1570 MAIN ST - ROOF S, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
t)11111 ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
J;31>f'
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-ROOF-3558
Job Type: ROOF PERMIT
Description: re-roof FL5680 & FL10450-R8
Estimated Value: $6,000.00
Issue Date: 3/22/2017
Expiration Date: 9/18/2017
PROPERTY ADDRESS:
Address: 1570 MAIN ST
RE Number: 172384-0000
PROPERTY OWNER:
Name: PARROTT, THELMA J & GEORGE, *
Address: 1572 MAIN ST
GENERAL CONTRACTOR INFORMATION:
Name: ROMANO BROTHERS ROOFING, INC
, CCC1328893
Address: 1188 N 12TH ST QA 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.
ii Ute,+DO:G LER=APPLrCATION
CITY OF ATL N E ,` 1ITACR
800 Seminole Road Atlantic Beach.FL 32233
Office (904) 247-5826 Fax (904)247-5845
,
Job Address: l S 70 s^4444' 5-1-. Permit N Dal: 19 -40 F -3-ST-SW
Legal Description /E -.)S 99f.. ,I r4 /ii / , ,8 c2 7zid G xsi C Pa cel#` ) /7's 8'7_ 0 c 0
Floor Area of Sq.Ft.
Valuation of Work 6pd7 PrePosed -`me
Ft
� t.
non-heated/cooled
Class of Work(circle 2_31 e) New Addition Alteration Repair Move Demolition pool/spa window/door
Use of esting/propcsed structure(s) (circle one): Commercial
1.1': n en-sting sfructur e,is fire sprinkler system installed? (Circle one): Yes No -_
Florida Product Approval 4
,c4AQ____, I O t/SD R
For-ruieoe N-oduc's ue 7-_ou3v
sde 7lFalfain
Describe in.detail the type of work to be performed: X of° .
Bronerty Owner nfor?ma-on:
Name: (-, en.-tit Va✓r011'-7 Address: /5 7O /'"L`ut,,, s-,/,,
City A-44 ':.-\ • State j/ Zip 3) - 171 Phone go 4•- G/0-city:-7e
E-Mail or Fax Y(Optional)
Contractor Info
Company Name: )2-001„.1 j /aV gCrS /2arirr1 Qualifying Agent: a„o y J 4- r
Address: /.0 S in)/ /d I S zu,4-c_ /�' City / rzz State / ./ Zip 3- -1
Office Phone ieLl .71/6 •s VC'. Job Site/Contact Number Fax r
State Certification/Registration- ' C Z(- 3,7Vie'9 S
Architect Name &Phone
Engineer's Name&Phone
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
that no
k
rior
the
issuance is permit anmade to d that all work wiillrbert to perfor ned to meet the standards of alle work and installations as t lawsted. I regulating constructonr othisjurinstallation
isdiction.has
This permit becomes to
and void rf i:'ork is not commenced within six(6)months, or if construction or work is suspended or abandoned for a aerzod of six(6)months at any time after
work is commenced. I under•ctand that separate permits must be secured for ElectricalpWork,Plumbing,Signs, Wells,Pools, Furnaces,Boilers,Heaters,
Tanks and Air Conditioners,etc. _
j��y f`,�1�.- O O��J1 FR YOUR T{'r,li1I SURE TO RECORD A Nt �r'iiCE OF
P ;w li I TWN i CE FOR i \i+ ' RO1l i t ifl N i�S
(LO1�inti i�1�ICEi�.I,�;�',l�=7'_�` i'�TlA�f i_. �,S� i T i�NYOUR �_ �ItsTo YOUR P..ROPE?vTY. I{ OU ENT) TO BTA
IN FDIINCINGOCONS LT i T
Jf
YOUR L_lDER ' R.FNA-TTORNEY BET?OMIT ECOR ING YOUR NOTICE OF
{"OW; ETV- N
w
rue
t. All
ws pind
n:aes gayer
I'perf} cork that bI have read and e complied w th-whether
ecified hertein and o.o.Theegranting be to permit doescnotpr provisionssumeto neaauthority tour iolate or cancel tthe
hP of
provisions of any other federal,state, or local law regu ting constr•uctio or the performance of construction.
