733 Vecuna roof 2015 �J `s CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
±� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROOF-919
Job Type: ROOF PERMIT
Description: reroof f11956.3
Estimated Value: $4,200.00
Issue Date: 4/21/2015
Expiration Date: 10/18/2015
PROPERTY ADDRESS:
Address: 733 VECUNA RD
RE Number: 171322-0000
PROPERTY OWNER:
Name: HUEBNER, JEFFREY W
Address: 733 VECUNA RD
GENERAL CONTRACTOR INFORMATION:
Name: ROMANO BROTHERS ROOFING, INC
Address: 1188 N 12TH ST QA DANIEL JOSEPH ROMANO
Phone: - -
FEES:
BUILDING PERMIT FEE $71.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $75.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Fol'
State of County of i
To whom It may concern: t t
The undersigned hereby Informs you that Improvements will be made to certain real property,and In
accordance with Section 713 of the Florida Statutes,the following information is stated In this NOTICE OF
COMMENCEMENT.
Legt!description of prop Bing improved:
�tl o ^ I
Addr, s of property bei roved: Q P 'N W-% S
General description of improvements:
Owner
Address
Owner's interest in site of the improvement . p
Fee Simple Titleholder(if other than owner)
Name
Address-_
Contractor 4-TI-L,[ •�.� �S
Address -,
Phone No. c: t�; - s c;L L' Fax No.
Surety(if any)
Address Amount of bond$
Phone No. Fax No. F12 -
Name and address of any person making a loan for the construction of the improvements.Name
Address -i p
zn-
Phone No. Fax No. w n w .6
ro cc j
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other 0
Q u o- 2
documents may be served:
Name
Address
Phone No. Fax No. F'
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
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one(1)y ar from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY _OWNER
Before me this da of DATE
Doc#2015089395,OR 8K 17138 Page 302, y in me
9 C n of Duval.State ofFlorida.has personally appeared Number Pages:1 ��F� �{ �{l�l•P � hereinpy ..( r-
l .tea.
Recorded 021.2015 at 08:42 AM, mmseNl hersdffand affirms that all statements and declarations herein
Ronnie Fussell CLERK CIRCUIT COURT DUVAL are true and accurate
COUNTY
RECORDING$10.00
Notary Public at Large.State-of County of
My commission expires: I f
Personally Known or
Produced Identification
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: �33 �� _ Permit Number:
Legal Description I Pa cel#
Floor Area o q. t. Sq.Ft -
Valuation of Work$ .D�UO Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair molition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval # 5 3
For multiple products use product approval or
Describe in detail the type of work to be performed:
Pr299DMwncr Information:
Nam P.._C Address:_) S�
City State Zi 33 Phone (,
E-Mail or Fax#(Optional)
Contracto Infor tion: C TRA TOR EMAIL ADDRESS:
Company Na f,
onk a Qual}Y�ng nt r-n; a
Address: S v City �kt� _ � State Zip
Office Phone Job Site/Contact Number Fax#
State Certification/Registration#
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. 1 certify that now ork 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 regulating 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 abandoned for a_period of six 6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, 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 that 1 have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type o work w4bewith whether speci ted erein or not. The granting of a permit does not presume to give aut ority to violate or cancel the
provisions of anate, or local law re lating construction or the performance of construction.
Si ature of SiCame
actorqq.. ............... .A
PrintName4� ..Y...R. ..r....................................................... Prn� c_I N................................ ........................................
Before me I Bethis 1�l Day of /�/l a r GG 20 1 th �r, 0
/A AMBER L HICKS ,
Notary I i ficQMY COMMISSION#FF033216 Notary u
•+►a;;p EXPIRES July 2,2017
�� � Fwwt!2c ,,,,la,O Revised 01.26.10