245 MAGNOLIA ST - ROOF r lty .. xs,, CITY OF ATLANTIC BEACH
---.4k <, 19 800 SEMINOLE ROAD
1 ;r ATLANTIC BEACH, FL 32233
J /
// INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROOF-2237
Job Type: ROOF PERMIT
Description: REROOF FL 10674-R10
Estimated Value: $6,900.00
Issue Date: 9/24/2015
Expiration Date: 3/22/2016
PROPERTY ADDRESS:
Address: 245 MAGNOLIA ST
RE Number: 170545-0020
PROPERTY OWNER:
Name: BONFANTI, SUZANNE
Address: 245 MAGNOLIA ST
GENERAL CONTRACTOR INFORMATION:
Name: ROGERO & WILLIAMS ROOFING CONTRACTORS INC
Address: 883 Lawhon Dr ST
Phone: - -
FEES:
BUILDING PERMIT FEE $84.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $88.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
tpOli -A
CITY OF ATLANTIC BEACH I�
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904)247-5845
Job Address: _a, "J MOioA.l'1atta,c5+ft Ailcan+jCleotha riPermit Number:
Legal Description 10:7_1(g-_lp -aa-al E., qt c SeL 3 Parcel# ( 5i-}'` - Qtr)
ioor . rea of q. •t. q. t
Valuation of Work S(49 1g00.00 Proposed Work heated/cooled taO o non-heated/cooled
Class of Work(circle one): e J Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structures)(circle one): Commercial Residential
If an existing structure ,is a fire sprinkler system installed?(Circle one Yes o N/A
Florida Product Approval# rL 0 � b
For multiple products use product vi approve form
Describe in detail the type of work to be performed: r€y"OO C- /c,�k V)tVe.. 94 S js.
-_._—_ eta..._ .Ri. I _ - -
Property Owner Information: 1
Name: 54ltne. Address: � 6 Y101ICs_- �
City-- _ \QI nti, L ec,c. ._State• Zip .So9-33Phone ca.,50.a . 7113._____ _.---
E-Mail or Fax ti (Optional)
Contractor Information:
Company Name: G9e.r o 4 W i tk t CL✓Yl S Quali ing Agent: W �°�o
Address: _g_Q___ 4 ' _ City�O o NIV{1{C, tate _Zip 3a.?c7_ -
Office Phone cloy. - 5l4 - G3 Job Site/Contact Number filyK. (e S L Fax# ctol.- lei ci -3.5f-6 6
State Certification/Registration# CC-C.- 133O5S'7
Architect Name& Phone#
:.;:ineer's Name & Phone k
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 zj work is not commenced within six(6)months, or if construction or work Is suspended or abandoned for a period of six/6l months at any time after
1,ork o commenced /understand that separate permits must be secured for Electrical Work,Plumbing,:igns, 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 LEND 0 R AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
9PgS�at3 R COMMENCEMENT. aASSejj 3R
pl� F 2 , . �,srg �Q'QApE'7►fF VI:.9 ,tin j:tc
,../ 1Q 4,�. .f��pptf�e.ta u:cd titis�pl:rutiu,z,std luzutir the same to be true and correc � om� Exec,@a ;,;,•2; oh,
�;yC�P`P tM ,• .4.i " 0: er erect zed herei,: or not The granting of a permit does •�,••�Co-iiis1•s'dl�
iz ' , -°*corwle7. 11,..,----7 .r..scut taw regulating construction or the performance ofcon sir 4 ,,r a MY gptlt 07. 2019
♦� M1
aka',- . - of Owner s„%) ' , ..,j 44'- -••► • Signature of.Con'actor ..-," _- -
', .. Print Name ^�`� c� -c c/ •
Print Name 6 ,A,h , j. ..
•
Sworn to and subscribed kefore me Sworn and subscribed before e ,20/r
is_I Day ,20 /rte s it Day of
Na,,ry Public Nottary sublic • j --. ..----,"--.0111-
Revised 01.26.10
Doc # 2015215767, OR BK 17307 Page 1968, Number Pages: 1, Recorded
09/21/2015 at 09:59 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OP COMMENCEMENT
lPnerPAF is(. ;GeTF
Permit No. Tat Foho Moe
Sate of Roe). Cotrtr of
To when It may concern:
Thu under sinned hereby Informs you Met Improyom.nt s will be made to artvn fsal property.and In
accordance with Se ctlon 713 of the Florida SOO/1K,the following tnfanatton M slated In this NOTICE OF
COMMeNCEMENT. f!� 1 1 G C
Lepel desenpron of pmve:1y being Improved- _ (0- f e -
S c_ 3
Address or property bong Improved o 5 t sry1 n o l t
of o 6
+lily,+iC T11a& Con
General descrwtlm Or nmp(oee INTil. re{o el
Owner E)(AZ Oy\( — 1
Address Ds4 6 Mekcylo1irk
Owner's enterealrrodoor the rmprovemen t -------
Fee Simple 1'41041 der Kahan Men owner!
Nell! ROCIERO AS O YMI.l.u•eea I UILANG A`O ROOFING CJITRACTORS
A07re3S 2f 0$1 nRTLFY IIOALn,SJftE t2)ACXSOHVIUF FLORCA 31137
C ,.don JEI7ELIEY S ROGER() .i
Andress 2960 HARTLEY ROAD,SIJITT t1 I? XSOFMLLE FLORIDA 3 2257
phone NO 104-31614G3 F..hie 004-6194400
Surly RI any) -
Adtlress Amount of porno$
Prone Fan No
Name and edt%Ie$3 Of wry Dors°.looking•lawn for foe constructo+of Ina lei*or,mc dt.
Manic
Addis-et
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Pivot No _ _ Far No
Name of person vwi'un the Stale of Fondðer than rinse I.designate°by owa r upon whom woos or 00,e,
°°acne o max to served
I:.,n. .wROUEv 3 ROGER()
Adereot 2980 HARTLEY ROAD SURE$2 JACKSONVI!.LE FLORIOA 32257
P.ione No 1104 t,IA 1•N Fes No 904.619-2400 �—
On addlion 14 nsmsel.owner°Imagoes.*the hoeernnQ person to recawo•copy or tea LI•na's NOVA as provdea n
SavIon 713.06 121 tor.?Iced*5:amtes.IF,1 in at Owners°peen)
Name
Address ... ...
Prone No Fan No
n,:+e.tron deta of Note of Commencement(fie Cop moot deb s one Myron horn tin.date of reo°Idng unie s►•
drtferenl date Y specified) .
THIS SPACE FOR RECOROER'S USE ONLY 1 f
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