492 Whiting Ln 16-ROOF-2822 1
o CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
-�� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-2822
Job Type: ROOF PERMIT
Description: RE ROOF
Estimated Value: $6,305.00
Issue Date: 12/16/2016
Expiration Date: 6/14/2017
PROPERTY ADDRESS:
Address: 492 WHITING LN
RE Number: 171455-0000
PROPERTY OWNER:
Name: STUTSON, LAURA JONES
Address: 492 WHITING LN
GENERAL CONTRACTOR INFORMATION:
Name: ROMANO BROTHERS ROOFING, INC
,CCC1328893
Address: 1188 N 12TH ST QA DANIEL JOSEPH ROMANO
Phone: -
FEES:
BUILDING PERMIT FEE $81.53
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $85.53
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Dec 161601:30p Romano1IAi 9042464810 p.1
BUMDIING PE1UffF APPLU-7ATIION
Cffy OF ATII,A MC BEAC.9
800 Seminole Road,Aflanuc Beech,FL 32233 p
Office (904)247 5826 Fax (904)147-5845oX ZCj zZ
Sab.Adfitessi � ' ^ I1
PeruiirNumbe::
Leipll Description arcd# .
Valuation of Work S ' �, c I ' °OL ° Jq t q
Proposed Work beatedicooled-7) I non-he cooled
Class of Work(circle on.,) Ncyl AdditiAltaratlon 'Repair e,-�emoHim
off. i �'�' PoPa window/door
Use of eafsfiug/proppoossed str=caure�(s) drele oneme
):.. . Comrcial `�tesideltia!'
Han saistiag strnctnrq 1s a is m metalled?(Circle one): "yes No, NIA
Plorftr multiple lporal odu .L(
FbrnetvuseproductapproviSiorm_- '
Describe in detail the type of work to be performed; - -
i
o er ! tion•
N . r a v�J"2 - �- "5,0 ddress- I-
Cay !j Rr•ri( 7(C i - Saft-11 3a a3a.;- b q cl
F�-Mait orFax#(Optional) . .
Conuaotol•TafO •an•
I
Company N a• �a•,. r. •.o •ti - as�QaalffyinaAgent: +✓G` n�.�l +•'��y,. c �..,
Address: I Ev ty s-li� - I Stwi� Zfp •-s�a.��
Of6cePhoto - Job Site/Contact Number Fax#
State Certifieadon/Registtatiort
ArcldtectDlame&Phone 4 � i I I •
Engineer's Name&Phone 4 1
Fee Simple'ri le Holder Name andlAddress
Bonding Company Name and Address
Mortgage Leder Name and Address
A on it hereby madz ro brae+a
pplkall p pernitrodo the reoiRand tnsfallaamis as indltnavL Ientrify tl+al no work err irurd✓�pon has e'medpriarWdw
Btvm+cea//a ommaaffithot afl�+rork aifl be pe++�mumedm meetdre etandardr aj'aIIfmrs+agafalf+rS cans!»sdan Nrhfsfvrisdlmiac 1 ermtr thnesnan
artd wrd ifivorknnm comwe+rcgdwtddn sa(dJn�onlhs.or ffcontmrertan or ivm*usn nodwaba�m+Mfara��rtcd ojrts whcm1m Heaode(er
wor&is cmmnenrrd !mnfosrmd dna sep@ale pern+ih must be securrd for Eleaaica�Wor$PLmding,SYgn, Wefts, ( Fbmarxa,Boders,Heafus.
tbnks m:rfAir fonditiarter5 e(u
�AIIIVs Y O OWY�lER: YOU18 FA)i�3i1 TO )IIF.00�' A TITIQ.`$1'. OF
COR NCEYliEI AAAY RESiJg T YIOT YOSTII2 P7A T� fl SCE IFOP�IlWI�ROVE16�141TS
S®YOIIl�PEtOPE "IIF YOIIJ dP1 IEDID &O O�IIAlAI YIfNANCIl� NSYJLT WITH
Y® ]CII Ydl� n®�AN ATICOlSRIEY QEF®I ITEC®RIDENC YO AT®ll IICE OF
C® I "1VCERq!J',1m17C. I
Iboeby cetify Mmlhave reodaxd QamtnedtMs�plkanon m+dEnmvttlw some to be uve andcor+eu. Ntlans a( sm+dmdina+cesgoreriang Mrs
9We of work mill be complied loth wleesher Iwzin or+ms. Zhe gnndng I a permQ does nal eta 8Poe horiry ra violate or m+rcel rhe
prvwsimrs ofas9.Whafederal,ante orlocai imv rege/aangmnsovtlion or die performann ofcaanvclioa. y. _- i __._._
Sigaatvre of er - 'rte. Sign of Covtrnctbr "- - i
1;
Stvo s me )) w and subscr' b me
ay of re✓ �l9 this " pay of i o✓�
Public _ otary e
4 1 AMBER LHICKS - _
P'
q,� `'! 1B x"'*n AMBER px�01 .10
:Ac^ixl My COMMISSION eFf-039218 _,'�) MV COMMIbbf �I C�F093216
-Toner, of oommExCEMENT
(iaEiaaE IN pWLiCi.icr
Pemt Nqr DOp
State of Tax Fog
nty ot.l
To whom It may concero:
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. ',y
1z descrid o of p '
rpcW being P d: - 'r
��
nlp bel knprovec h
^..}��.. General deacdptlon of Improvam 1s.
Address
Oe:ner's in'srest N site of the improyemeR i
Fee Simple itleholder(A biter Man comer)
Name v--�
r Add ass
Contra ^
Ad7n ,
ss V
/ Ph
7Fax No.
Sur_ry ny)
AEdres•
Amount of bond S
Phone No. Fax No.
Name and address of any person making a loan for Me carstnrctien of the improvements.
lama
Address
Phone No. Fax No.
Name ofpe>on¢ithin the State of Fbrida,otherthen himself.design0ad by ormer upon whom notices or other
d0mments may be served:
Name
Address C
S
Phone No.
fax Na. p m D
S 9 L W+
In addition to hlmsen,mvner designates the follo:.ving person to receive a copy of the Lienors Nodea as provitlsd int: m
Section 713.06(2)(b),FbrMS StaMas.(Rb in at Cam ¢els option). a m In
Name v 0 r-_
Address '
g o n
Phone No. Fax No. y
dG*Mtion date of NORM WComm enawnenl(the expiration date is one(1)year from the date of reed din®unless a m
tlMenus date is spedhed):
...e ee.,-e�eeee-nenee.e uae n-LY _ nWNER
Doc p 20162910t61,OR BK 17819 Page 084,
Number Pages:
Recorded 1121/2016 at 01:31 PM, zaa:ame HbLL mycl
Ronnie Fussall CLERK CIRCUIT COURT DUVAL c wna� of k cp�ae✓`dfd
COUNTY nuns nxwzram¢chzl al aaamamsaena✓0wvanene nanln �
RECORDING$1000 �z emz u
r
lcls
I,ly cemmOHmi a-eez: 4y e
cle0�Kn6.:n
mmm le�.sncasn