571 SAILFISH DR - ROOF 's CITY OF ATLANTIC BEACH
1 800 SEMINOLE ROAD
r.
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
131)r-
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROOF-2318
Job Type: ROOF PERMIT
Description: reroof 1956.1 13857.4
Estimated Value: $5,500.00
Issue Date: 10/2/2015
Expiration Date: 3/30/2016
PROPERTY ADDRESS:
Address: 571 SAILFISH DR
RE Number: 171265-0000
PROPERTY OWNER:
Name: JOY, TIMOTHY H
Address: 3029 NEW BERLIN RD
GENERAL CONTRACTOR INFORMATION:
Name: ROMANO BROTHERS ROOFING, INC
Address: 1188 N 12TH ST QA DANIEL JOSEPH ROMANO
Phone: - -
FEES:
BUILDING PERMIT FEE $77.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $81.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address:S1 I oi► I V, si r. Permi Number:
Legal Description.SD ' 114 3t •aS - .a9 4 i
Floor Area of 'q!Ft. Sq.Ft
Valuation of Work$ 'SS OL) Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Additioi{Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one):. Commercial Residential
If an existing structure,is a fire sprinkler system installed?(Circle one): o N/A
Florida Product Approval # V ISt,. I IN/,,S1. 4
For multiple products use product approval form
Describe in detail the type of work to be performed: ,e r cof
Property Owner Information:
Nam , ' o Li Address: S'1 ( I Ci SLt T
City At Sta 'X_Zip: Phone
E-Mail : •tional)
Contactor Inform• ion:
Company N.I;,� a —�11+ .► . Quali mg Agent:,.1 t ni-e_j D Y►�t.is
Address: i �I) a City State- Zip 33
Office Phone - C IBBEt1 Job Site/Contact Number Fax#
State Certification/Registration# r ( )- 4 i3
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 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 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 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 whet •r 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, or .. spec regulating construction or the performance of construction.
, w
Signature of Owner ' A6!%/1111 Signature of Contractor
Print Name 6 ki Print Name
Swo o and subs .r - s i- e Sworn to and subsc{td�b�fore me
this Day • �J w 20 this 1- Day of V Cab . 20 K
um'.'9,;;-..��` fi`'� "',;4 AMBER l HICKS
Notary P , '°r DANIEL S ROMANO u ItC •) MY COMMISSION#FF033216
Notary Public-State of Florida 3
ui ;.- ` ?«!` .1rZevise ftVit�2.2017
• �;� •�=My Comm. Expires Nov 12,2016 •`"••
Corm-ssion # EE 850643 •MO7)aw153 floddarootaryservicr.corn
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No��• Tax Folio o.
State of t— 1 County of Y
• 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
1C1i de cription of property being improved: 3b- 4 3„ -�.s ��f -n.,i t I
S On.4-
1
Addr of property being improved: `J 1 1 n C1., c ∎•\IN_ . . 0 r 078
General description of improvements: 1 y- 1b j-I-.
`` - Owner ' 1 '4" h T)
"Pf 1 rrt *'Address �� l SC l I r.S vi 30:1
Owner's interest in site of the improvement ku hA e C_tl :ArN;(
Fee Simple Titleholder(if other than owner)
Name
Ass '
Contracto.0 U-t-� r - ∎-"� ■∎ -
Address t E e Vt.j r, . . . L_ 3Dc -3 § .....tO;
Phone No(t- U-t 1� 4 5L iG Fax No. .. `
Surety(if any) ` ..,,......°.
i Address Amount of bond$
r
Phone No. Fax No. o m n D
K 3
Name and address of any person making a loan for the construction of the improvements. Q m N m
Name ,5 N v, 7J
Address N z r"
Phone No. Fax No. $ r' * C)
8 207;
3 -.I CA
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other i
documents may be served: ,
8
Name
Address
c "`s•.• f`••,.,
y:'a •,.
Phone No. Fax No. S ,
.€
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 O'.-ner's option). M
Name
3 " D
Address a
Phone No. Fax No. Q , fn
• r
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a t„
different date is specified): T^�77n��
THIS SPACE FOR RECORDER'S USE ONLY 1. ER
����
4ignF� DATE �___._
aefoe r�a this day o In the
Doc#2015226141,OR BK 17321 Page 2442, Coun cf al . Vida. p= y appeared " 11
Number Pages: 1 ! herein by rt 1-4
himself/ arrf tenet all statements and declarations herein 1
Recorded 10/02,2015 at 10:38 AM, are true and accurate
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
7.----'
RECORDING$10.00
f ' .
t...
,ataxy ubi cat Large.Stgg:" 9 County of "TAU
my commission expires: \ WEI`_
PersonallyKno::n or
Produced Identification