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384 3RD ST - ROOF Iart- . 's\ CITY OF ATLANTIC BEACH f 800 SEMINOLE ROAD J, ATLANTIC BEACH, FL 32233 N INSPECTION PHONE LINE 247-5814 �.4.0.21S)1 ROOF PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-ROOF-2284 Job Type: ROOF PERMIT Description: RE ROOF Estimated Value: $8,000.00 Issue Date: 9/29/2015 Expiration Date: 3/27/2016 PROPERTY ADDRESS: Address: 384 3RD ST RE Number: 169800-0000 PROPERTY OWNER: Name: YOUNG, LINVILLE F Address: 384 3RD ST GENERAL CONTRACTOR INFORMATION: Name: ROMANO BROTHERS ROOFING, INC Address: 1188 N 12TH ST QA DANIEL JOSEPH ROMANO Phone: - - FEES: BUILDING PERMIT FEE $90.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 CO W W Total Payments: $94.00 ■ LLJ• L C LL- (4.) I I £ G I21- J L.) n co co G O O O O Y 0 c' C[: CC o O"I m .- .. O fA m L.„ WO W W (V JJ O Cc c N (17_ CO 1 L=_1 Cu 000 1M I I I CO W CO oz (f1 /N W �' 7 CO �CO C' co -J10 (n coo) CO COO• CCOOJ CJ O C co O co W Lf1 7N0 N W NN N M O O iA O 0 I O\ I (1J I �' 1 ti U O .'1w• (J N 0 .. 41 8 - O 0W (A E GCWL W.C. CO COW CCv" L .• C .. -.1_1W--. •• 0 E I £ 10 I CC . .. 0 0 7 1-..0 - Cm q 'n q= *CO ' ' �S 7 C n E 7 U W .-.S L.2 Q.-.F-GC CO O ICil W QJ .-r- C.a Z O CC Ca 0 +' W W W ai >- Q 2 C.a,a, ,-.Z .--._ .--.01 ='O-o-00 CCI 1-0.-10 (!1 U O _00 a 1 7 CC O C C C ti 1 I Ll C O GL L ti C C C C .9,-1-+-, 0 L, ^J 211 Q F-FO-~ ES 1 1 PERMIT IS APPROVED ONLY IN ACCORDANCE VITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION • , CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 -� Z ' 4- Office(904)247-5826 Fax(904) 247-5845 ' J -' �poF _ Job Address: 3 D Sal SI Ar . 3 a � Permit Number: Legal Description. -) '3� < L —�.S-e F lb f Parcel# • g Floor or .r't. 1 s Sq.r`t Valuation of Work$ P5°--) Proposed Work heated/cooled 1 '1 non-heated/cooled Class of Work(circle one): New Addition :Iteration Repair M ition pool/spa window/door Use of existing/proposed structures)(circle one):. Commercial If an existing structure,is a fire sprin_ kl�egr system installed? (Circle one): Yes No N/A Florida Product Approval # l I .4. � .'4 16 )'<& 7 , il For multiple products use product approval form Describe in detail the type of work to be performed: YJD Yt,b F Property Owner Inf r m tion: (� ' Name: ' , I . ak Address:3� yrj Si- P1t) . 3 3- City- 1 1 , " CL, • Sta Zip - - 3��Phone 3'f - G Ly E-Mail or Fax#(Optional) 4 Contractor o tion: Company Nam . 11,6 V.. OS het r1 uali in A ent- l7 c v, D Q g Address: l'j5 �P City State ) Zip 3 Office Phoned.)�,"SL (r41 Job Site/Contact Number Fax# State Certification/Registration# Architect Name& Phone# .Z 4 Co - ., ( () l=R- 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 if 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 of er 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 certify that I have read and examined this a plication 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 sppeci red herein or not. The granting of a permit does not presume authority to violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction. Signature of Owner,1 A _ /i �� g �// U. Signature of Contractor er 111111 Print Name .................�.1..et..X�„C.�........A. ' Print Name e.Y► i{....1 .■ ikrt Q r%t) Sworn to and subsc ed before me Sworn to and subslbed efore me S thin Day of 20 rc this _ lay of .]Q- , . 20 a Pub IL �rn;""'.� . . 0: N\ AMBER L HICKS •! t MY COMMISSION>YFF033216 ljr �'' ,� AMBER L Hl sed )1.26.10 •) MY COMMISSION#FF033216 �1a^ ! EXPIRES July 2.2017 •�y oft. AV 3910153 FloeidaNdaryService.com aiR,.i EXPIRES July 2,2017 007)3X1-11159 FtondaNdarySeMce.com NOTICE OF COMMENCEMENT (PREPARE iN DUPLICATE; Permit No Tax Folio No. State of County of 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. 1 Legal description of property be' r) ) ` ` 'G . " . , 1 be(-1- ) s . Address of property being improved: 1 3rd �+ I . ' - General description of improvements: {�- ( ` �r I n4 - Owner 1 t ! \ (� * Address_^'' b1 _�r . 3� 1. D ," ) 3 Owner's interest in site of the improvement r i.)K"t_ r ..,;I" 4. ,-- Fee Simple Titleholder(if other than owner) Name Address 11'' 1 Contracto ..... ' t l N I"1 r .•■--' ab . i;,[01 Address ( j p�� L 3Q, 3 i Phone NO(C\ _S-1,�LI 1_,- 5(Ll q Fax No. 1� 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 documents may be served: 44 � %T\ 1 r ) Name 7 •: Address Phone No. Fax No. K designates the following = � KO D In addition to himself,owner des/ g g person to receive a copy of the Lienor's Notice as provided in o: v S Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). 2 m CO R N Name u� c O r- Address $. N *z _ N T Phone No. Fax No. i, o o 71 X o 3 H Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a rn different date is specified): THIS SPACE FOR RECORDER'S USE ONLY I WNER Igned• /-- X/iii DATE /�G <'�, Befor'm is day of a in e Coun f Duval.State of Florida.has personally appeared .)5 v■v 4 -,----,- herein by ©rk n Doc#2015222640,OR BK 17316 Page 2348, himself?herself and affirms that all statements and declarations herein y Number Pages: 1 j are true and accurate i Recorded 09129/2015 at 11:32 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL I 1 COUNTY RECORDING$10.00 ■ //. d .y ,i2 . eta -ublic at Large.State ' . County of WIIIIV/ p My commission expires: — ■ Personally Kno:.n or Produced Identification L 4 D00 - y,g- - ro_ 0