399 5TH ST - ROOF CITY OF ATLANTIC BEACH
.4k
800 SEMINOLE ROAD
V 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: RERF17-0022
Description: reroof- FL18355 & FL5325
Estimated Value: 7990
Issue Date: 6/20/2017
Expiration Date: 12/17/2017
PROPERTY ADDRESS:
Address: 399 5TH ST
RE Number: 169881 0000
PROPERTY OWNER:
Name: BARBARA B JOCHER TRUST
Address: 399 5TH ST
ATLANTIC BEACH, FL 32233-5345
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ROMANO BROTHERS ROOFING, INC
Address: 1188 N 12TH ST QA 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$7,500.
RU ILDIIC 1 L+RM1 !'APPLICATION
CITY OF ATLANTIC IC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: q SL4 . v N'' �Q�� Permit Number: T (� "DGa�
�z � As -� l �
Legal Description'5 - LSI Il_, - a--IP 1:'_ i, i Nc((Parcel# fG ?pies ] - lel` )
1", Floor Area of Sq.Ft. q...-''t
Valuation of Work 5 --Iciqu Proposed Work Yeated/cooled Q-6 eon-heated/cooled
I
Class of Work(circle one): Ne* Addition • n Repair Move Demolition pooUspa window/door
Use o7 existing/proposed strut ure(s)(circle one): ------Commercial Residentia
an existing structure,is a fire sprsnkler system insta' ed? (Circle once): es No N/A
Florida Product Approval 1�$'~ <"'C F-
For multiple products use product approve firm -
Describe in detail the type of work to be perfoime.: W_,Y1.-)b i- '
Pro . —T Owner Information:
Name: _• earbc ra Jt.)0'14, Address:
G
City %rd. 1 - Stat-K-1 Zip hone
E-Mail or Fax#(Optional)
1 � "
Contract, inforu ' on: •
Company Nam--.t. . , -'i • i. . _ Qual ina Agent:� r'. {11,1_ L l- a e,
Address: ! - ' CityZat- t Zip
Office Phone c�L l ,• 1 Jo.--Site/Conte t , umber Fax It
1...'4$ ID
State Certification/Registratio 4 WU _ •
Architect Name&Phone
Engineer's Name&Phone
Fee Simple Title Holder Name and'Address k 4
Bonding Company Name and Address144k
VA
S MP -'� ms . . or
Application is hereby made tar permit to do a enstallations aalhd�ated be perform
cea-przor to the
Boilers,Beaters,
work void
commenced ot I commenced
d thatrssix eparateipermits muor st be construction
secured for Electrwork icatiVor k,Plumbing,g,S gns, Wells,Pools, Furnaces, o arty time ft
Tanks and Air Conditioners,etc.
WARN 1lN TO O NEE: YOUR Fi n ilii I_ N TO RECORD A NOTICE OF �,
COLI {NCEI NT MAY RT�',SULT �, YOUR PAST TWICE FOR lI �I�C
RON NTS
R, PERTY. T 4(' YOUINTEND TO OETA I FINANCNG CONSULT WITh
TO YOUR PROPERTY.
'OR ATTORNEY BEFORE �COIDING YCkJR NOTICE OF
YOURANCOMIVIETICEMENT.
give authority d violate or ruing h the
hereby certify that I have read and examined this a plication and know the�iQmn to be true mit don scnot presumetoosof laws oridty to violat governing this
type of work will be complied with whether speci red herein or not- The•, g of P
provisions of any other federal,state, or local law regulating construction or the performance of construction_
l"
Siang-are e of Owner -�� Signature Contractor .�.,.-
Name . /Icy"e^._ ".. 11'4 -C A^�-:�
Print Name 1Y �' `-� Print N�� --
0 SI/it I . and sub - ore me Soo o and su sc. .ed before me 20
lis Day of �p l� t A D �
' 'ER l HICKS u s; aryPu'ltt�,f..�,�,
i1fL'.•
ifir
Not, Public 1•: MYCOh1: °i"`' EXPIRE ���
,� of SSION#FF033216 (4°7 3x3.0153 eV1ieE 01'26.. 0
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''...,9,,,.9,r/15 EXPIRES Jul
(407);:8:0153y 2,zo1� ---" .
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To whom it rney concern:
The undo lgnsd caret), inform`?lou Chet improverneni.�will be made to Certain real
accordance with Sect on 713 of theFlorida Statutes,the following information is stated in this i;i
acco 4danc
COMMENCEMENT.
S, 9 property.Nci and in
1 Q T!Ce OF
Laosl description o`. cpa T. .5 t 1 • . Q�
bin Impro�r:..-
ittilli
Address of property heir g!moray--.-_ a ,
111111DA 411. ....41111
General description of hroro rete. il' •
t; 1_ g r. y _
Address C t,7 ^:1 "f
r-- r
O"tzars interest in sits-of the improvement C, t CS-1 L 2.2?J 3
Fee Simple Titleholder(if other than owner)
,Name_.—---.,
Address ;--� rpt
i f � • %' C :"1y - - } � t , ;ridd25ai`� n
Piton-Nri trrL•i i .t —yr w3 : _�' TS. 5.--1 _S
aurety(if any).— ✓ Feri i\�O. :— • :._...-'-r 1 - �a.. '� f 1
•
•
Address ~�
`!?ons-Aic_ Amount of bond 5
e.:No.
:`.i8mi and address of any QSr=On �:
ng a loan for the
reekiconstruction of Lhs-imps:rsmarts.
Name
Address
Phone Po.
Fax No.
Name of person within the Mate of Florida.other than himself.designate.d by owner upon whom notices other
documents
may be served:
_-or
Name
Address
Phone Nc
_
Fax No.
In addition to himself.owner desicnates the followina person to receivee a copy of the Lienors Notice as provided in
Section 713.)B(2)(b)• Iona Statutes.(Fill in at O:-:nets option).
y
Address ^`. 4, '
?hone hip- 1‘13:32... 41/......?:<$1
Fax,No. ...'..
Expiration date of miotics of Commencement(the7.
different date is epectfted): expiration date is one(1)year from the date of recording unless a X D
i itfS SPEC=alti
'Ol?t�ECOP,Dc: 'S USE O,ULY J I 6
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r �' it3f?1:�_'ared
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ItiR set iier l and affirms that a!I tamants On!dawarati.:ms h:raln n O
are tPJ.- accurate O
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Doc#20'17135903.OR BK 18013 Page 922, r1Ei
Number Pages:1
Recorded 06/09/2017 at 01:43 PM, •
ars _ —� �, `
Ronnie Fussell CLERK CIRCUIT COURT DUVAL �ap+"Inrisicn eVe�a � _ .�''�'� �'�:
COUNTY a sarally;;ac.:rt ��—
RECORDING$10.00 i �= at=a-:tiic_ilst �j or