207 15TH ST ROOF CITY OF ATLANTIC BEACH
r>
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-1032
Job Type: ROOF PERMIT
Description: reroof 81956.3
Estimated Value: $5,000.00
Issue Date: 5/7/2015
Expiration Date: 11/3/2015
PROPERTY ADDRESS:
Address: 207 15TH ST
RE Number: 171882-0000
PROPERTY OWNER:
Name: GRUNTHAL JR TRUST, LEONARD H
Address: 2216 W OCEANFOREST DR 2216 0CEANFOREST DR W
GENERAL CONTRACTOR INFORMATION:
Name: ROMANO BROTHERS ROOFING, INC
Address: 1188 N 12TH ST CIA DANIEL JOSEPH ROMANO
Phone: -
FEES:
PLAN CHECK FEES $37.50
BUILDING PERMIT FEE $75.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $116.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office(904)247-5826 Fax (904) 247-5845 17100o"2 '006 L)
Job Address: /�2agi- c;20 '7 �ermit Number:
Legal Description Parcel#
oor ea o q. t. q, t
Valuation of Work$ JrODb, Proposed Work heated/cooled /3 non-heated/cooled
Class of Work(circle one): New Addition Alteratio Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial es.de
If an existing structure,is a fire sprinkler system installed? (Circle one . es No
Florida Product Approval# 3 ,.,.k a
For multiple products use pro uct approva orm
Describe in detail the type of work to be performed: jmeAt oA," 6 " <n IC
1r"'S-6c 1 ,S t I L AlJt est,
Property Owner Information:
Name: ,' Address:.L29— .4/O /b'-1"/City r 4 " (y� —_____.Address:
y7,2!,p Phone
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS-
Company Company Name: ,sMan/D �ro a-r. ,t Qualifying Agent:i6tFs+At! ;?&VA14
Address: City , j. . a4 1 State yc/ Zip _
Office Phone Job Site/Contact N imber,as `n --
Fax#
State Certification/Registrationon#_ 15 S S Q 3 /
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 commencedprior to the
issuance, apermU and that all work will belierr((ormedto meet the standards ofall laws regulating construction in thisjurisdusion. Thispermitbecomes null
and void i work is not commenced within,ix(bJmontbs,or if construction or work is sus aded or dbandonedfor a period ojsix/bf months at airy time after
work is commenced. I understand that separate permits must be secured for 6/ecMcat�Work,P/umbing,Slgm, Wells,Pools,FLrnrtce;Bot(ers,Heaters,
Tanks and Air Condllhners,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 thatIhove readand examined this lication and know the same to be trueandcorrect. Allprovisionoflowsandordinances gove this
type o)work will be complied with whether sppec!ied herein or not. The granting of a permit does not presume to give authority ro viola .o canoe the
Prays ofa o! r fie r 1. ate or local "regulating construction or the performance ofconlructhm. -
F4A� �,b � 2SssaLy
Signature of Owner 1t Signature of Contmcto
Print Name Lr .v d
..............................._.............F.../... Print Name
.... e.
...!.i....4...._...._....... .]A..@.n..J,Z.....___........__.......
Before me Befo is
this des- ayof i _ Chis
'20
rEYM L.P010i[l aourr vuWa-6nN a Reno'
!blit - f1WE-InMdl. m:Espwalgr-I Ml
EIr6�,EoaEE,Mia U.M1 NOt Commission eEE M/EM
CMEIRIn111E1 R MEA
. 6.10
NOTICE OF COMMENCEMENT
State of F-1, County of b c t V X-f Tax Folio No.
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 B s ted in this NOTICE OF COMMENCEMENT.
Legal Description ofproperty being improved: r t r.y
Ze7
Address ofproperty being improved: ,J' OS 2AT.;05- 05 : }}TA ,( • 15
VVV General n
desc ' on of i
description mprovements: t06 •,9/, /K!f vky L4 e 3a4,.,
Address:,_?Zo 'f>✓ bn �Q-rh AL• .�.✓
�.—
l Owvei s interest in site of the improvement: ,�nwfi n�r,v[s
Fce S mple Titleholder(if other than owner):
4 Name:
Contractor: DAW.if ;?,4W�✓
Address:
Telephone No.: Ldti- (r_ ' _ In No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction ofthe improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florid;, ether 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 Limor's Notice as provided in Section
713.06(2)(6),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration data is one (1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
6s3
Signed: Date. Q Q�
Before me day in the Coun fDu 1,State
Of Florida, personally appeared
Personally Known: or
Produced Identifies'
Doc M 2015099428,OR 6K 17151 Page 835. Notary Public:
Number Pages'.1 My commission
Recorded 05/01/2015 at 09:14 AM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL Mp11M1-�IMIIIIIII
COUNTY ONsoft&YwAmI&
RECORDING 510.00 /� t