466 Sailfish Dr re-roof permit 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
306 INFORMATION:
Job ID: 16-ROOF-2660
Job Type: ROOF PERMIT
Description: RE ROOF
Estimated Value: $6,950.00
Issue Date: 11/28/2016
Expiration Date: 5/27/2017
PROPERTY ADDRESS:
Address: 466 SAILFISH DR
RE Number: 171401-0000
PROPERTY OWNER:
Name: TUSING, GLORIA D
Address: 466 SAILFISH DR
GENERAL CONTRACTOR INFORMATION:
Name: ROMANO BROTHERS ROOFING, INC
,CCC1328893
Address: 1188 N 12TH ST OA DANIEL JOSEPH ROMANO
Phone: -
FEES:
BUILDING PERMIT FEE $84.75
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $88.75
PERMIT IS APPROVED ONLY IN ACCORDANCE WrITI ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
r
i
` BUILDING PERMIT APPLICATION
, e
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
Office:(904)247-5826 a Fax:(904)247-5845 ' n
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Job Address S4; dr . r Permit Numb r
Legal Descri hon 3/ -olb 38 —a5 a9 E K/p of Pt o 'C ' pr 7ZV I co i
G oa
Valuation of Work(Replacement Cost)$ &pSO Heated/Cooled SF d/,Sy Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move D mo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial esidenti
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in deta0 the type of work to be performed:
�C, F gero^t 614-- J�
Florida Product Approval# 1O/d�. 1 3O S y for multiple products use product approval form
Property Owner Information
Name: �ilortu �u.s,'r r4 Address: Y04 SaI�34 Jr i
City .4ilwnElL �k State HZip &V33 Phone V —Z33 -7551
E-Mail
Owrieror Agent (IfAgmn,PowerofAtlomeyor AgencyL .Requid)
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 NOTIEE OF COMMENCEMENT.
Contractor Information:
Name of Company: Rnnono 9,,JlvtS Qualifying Agent: n
Address: VrG -24e-&&Y9
2 /e9 < t City S to Zip
Office Phone 00VoV -Svc-&G l/4 Job Site/Contact Number WO&AK 1,/o—oV7
State Certification/Registration# <cc. i-T803 E-Mail
Architect Name&Phone#
Engineer's Name &Phone#
Worker's Compensation
xempt 7 Insurer a tniployees Expiration Date
Application is M1ereby made to obtain a permit to do[M1e work and insta!latiaar as indicated. /rorty Mat m work or ium!lmion has commenced
Rnor to the issuance oja permit and that af/work wit!be performed to meet the standards ojalf laws regulating ronsanction in this jurisdiction.
h pe mit becomes nut!and oid if wrork snot commenced within s (6 months, or ifron uuclion or work u u ended or abandoned o,.
penodo(sic(6)months at anyfi eajfer work is commenced. /urtderstathat separate pemtils must be secured feiR1 !Work,Plumbing,
Signs,Wefts,PoaG,Furmces,B s,Neale% Tanks andAir Condkioners,etc.
Signature of Prop O r Signature of Contractor.
Be e v
[hisDay of Before me D Day of
Notary Pub c: Notary blit:
AMB HICKS
L HICKS p^, kr AMBER L HICKS
I hereby ce t.°h wr' it tfn ion and know the same to be true a 1*;AM'bfdiAYltISeS19 19fisoe3W6
ordinances gove a p lied ifhw whether spe i ted he or no. ming e/fetq�r domwot
presume to give a 1,10 at t e�omvisio s o an other a era(, state, or to g "�RVladng rb§(XI g�Ffje
performance of co ♦♦dt'v riodaonawsmwo
Rev.3/14/16
OF Co"W"PAZaTOMMMIATT
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pernSm.of. Tax Fou, la
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Coaray -
T o n•hom tt may concern:
The undersigned henaby Informs you mai Improvements will be matle m cemain reel property,antl in
COMMENCEMENT.
Section 773 of me Florida Sfahr[es,me following InfortnaMon Is stated In this NOTICE OF
COMMENCEMENT,
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