1911 Mary St 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
JOB INFORMATION:
Job ID: 17-ROOF-3257
Job Type: ROOF PERMIT
Description: re-roof FL1956.3 & 5325
Estimated Value: $4,000.00
Issue Date: 2/14/2017
Expiration Date: 8/13/2017
PROPERTY ADDRESS:
Address: 1911 MARY ST
RE Number: 172358-0000
PROPERTY OWNER:
Name: WELCOME HOME INVESTMENTS LLC
Address: 1637 N 6TH AVE
GENERAL CONTRACTOR INFORMATION:
Name: ROMANO BROTHERS ROOFING, INC
,CCC1328893
Address: 1188 N 12TH ST QA DANIEL JOSEPH ROMANO
Phone: -
FEES:
BUILDING PERMIT FEE $70.00
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $74.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERlM APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beacb,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: l9// /✓/4^1 � 5'T.r ktI44k- �.e�c.l FL PermitNumber, l�-�UF-3dS
S» lo+ c Ole, s
Legal Description ay-9a 17-,%- a9E , 075— leab`-! S✓b� ust arcel# »a ss -�� _.___
Floor Area or sit --Sq Ft .
Valuation of Work Sf y&y Proposed Work heated/eooled ( 5 non-heated/cooled
i
Class of Work(circle one): N,4, Addition Alteration Repair olitim pooVspa window/door
Use of existing/ppropposed straMure(s) circle one):• Commercial Residential
If m rxlating structure,s e*_fie s¢rr system installed?(Circle one):
Florida Product Approval# 19 J L.3 a
For multiple products use Product approval rom ('
Describe in detail the type of work to be oerformed-� .s " (-
Property Owner Information:
Name: >/6E 1Nyel�41 LLa-r_- Address: I43 G�r4"�i✓.
City -tL.l�r^✓tU ' stow F�TrP ;ztfe Phone 4dY• y
E-Mail or Fax#(Optional)
ntractor on:
�. ual Agent ^ ' lU Q
Camp N s• tY State Zip
Address: t -
Office Phone o ite/Contact umber Fax#
State Certification/Registmtion# - .
Architect Name&Phone#
Engineer's Name&Phone# 1
Fee Simple Title Holder Nameartill tess
Bonding Company Name and Address
Mortgage Lender Nome and Address
Applicafimr is hereby made ro obmin a peymit m do the work mad instalbatimu as indicated I certify that w work m'installation has cammerrcet�gC r uo lr/
ustmtme olaperma mdtMtall work wdl bepe to meet le standm'ds afa7llmvs preegdatin8 coastrucdan in thp4e+Jurisdictiaa Thbperm
1l rj(prn�d ar EletTnCal Work Plnmbtn8.�8�. IYUH.Pools, Fumnses,Boilers,Hemers.
work is cmnmerraed tl�lderitand drat sepaiate pernlus rat ured fr work a sus ruled or alrandonedfor a nod oJria/�mom at ani'
aaaottuo b'
Tankx ar:dAa'Coadfnontoo etc
1t) v:. T® ®W�E�.: Y®vl�.FE�,.1�. i� T® I�'�.'®�D A�®ll')'LQ.'Lr'. ®F
Co L RCPT E Ty IF YOU INTEND yo® ORTAING FINANCICE NG CON
SIILT ROWNYM�
YOUR LEN��R OIL AN ATTO ®1V li O IaITCORIBING SIOI)R NOTICE OF
too,
I hereby ce3tifjr thml have read and examined this plication and know the same to be ove and correct A11Prmisio,-ollmos a�ordlnmlceT%ovr+^+^81
I aapp 8rye to violate or wiwe the
type:woo*win be complied with lrhmher specPted hereto ar nm. The granting of a P�"'th^>' me to attlhonty
prae,ansafarryatharfedeml.state,or loeN lmo regulating construction or the Performance of µy O
Signature of Owner '� � Sign
Contactor
,-/, LE PrintN ( or• • n v nth
Print Name �'"ne /A"ej�lu[J/rwszl LLC
Swo an me
SW o and subs re tale 2 Day of e r
_Day of
Public �8drkPb,h' z
Notary lic `Et'1 AMB l HI t o�Y AM¢E
iIMY COMM(
EXPIRES July 2.20TI EXPIRES July 2,201]
Pat)38-01M ilondaNaroat rvice.mm (earl�39ea I5I FbnEeNdW`+nvirl.Wn
Permit No. NOTICE OF COMMENCEMENT
_ �-
Tax Folio No. /7,2358 -moo
State of Florida,County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
1. Description ofproperty(legal description ofproperty and address if available):
?Y-93 ry .a 9C c�7S- (ew.s )Gt�tRS.nn S 33r-1/oi G /3/k 3
2. Gene I Desc ' tion of improvements:
3. Owner Information: PP
a)Name and Address. L
b)Interest in property: ---_
c)Name and address of simple titleholder if o Son ):
4. Contractor Information, )$5 4z d
a)Name and Addre
b)Phone Number: .3
5. Surety Infoun:nion:
a)Name and Address: Doe 2017035662,OR SK 178] Fagg 2350,
b Phone Number: __ RpiONumber Pages:i
��li7 at 03 11 pM
RKCRCUI COURT DUVAL
c)Amount of Bond: S couNry
6. Lender Information: RE156146INGS10.00
a)Name and Address: -- --- - -.
h! Phone Number: -
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13 (1.)(a)7,Florida Statutes:
a)Name and Address:_
b)Phone Numbers of Designated Person:
3. In addition to himseif/hersell; Owner designates _ _of _ to receive a
copy of the Lienor's Notice as provided in Section 713.13 (1)(b),Florida Statutes.
a) Name and Address:
b)Phone Number of person or entity designated by owner:
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction
and final payment to the contractor,but will be one(1)year from the date of recording unless a different date is
specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION 017 THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I,
SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
genaloly of perjuryI declaze that I have read the foregoing notice of commencement and that the facts stated
five tgof�/�w`n/e/r or Owner's Authorized Officer/Director/Parmer/Manager Signatory's Printed Name&Title/Offia
The fore Ding instrument wasacknowledgedbefore me this^9 day of E n , 20�
bv" Y-F as / \ for
(Name of Potion) (Type of Auth ,i.e.Officer/ ttorney) (Nam of Party Instrument was Executed for)
I r
AMBER L HICKS f
My,
"'IES...
VWAMISSION aFF03321fi TA T B I ST O^ FLORIDA
f'2�„g!�� EXPIRES July 2.2017
(b ]880153 fbatlalloluy6ervice.com
Print Name: �ae/
L] Pwersonally Known
entifrcation/Type: �y
�/f
(Affix Notary Seal Above)
Revised 3/15/12