433 MAKO DR - ROOF 0411w. 4
; 1 `� CITY OF ATLANTIC BEACH
4. s) 800 SEMINOLE ROAD
.r.. ,' ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-739
Job Type: ROOF PERMIT
Description: REROOF
Estimated Value: $5,000.00
Issue Date: 3/28/2016
Expiration Date: 9/24/2016
PROPERTY ADDRESS:
Address: 433 MAKO DR
RE Number: 171465-0000
PROPERTY OWNER:
Name: WHITFIELD, GEORGIA
Address: 433 MAKO DR
GENERAL CONTRACTOR INFORMATION:
Name: ROMANO BROTHERS ROOFING, INC
Address: 1188 N 12TH ST QA DANIEL JOSEPH ROMANO
Phone: - -
FEES:
BUILDING PERMIT FEE $75.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $79.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE,
Permit Nor— 'oo o_ L
State of
L County oo_ CY t` .
To whom It may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following Information Is stated in this NOTICE OF
COMMENCEMENT.
mil. _- cription pro--h bein• improved' -
Co
Address of property being imppved-
General description of(mprovem —.
(', — ':vner �eff%�' cl, (,/.icy 1.11` ce &I-
..-___ . Address t/ 114-1c/D 'f )(4 A-14`k:- 1r :c1du:"1 ` �;2 j 7-1'
Owner's interest in site of the improvement r t-•,h tit., ; f I
Fee Simple Titleholder(if other than o'.vner)
Name-._..__._,.h
Address •
Contract•,. ! _ . , r 1 _Mk c
Address- Ab In A W - `
Phone NI,.4fre , L C Fax No. M. ,
Surety if any
Address Amount of bond$
Phone No. Fax No.
Name ant 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. Fax No. a +�.�ti`
A' ) ;°
In addition to himself.owner designates the following 7 e
g g person to receive a copy of the Lienor's Notice as provided in 6:, .;
Section 713.06(2)(b).Florida Statutes.(Fill in at Owner's option).
Name M
Address o X 0 D
a v C
Phone No. Fax No. r, Do K CO
m (7, m
a rn X
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a Z r
different date is specified): . ,<?,..,-- _
N T C)
THIS SPACE FOR RECORDER'S USE ONLY f, 0 NER 8 o T
,/ 0 7C
,'/tlu . , i L�r.�_ DATE 3"2z— u, ro
r a me this day of in the of
���/uY of�D}val�State of Flory}has pe-rs�r}�Ily app eared
L�V'j�N tloiff rtitht°dLX� herein by
himself'hersei and affirms that all statements and declarations herein
are true artstaccurate
Z 1 1
Doc f#2016068417,OR SK 17505 Page 1981,
Number Pages:'i -'
Recorded 33:28,2016 at 12:19 PM, }�(a CC- ou
Ronnie Fussell CLERK CIRCUIT COURT DUb`:4L Notary Public at Large.Stat - . County of :If t)(r}�
iYty commission expire • IZ -
COUNTY Personally Known or
RECORDING 110.00 Produced Identification Mt -
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: ti M AK-A L' Permit Number:
)6 ?S 1Z/P r� P�-
Legal Description — eF avy.i,1 ()Owls ter:¢ aA , -2?3ikrcel# I /y(.c_OC K1
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ Co () Proposed Work heated/cooled S, .._non-heated/cooled
Class of Work(circle one): New Addition Alteratio Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one):. Commercial
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approve orm
Describe in detail the type of work to be performed:
Property Owner Information:
Name: Sktr( IIG "(hi-)w C- Address:
City -3 -/ J A-.. State F(Zip a 31 Phone /O--O I/7(
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: 140"-"--* Arai -S Le � Qualifying. ' t7�� /20.-"`nom
Address: yam— /cuj- FU F City P4 f 13 d, - State p-/ Zip g 'S3
Office Phone 9mt Cit ...10,4—r4 Job Site/Contact Number let/ d VC -I-4Lfq' Fax#
State Certification/Registration# c CC /3,P8T9
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 f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of six 16)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 application and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be corn,tied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any othe -,• s..state, or local law regulating construction or the performance of construction.
L3-22Signature of• +L„ < ' L.�.� Signature of Contractor
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Print N, • ` - • �c� thd- s _.._._.._...._�.... Print Name 11.1„;,,I o► 'vim'_...._____.._ —
Swo to and subscri i d ,-fore me / Sworn to and sub bed before me
this Day of r ,20/�.rr thi _ Day of Ja ,201
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Notary ruonc . , ;•; �.� u�-1G MY MISSION#FF033216
MY COMMISSION#FF033216 •
a nR 0 E XF';RES July 2,2017 EXPIRRAlv 2, 7
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(407)399-01;3 F(or,d5Ncl:uy Sow(c)3.com (407)394-0153 Fbrld•Nota,yService.com