755 Sabalo Dr roof permit S iyl.yy\
CITY OF ATLANTIC BEACH
j 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: 17-ROOF-3172
Job Type: ROOF PERMIT
Description: re-roof FL1956.3 & FL5325
Estimated Value: $7,900.00
Issue Date: 2/3/2017
Expiration Date: 8/2/2017
PROPERTY ADDRESS:
Address: 755 SABALO DR
RE Number: 171302-0000
PROPERTY OWNER:
Name: STACY, RICHARD L
Address: 755 SABALO DR
GENERAL CONTRACTOR INFORMATION:
Name: ROMANO BROTHERS ROOFING, INC
,0001328893
Address: 1188 N 12TH ST QA DANIEL JOSEPH ROMANO
Phone: -
FEES:
BUILDING PERMIT FEE $89.50
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $93.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BuE,DING PERIVDT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
rq� office(904)247-5826 Fax(904)247-5845
Job Address: ��J ��+" "-`-sem A I� � —Permit Number:
Legal Description 3� 9Y /�'Jf a9' eya/ A/w ".12 lol 7mr rr.1# ��/3O�—OODU
Valuation of Work S1Q a7 Proposed Work heated/cooled a non-heated/cooled
Class of Work(circle one): New Addition Alteration Rep ' ove 'tion pooVspa window/door
Use of existing/proposed•struMure(s)(esrcle one):. Commemiel�
line existing structure,u a fye sprmWer ayatem msta0 v(Circle one): Yes No N/A
Florida Product Approval# 1 9J 1.. .3 _
For multiple products use prooad appr orm
Describe in detail the type of work to be performed+
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ulama 1 a i a t . Addcess:l-�-lt
CiTy' < _Zip hone
E-Mail or Fax#(Optional)
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Office Phone�Y�3'' r7 a Job Srtd Cgctact Number�—
State CeRScatio gishation al f / &993
Architect Noma&Phone#
Engineer's Name&Phone#
Fee Simple T"nle Holder Name and Address
Bonding Company Name and Address
Mottgege Lender Name and Address
usuanee a a permit and that all work w,II be pe coned to meet the standards ojdl laws regu/atotg consmaction er thujunsdutiort. Thu t&.tt becomes nal/
Application is hmeby made to obtain a Permit to do the work and insmllatio,u as indimtepde I certify that w work a'installation h((as commeotit be priorto1
cal Work Islumbatr,Signr, I ls,Pools. FYnnaces,BOHM,Heaters,
ora nod ofsu O)months err arty time after
f r( art consnvrlion err work is sus ttdedwabandonedf
and vmd ifwork a tier!commenced wlthm six(Oj manOu. I
work
Lee ommenced !wtderstand that reparatt permits must be secured far Elects
Tanks or Ir Condlaoners,da
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
TO YOURCPROPERrqAy TY.IF YOUT IN INTENDTO OBTAIN FINANCING PAYING TWICE FOR CO CONSULT H
YOUR LENDER OR AN ATTORNEYN�MERFCORDING YO'I)R NOTICE OF
m this
type o work wtll be complied,w1h whether ,ted herein or nm. The granting of o permit dos not premmte to give authority to violate or cancel the
IherebY certify thatlhave,mmdexaminedohhlcs imam and/mow the ram,,to benne mtdeorrec[ Allproeoiam of(awa and Ortor iot ,orCa 8
����))type p no k iU be Coedeml,state,or lomlla�v regulating ronsbuctian or the perlormahm ojeonsvacnoa
'Signature of Owner / Signature otttractor
ePri ame _�/GI]l//kLE. � P oma r
Sworn rem 2 Mo tau s this Jam " ,
thwis ay o L I K
C MIS 0 #F 216 F033218
t uY .2017 otary 1 '+^ EXMR JuIY2.2017
Notary Publi Iarl .,m 1a aeolss ma,ww�.26. 0
' wae�ysmrw.awn
Permit N I.RBP,it`4J atAIIL'.12I
state W Tax Folio N .
To whom kmay conoern: Coumym
The undersigned hereby Iofohe Floridaou that improvements will be made to canal,real pro ,and in
accordance with Section M3 of the F3tamtes,the foil awin information is stated to fh
NCERPEN7.
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