1041 LITTLE CYPRESS KEY - ROOF (----
` f CITY OF ATLANTIC BEACH
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800 SEMINOLE ROAD
1`-� x ATL ANTIC BEACH, FL 32233
\, INSPECTION PHONE LINE 247-5814
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ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
308 INFORMATION:
Job ID: 15-ROOF-2182
Job Type: ROOF PERMIT
Description: RE ROOF
Estimated Value: $5.700.00
Issue Date: 9/15/2015
Expiration Date: 3/13/2016
PROPERTY ADDRESS:
Address: 1041 LITTLE CYPRESS KEY
RE Number: 172027-5834
PROPERTY OWNER:
Name: LYONS, JAMES L TRUST
Address: 1041 LITTLE CYPRES KEY 1041 LITTLE CYPRES KEY
GENERAL CONTRACTOR INFORMATION:
Name: ROMANO BROTHERS ROOFING. INC
Address: 1188 N 12TH ST QA DANIEL JOSEPH ROMANO
Phone: - -
FEES:
BUILDING PERMIT FEE $78.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $82.50
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 15 -ROOT~ -z(6 a.
Job Address: /0 ti1 I'/ C G, /"r ss Permit Number:
Legal Description V Y-GO X '-Ps— ,� Se vo:
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No Tax Folio No.
State of County of �Q-f
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. ll /� /� L�
Legal description of property being improved: ,,7N"�0 /6 •-(9S•~L 9` Sc)04_ GAS'
Address of property being improved: /0 N 1 I r /k r C preS S ke f A}1a1A1 ,C.. beu4 r 3.9 33
General description of improvements:
r t Owner•Address iU H 1 Is ,-,ss key ��� 6. � 2�C7 3, 3
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
A.dress
Contractor rY' • - +� as
Address r 1' l. e\IL _ 3DD3
Phone No( U i) UL 5t6 q 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 owner upon whom notices or other tt4 4 41
documents may be served: b'`a ,�•`
Name
Address
n D
Phone No. Fax No. n -tg
3 m rn m
In addition to himself,owner designates the following person to receive a copy of the Lienor s Notice as provided in ` cn
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). z _
N
Name 2 n) - n
Address fl
3 -+ 8N
N
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 • NER
_d: ►g '•,TE 9 49-16-----/
Doc#2015211926,OR BK 17302 Page 1905, B ore me I s day of in the
County ref Duv�.State of Florida.has pr 4i ati'-ared
Number Pages: 1 G d/LCrn a i 4,44- herein by (Drl r 4
Recorded 09/15/2015 at 03:27 PM, himself/herself and affirms that all star ants and declarations herein Y
Ronnie Fussell CLERK CIRCUIT COURT DUVAL are true and accurate
COUNTY
RECORDING$10.00
•
ry Public at Large.State County of ) Af Cr
My commission expires:,
Personally Kno•..n `{ or
• Produced Identification , 1L