214 7th St roof permit CITY OF ATLANTIC BEACH
J j 800 SEMINOLE ROAD
1 S ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
;3
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-2141
Job Type: ROOF PERMIT
Description: re-roof shingle to shingle
Estimated Value: $9,000.00
Issue Date: 9/23/2016
Expiration Date: 3/22/2017
PROPERTY ADDRESS:
Address: 214 7TH ST
RE Number: 170137-0000
PROPERTY OWNER:
Name: MANIATIS, ANTHONY & ERIKA, '
Address: 214 7TH ST
GENERAL CONTRACTOR INFORMATION:
Name: PIMENTEL ROOFING INC
Ramon O.Pimentel,CCC1330935
Address: 321 4Th AVE
Phone: -
FEES:
BUILDING PERMIT FEE $95.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WTM ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
--- BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
x v
Office:(904)247-5826 • Fax:(904)247-5845
Job Address: 2.�7 `7 Ty ST Permit Number: I b—ROD�- e"llt(�
R
Legal Description .�"�/o /lL1�a29f ,462
6&/ F#
Valuation of Work(Replacement Cost)$—%J s AD Heated/Cooled SF J D Non-Heated/Cooled
• Class of Work(Circle one): New AdditionAltem6o Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): CommercialResidential
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes o N/A
• Submit a Tree Removal Permit Application if any trees me to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed:
S 1Q �r �5�/ n/� 1-0 �c a� �L5
Florida Product Approval# 'V 1 14 /e.:3 `T-4 to ka I 0 fr for mi ttiple products use product approval form
Property Owner Information
Name: }.' A o q•FiS Address:Z/y 517// Sr
City .s r tee_r!; StateiCiZip Z y 2 3;9 Phone
E-Mail
Owneror Agent ofAgeot,Power ofAttomeym Agency Letter Required)
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 NOTIC°E OF COMMENCEMENT.
Contractor Information:
Name of Company: 1 a-e�ty r
tWEt- +t� J Qualifying Agent: Rib .J —a7�✓r�
Address: 1/-T _City a4 r.�ra.� State Zip 21Z�D
Office Phone Job Site/Contact Number
State Cer[ifica egistration# CCC / o y -e —E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Worker's Compensation
em surer cep oyeee pr on ete
App/icafion is hereby made to obtain a pesmit to do Ike and installations as indicated l earafy that no work or installation has commenced
War to the issuance ofa permit and that all work wil performed to meet the standards ofall laws regulating construction in this jurisdiction.
War
becomes.11 and void if work of co enced ud months, or ijronsnucfton or work is smTended or abandoned/or a
yeriod o(siz(6)mon[hs at any time ojler wo cpm n derstathotseparatepesmitsmusibesecuredfar Eleculeal Work,Pl bing
Signs, eas, ods,Furnaces,Base eat an Conddio rs,etn
r
Signature of Property Owner: Signature of Contractor: r
Before me I
this U Day of Y Before me this ay of
NotaryPublic NoraryP c.
(s} llylXj#A"tFF1s1/0c olyify"y+s, /RNAt1Aa/antkU
I hereby certify that I '(aAWAiI' 1 s "on and know the same to be true i it. 1 Fi+Sym B /
ordinances governingg o vN1F A whether speci ted herein or r "r aiLrl�e rl
presume to give oulho re prowstons of any other fe em(, state,or( u
performance ofconstruction.
Rev. 3/14/16
NOTICCE OF COMMENCEMENT
Stateof F 11 County of _ 1c4,LA A Tax Folio No.
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 ofproperty being improved:
5- K10 /& -2S
Address ofproperty being improved: '1 /y yTI/ ST• �Yfz��G AriEr. r, ?,723'.7.
General description of improvements: ,S/r�/o �<l.1814 P (-e.- yg0 k- - .ra i/.�6,ii✓ia
"'A <�o ti ZIP I.0 A—Ik s
Owner: F�l E,i dull A4 C Address:
Owner's interest in site of the improvement Nky 1'l nr o.. 3 2 3-3
Fee Simple Titleholder(if other than owner):
Name: ^ /
ontractor: Ig". .dL .n
Address:---k,15 / *X ,r¢y.[ 42 4p4.it I
Telephone No.: J�vyjtj Gi�.r({SR 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:
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:
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)(6),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):
T}DS SPACE FOR RECORDER'S USE ONLY OWN4pem
Signed: Daze: % z 72-20(f/
Beforey of in the County of vel,State
,4 Nva 4N,l Of Floreared
.�. MYGOAMn5510NIFF 181400 Personor
EXPIRES:Ssplamber 18,2018 Produc
qtf� , rvP'a°u'Q°rvmm Notary Public:
Doo#2016221735,OR RK 17720 Page 1143. ommisslon e r
Number Pages: I
Recorded 091232016 at 03:41 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00