279 SEMINOLE RD - ROOF \, ,,... , ,,.„,„. CITY OF ATLANTIC BEACH
r tea " , r) 800 SEMINOLE ROAD
,� ATLANTIC BEACH, FL 32233
'A WI 9%� INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0023
Description: reroof- FL18355 & FL5325
Estimated Value: 6400
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 279 SEMINOLE RD
RE Number: 170522 0000
PROPERTY OWNER:
Name: GRENVILLE ELIZABETH ET AL
Address: 279 SEMINOLE RD
ATLANTIC BEACH, FL 32233-4142
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.
I ,.
BUILT,IDS G PERMIT APPLICATION
CITY Y OF.CLT_,=-:NT I C' BRACH
800 Seminole Road,Atlantic Beach.FL 32233
Office (904) 247-5826 Fax (904)247-5845
Job Add-ess: m =7zz33`7� . Ji,f y/e 11-1- ii K , ii�
Nca-Frb��: e_ Q- n i -00J 3
eg i D cri tion) b-8 1 Gras- �q .E sal-1-a:�r SCC I Parcel# 1-10"5.D.sa -tow.)
}3 Floor Area o j Sq,Ft.
Valuation of Worke �o`�b( So.it
Proposed W � di + non-heated/cooled
Class of Work(circle one): Neyv Addition ..• Repair '•..•- !-..olition pool/spa window/door
iiTse of eristingftzopcsed strueture(s) eir•cle one): Commercial Re •-:-
Ti -
'an existing structure,is a ire sprinkler iastelied c (Ci_c e one): Yes No N/A
Florida Product Approval 4 1" 'S';_ -rte
For razneipie proeuc t use ';_os_uc.approval Lorm
r
0 ,
Describe in detail the type of work to be performed: < 1-00-(- •
Pronertv Owner Informa io?:
Name: C4: / Cr–c-_'e n —11�L Address:.1)1 ► t r
City ~ Stat �Ziphoneac L a , 3�.
. .
E-Mail or Fax (Optional)
Contractor'Information:
Company Name: WOs»crn• 0,4..,,,-g , ;r'1 i n c Quay ring Agent: LZ?n if f J"Y1U o 0
p :1 � City State Zl �
Address:��j'� � �
Office Phone l_ Job Site/Contact-Number Fax# coni•a`{�'J(.� 5
State Certification/Rea-istration_ I iS�)e13
Architect Name&Phone
Engineer's Name&Phone
,iL WY•<.. ' ti.:•? "y�,-0c:cuiuv r' thy' �•j; IiRr
Pe=rmit N . IN UcJ?i(Cn r� `2
ST..of "- .Tax...aunty
Folio = DDD
o V
To whom it may concarn: Cour y ofWINN
he undersigned hereby informsyou that improvements will be made to certain realproperty.sOMilfi nC t,�lih Section 713 of the Florida Statutes, following eccorl ane hitt 1, O endCin
_theIng information is stated in this NOTICE
eget d o intron di proper;;t a;m roved: I D
Address of properly being improved: _ "1 s ,
_40 - _. i t
MI. 111
General description of!mprovemem A
rt ..mar ,� � a
----....7..,....-„, Address - -) •
O::rises interest n ate of=.he improvem t ` � h
Fe.;Simple Titleholder(if other'han owner)
Name -.-.-..
Can7ectay-- moi�+ ,I ) .
�'�--� _O A
Addra ter ^,' =- 'r::� �� t'; .
=hone i•!G�-e' :it z : �`�� ' v:=0-,--' w , _. - - ,
Sure:'(if any) ` '�L Fax i\O- w±[ I
•
Addrest
^l1'Jrt�:'tG Amount of bond
Fax No.
:`lama end address of any person m=kin_a loan
n for the construction of the jm roye:
Address
?hors No-
Fa.'t No.
Name of person::thin the State of Florida,other Mai himself.desionaied by owner upon whom or o,r,
documents may be served: notices • _-
Name _,
Address
, Phone tsc_
=ax No.
In addition to himself.owner desIanetas the folio:vino person to receive a cony of the Lienors 713.35(2) ri=r=Hors Notice as provided i;,
(b?.FloridaF1odStatutes.(Fll in et Owner's option).
Name
Address
Phone No.____________________ gd`+?0Rr �r
'.•r
b r!
Fax No. .•;
E::piredon date of i�lodcr of Commencement(the expiration date is one C,....
different dgte!s specified):
_ A a date a,'recording unless a r m
TICS 3n/,C� 111,0417
D
FOR.RECORDERS USE ONLY � � a 3'
_: j� a ch2m
9 r-
�t -" ��.7'. ADATE - to
It. .J her-to tc+afimstat Via{_statements zN herd„r_• T
-a ir_•aasd-ccurat_ idc_.e.3 ams a it o 0 7C
3 v �' N
N
_
Doc#2017135902,OR BK 18013 Page 921, t °'
Number Pages: 1 • �''` a f
of �L.
Recorded 06/09/2017 e 01:43 PM, Notary?u.ttca;!:,�_• ;a_
Ronnie Fussell CLERK CIRCUITaivxnunIssiria: ,r ccui;;
COURT DUVAL !-a. • • D
COUNTY n
i s:o�c:--Ed le.eni icsuo t _1 Cr
zoned/- cx
RECORDING$10.00