299 S NAUTICAL BLVD ROOF24-0033 BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
City of Atlantic Beach Building Department PERMIT# t\CO Z� -C 3±
800 Seminole Road, Atlantic Beach, FL 32233 **ALL information required to process
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address d 9 9 S /(/ap�>i-ico,( f/4/� RE# 7( 7 03 �U3�
Legal Description 3s"- Ghi /7—aS . G Stq 5r(„y 10/- / /it c/
Valuation of Work(Replacement Cost) C)O / 3a Non-Heated/Cooled SF Non-Heated Cooled SF
•Class of Work: ❑ New ❑Addition kiAlteration Repair El Move ['Demo ❑Pool ❑Window/Door
•Use of existing/proposed structure(s): ❑Commercial Fidential • If existing structure, is a fire sprinkler system installed?:❑Yes[ to
•Will tree(s) be removed in association with proposed project? ❑Yes (Must submit separate Tree Removal Permit) KNo
Describe in detail the type of work to be performed:
/Ze- 000 r SJingIC 7L,
Florida Product Approval# c\P(pQ 6 (For multiple products use Product Approval Information Sheet)
Property Owner Information Name ,Jt�t,1 b rly Arr Phone got/ -Gy6- 77f/
Address g �tle,„4, : I L3/YG j City 4i-1j,c, Qtac,. State F/ Zip 39L9 33
Email Jt (-c/7 py d.Co,,. Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information Name of Company ROMANO BROTHERS ROOFING INC. Phone 904-571-6142
Address 400 LEVY ROAD City ATLANTICBEACH State FL Zip 32233
Qualifying Agent DANIEL ROMANO State Certification/Registration# CCC1328893
Email ROMANOBROTHERSROOFING@GMAIL.COM Job Site Contact Number DANIEL 904-610-0476
Worker's Compensation Insurer WBS OR Exempt ❑ Expiration Date 12/31/24
Architect's Name Email Phone
Engineer's Name Email Phone
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 city/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 YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT
MUST BE RECORDED AND POSTED ON THE SITE OF THE IMPROVEMENT BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTIC OF COMMENCE
LW-e(Signature of Owner or Agent) (Signature of Contractor)
Si ned ad sworn to(or affirmed) before me this 22_ day of Signed and sworn to(or affirmed)before me this - day of
Signature of Notary ire- Signature of Notary___'
[ ] Personally Known OR [ .joduced Identification [kJRersonally Known OR [ ] Produced Identification
Type of Identification: Li 1 Type of Identification:
..-•:;:i4;;64;....
< 4 e ... NICHOLAS JOSHUA MOWER — —
g• �``= Notary Public-State of Florida lia ..... NICHOLAS JOSHUA MOWER
' Air
Commission 4 NH 186068 ;? • Notary Public-State of Florida
' bFfl My Comm.Expires Feb 1,2026 ` =� Q Commission;HH 186068
Borded through National Notary Assn. I I oF4' My Comm.Expires Feb 1,2026
Bonded through National Notary Assn.
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NOTICE OF COMMENCEMENT
PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 170703-036B
State of FL 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.
Legal description of property being improved:35-64 17-2S-29E SEASPRAY LOT 1 BLK 4
Address of property being improved:299 S NAUTICAL BLVD Atlantic Beach FL 32233
General description of improvements: REROOF
Owner KIMBERLY DARR
Address 299 S NAUTICAL BLVD Atlantic Beach FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor ROMANO BROTHERS ROOFING INC
Address PO BOX 330337 ATLANTIC BEACH FL 32233
Phone No. 904-246-5649 Fax No. 904-246-4810
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 400 LEVY RD ATLANTIC BEACH FL 32233
Phone No. 904-610-0476 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).
Name
Address
Phone No. Fax No.
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 FOR RECORDER'S USE ONLY I, '- ' OWNER
Signed: O/ DATE�'ZZ 2
Before me this 7 Z da of I in the
County of Duval.State of Florida.h s ersonally appeared
KIMBERLY DARE herein by
himself/herself and affirms that all statements and declarations herein
are true and accurate
Doc#2024087318, OR BK 21029 Page 1855,
Number Pages: 1
Recorded 04/24/2024 10:32 AM, oi —
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL NotaPublic atLarge.Stat-of ` . ountyor EM,
COUNTY My commission expires: I —dilM
RECORDING $10.00 Personally Kno::nn/ or
Produced Identification I t...
aw oo NICHOLAS JOSHUA BROWER
• Notary Pt.olic-State of Florida
€' o` Commission#HH 186068
''.`tosrti'' My Comm.Expires Feb 1,2026
9nrr4or't hrneoh'.atinral Nntary Accn
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Test Standard Equivalency: 1. The UL 580-94 test standard is equivalent to the UL 580-06 test standard.
2. The UL 1897-98 test standard is equivalent to the UL 1897-2012 test
standard.
Quality Assurance Entity: The Report Holder has demonstrated compliance with Florida Building Code and
Rule 61G20-3.005(3)for manufacturing locations audited by an approved quality
assurance entity(Keystone Certifications, Inc-FBC Org ID QUA 1824). A listing
of manufacturers authorized by the Report Holder to employ the Florida Product
Approvals qualified by this report can be found at
'titq-itwww.heystonecerts cam/Iga . ' `_e ritrigar l
or by scanning the following OR Core++.3
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Minimum Slope Range: 2:12.Minimum Slope shall comply with Florida Building Code 2020,including
Sections 1515.2.2 and in accordance with Manufacturers recommendations.
Installation: Install per manufacturer's recommended details and RAS 133.
Underlayment: Per Manufacturer's installation guidelines per Florida Building Code 2020 Section
1518.2, 1518.3, 1518.4.
Fire Barrier: Any approved fire barrier having a current NOA. Refer to a current fire directory
listing for fire ratings of this roofing system assembly as well as the location of
the fire barrier within the assembly. Fire classification is not part of this
acceptance
tOtii1iWO/ THIS ITEM HAS BEEN
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FL#40001.$ 10
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Shear Diaphragm: Shear diaphragm values are outside the scope of this report.
Design Procedure Based on the dimensions of the structure,appropriate wind loads are
determined using Chapter 16 of the Florida Building Code 2020 for roof cladding
wind loads.These component wind loads for roof cladding are compared to the
allowable pressure listed above.The design professional shall select the
appropriate erection details to reference in his drawings for proper fastener
attachment to his structure and analyze the panel fasteners for pullout and
pullover.Support framing must be in compliance with Florida Building Code 2020
Chapter 22 for steel,Chapter 23 for wood and Chapter 16 for structural loading.
'The Test Reports are owned by Meta!forming,Inc. Meta'forming,Inc.gives the above manufacturer permission to use these
test reports.
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Panel Attachment
TYPE 1 FASTENER PATTERN (SEE LOAD TABLE)
15 1/2"
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