148 MAGNOLIA ST - ROOF `'� CITY OF ATLANTIC BEACH
S�
,ti.v, -,,, ,:q .f..)
;
800 SEMINOLE ROAD
v •f-=a' _ ATLANTIC BEACH,FL 32233
'tJ:3 9 INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0161
Description: SHINGLE ROOF
Estimated Value: 4875
Issue Date: 10/31/2017
Expiration Date: 4/29/2018
PROPERTY ADDRESS:
Address: 148 MAGNOLIA ST
RE Number: 170618 0000
PROPERTY OWNER:
Name: MACKENZIE BRUCE W
Address: 148 MAGNOLIA ST
ATLANTIC BEACH, FL 32233-4006
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ROMANO BROTHERS ROOFING, INC
Address: 1188 N 12TH ST QA DANIEL JOSEPH ROMANO
JACKSONVILLE BEACH, FL 32250
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU 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 RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
/ . .
;,.: 3_..;.\.,,./-5-..:,;.i....
BUILDING PERMIT APPLICATION- - " " - - - - - -
�-� !.-, -01-'-''' '` -CITY OF ATLANTIC BEACH
• 800 Seminole Road,Atlantic Beach FL 32233
"1}� Office:(904)247-5826 a Fax:(904)247-5845
Job Address: I11'6 V v`a rI 11 A e, , Pe 't N } er:
Legal Description 1b •2 1`-136- f SQ ,/ Sc. I EP `�F �nn`' I LTh i
.033
Valuation of Work(Replacement Cost)$q t C Heated/Cooled SF )S Non-Heated/Cooled
- ° Class of Work(Circle one): New Addition Alteration Repair emo Pool Window/Door
° Use of existing/proposed structure(s)(Circle one): Commercial Residents
o If an existing structure,is a fire sprinlder system installed?(Circle one): es o N/A
ET Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
' Desc a in detail the type of work ko be performed:
'i l �!
Le...--t bb -. -S ` i CV Ci-, PCL.,‘tl Sa C.Ce 1 • .
•
Florida Product Appro' . ' SSS" ' '` � ,; ,l
-CL. 6 .S.. I for multiple products use product approval form
Property Owner Information
'Name: &V/Ge/ l4 x e-/Liz/ Address: /e/e /1/4‘,..) .44v_ 6-7"
City . AI-,A'` State/j Zip 2253 Phone 2 4/7 -O d 7
' E-Mail .—
Owner or Agent (If Agent,Power of Attorney or Agency Letter Required)
IAR SIL'T G TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CONIIVIENCEM E NT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTALI\T FINANCING, CONSULT WITH YOUR LENDER OR AN AT 1 Q!'_ Y BEFORE
RECORDING YOUR NOTICE OF C -BI L:. EMENT.
Contractor_In orma-1ton:
Name of Com '�� r ' I
I) i- �`lt., i -,.r.. s hi- \- Quali�_ 'ng Agorit:\ cl , ' I C+tL t C.� c.-
Address: i . (P' l , 1 City State ZipD,",-3
Office Phone j.-# '.t< <_)I - ! C Gj
- P I Job Site/Contact Number
State Certific on/Registration#( E L P>� L�,_( --Ci E-Mail '
Architect Name &Phone#
Engineer's Name&Phone# , _
Worker's Compensation Lt-.4`..-•; I LI, i lk_A c,,mc.-I- �.' ,, N. I.-1)1�. .�.:• r - s -
CID- DC) -g /8
L)- � - i C� Exempt / lnsur Lease Employees�7 Cpiratton DateILLD '� o
Application is hereby made to obtain a permit to do the work and installations as[[rdicatec --cert fy-Ihat no work or installation has con[
Tnor to the,issuance of a permit and that all work will be pe[fonged to meet the standards of all laws regulating construction in this jurisi g
his permit becomes null and void if work is not commenced within six(6)months, or if construction or work is sus. . or abandon bizips 2
period of six O months at any time after work is commenced. I understand that separate permits must be secure, -.r lectric' Work,Pit tirg, e
Signs, Wells,Pools,Furnaces,Boilers,Heaters,Tanks andAk onditioners,etc. a E E g
-*SignatureB reof Property Owner: J -� Signature of Co. r.ctor: Z
thi�1 Da. .f ./ f . I r 1
-Before - thine. Day of _4 s ' /
AlfNot r u l Not., Public: �� 1 � • I
Ilierebv `•r(3,►.°:'•Ili AM EQHI eg_ ie this application and know the same to be true and correct. fill provisions of laws and
> -� c��,b�ar �i�ifk- t'eaf i&� PP
ordinanc a' ;,t itr tF e, ''ger d6' df'ill i e complied with whether specified herein or not. The granting of a permit does not
presume I- gr„c'� ori aJ4ice the provisions of any oiher•fe//eral, state, or local lcni'regulating construction or the
l7elfoi7nai L'' ,'aysli[[� ���hroughNafionalNofaryAssn,
Rev.3/14/16
•
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
PermitTax Folio No. bGi s U
State of l County o" ,
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 descriptioniof property bein impr ve 1 L aq `1-0:p r
Address of property being improved: lit "v`A h l &
r9s_neraLdescription of improvements:
•
-.4‘
0 s4k Owner �QhA 0
Address I L 9 ]r�
Owner's interest in site of the improvement
N Fee - = leholder(if other than owner)
Name
sS) Address
Cantr- f\
�► �_
Address _ VM
Phone No.r -mfm �cFax No.
Surety(if any)
Address Amount of bond$
Phone 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 "s,,=
Address ;a -a: <E
...*/. / -
Phone 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)(b),Florida Statutes.(Fill in at Owner's option).
LE
Name za� m
a , 9
Address d n
c
Phone No. Fax No. ,
N
D O O
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date is specified):
THIS SPACE E FOR RECORDER'S USE O Y ER
Signed: _. / /i DATE
Before me this day of Y in the
County•1 Duval.State of Flo id;,has personal) appeared
/� �i herein by
Doc#2017248280 OR BK 18167 Page 2469, him t -if an�tfirms thgt a I"s{atements and declarations herein ,
Number Pages:1 e true and" curate
Recorded 10/31/2017 02:10 PM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL •
COUNTY ) C
RECORDING $10.00 •
Notary Public at Large.SteteQf _ . County of •
My commission expires: 1 —
Personaliy Known ` or
Produced Identification