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826 Amberjack Ln 2013 roof 10z CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 �:ljfl�• Application Number . . . . . 13-00003807 Date 12/10/13 Property Address . . . . . . 826 AMBERJACK LN Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1850 ------------------------------------------------------------------------ Application desc reroof ---------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- ANDREW JOE H II ROMANO BROTHERS ROOFING, INC 541 SOLANA ROD 601 OLEANDER COURT PONTE VEDRA BEACH FL 320822551 NEPTUNE BEACH FL 32266 (904) 246-5649 --------------------------------------------------------------- Permit ROOF PERMIT Additional desc . . Permit Fee 60 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 1850 Expiration Date . . 6/08/14 ---------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 -------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 64 . 00 64 . 00 . 00 . 00 _ PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. i BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: eZ v Z_.5 Permit Number: Legal Description d Z 6 (�`-G C� �� `i fi Parcel# oor rea oq t. q. 't Valuation of Work$ 1 �S Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Re Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Resident' If an existing structure,is a fire sprinkler system insed? (Circle one): No N/A Florida Product Approval# O f i S6kog L For multiple products use product approval form Describe in detail the type of work to be performed: �� Z /I/C'�•� �� C'�� Propertv Owner Inforrmation: c Name: �;o C Address: 0 Z /�✓l :��C L-��G4 C� City 6 c State_Zip 'C5 3 Phone •Z V 7 E-Mail or Fax# (Optional) Contractor Informat' n: CONTRACTOR EMAJL ADDRESS: �� Company Na e: �'� Qua ' i gent:pf -In 'y - � Address: G( a City State�Zip Office Phon � Jo Site/Con act Number Fax# State Certification/Registration# �< < 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 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 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 period of six6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical-Work,Plumbing,Signs, Wells, Pools, Furnaces,Boilers, Heaters, Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certify that I have read and examined this pItcaa and know the same to be true and correct. All provisions of laws and ordinances governing this type o work will be complied with whether speci ie d herein or not. The granting of a permit does not presume to uthority to violate or cancel the provis;gns of army other a state qrocal law reulati onstruction or the performance of construction. /X453 - � /! Signature of Ow e Signature of Contractor Print Name Print Name ^� r c� ................... .......... ...... ......... ..... .. 1>P ...........V..�........................Y......................1r-1.........-� .. Before e ,� Befor me this b Day this `Day o ..........' ,,, JOSEPH JUDE �e'., JOSEPH JUOE ROMANO . pY P �, Notary Public-Sute 01 fNflM ��S Notary Public-Stats Of FW* Notary Pu i , P+ My Comm. x Notary Public. My Comm.Expires ar Off��,•' commission I EE 651666 +� d►P Commission�►EE 651666 �II11\