Permit Roof 556 Seaspray Ave 2012 z, ./ lAikp
. CITY OF ATLANTIC BEACH
1 J
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
H INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000921 Date 7/20/12
Property Address 556 SEASPRAY AVE
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 6000
Application desc
reroof
Owner Contractor
TRINDAD PAUL ANTHONY ROMANO BROTHERS ROOFING, INC
556 SEASPRAY AVE. P.O. BOX 33037
ATLANTIC BEACH FL 322334165 ATLANTIC BEACH FL 32233
(904) 246 -5649
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 80.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 6000
Expiration Date . 1/16/13
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 80.00 80.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 84.00 84.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC TEACH .
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: 6 r 411 � �.,. �. �._._ .._•r_ .�,�n��.�...T,�.r. M�- �_.,.�,._
_ _ 1 Permit Number:
Legal Description et
Parcel #
oor A ea o t.
Valuation of Work $ (# 6e0 i' Proposed Work h /cooled t
non - heated /cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa window /door
Use of existing /proposed structures) (circle one): Commercial lie
i
If an existing structure, is a fire s rinkler system installed? (Circle one): Yes No N t
Florida Product Approval # t 6 .
For multiple products use product approval orf in
Describe in detail the type of work to be performed: /
Property Owner Information:
Name: r
City paw ' N ; �� Address: J 6i 3 i 44.)
�' ✓¢ f�4 / 3.,,,l•G, State,Zip Phone
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: g,or",.dnb gr e hefS Ade 4' J Qualifyin Agen#: ,► gb. 1 o
Address: beoe 73 O3 7 City ,41 �e
Office Phone '/ 6/, -vv7 A Jo State Zip
Site/ Co act Number � � ) 7 Fax #
State Certification /Registration # C.C. C 132-227
Architect Name & Phone #
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated I cert5 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 laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a of six (6) months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical 'Fork, Plumbing, Signs, Wells, Pools, Furnaces, Bo Heaters.
Tanks and Air Conditioners, eta
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTENT) TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
1 hereby certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, state, or local law r- gulating construction or the performance of construction.
1 f i I 1 i Signature Signature of Owner ,,A • /1,.. / i , _ , - , of Contractor �-
Print Name
1,:‘ n (10,. L. u i 1 vat r. C e "..nl s Print Name p fots1 t)
Sworn to and subscribed befoifi' l Sworn to and subscribed before me
this 17 Da of ti, .l 9 --
this Day of
' — — — — —
-.w .. 1 :C : • , •
Notary Publi. . n \ Notary Public - State of Florida Notary Public
"; , _ My Comm. Expires Nov 12, 2012
, o ;°;:•� Commission # DD 837063
Revised 01.26.10
DO NOT WRITE BELOW - OFFICE USE ONLY
App ica. e - o. es: 2l I L •RID - I UILDI ! ID
Review Result (cir one)
Approved Disapproved
Approved w/ Conditions
Review Initials/Date:
Development Size
Habitable Space Non - Habitable
Impervious area
Miscellaneous Information
Occupancy Group
Type of Construction
Number of Stories
Zoning District
Max. Occupancy Load
Fire Sprinklers Required
Flood Zone
Conditions /Comments:
, J l 800 Seminole Road
Atlantic Beach, Florida 32233
Telephone (904) 247 -5800
/ r FAX (904) 247 -5805
Construction Site Management Plan Compliance
A construction site management plan conforming to Atlantic Beach City Code Sec 6 -18
has been approved as a part of this building permit. The Construction site management
plan was approved based upon the following information.
1. Parking plan - parking plan showing how site will be accessed and all onsite
and abutting street parking areas.
2. Location of construction trailers, loading /unloading area and material storage
area.
3. Location of chemical toilet area - chemical toilets must be kept out of City
right -of -way and not further than 15 feet from structure under construction.
4. Location of dumpster - dumpster must be from approved waste company (in
,4dvaiicL accordance with Chapter 16 City Code). As of 2009, approved dumpster
companies for Atl. Beach are Advanced Disposal, Realco Recycling, and
16g c. Shappells. Dumpsters are to have tarp covers or rigid covers on windy days.
Dumpsters must be removed prior to issuance of Certificate of Occupancy or
Yi Completion.
5. Traffic control plan, showing access with dimensions, area to be stabilized,
narrative on phasing of construction with adequate parking and delivery of
materials.
6. Site cleanliness. Contractor must have the entire construction site cleaned by
Friday of each week. This means removal of scrap lumber, concrete remnants
and other such construction debris including cans, metal, plastic and paper.
7. Erosion and Sediment Control. Contractor must maintain all elements of the
approved Erosion & Sediment Control Plan (silt fence, catch basin filters, etc.)
until sod or other stabilization has been placed and approved by Public Works.
8. Other activities, where special conditions are identified by the Building
Official.
Failure to comply with the Construction Site Management
Ordinance may result in a Stop Work Order being issued in
accordance with City Code Sec. 6 -17 (3)
Revised 6/2009
NOTICE OF COMMENCEMENT
State of
/l Tax Folio No
County of (
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,
the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT.d in accordance with Section 713 of
Legal Description of property being improved: t vv ,
Address of property being improved: 6 5 4 . p .,� e r _„
General description of improvements:
, /4; 7�� G �`� /�
Owner: Xi* l '7"p i,„ ,v ,C Address: - 5--e
Owner's interest in site of the improvement: -
Fee Simple Titleholder (if other than owner):
Name: } �
Contractor: i"_ t n �re fAc, �, /2
Address: f?,
?s' Telephone No.: 90 t. 6/0 --c' �
Fax No:
Surety (if any)
Address:
Amount of Bond $
Telephone 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:
Address:
Telephone 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 Statues. (Fill in at Owner's option)
Name:
Address:
Telephone 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 OWNER
Signed:. .444 1i1 v c jA1, Date: - QO t
Doc # 2012151966, OR BK 16006 Pag 740 Before me this day of in the C n of Duval, State
Number Pages: 1 Of Florida, has personall . - .� ..
Recorded 07/19/2012 at 12:00 PM, Notary Public at Large,4.rid. ounty of Duval
JIM FULLER CLERK CIRCUIT COURT DUVAL My commissio - x.ir-. _
COUNTY Personally Kno .
RECORDING $10.00 or
Produced Identi I c, . *- ;_. DANIEL S. ROMANO
• ,�,� * • `otary ublic • State of Florida
m.. My Comm. Expires Nov 12. 2012
' % o' Commission OD 837063