325 8TH ST ROOF 2017 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ROOF17-0014
Description: 2 1/2 TO 12 SLOPE SHINGLES
Estimated Value: 6300
Issue Date: 7/5/2017
Expiration Date: 1/1/2018
PROPERTY ADDRESS:
Address: 325 8TH ST
RE Number. 169960 0000
PROPERTY OWNER:
Name: SANDERSONJOSEPH
Address: 325 STH ST
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ROMANO BROTHERS ROOFING, INC
Address: 1188 N 12TH ST CIA DANIEL JOSEPH ROMANO
JACKSONVILLE BEACH, FL 32250
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500.For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
I
CITY OF ATLANTIC BEACH
800 Seminole Road
Atlantic Beach,Florida 32233
0
Telephone(904)247-5800
FAX(904)247-5845
REVISION REQUEST SHEET OR
CORRECTIONS TO REVIEW COMMENT
Date: 7-6—1'2 Received by: Resubmitted:
Permit Number:
Original Plans Examiner: Project Name: rcon
Project Address: �a 7
Contractor: go n Contact Name: D_ �rT Rv�aw
Contact Phone: 9r,v—//0,Z1y7C Mritacte-mail:
Revision/Plan Check/Permit Fee(s)Due: $ 1
Descri tion of Pronosed Revision to Existio Permit:
rwto�[ �1 is }n�al� -�vrafi
355 l w- � s � tro. l
Additional Increase in Building Value: S Additional S.F.
Site Plan Revised: ublic W/U Approval:
By signing below.Irrr(000wpppipppm n.nc) Unn•[( �pn+.y-,� _ affirm that the above revision
is inclusive of sed changes.
Signature of Contractor/Agent(Carona«mm sign ifincrt in val"im) Date
Olfwe Use Only
Date: Approved: Reje : Nmified by:
Plan Review Comments:
Dwarhmnt review required Yes No
Building
Planni 8 Zoni Plans Examiner
Tree Administrator
Publ,Utltiea
s
Publ
Puby DaleFires
City of Atlantic Beach APPLII
TION NUMBER
)� Building Department (To be assigney the Building Department.)
800 Seminole Road )" I ^00( 4
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826- Fax(904)247-5845 ., I
E-mail: building-dept@cosb.us Date routed: T1-03 1
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3d� B V
nt review re uired Yes No
Applicant: WPn"b ?jf D.S- Q-OPub�� Zoning
r� J istrator
Project: (fL-(Dol F (Nk foo-p h)k (nbdl �itd ks
iestyes
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept,of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ❑Approved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. []Notapplicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 0511912017
Building Permit Application [� _ ij,bt2d5/si ,
City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233 JUL — 3 2011
Phone: (904)247-5826 Fax:(904)247-5845 j��
1'h Permit Number: e00F1-of
_—_b_y`Jy
Job Address:
Legal Descripi — �l
Valuation of Work(Replacement Cost)$ 0100 Heated/tCooled�Se^F
Non-H.e.at.e.d./_CHeated/cooledL9,
_
_.
• Class of Work jorcle one): New Addition Alteration Repair Movee 0 mmoor Pool Window/Door
• Use of existing/proposed structures)(Circle one): Commercial LItEswerr"°'
• [fan existing structure,is afire 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 ,
Descri in detail the type of work to be performed: iv ell ��r /rt5/�� �CG C�5V1ll
Db� it sc S1 c.d ra y s L.t/� �i, alafcJ n�wlaF�d bl/n r.rrr /s p"
Florida Product Approval p r for multiple products use product approval form
Property Owner Information S�•I ' I
Name: Address: Sas AA �
City�.l
Stated_Zip aaa:os Phone s'••
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor I o tion _
goal s
Name of Cron Stat _�_Zlp
Address , V City
Office Phone - Job Site/Contact Number
State Certiflcation/Registrar'
E-Mail
Architect Name&Phone 0
Engineer's Name&P
Workers Compensation
Exempt insurer/Lease Employees ExpirHion Dale
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulationg
construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
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 R NOTICE OF COMMENCEMENT.
(S re of Owner or Agerrt) (Signature of Contractor)
(Including contractor) da of
Signed and sworn to(or affirmed efo me thi _day of d and sworn to(or alfi ed)6efoKe me is y
al )y �O[ ZiOn a byl Mtn•
C> 1 r '" B
2 MY Fffilobtlig" 8QR18
.^ 'w;et BETYC7t to ry)
` MY COMMISSION XFFb��e eo Nota T �
EXPIRES July 2,20/7
�� IXPIRES JuIY 2,2017 Ion ^ sa rmanwrt.rvao,v re ra^
I101baanl5a FIunJ�NdmrSorvmo tnm
( Personally Known OR ]Personally Known OR
,Produced Identification [ roduced Identification
Type of Identification:�� Type of Identification:
NOTICE OF COMMENCEMENT
(PREPARE IN OUPUGTEI nn
Ste elTex FolW o �`P
L io N
County of
To whom it may concern:
The undersigned hereby Informs you that Improvements will be made to certain real property,and In
accordance with Section 713 of the Florida Statutes,the following information Is stated in this NOTICE OF
COMMENCEMENT.
I-eqodption of property being improved:, '
Address of property being improved:_ S p•^ c} A.� I f�C� ^?^v1'J�
General description of improvements: )�J
Owner
Address
Owner's interest in site of the improvement
Fee Simple Titleholder(it other than owner)
e
Addres
Con"
Address
Phone No Fax No.
Surety(if any)
Address Amount of bond S
Phone No. Fax No.
Name and address of any person making a loan for One constmceon of the improvements.
Name m
Address
Phone No. Y u- $
Fax No. U g
S a
J p
Name of person within the Slee of Florida,other than himself,designated by owner upon whom notices,or other
documents may be served: W w E
Name m i a
0 x ¢
Address G U m u
t
Phone No. �
Fex No.
In addition to himself,owner designates U<following person te receive a mpy of the Lienors Notice as provided in
Section 713.06(2)(b),Florida Statutes.IRS in at Owners option). Xi l"`5 a?
Name $
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(Me exp ration data is we(1)year from the date of recording unless a
different data is specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER �`'
sieved: DATE�rI •. r,
Bebre aYN In th
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Recorded 07/0312017 at 11'56 AM, are tree and accurate /1
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING 518.00
My canml llc elt�5rtle Gouley
Predicts larLlktlbn