750 BONITA RD - ROOFr ■�
''- �S, CITY OF ATLANTIC BEACH
, ; Ai ' f 800 SEMINOLE ROAD
J r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
r,J131>r
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROOF-2748
Job Type: ROOF PERMIT
Description: reroof
Estimated Value: $5,225.00
Issue Date: 11/24/2015
Expiration Date: 5/22/2016
PROPERTY ADDRESS:
Address: 750 BONITA RD
RE Number: 171096-0000
GENERAL CONTRACTOR INFORMATION:
Name: ROMANO BROTHERS ROOFING, INC
Address: 1188 N 12TH ST QA DANIEL JOSEPH ROMANO
Phone: - -
FEES:
BUILDING PERMIT FEE $76.13
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $80.13
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
•
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904)247-5845
Job Address: 75 o 9A1//4 jf Permit Number:
Legal Description 30-60 38 5 -g F Igo / p?�r•" 141001 cel#
door Area of 'q.F
Valuation of Work S. Z2 'c . Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): id" Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial 'esidential
If an existing structure,is a fire sprinkler system installed?(Circle one . •es ' o s
Florida Product Approval# I$SG ,3
For multiple products use product approval orm
Describe in detail the type of work to be performed:re -4,74
Property Owner Information:
Name: ii• Address: 73 j oi✓Jy f- /,
City .! Amegsewn StateZip 322 33 Phone 94?
E-Mai or Fax ' (Optional) �j
Contractor Information: CONTRACTOR EMAIL ADDRESS: 4107,,,,,,,2,-A, c-,03 6?„,, ,llo,.J
Company Name: / �i . . ii - . , �,� , Quali i ; Agent: �✓
Address/ City tat- Zi p
Office Phone 9'1,41— Job Site/Contact Number Fax# '_'AWE ^ >7
State Certification/Registration# C( $ co
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 cert 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 f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of sic(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
C I v ly Q m - - • - '` . ''SULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
T lI ® PIMIEBRIMSF S OU INTEND TO OBTAIN FINANCING CONSULT WITH,
iffENDPR00411FAINGATTORNEY BEFORE RECORDIN NuK a
:
a^ ` Ex�IF: .•.';2.2017 COMMENCEMENT. '�
•
(407)�-0153 Florld:'N:aaryService.com MY COMMISSION#FF033216
+ .` n o f Seffik tvel iov17 g •
I hereby certify that I have read and examined this�plication and know the same to be true and correct. All prov�' 'of laws e ' o ernin
type of work will be complied with whether specified herein or not. The granting of a permit does not pr .gaoap3so 12.b2e autImerittstaotaaicderteoamencel
pr isions of any other federal,state,or local law regulating construction or the performance of construction.
Signature of Owner IA Signature of Contractor
Print Name 14 Qcfo(2_ 6.1 A- Print Name Oy�, Ne./1 �r
•
Before me Before me
this- Day of h1/ ,20 i S thi Day of 1I. ,20 1
ary Public . ary Public
Revised 01.26.10
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No Tax Folio No. 171 a i C, MOO
State of \—•[ County of DL.,v.,,‘
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.
Legal description of property being improved: ,U 4p0 `,j6•-Ds a7_h / )& / W P I y' T
°• 7.$ vl•. '
Address of property being improved: .?-3-4-0 1 1 1,L
?l z_.z 'f- _� __ . .
General description of improvements: f%�nu£`-�
Owner /7.F/'.f cr2 �' I ll4
Address ,
. AI ,
Owner's interest in site of the improvement 0 LA c\, .../2 Fee Simple Titleholder(if other than owner) `�1�
Name
A ff dress
Contracto...• -A ‘ +-
i
2 Address T,1101.1
alb 0
v\ Phone No �,_, 5{6 q 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.
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other
documents may be served:
Name
Address
Phone No. y •.
Fax No. .`4' • ,:o
In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in ? �. s
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). '''•..'.•
Name
Address m O Is
Phone No. Fax No. z m 3 C�
m ( r;1
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a '• w Z S
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER ' ° o X
i 3 v �' !/1
Before me this day of I. DATE rn
Doc#=015269240. OR BK 17376 Page 22, County of Duval.State of Florida,has personally appeared In the \
Number Pages:1
Recorded 11'24!2015 at 01-)2 himself!herself and affirms that at statements and declarations herein
herein by '1 �t��
Ronnie Fussell CLERK CIRCUIT PM,
DUVAL
are true and accurate
COUNTY
RECORDING$10.00 r
Notary Public attarW'SlatW of�1�. County of
My commission expires: � .. t ..-1 -��--
Producedy Known
L or
Produced Identification