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750 Jasmine St re-roof permit ijr�tJr> > CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 JY.19/ ROOF PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 17-ROOF-3298 Job Type: ROOF PERMIT Description: re-roof FL1956.3 & 13857.4 Estimated value: $5,000.00 Issue Date: 2/21/2017 Expiration Date: 8/20/2017 PROPERTY ADDRESS: Address: 750 JASMINE ST RE Number: 170927-2050 PROPERTY OWNER: Name: COX TONY L & EDEN, Address: 750 JASMINE ST GENERAL CONTRACTOR INFORMATION: Name: ROMANO BROTHERS ROOFING, INC ,CCC1328893 Address: 1188 N 12TH ST QA DANIEL JOSEPH ROMANO Phone: - FEES: BUILDING PERMIT FEE $75.00 STATE DBPR SURCHARGE $2.00 STATE DCA SURCHARGE $2.00 Total Payments: $79.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY®F ATLANTIC BEACH a I as r 800 Seminole Road,Atlantic Beach,FL 32233 Office (904)247-5526 Fax(904)247-5845 Job Address: ?7 -Q .Tattht.rt_ Permit Number: Legal Description /8 -3y 3R 1s-ate s //,W AA-fa' �r Pared# �i �� ��d F1oorAreaott Sq.Ft —Sggt Valuation o€Work SfgOrL:> Proposed Work heated/cooled leg,_ non-heated/coole(t Class of Work(eircie one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of atisting/proppoosed,structures)(curie one):• Commercial idea' if as existing stractnre,:s a are spr lder system installed?(Cisele one): 0 /® Florida Product A�uroval# /Is 7. For multiple prodacts use product approval form Describe in detail the type of work to be performed: XQ Ao-r Pmnerty Owner information: Name: Trr CaY Address: 7jo his`./nc. s� City eH (zl� ' State$Zip 2 M Phone A6y-s/ r 9Zc E-Mail or Fox#(Optional) Contractor Iaformatiam Co an Name: ,e,C f�redltr< 1`•,/'I.S QualifyingAgent: ik '�•'•, —yiP mP Y A rand Address: !�o /ly)r 334 ss7 City-�° l �A Fax#� Officc Phone 11Y -6/e.w�s Job Site/Contact Number State Certificaa,,Aegistmtion 4 Cet / Architect Name&Phone 4 Engineer's Name&Phone Pet ce Simple Title Bolder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Applicatiorz v herdry made ro otimin a permit to do the work and itnta/latimu w indicated f certify that m wait m•vutaftaaon has connnrmced priorto:he /sslwme aJapmmi!and than ai/worklria he onnedta mee[dmstmndads ofall/tasrs�pregn/ating somlrvctton in tohisJ �67Palttine er and void! wa'k it nor commeaced�vtthin six( momhs, aifronslrnctlal ar rvork is cat W �Pamdo Se'id silt,Pools, Famous.Bmien',S era. wa'k is commenced. I an that sepmmte permas must he secured for Eleetii Ltg, Ztrnla and Air Condttlonety etc �1AY81�T u]civ T eD ®�JVNER: x®Ulf L JW To C©ISD A Pik n LC e ®P' Co lu'N ��'I :.��LT'i �SN`��SL/'v L'Q �."L'I' �QI1AIPa® i'1 tI..NT.�' TC ®IJR PI20PFHT�r•IF VOIT INTENIP TAINT TANGO �ON�ITLT V�¶ffi (�BdOIT4g LI:Nr�'EI€OR Alar 1'aT�'®® C®IbDIINC /t➢o'{ PSC'21C CIE ®P' f here f work wdt al cnmpL m �lle spdenics� �ihetreein or not The sa nano be o permit dou aot loesameioa,Fse J,,,and tobvioiate o eaneelithe pr ions ofa,atherfederal.state,or lWal Wv regatating canatrucnon or�1 ape8farmance ofcorvtrvetiav Signature of Owner X Signature of Contractor — Print Name z fon !OX PrintName /2onew^a . ��t,�,�ul ... om dsubsg-2 of re me I� and D yo- f -�' q"efore me .201 rhis�V aY of i" .20 r Ota Pu IC S.roMPYm! 6lU9Er uml u t w SN..Wpnaid Moe 1 Lloe't Apr S38,,J#p is 1 ..3dld%3 P ct 4l&CO3lfi NOISSIWWOJAW f 1, slzrEuA '.'1100 AN #I S?SOIW l83BWtl a• SNOIHI . lCNltl '.+p.,r,1 ,.�,• Panne w l,. as lMdruG $rata m F TLX Fog, To ahem o} concern:it m- Courli7110 "I'm Vance wlU S�hereby info that lmpl'aVBTan2a Will be made to Carbon Me' ro e COMMENC ME Iloaction 713 of the Norida Statutes,the following jntormatton k sta h�CV-I P P Ky,and in fad in this NOT1Cc`OF =Qai dasodpryon ai PmltLry being improved: / t Nn Ar 8 3/ J&-o�5-a`/,r r Addmsaarproperty home l w~. d - 1 p{� "Moral dasodPdcn otlow"emares z/ap.F I ^ \.mer TCMM [oyC Adtlraas z5o •� O',.msts INsra;,En site ofihs mloroeamnt n �\ Fee Smith TH St"Idnr lj (MONerlhan Na o:•.•ner) ,drosses p Contraeig_.4��----� Address 1f ' ?hone N(i.Lr��ru SuraD/(If zry)` '-'c4 Fax No. Adrrost `hone Nc. AmMot otband A!ema and atdrass of an SParson mzT,inca loan orrits Lm= WI19inKficrr at b'6:h?IFraY3T^J)I8. Address Phone No. Fax hlo. Person�fthh me thou of Fiadd 'Oharg an ntmeaK dnadbytlonmlefmaS be serYadomauoanmhom n ' cas of other Nana Address Phone f-, Fax Nc. 'o In ztld "to"mans"a^mer designates Na tolio:•dn Y� N 1t SacYon 7f3A8 4 Parson m ramNa a cop}'oriha Lienors Nottoe as provided in (21 ib).Plortde StaNtas.(Fill in at Onaz'e caBort. nU \" :dame = Z ? J O Address S m N Phone N.o. co E a FLX No. G u � R differentd tlsta of:,once afCammencamant(the oXPI Rondata is me(11 Yeard'am iha date of r d tltlfarant date is apechlsd): rzmrdlnH oar TFIIS SPACE�*02 RECORDER'S USE ONLY fes^ _ ohR1ER spa a"Tz�_ Doc z 2017040723,OR SK 17884 Page 907 � deeda.-ea• eco , xauwaad ma -ea Sa do Number Pages:: Recorder 0221/2017 at 12:07 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 N tilsmnvaia�,ny. .qa�yd,.eg I ec�.u camncau,., m