1669 N. Linkside Ct re-roof permit 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
JOBINFORMATION:
Job ID: 17-ROOF-3087
Job Type: ROOF PERMIT
Description: RE-ROOF
Estimated Value: $9,700.00
Issue Date: 1/24/2017
Expiration Date: 7/23/2017
PROPERTY ADDRESS:
Address: 1669 N LINKSIDE CT
RE Number: 172374-6185
PROPERTY OWNER:
Name: SIMON, RITA
Address: 1669 N LINKSIDE CT
GENIE tAL CONTRACTOR INFORMATION:
Name: ROMANO BROTHERS ROOFING, INC
,CCC1328893
Address: 1188N12THST QA DANIEL JOSEPH ROMANO
Phone:
FEES:
BUILDING PERMIT FEE $98.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $102.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH OMNANCES AND THE FLOIUDA
BUILDING CODES.
Bunj)ING PERMrr APPLICATION
Crry OF ATLANTIc Blum
800 Seminole Road,Atlantic Beach,FL 32233 17_ - -3 CE5-7
Office(904)247-5826 Fax (904)247-5845 Rc)oF-
Job Address: 16f, Per IY7
mber:
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Legal Description '/7 -A�- /17--2-�- d9 145 Yell, k17&&,JI IP
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Valuation of Work S 176o Proposedwark heatedicocried 33 rl�n-heated/cooie(t—
Class of Work(circle Alteration Repair NoW Demolition pool/spa window/door
one,*,
Use of existing/propos"kn.4,rn;:): Commercial <�
If an existing structure,a a sure s ran er system installed? (Cirele one): Yes -No
Florida Product Appruval 9
For multlple products we Pro"'Apir-ow form
Describe in detail the type of work to be performed-. <e ro 0�f '
Property owner information:
Name: Add,.- A, 9 C Wl-
city StMBZjpWZ3__Phonc
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Company N ro t.,, X.Ir. kc Q,,I&yingAgmt V
Address: city JIML,A/,—1 -IML—state zip�1735
Offfice Phone 91 Job Si- 'Contact Number
state Certification/Rogistration 4
Archited Name&Phone 11
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Mortgage Lendu Name and Addre I as xivili,that aa wffk re-installad"n has aq,vieseedprio,to the
pervat beeoroes--U
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dwidenrod edthisa icardon andknw the saw to be rive andco,rect Allf'ro'bihonar"m -ff an"R the
I NI,ce,16 thot I It ljil n arbig of a pemit does nor presume to gbe aurhoriOl to;Tdebs
oj.q ark Wl he he WI led he,�eho a,. t. aacj�17.PFfOiTiahsce aftorwrooffoa.
P,v,,farom afore, h state, I wing Co.
Sigganture of Owner SignatuabofContractor-I
Print Name oky-�J r-u"o
PrintName —Core me
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NOTICE OF COMMENCEMN'T
(PREPARE IN 0UPUCAW)
Pernitt No. Tax Folio No. 17
42 7q-rjgs-
State of county or Ja I
To whom It may concern:
The undersigned hereby Informs you that Impronroments 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: 11;7-CR S 17- ,5--?946 -%eAr^
'2 list //7
Add..of property being irnpr�:- 14C 9' /,A AI a A
General description of improoments:. R�rvolf�
Cwhor 9 14CL I ry-16iij
Add� [j�2&�� 1,i n A6 id4 nif IV- f:�Aa-n -ilv-. )I-e-a7A-7�
Owner's interest an sto of the kniormneenind
Fee Simple Tifielrokler(if other than owner)
Nam
Address
Connector RcU�, so-dill
Address A 0 &Y 00�317 so-?S3
PhoneNo. 1OV-610-01/74 Fas No. Vq-stylig-y&C,
Surety(if any)
Address Aunount of bond S
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improverrems.
No.
Address
Phone No. Fax No.
Nam of person within Me State ofFlonda,other than himself,designated by owner upon whom notice$oromer
documents may be"Ned
Name ti;
Address
Phone No. Fax No
re 3.
In Manion 0 himself,owner designates the,following person to recievre a copy of the Lienors Notice as provided th
Section 713.06(2)(b),Florida Statutes.(Fill in at Owners option). 51,
Nam r-
Address P.
Phone No. Fax No.
Expiration data of Nonce,of Commencement(mot expiration data is one(1)year from Me date of recording unless a
different data is specified):
`nucxanaa�-lends RPtOMM'S USE ONLY
Dw#2017017885,OR BK 178SO Page 2073,
Number Pages.I ftosd4� DA,
Befts to,�-dr,0 In the
Recorded 01/2�1 7 at 0121 PM, been by
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDI NO$10,00
My C ar
Pix,onxly�
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