19 SARATOGA CIR ROOF 's 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: 247-5814
JOB INFORMATION:
Job ID: 15-ROOF-1103
Job Type: ROOF PERMIT
Description: REROOF FL 5680.1
Estimated Value: $8,000.00
Issue Date: 5/11/2015
Expiration Date: 11/7/2015
PROPERTY ADDRESS:
Address: 19 N SARATOGA CIR
RE Number: 171792-0000
PROPERTY OWNER:
Name: BRANDT NOBUKO B ESTATE,
Address: POST OFFICE BOX 7239
GENERAL CONTRACTOR INFORMATION:
Name: ROMANO BROTHERS ROOFING, INC
Address: 1188 N 12TH ST QA DANIEL JOSEPH ROMANO
Phone: - -
FEES:
BUILDING PERMIT FEE $90.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904) 247-5826 Fax(904)247-5845
Job Address: —) 0--f L L11 qtr Cj(Cl Permit Number: I
Legal Description Parcel#
Floor Area o q. t. Sq.1A
Valuation of Work$ -' Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration epair emolition pool/spa window/door
sed structurecircle one): Commercial esidentiaL--,)
Use of ex�stmg/propo (s)( ) ,
If an existing structure,is a fire sprinkler sytem rnstalled? (Circle one): Yes No N/A
Florida Product Approval#--'---i,e, .
For multiple products use pruct approval orm
Describe in detail the type of work to be performed t� �
Proaerty Owner Information:
Fame: t Address: 3.e ,St., ��. ►c ���,
City StateCZir �� 33 Phone �1,'`1'
E-Mail or Fax#(Optional) 1+a h 3,;L a? ,y
Contractor Infor on: r
Company Name: 4-' Qualifying Agent: e. t k-A C11-141
3
Address: I` _ =v ( ' City�l } State I Zip
Office Phon �► 3 L r Job Site/Contact Number Fax#
State Certification/Regi strabon# L
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 at permit to do the work and installtloations as indicated I cert 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 this jurisdiction( This permit becomes null
work is co mencedot I ounderntand tthat separat perms must be secured for Eledrleal Work,Plumbing,Signs,a>�ells P olsxFu�naces,Boilers,Heate sr
Tanks a►td A1r 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
ERECORDING YOM NOTICE OF
1 hereb cert 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 whether speci ted herein or not. The granting of a permit does not presume to give to violate or cancel the
provisions of arty other federal,state, or local law regulating construction or the performance of construction.
-Signature of Owner - Signature of Contrractor.
_ 4-M Print Name � ` ��*v�`�-•,1 ___......
Swo o and subscrib befp�e me Sworn to and subscribed before me ,20
this of pr. 20 this Day of -
Notary Publi 7p-.s's DANIEL S ROMANO Otary ll 1C
Notary Public-State of Florida Revised 01.26.10
My Comm.Expires Nov 12,2016
�'� Com: ssion#EE 850643
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax FolioN3�
State of_T) 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 2fproperty being improved: ( "lf`c; -t Xa [• �L 1' �(
Address of propert •being improved:
�l
General description of improvements:
' Owner /74 JYff
-A Address ?4 `� S �a,r,�/� l�c'1 /,q f%n/Ir cr�h f=j 3 Z 23
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contracto I , rt b�.
Address i y
Phone No. C I Fax No.
Surety(if any)
Address Amount of bond S
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 o%vner upon whom notices or other zi_6A I'
documents may be served: is
j'
Name °'...'., •.
Address
Phone No. 0
Fax No.
In addition to himself,owner designates the followingz � W
person to receive a copy of the Lienor's Notice as provided in z m C, M
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). c O
Name z z =
Address w T n
Phone No. Fax No. 3 0
v
oY
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date is specified): t
THIS SPACE FOR RECORDER'S USE ONLY OWNER 4`450 - tj 33
Signed:/ r/ DATE Y 14 /5,Before m Is deyy of in the
Co ty uval a otlgo9dp,has personally appeared Doc it��i�Ju9o2?o,OR BK f 1 1 yy Page 1^<F-, herein b 11
NUmber Pages: 'I nimseir,'herself and affirms at all statements and dedarmions herein y
Recorded 04%i0,r20-I 5 at 10:0 AM, are true and accurate
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
C0UNT`r
RECORf)ING$-I 0.o0
//�,I��x/;", " Lr'
Not ubl c at large.Stats Or ounty of
Ivly commission expires:'
Personally Knov:nor
Produced Identification
—1151i
-1