815 Atlantic Blvd RERF20-0032 Shingle rS % REROOF SHINGLE PERMIT
OEPERMIT NUMBER
r * RERF20-0032
CITY OF ATLANTIC BEACH
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\ ___.-.1. .,../, 800 SEMINOLE ROAD
ISSUED: 2/19/2020
° v ATLANTIC BEACH. FL 32233 EXPIRES: 8/17/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies,or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
815 ATLANTIC BLVD REROOF SHINGLE SHINGLE ROOF $21000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
177653 0060 SECTION LAND
COMPANY: ADDRESS: CITY: STATE: ZIP:
ROMANBROTHERS 155 E. Levy Road Atlantic Beach FL 32233
ROOFING, INC
OWNER: ADDRESS: CITY: STATE: ZIP:
NORMANDY BOULEVARD 8650-12 OLD KINGS RD S JACKSONVILLE FL 32217
LLC
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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 RECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $160.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.40
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $164.40
Issued Date: 2/19/2020 1 of 2
S`VI:f . REROOF SHINGLE PERMIT PERMIT NUMBER
61 t ` CITY OF ATLANTIC BEACH RERF20-0032
w ": ISSUED: 2/19/2020
800 SEMINOLE ROAD
'401i 9r ATLANTIC BEACH. FL 32233 EXPIRES: 8/17/2020
Issued Date: 2/19/2020 2 of 2
1` ,_, Building Permit.Application Updated 10/9/18
City of Atlantic Beach Building Department **ALL INFORMATION
_,/,// 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
''' IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coad.us
7 f? R 72_4()Jab Address: 5/IS- '✓(!y t•lki'4 ,,,•0 t./r• Permit Number: C.� CoV3 Z
Legal Description 35 -,z)1' -3U:. . 33 I a !. " 641- 'I cer tow q..-4'- RE# / 77 653"'Clt"C c
4r4 c`/ Ai)
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Valuation of Work(Replacement Cost)$4 cr Heated/Cooled SF 3t,)d Non-Heated/Cooled
• Class of Work: LINew [Addition Li Iteration [JRepair OMove [Memo OPool CJWindow/Door
• Use of existing/proposed structure(s): 11/Cornmercial ❑Residential
• If an existing structure,is a fire sprinkle ;system installed?: CJYes 1514-o
•
V-
• Will tree(s)be removed in association vb4th proposed proiect?DYes(must submit separate Tree Removal Permit) I Na
Describe in detail the type of work to be performed:
e r^ei-cti t�-our r>;" 1" °��tfl �t'r`' erc.541•��1 S k ., �I
Florida Product Approval tt-r LI"/, / 1 R.. do Q,JG. . / for multiple products use product approval form
Property Owner information
Name Normandy Boulevard LLC i Address 8650-12 Old Kings Road South
City Jacksonville State F/ Zip 32217 Phone 904-743-0880
E-Mail pam.howard(a)tsgrealty.com
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor information
Name of Company +"''a lar L' f linualifyingAgent a>7,h /2.,,....1....,,e,Address IS /e. R.41 ..t....14. i City 41/ 1le,kr State •C/ Zip 32)3'3
Office Phone 9v4 1d'/c.. ,5 t/1` Job Site Contact Number ICA/- C/0-v i.j 7 L
State Certification/Registration It C t.4r./,3)t f 4)3 E-Mail
Architect Name&Phone# 11
Engineer's Name&Phone If
Workers Compensation Insurer W 33 OR Exempt u Expiration Date I *JO'a0.Pi
Application is hereby made to obtain a permit to ¢o the work and installations as indicated.I certify that no work or installation has
commenced prior to the issuance of a permit an.;that all work will be performed to meet the standards of all the laws regulating
construction in this jurisdiction.I understand tha>a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,T, KS,and AIR CONDITIONERS,etc. NOTICE:In addition to the requirements of this
permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and
there may be additional permits required from o. er governmental entities such as water management districts,state agencies,or
federal agencies.
OWNER'S AFFIDAVIT:I certify that all the foregoi g information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zonin .
WARNING TO OWNER: YOUR FAIL •=RE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE F oft IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT ITH YOUR LENDER OR AN ATTORNEY BEFORE
REORDIN -0UItQTOF CO •MENCEMENT.
X65 Z-, >..
(Signature of Owner or Agent i (Signature of Contractor) 0 to
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Si ned and sworn to(or a'it e,)before me th , 1Z dray of Signed and swo�rn7,t�o(or affirm )before me this 1 day of
b ry , •1.6 by ' t A.r rd it �7�`� ! .4 410ZO by_ E
(Signature of Notat]y) (Signature of Notary) °•
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tivtaAA-ase __
Personally Known OR ersanall Known ORosatt
v aue PAIAA D.HOWARD Y
[ ]Produced Identification =� •"•.�� MY COMNYSSION I*GG 018861 I I Produced Identification ��
Type of Identification: * `, _�.' * Type of Identification:
oy we 4 EXPIRES:August 17,2020
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NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 11'1653-WO
State of ' (0 r dot County of Duval
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. Q _ j� �2
L gal description of pro erty being improved: 3U - a 5- 01-1 E . 33 0 +''E `0 5
gree (na,,�-f. `PT , -
0 — Li 5 I
Addr sof property bein 'mproved: 0 15 A-I I�K+f'G Div d
1a e-&a, P f 3 a,,II. ,�(J�^�A
3 3
eral description of impr vements: OV e �1 ekttl f c it I n 5+-61 Y-14.0
Yrn i d e.,A-had ..halo 'v . ce5 ,
Owner NO�'►�WABouI�evara L C CIO 7"5(6 leen, (-1-`1
Address to JV^ I eC OLD F-i et S got 5 3Gl.)( i ,r( 3.2;-117
Owner's interest in site of the improvement .0W ,,2�
Fee Simple Titleholder(if other than owner) pipneil
Name
Address Q �Q,
Contractor E Z V\O.+no B�rO`f'Pn IQE '4t � ,A T
Address 155 L(:'.VLj tea 5u 1 n'i -h G 0€4,a) , 'f'I 3 as 6
Phone No. 904-246-5649' Fax 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 DANNY ROMANO
Address .,...IV'N,
Phone No. 9oa-sfo-oars _Fax No.
...o <
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). f „b j; N
2 m S 6 g
Name — (71 rLn m q€
Address
A7 qN
0
Phone No. — a'Fax No. — g
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a 21g w
different date is specified): t
THIS SPACE FOR RECORDER'S USE ONLY • i N nn -�nn % a
Signed: 11111 .. _.aL'I o�'�d `' *.SI
Before me this V day of . . i. 0 t. In the
Countypf Duval,State ofp lorida. s person Aly •,ea."'�
—CJ/141I C t+f <1 herein by
Doc#2020037522,OR BK 19107 Page 126, himself/herself and affirms that all statemen s and declarations herein
Number Pages: 1 are :••accurate
Recorded 02/18/2020 11:09 AM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL CLA�
COUNTYAll,
RECORDING $10.00I .
No: 'u li at Large.State o ...a. `��. . County of nF .it PAMELA D.HOWARD
My c• emission expires: i , MY COMMISSION#OG 018861
Personally Known \�
* A +Wr
Produced Identification a "114 EXPIRES:August T7.2020
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