374 Magnolia St 2014 Roof CITY OF ATLANTIC BEACH
' 800 SEMINOLE ROAD
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ATLANTIC BEACH, FL 32233
_ INSPECTION PHONE LINE 247-5814
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ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-ROOF-539
Job Type: ROOF PERMIT
Description: reroof
Estimated Value: $4,750.00
Issue Date: 12/2/2014
Expiration Date: 5/31/2015
PROPERTY ADDRESS:
Address: 374 MAGNOLIA ST
RE Number: 170441-0000
PROPERTY OWNER:
Name: PISCITELLI, STEVEN V & LAURIE,
Address: 374 MAGNOLIA ST
GENERAL CONTRACTOR INFORMATION:
Name: ROMANO BROTHERS ROOFING, INC
Address: 1188 N 12TH ST QA DANIEL JOSEPH ROMANO
Phone: - -
FEES:
BUILDING PERMIT FEE $73.75
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $77.75
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904) 247-5826 Fax(904) 247-5845
Job Address: / (� �'�' S j - RN�� Permit Number:
Legal DescriptionParcel#
t
Valuation of Work$ S Proposed Work heated/cooled 1`_� non-heated /cooled
Class of Work(circle one): New Addition Alteration Repair M -- molition pool/spa window/door
Use of eausttng/proosed st ructure s circle one): Commercial en
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed•
Property Owner Information:
Name: Address:
City StateF�Zip 213 Phone 7G Y - ZSR
E-Mail or Fax# (Optional)
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Contractor Infor ation: ''kk j
' ' �C F , r uali A ent C.n, L
Company N V.A c✓1 ! ; Q g
Address:lz�`� City ,� State Zi
Office Phone �- Job Site/Contact Number Fax#
State Certification/Registration# t
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 iner
dicated. 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 rpegulating construction in thpis jurisdiction. months at This permit becomes null
wa k id of woenced.of I undee edrstand th-itat separate permits mufst be secutred for Electricual Workd Pluf ng,Signs,aWells�P olssix
it aces, Boilerstime
Heaters,
Tanks and Air Coltditioners,etc
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN WUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOl(TR NOTICE OF
COMMENCEMENT.
1 here b certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with tether speci ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal te, o local law regulating const action or the performance of construction.
Signature of Owner Signature of Contractor
cl�� Print Name. _...r....i.............. ..... .. ..,._ ..n._��...................................
Print Name J �..............--....---
Sworn t and bscribed before meSworn to and subs'cn`bad�before me 20 ��
this D of ��" 20 � this �- Day of `/e t' E
�.�"°e#aw i' 2Gl�w�c
Not blic t 110111-104kr •Stals of Florida Notary Public
y =.
P, �r My Com.Expins ON 7,tot 7 Revised 01.26.10
Commis"n#EE NIM
Ac-
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax F-oft _o.
State of County of I _
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. C
L al escripf property being improved: 1L `C C ''1J t
n,, t`
Address of property being improved: 7 L� ' �u _�N�� N \�
General description of improvement \I —
Owner `7 1� sy 'S–L����
AddressU�i
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name,
Address
Contractors
Address "eV
Phone N `OSFax 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. —
w�
Name of person within the State of Florida,other than himself.designated by owner upon whom notices or other 4 0
cc
N
documents may be served: Z B _
Name I }L'
Address
c
Phone No. Fax No. ' �+ c
E E
In addition to himself,owner designates the following person to receive a copy of the Lienors Notice as provided in ^L c
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option?. R z a U
Name „I'
Address •
Phone No. Fax No.
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 t1SF ONI-Y OWNER
Signed: DATE
Doc#20142 0552,OR BK 16991 Page 2480. Beforeday at in tie
Number Pages: 1 ty of Duva tate of FFor�a hap rersonally a pean_d
Recorded 12;02--2014 at 02:39 PM, �r v t l S I— f 1 I herein by
Ronnie Fussell CLERK CIRCUIT COURT DUVAL are true and accurate ndaffirms thatall statements and declarations herein
COUNTY
RECORDING$10.00