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2038 BEACH AVE RERF18-0275 REROOF SHINGLE PERMIT A" REROOF SHINGLE PERMIT PERMIT NUMBER ' CITY OF ATLANTIC BEACH RERF18-0275 v� 800 SEMINOLE ROAD ISSUED: 12/14/2018 r�°aivf ATLANTIC BEACH, FL 32233 EXPIRES: 6/12/2019 MUST CALL INSPECTION •NE LINE (904) 2• • BY • PM FOR • • ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' CODE, OF BEACH CODEOF ORDINANCES . ALL CONDITIONS OF . . 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: 2038 BEACH AVE REROOF SHINGLE re-roof FL10124.1 $12000.00 TYPE OF ZONING: :D • • • GROUP: 169701 0150 NORTH ATLANTIC BCH UNIT 3 COMPANY: ADDRESS: CITY: STATE: ZIP: ROMANO BROTHERS ROOFING, INC 155 E. Levy Road Atlantic Beach FL 32233 • ADDRESS: OSHIELDS MICHAEL T 2038 BEACH AVE ATLANTIC BEACH FL 32233-5935 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 • • 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 $115.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$119.00 Issued Date: 12/14/2018 1 of 2 r _1Updated 10/9/18 Building Permit Application City of Atlantic Beach Building Department HIGHLIGHTEDINFORMATION IN GRAY 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 Email:Building-Dept@coab.usISREQUIRED. a e - 1� � a Permit Number: V- rr' Job Address: �3PJ ,L Legal Description o ��'Z •/ )q TI�rili✓ FSH n) RE# 14P T70l0/5C7 f Heated/Cooled SF —Non-Heated/Cooled___ Valuation of Work(Replacement Cost)$ • Class of Work: ❑New ❑Addition JgAlteration ❑Repair []Move ❑Demo ❑fool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial aesidentiiallL • If an existing structure,is afire sprinkler system installed?: ✓/Yes '�No ti E60— • Will res removedin association with r osed r sect? (must mi s ra Tr ova P rmi ribe in detail the type of work to be performed: Florida Product Approval# for multiple products use product approval form Property Owner Information Name Address City 1 7_90 "1,4. is 5 ate Zip "/✓j_ Phone r ., E-Mail > t "^ Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) n/a Contractor Information Daniel Romano Name of Company Romano Brother Roofing Inc. Quali{ying A ent 155 E Levy City Atlantic Beac State Zip Address _ Office Phone Job Site Contact Number State Certification/Registration# E-Mail romanobrothersroo ing gmai.com Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer -00 1 OR Exempt❑ Expiration Date Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,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 other governmental entities such as water management districts,state agencies,or federal agencies. OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO OUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LEND TTORNEY BEFORE RECORDING OUR NOTICE OF COMMENCEMENT. r (Si ure of Owner or Agent m 5 z ) (Signature of Contractor) � �.o 0 0� Signed and sworn to or affirmed)before me this U day of Signed and sworn to(or affirmed)before me this i day of 13 y b a > Z by G ► r m by 1. _ a o N (Signature of Notary) (Signature of Notary) G),Co o N O v �. Personally Known OR Personally Known OR m [ ]Produced Identification — ALEXANDER S ASINOF Iroduced Identification Type of Identification: NO EYYUBLIC Ty of Identification: STATE OF COLORA NOTARY ID 20154034451 MY COMMISSION EXPIRES 08/3112019 NOTI %IM OF C©MATcCEMIMET PREPARE IN DUPUCATEI Permit No. Tax Folio N - �) State of County or To whom It may concern: The undersigned hereby Informs you that Improvamanto will be made to certain real property,and In accordance with Section 713 of the Florldef Statutes,the following Information Is stated in this NOTICE OF COMMENCEMENT. 'yy at descriptio of property LIN 9 proved: S I n Addresa of property being Improved: 444A A- 16ul, RG 3ZZ3 General description of Improvements:Re'oor sCwrter C } GT7 C_ Address Z3 Owner's inielest in site of the improvement Fee Simple TtdehOlder(if other than owner) Nome Address Conlrector Rum'-�Brothers Roofing Inc Address i55y Rd.Alrarrilc H�r�,FI s2?33 Phone No.(9(K)246.6Ue Fa.;No. Surety(if any) Address Amount of bond$ Phone No. Fax No. i Name and address of arty person nralang a loan for the construction of the improvemems Name r Address Phone No. Fax No. Name of person-within the State of Florida,other than h[rnseif,designated by owner upon whom notices or OUW documents-may be served: Name Dmny S.Romano Address 155 S.Bevy Rd,Adandc Beach,BL 32253 1 Phone No.(904)248'M Fax No. 1 in addition to himself,owner designates the following person to receive a copy of the Liens Notice as provided in Section 713.08(2)(b),Florida Statutes.(FII in at Owner's option). Name Address Phone No. T.Fex No. Expiration date of Notice of Commencement(the expiration date Is one(1)year from the date of recording unless a .aerent date is spt:cifred): L O o] TrfiS SPACE FOR REcc32DER,s usE oivi.Y OWNER � ro�o std ` IJATf:�i?/D- in N o Before W14 da the H o C= 11 al.5 It ri s pgrcanaltY W941-cd D E o oln Eeby Ahmeal11 harat ad- rm at I sta nsndQ6zizwareln z U� — are true and aouuate o u r a z w ' r Doc#2018292356,OR BK 18628 Page 1811, Number Pages:1 J Recorded 1214/2018 10:50 AM, Notuy Punic at e.ftaorounty 'ON,s RONNIE FUSSELL CLERK CIRCUIT COURT DUVALCOtt"'�'f}0T1Wro�: rRereonnuy Knv+m or COUNTY RECORDING $10.00 Praduced ldenWICA"n •