c�Signature of Owner7' l�r�� Signatlure of Contractor
I {�
1 Print Name I/ / '""""1 t
Print Name �ec c t_° _ /amu r�ro/ / -
�! Sworn to and subsciiped before me
Swot to and subscrib efore.me 20 this 4_ Day of l t- .')13 14
this Day of /7
in. �Notal. P�1!�,:.J T Notary Public ;:i•:'. , DANIEL S ROMANO :� J NIFER JOHNSTON
._ ,e, MY COMMISSION SGt.0(,seC 1.26.10
MY COMMISSION tt GG052099 q. ;,r
:AiEXPIRES December 01,20201,-;•,:g...0: EXPIRES:October 27,2020
44.
,,: ,,a°:,F;�^ Bonded Tru Notary Public Undermiters
i-r r
i
•
{
State of — i ex Folio No. 0/ I V-00 �J' 0
To a;:; County 0f i1
whom it may cant-rn.
The undersicUned rerebv
informs you that Improvements will be
accordance With Sect on 713 of the ioridQ Statutes,
COMMENCEMENT.Nmade to ca;tat real property_...
Lite follou,lno information is stated in
(r,
Legal description
din Lltls NOTICE OF
of proper,.beino improved: /8• OS— r,,• IC
Address of propertybsiro Improved: I ^1
Ganarel oeaerrpricn of improvements:
�= 1
�:� '., ll,
.�-----•Wars -�..>>
r,
� Address
,
OY vera a� r p
I tiSF__.:n site Of he 1tnpT0:+em=lt ....� ` v
Fes Simple Titleholder cif other than 0;:'R-r/
Name.
Address „Th ;--___
nddre53ri�...,5 a "' ' { t-•�` ✓1r tilt_ \ .,1.•..�irst`
:' £:�r'• ri lam-••. «.
vert,(if an�r��. .� '. :I �:..e e....11F2n 1\O,kt Nt l j:
Addres.s
.
Phonei•-:G. Amount of bond$
Name and-address of any person r','
caraa_c loan Torii`„'construction of
Name the improv=m=nts.
iiddr$s5
?hon=Po_
Fax
No.
Flame of person within the Sate of Florida,other than himself,desiana ed by owner upon whom notices:or otherdocuments may be served:
.
Name
Address
phone I'!c.
Fax idc.
In addition to himself.owner desicnates the folio:vino Person to recti
Section 713.. (2) Ve=coo, of the ienors Notice as provided in
(b).Florida=1Statutes.(Fill in at Owner's opdon).
Name
Address
Phone No.
Fax No. : .
i a
Expireon date of Woke of Commencement ,',.....
=nt(the expiration d_ey '.��' ' '�
different date is specified)- is one(1)Year from the date of recordira unless a :\F; `i :�
w �,�
i t(IS BnAC�,^Ol;�2ECOPD:R`S use.c7ttl.v �-� °t...'..
:Lao
: Before ....Ids i 11 1.
,rs ,of V►i „_ —
•
> : i -� • /MS Patios appearedin t x
hir;a'rt:errend aa;nr,L•?Eall=Liam=rtt hers=.'•C:' = Q
are true and ac.ctusiy and da�erati�na herein
�� %j, r'
r, _!: 3J
Doc# r Pages:
age : 1 OR BK 17919 Page 1054, 1.
/�„�^I/���'^ / ` �
Number Pages: 1 `�i r!(r e/L
Recorded 03/2212017 at 04:25 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL �le;e:f=uc_;,� Stat.-.m' County &
1 ivc;.mmusion woes:
,� l v r3 v�
COUNTY v.-sonnyrstm.-:•n _ s
RECORDING$10.00 i ?t��' t=�.wlcai!cn cr
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