1745 BEACH AVE - REROOF ,�' �s� CITY OF ATLANTIC BEACH
d:,;,;: �� 800 SEMINOLE ROAD
Vr ATLANTIC BEACH, FL 32233
\ INSPECTION PHONE LINE 247-5814
Jl�\
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-617
Job Type: ROOF PERMIT
Description: REROOF
Estimated Value: $9,000.00
Issue Date: 3/14/2016
Expiration Date: 9/10/2016
PROPERTY ADDRESS:
Address: 1745 BEACH AVE
RE Number: 169670-0000
PROPERTY OWNER:
Name: EAKIN. PAUL
Address: 1745 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: ROMANO BROTHERS ROOFING, INC
Address: 1188 N 12TH ST QA DANIEL JOSEPH ROMANO
Phone: - -
FEES:
BUILDING PERMIT FEE $95.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
State of ,rl County of 1)`C 114 ( Tax Folio No.
\. To Whom It May Concern:
A
4), The undersigned hereby informs you that improvements will be made to certain real property,
the Florida Statutes,the following information is stated in this NOTICE OF COMMECMET and in accordance with Section 713 of
Legal Description of property being improved: / .5--/L)a y - Z 2<2. f A R 4 /
•
Address of property being improved: �
• — ` - sue,
General description of improvements: , l ,
Owner: L-:4( k,d-/[`,L) ,/
Address: ,e��'�2 yY"dl .� 7- „i�-
Owner's interest in site of the improvement: l: 7)/i L U w !�
Nay'
Fee Simple Titleholder(if other than owner):
Name:
Contractor: AL r
• Address: ,L C i, j•��,�
Telephone No.: 24 ,c6 V' • Fax No:
Surety(if any)
Address:
Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address: Doc#2016056391,OR BK 17490 Page 1156,
Phone NO: Number Pages: 1
Fax No: Recorded 03/14/2016 at 09:51 AM,
Name ofperson'within the State of Florida, other than himself,*designate(
Ronnie
OUNTY sell CLERK CIRCUIT COURT DUVAL
served: Name: RECORDING$10.00
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed:V IGCL. Date: .5)%/
Before Erie is \ day of kc\pcas in the County PATRICIA J JACKSON Of Florida,has personally appeared- )Q,, 0 , " �`of Duval,State
,:;?:,'"'""*2"': .cam
., •, MY COMMISSION tl FF 202473 Personally Known:
EXPIRES:June 14,2019 Produced Identification: or
" q t4°"' Bonded Thru Notary Public Undenniters
Notary Public: 'e"&.A .., _ • - _ � _ �� --My commission expires: 4"E, I c, • j "1
'Nor BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: (I c ' S L GliL t&lJ e
Permit Number:
Legal Description /S-----/O p .9-2-.S
Valuation of Work$ Floor Area of Sq.Ft —STIFF--------
�J d i 2, Proposed Work heated/cooled / non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structures) (circle one): Commercial
If an existing structure,is a fire sprinkler system installed? (Circle one):Residentiallo N/A
Florida Product Approval # Ft.(g 56_, .
For multiple products use product approval orm
Describe in detail the type of work to be performed: .�/(, ;)
e.4 Al fi tent A7 41.01/ / 30 ,.e e4- 1-c. -Sri,-/,/e/
Property Owner Information:
Name: - ,t ( {�
j -�c`� 0 Address:
City /CTi-04-.41 c13 State(Zip g4.? Phone
E-Mail or Fax# (Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name-P „j p U,-Q
Address: I� � L!(A.1� S Qualifying Agent:` �� (l 4,�v
Office Phone i2 `er City !4--A, Y-5-y Stag, Zip 3 Ze
j R gi cp Job Site/Contact Number"" 7 �5�sy,� Fax#
State Certification/Registration# C.('r l .y, ,1
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
andApplication is hereby made to obtain a permit to do the work and installations as indicated. I certf that no work or installation has commenced prior to the
void ffwork is not commenced within six performed or f standards w work is suspended or construction bandond for this eriod or six(6)months s at becomes n ime 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 whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
7rovisions of any other federal,state, or local law regulating construction or the performance of construction.
w
iignat ue of Owner • ��
Signatu• Contractor . �
'Tint Name . m. _4Xi_
Print Name ",
3efore me Before me
!iis \ Day of V1\45(( ■ , 20 1V o this _• Day of k i
,20 (0
fotary Pub is _ ��- —e // �_.�
•'""ir•',,-�' PA • • a otaiy Pu.he
.+. MY COMApSSION 1 FF 202473
Bond EeddTThaiNoisy P U2019
es Revised 0].26.10