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459 Ocean roof 2015 `IS CITY OF ATLANTIC BEACH A j 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 F' ROOF PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-ROOF-752 Job Type: ROOF PERMIT Description: reroof fl 1956.3 Estimated Value: $10,000.00 Issue Date: 3/31/2015 Expiration Date: 9/27/2015 PROPERTY ADDRESS: Address: 459 OCEAN BLVD RE Number: 170165-0000 PROPERTY OWNER: Name: GRUNTHAL III, LEONARD H Address: 459 OCEAN BLVD 459 OCEAN BLVD GENERAL CONTRACTOR INFORMATION: Name: ROMANO BROTHERS ROOFING, INC Address: 1188 N 12TH ST QA DANIEL JOSEPH ROMANO Phone: - - FEES: BUILDING PERMIT FEE $100.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $104.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. NOTICE OF COMMENCEMENT tate of _ County of U w ( Tax Folio No. Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF�OCOMMENCEMENT. Legal Description of property being improved: #6'1 OGew.J A'Ah'�T� Address of property being improved: ��,a„_1 �t1dPc A'Z'l�,J�-xG 9 ,,4c4, �/ G General description of improvements: Owner: L 0-A4Jgr&-t v , ni Address: ©i-e a� u0�. LST Owner's interest in site of the improvement: n (6L/104' _ Fee Simple Titleholder(if other than owner): Name: ,ontractor: — Address: Telephone No.;/4 0 a Fax No: Surety(if any) (� Address: Amount of Bond$ Telephone No: Fax No: Doc it 201507 i 355,OR 6K 17113 Page i%!v-, Number Pages:1 Name and address of any person making a loan for the construction of the improvements Recorded 03/31/2015 at 09:41 AM, Name: Ronnie Fussell CLERK CIRCUIT COURT DUVA COUNTY Address: RECORDING$10.00 Phone No: Fax No: Name of person within the State of Floris.::: other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one (1) year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USF ONLY OWNER `� �/ 12ot�,sr�+c c-'rK��t( Signed: lb;7M Date: 3 3 2-D Date: Before me this day o V-& in the County of Du al,State Of Florida,has personally appeared ♦,{Y PV, pLP e�;., PEYTON L.PIMENTEL Personall IGiown: or O. "'s Notary Public-State of Florida ' o used enti �' -°My Comm.Expires Jun 13,2015 Notary u lis: -. —r. %;�or coo? ` Commission#EE 89417 My commission expir s: BUILDING PERMIT APPLICATION �t CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 1�2C QA,,) old, Permit Number: Legal Description Parcel# Floor Area o q. t. Sq.Ft Valuation of Work$ (�i OGi7®� Proposed Work heated/cooled �� non-heated/cooled Class of Work(circle one): New Addition 6ation . Repair Move Demolition pooUspa 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 dTzk� Florida Product Approval# P2 /q b­(-• , For multiple products use product approval form Describe in detail the type of work to be performed: �,��1� QL .� 6 i..l�/`4 ri•-�Ja% t'!fit �� Property Owner Information: Name: Po a Address: �6� �L e44.n2 < City State?5(Zip;•'2a;�2 Phone E-Mail or Fax#(Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: UM n »7. D-�ia� Qualifying Agent: Address: �r� L�� - n act, City State�_Zip Z Office Phone Job Site/Contact Number Fax# State Certiflcation/Rejictratio 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 wall be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work as not commenced within six(6)months, or if construction or work is suspended or abandoned for a peraod of six6)months at any time after work is commenced. I understand that separate per must be secured for Electrical Work, Plumbing,Signs, Wells,Pools, urnaces,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 hereb certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this type ofYwork wall be complie with whether speci led herein or not. The granting of a permit does not presume to gave a to violate or cancel the provisions of any other feder ,state, jr local law egu atin constructio r the performance of construction. F-w -D j,# z4 o Signature of Owner Signature of . .- ...... ........ Contractor Print Name P Name An e r .. . .... -................ ................... � Before me TON L.piMENTEIgef ne ,•••Y P -�. Da of this Day of G �<'• 20 pi;�_state o1 F'195 y dhwr 20 = ites Jul'13``,�2 m.ExP ion#EE 89417 Notary Publi off Public Revised 01.26.10