby Informs you that Improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF
COMMENCEMENT.
Legal description of P!erty being improved: -S-C/VA /V("r,
Address of property being improved: CN
A-111 L,(- 11 o
General description of improvements:
Owner &--etri-42
Address <-ef LA.-I la-If.C ra-e,�-A
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor IZ01*1911c , "(,\c
Address /-77 7 -3--3
Phone No. Fax No. kL/ �q
Surety(if any)
Address Amount of bond$
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
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
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name PATRICIA 8 FRANZ
Address My COMMISSION 8 EE843706
-XPIRES Oclotw 15.2016
Phone No. Fax No. ..0.
HP11 3"811"
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER tcx�")/r
DATE Y
Doc420l426lW3,ORBKI698I Page89O, Before me this of 14-V4 44 .,z in the
Number Pages:1 CrM Duval,State of Florida!hai personall)Vairpeared
—(1 -14, *)(4 /://
Recorded 11 ill 9,121014 at 03�03 PM. Ij Xs C e;'At ilerein
him.- herself and affirrns�that all statei)fents and declarations her
Ronnie Fussell CLERK CIRCUIT COURT DUVAL are true and accurate
COUNTY
RECORDING$10.00
BuILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: vel, 104al-In, dr. Permit Number:
Legal Description Floor Area of S Parcel Sq.Pt
�'q*Ft*
Valuation of Work S /&00 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 structure(s)(circle one): Commercial <,Z��l
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No <iEZ?K>
Florida Product Approval # M56 /3
For multiple products use product approval form
Describe in detail the type of work to be performed: lee t-If>a_vc
Property Owner Information:
Name: IP41 i-,Ic A( ra,, Address: 4 85__
city ecqk,t, -State Zip jaz33 Phone A)VW7 Z_ 6A/*
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Alf"a^0 BrWivr.5 J?cW,4-!� �r-r_ Qualifying Agent: a"id lFor-I'Mry
Address: /evv kod Sul'& City A 4-1 /.,Z_A —State /1--/ zip UP--la'"i
Office Phone Cibtl 9?%6 --51'e1g, Job Site/Contact Number 0_,q416.,V�,7_1Fax#
State Certification/Registration# cc_ IS9803
Architect Name& Phone#
Engineer's Name& Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
A 1,'cat �is he eb ade b ain a m t d theswork and in alla ion s indi cat or installation has commenced prior to the
a"laws this jurisdiction. This permit becomes null
e r 0 0 0 tom tt s t s slork i s a period of six(6)months at anv time after
t p be e ed he tan ard
s io r i Y Md h I w rk i rm s 0
'I I ,or c 't ct 0
ix h Z n n or
r
6 in r' W
n I s cur d or Electrica ells, Pools, Furnaces, Boileis, Heaiers,
i pp c p 0 P() on Obe e e
s.an e 0 a e m tan at a
d"'d, work is not commenced w hi,
, is,f d I understand that epaa e Perini s in, t
o k a.' ce
Ta s" .
nk dAu- "dirio"rs,'Ic.
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/have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type of workivill be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any otherfederal.state, or local law regulating construction or the pe�formance ofconstruction.
Signature of Ownev������___ Signature of Contractor
Print Name DA e Print Name 24
.................. .................. fnf!��p........................................................... .................. ........... .........................................................
Sworn and subscrited before me OT subscribed
S w 71 ay of
this ay of fWV' 2-0 thi,, 20
DA.NIEL 10MAN0
NVary PNic MOtarV Public-State Of FlOrloa #FE 057349
2016
my Comfit Expires NOV 12, MY C'00ISS 1,2o15 ..
Pu
ey
sed 0 1.26.10
COM.Assion#EE 85o643 XPIRES' - Jd
WodThfu