348 8TH ST - ROOF PERMIT CITY OF ATLANTIC BEACH
. . ‘ .
,_., ..___ __. 800 SEMINOLE ROAD
„,,,___„._,L,,,,,
p ATLANTIC BEACH,FL 32233_ 3
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROOF-1736
Job Type: ROOF PERMIT
Description: REROOF FL 1956.3
Estimated Value: $6.350.00
Issue Date: 7/20/2015
Expiration Date: 1/16/2016
PROPERTY ADDRESS:
Address: 348 8TH ST
RE Number: 169932-0000
PROPERTY OWNER:
Name: MULLINS. SUSAN E
Address: 348 8TH ST
GENERAL CONTRACTOR INFORMATION:
Name: ROMANO BROTHERS ROOFING, INC
Address: 1188 N 12TH ST QA DANIEL JOSEPH ROMANO
Phone: - -
FEES:
BUILDING PERMIT FEE $81.75
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $85.75
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office (904) 247-5826 Fax(904)247-5845
,,11� ylti .J+ v Permit Number:
Job Address: `
� t ''
Legal Description']-Loq IL Ra. E ! 11 4� A Parcel#
loor Area of Sq.Ft. Sq.Ft
Valuation of Work$ ( _,d[-)_04)Proposed Work heated/cooled ( °I non-heated/cooled
Class of Work(circle one): New Additio Alterai.• Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one C.Ir •rercial Residential
If an existing structure,is a fir s rinkler system insta I ed? (Circle one) o ' N/A
Florida Product Approval# t qS "
For multiple products use product approva or
Describe in detail the type of work to be performe . ..e rl y-4
Property Owner Information:
*ame: l � ' _'\. Address:?A Vitt 1
City NM. Stat- Zi.t i+ Phone "1 ti 6 -51.6 v
E-Mail or Fax#(Optional)
Contractor Inf rmation: �_ ��
— Agent: A �"C,-r,1 c, bk.,c_ �,,,
Company Name: d.�-�e n� " i,,5 • ,C;r.r Qualifying g
Address: I'S_ ��.)v (-11 '' 1 City (--ii), State I Zip 3.D'-2
Office Phon y L -' 1, L V Job Site/Contact Number Fax#
State Certification/Registration# 'C'1' 1-')1-) ;s',ci
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 certifiz 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 work is commenced ommencedot I commenced understand within six
separate permits or if construction or work is suspended or abandoned for must be secured for Electrical EVork,Plumbing,Signs,a Wells, ols,xFu)rnaoces Boilers,lHeaters,
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 EFO RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby certify that I have read and examined this application 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 authori to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
FL M115 2 —x-85 - q —V3 c1 — t-{
--c — 7714-'-'4--C--.1. Signature of Contractor.
Signature of Owner �S
,,<« r.JS Print Name o rt., 1: ,E_a s. __.__._._....._._._
Print Name �ush.J 1- /�+ -
Sworn to and subscLbd-iefore me Sworn to and subscri fore me 20 S this � u- Day of .�► t y .20 I' this - Day of , 41
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No ub i��
N 1 '•i., AMBER L HICKS .----•.
+�l" :5""°. AMBER L HICKS Revised 01.26.10
•' ��; !' MY COMMISSION#FF033216 .° �
,�,. ., • •i MY COMMISSIONNFF03321g
�.a EXPIRES July 2,2017 .
(4o7)398-0153 FloriAallotaryService.com ,
?oy M1 ' EXPIRES July 2,2017
N07)3060153 Floi dallolaryfsAfteA com
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No Tax Folio No.
State of I County of ' v 4
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.
I I LegaL((— Q of grope LL[ imp``ro ve
d: °S.. bq _ zni )
_
Address
j
of property being improve C LA44N
General description of Improvemen •■ rP
Owner ‘Jr' , _ •
�!�1 Fl4 *•Address 1111filtle.. ( —yrs
Owner's interest in site of the improvement . , \rPil
Fee Simple Titleholder(if other than owner)
Name
Address
Contracto ice. . • s. OA' .
Address ��7` 1 ^ Pv� r` k L 3�� 3
Phone NoLL'I l3 i)c�Li L0" Liq Fax No.
Surety(if any)
Address Amount of bond$
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. to
N
N 2 n E
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other LL N 4
documents may be served: _ '4 a •E
z a N
Name g - z
a
Address W▪ 5 w z
ca
Phone No. Fax No.
< owe
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). 2
Name ia.
7410.=8
Address s+
Phone 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 USE ONLY OWNER
6lgned: /Z o ,DATE
Before me this.Y1-4/ day of In the
Cou u I. a of Floridats p6rzirtappe ■ 1
y� 1t �\JL 'L ail herein by n fl?
Doc#2015166095,OR BK 17239 Page 2359. �himselfi a and affirms that an statements and deAations herein
Number Pages.1 ara true and accurate
• Recorded 0 .'2012015 at 03:59 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
•
COUNTY � • t
RECORDING$10.00 N.'r7-ublicat Large.State of 41 . aunty of MOM
My ccmmission expires: "'v _
Personally Known or
Produced Identification ����