2227 LAUGHING GULL CIR - ROOF 11P7 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
131/ ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
\Jlilc r
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROOF-1488
Job Type: ROOF PERMIT
Description: FL 1956.3
Estimated Value: $10.000.00
Issue Date: 6/23/2015
Expiration Date: 12/20/2015
PROPERTY ADDRESS:
Address: 2227 LAUGHING GULL CIR
RE Number: 169463-0014
PROPERTY OWNER:
Name: HEBERT, BARBARA
Address: 2227 LAUGHING GULL CIR
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: $104.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
,,..,�..- BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office(904)247-5826 Fax (904)247-5845
Job Address: _ Permit Number:
Legal Description Parcel#
,p Floor Area of Sq.Ft. q, t
Valuation of Work$ lVl 6 D 0. ' Proposed Work heated/cooled 3 6 non-heated/cooled
Class of Work(circle one): New Addition Alterat' n Repair • - I-molition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Reside
If an existing structure,is a fire sprinkler system installed?(Circle one): 'es No 441'
Florida Product Approval# FL /9 5Z� 3
For multiple products use product approval-form
Describe in detail the type of work to be performed: }-r_Avt v d L o/.I j hP_ out/ S u :,vJ
p A'b woo C!/ S c,--ot h-1 t., f 3 0 7 r% /¢-eki
Property Owner Information:
Name: "ig�t^ha 1 ,c� ,�6i."11
Address: L Z 7 4.441 (s{i>/ L►�
City /4-1-1-0,././:e. f�i« Statep/Zip_ i_ef Phone 29.1- /4 n
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: -R6Lel,t"to `3kw, Qualifying Agent: fiv tII/ ?a/Iris-A&
Address: City ,¢Y'.CoAikc igot, (State d
Office Phone Job Site/Contact Number ,s-y/..cwito 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. 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 regulating construction in this jurisdiction. This permit becomes null
and void f 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 cert05,that I have read and examined thisplication 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 specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state local law regulating cons ction or the performance of construction.
!63 � ry� / 7Te �
Signature of Owner 'MI._ Signature of Contractor
Print Name it r - ' } f4 Print Name avviir, l f
Before m Before
this Day of , _' • 20 IS this -Da of ��S
8 • IEL1.E M.O'REILLY Day �� DANIELLE M.O'REIl.4�
Public,State a:'.' Public,Stoma of Florida _ Vi,.. ��1 i ��-• u, July r3,2m7
Notary Public My « .Expires.luly 23.2017 Notary Public No.ff 3E063--
Commission No.FF 38763
Revised 01.26.10
NOTICE OF COMMENCEMENT
State of County of 7)y ( 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 is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: 2.2.2. 7 A,R,ki fA,;f-f C70 If r r, .4-7 eSeAr€4
Address of property being improved: 22,2 7 a ti 4, & //Gr j Al- aiu�ij 1104-.11, j
General description of improvements: !`j,,.i /w I,� ../o, re ,,..z,!>><j f C �✓�+/�s�t`� 4:;,, Ste,
'o/d a'/4-t mso- 3 4 r ,¢/ 4..til/ .1
Owner: /3 4✓c% r64 /7/14,9c/1" Address: _ -
Owner's interest in site of the improvement: 4/ Oii i,/,.//
Fee Simple Titleholder(if other than owner):
Name: `�' >
F.
Contractor: D Q � p/1i'R/t/d 2 0
Address: 3/ 2, 4 /,./ 4-7"X. ,)/4:‘, °f9 / ''
N
_7- Fax No:
Telephone No.: . ( 6-Sb ;GS
Surety(if any)
tt
Address: Amount of Bond$ °�, u °
Telephone No: Fax No: rn g z
t7) me w
Name and address of any person making a loan for the construction of the improvements 6 n. °�
N '1392 Z0
Name: ci E ° c U
Address: oze:ceorr
Phone No: Fax No:
Name of person within the State of Florida 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):
FL. D,A,d /1-4 3 e 13 6-1 7 re0 gar64,-a
THIS SPACE FOR RECORDER'S USE ONLY OWNER .
Date: a
Before me this�2 ay of U in the County of Duval,State
DANIELLE M.O'REILLY Of Florida,has personally appeared
Notary Public,State of Florida Personally Known: or
Pay Comm.Expires July 23,2017 Produced Identification: ,- • a a
Coaardesion No.FF 38763 _ Notary Public: JI/'7wvJJft, Mr IWOlfA%
My commission expires: