2129 SEMINOLE RD ROOF PERMIT 'rS 1�1i`lt
?,1 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-1572
Job Type: ROOF PERMIT
Description: residential re-roof
Estimated Value: $6,000.00
Issue Date: 7/13/2016
Expiration Date: 11912017
PROPERTY ADDRESS:
Address: 2129 SEMINOLE RD
RE Number: 169722-0200
PROPERTY OWNER:
Name: COCKREL, SAM WESLEY
Address: 2129 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: ROMANO BROTHERS ROOFING, INC
Address: 1188 N 12TH ST CIA DANIEL JOSEPH ROMANO
Phone: -
FEES:
BUILDING PERMIT FEE $80.00
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $84.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
Jul 131610:11a Romano 9042464810 p.3
BUILDING PERMIT APPLICATION lb- 9-00E- (S12,
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address:'- Permit Number.
Legal Description Parcel#
Floor
ea o q. t. -14-w q. t
Valuation of Work S I a�jl a Proposed Work heated/coolednon-heated cooled
Class of Work(circle one): New Ad Repair M�molinon poolfspa window/door
Use of erdstixl Se d.structure(s)((circle one):, Commercial CRa
Uan existing sfroctare,u a fire s rmkler system installed?(Circle one): Yes No N.,A
Florida Product Approval# ' .3 — S
For multiple products use product approve form �� //�
Describe in detail the type of work to be perfor t'tYX—
Pro a Owner i rarati n: 1n1
Name- .... ly° G�1 Address:
CityS _np Phone
E-Mail�F�c tGjOlJti4/nal)
Contractor Inform Ct n:
Company rt n _Qualifyyvlg,Agent:
Address: City T, S _Zip
Office P 40 o ite/Co Number Fax#
Sffite Ce ti$cation/Registtation#
Architect Neale&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Appikafion is hereby made.0 obtabr a permit to do the work and irutaHatrons tie utdicacd I cert6 shot no work or installation has conrarencedprior to the
essence% apermifandthar o0 work will oeperjarmed to meet the stardmds afalllaws regulating eoasnuefion in ddtjwitdictioa Thisperecifbecomesmdt
and void;workisnot canrmmzad within sir(6)m0aths, or ifcorahsenon or work is suspended or ahaMmcd jbr apenod ojsix(6J mmv6uat any time�t�r
work is connnenced f underslard that separate permits muss be secured fa•Etm(rtco[R6r4 Pbtmbhtg.Slgas: Wdtr.Poets Fan swas'Bollersr Hr�rn,
Tanks and Air Coa&tlaom,etc
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR I1 PROVEMENTS
To
YOUR LENDER OR AN YOU
BEFORE RREECOORRDING FINANCING
NOTICE WITH
COMMENCEMENT.
l heo-eby certify thin l/mve recd est esomirze3 this opp(imrion and eww the sa a le be ave adcorreu AE provisions of/ane and ordinamrgoe
verweg this
type%.(work will be conrplad with wh cr svverlJied cin or os The g n o]a permit does aat prersan to into sa onN M violet¢ ar tercel the
prrows1,eeofnrryaherfedsral,state, at knv ingco velion or he ormmtce ofcomtraetion. '
Signmv of l�.i Signator nnactp
PrintName OL• /-t 1. me �. ...
_._.....__.__......___. .._.—._ Print Na
Sw to ubso fore l e wd subsoei ed• efore m vd
this of -�rJ .20� a this _Day�of.�.w.
Asses
AMBER L HICKS
c�'—1
j MV COMMISSION pppp33a1a
'7 �aAta/ l MY�htMISSION xfF0332'a 2 /f ExnRESJul&e49-4d01 6.10
?S�lr�rl
CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
7 � ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Inspection Type: BD ROOF FINAL
Address:2129 SEMINOLE RD
Inspector:Jones, Mike
Inspection Date: Monday,August 15,2016
Result:APPROVED
Comment:
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDING CODES.