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1860 LIVE OAK LN - ROOF r /*1 I CITY OF ATLANTIC BEACH - i 800 SEMINOLE ROAD \ ATLANTIC BEACH, FL 32233 \� �r �:ii INSPECTION PHONE LINE 247-5814 ROOF NON SHINGLE - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ROOF17-0007 Description: SHINGLE AND TOURCH DOWN Estimated Value: 0 Issue Date: 6/21/2017 Expiration Date: 12/18/2017 PROPERTY ADDRESS: Address: 1860 LIVE OAK LN RE Number: 172020 1424 PROPERTY OWNER: Name: ADAMS MARCUS REA Address: 1860 LIVE OAK LN ATLANTIC BEACH, FL 32233 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. �ti.ay;. City of Atlantic Beach APPLICATION NUMBER Js r Building Department (To be signed by the Building Department.) -';. 800 Seminole Road 00 �7 _ `�0 r -, R jS9 / -6.. Atlantic Beach, Florida 32233-5445 \ ; 7 Phone(904)247-5826 • Fax(904)247-5845 //__ \r n �� V E-mail: building-dept@coab.us Date routed: (o City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1 L, (U 0 LO ' -f ( L1 -2) D ent review required Ye No uildirig,, Applicant: ,� ONAK-3d 6 12-0 7C—f�� Pining &Zoning Tree Administrator Project: R C R_00 F Public Works Public Utilities K.) G L& -co Public Safety l Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By 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: roved. ❑Denied. . ❑Not applicable (Circle one.) Comments: :UILDING / / PLANNING &ZONING Reviewed by: / , `M Date: 60)0 7 TREE ADMIN. Second Review: Approved as revised. ❑Denie . . ❑Not applicable 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 05/19/2017 BUILDING 1 ERI it r PPLICA T]ON CITTIZ of ATLAINTIP BlACH OFFICE COPY 800 Seminole Road,Atlantic Beach,FL 32233 Office (904) 247-5826 Fax (904)247-5845 r (._ Job Address: `�(�0 v•,,z Perm.t Nsambe_: R 60C 1 7 - 0007 �Y� A.,, e. k0 1' . ''1 Legal i• escri tion l -.� ,QS — P eel# 1 �. 3-IJ +i "e--A / oc� door Area o q.Ft. Sq.Ft Valuation of r,To;--lk S 5� r oclosec t t�or eaEe�t cooled _ . _ -��� no--r ryatedJco©Ied Class of Work(circle one): New Ad Alteratioi>._Rkpair iiiiiiiiirt••.• s-molition pool/spa window/door Ilse of sting/nro13ose r structures)) Cire one): Comercial c e iv". Lr exi: existing structure, is a fire suricm ulde syste 32' seed? (Circle one): _Yes No N/A Florida Product Approval # I q5 . l O, / -s j,D For r--...'a_e?i oauC:`r uSe Ds&"oci3e�appro lai form Describe in detail th type of world to h- e •ivied: rTh (9I I A `-- --A11-) I eA c:C►,a(I) •t> ( P�" r X ►'> ��+L C__C--•bQ u I.S 1 .,1 Pronerty Owner Ifc_ma`o •• _I Name: Cj ! r ("CkAAA - Addicts: �v - .l� a v p D„ii__ it Cityw, Start" StZip 's---a . hond t 1 ( - t [4 t4, - 5s s' 4� • E-Mail or Fax 4(Optional) a.. . a. _ . - C 41111111— Contract._ Inform.loa: • Company-T.1 .:„.ish.w _ l .p c Qual- - g Agent: I e • n. �= _NAVA Address: 1 ';V\ �� City ; .te Zip _ 3 Office Phone . - - . It lob Site/Contct Number Fax 1w - .. G State Certification/Registration- _ i 6?) Architect Name&Phone- k 1 Engineer's Name&Phone_ 1 ' \...\X ,Fee Simple Title Holder Name an ;A d� s Bonding Company Name and Addres Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated_ I certib 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 lawsregulatingconstruction in this jurisdiction- This permit becomes null and iscommenced.work is nm encedotI under•ctat d'thatwithin separaterpermits muor st be secconstruured fon orr Ewlecrk trical Work,Plumbing,o5nded or Sgnagdoned ns,r ai�ells,Foolserzod of ,xFurl Furnaces, ,time after Tanks and fir Conditioners,etc, WARNING TO Oqn-_\\ L: YOUR-Rr v!RE TO RECORD A NOTICE OF RESULT 1 �. bill r. .P R IG TWICE FOR i P ROVEW1 N T S COT ii �1�'1�T�C�! �»I` _ MAY TO Y i � P i RTY. YOU Mg E` .I TO O]TA 1TN li-+'IN NCLT-TG, CONSULT WITH -T 1UR OU LLQ Nt jR. , R AN A.TIFORNEv BEFORE RECORDING YOUR NOTICE OF cr,r3.101 s f izes I hereby certify that I have read and examined this application and know the saamet?oboe true nd correct. All provis ion Qo e law o to�aolate or crancel tthe type of work will be complied with whether specified herein or not. The f P P provisions of any other federal,state, or local law regulating construction or the perjormance of construction. �__ Signature of _Filer �� ,,,..._____.4Signature Contractor T g l _ _--�_ Print Name ,.,---- :97------f:- n. _. Q ►+-+ t o -- Pi Print Name _.,_..._......__...... .. a---- S •m hand subs .ibed before me Swqi I o and subsci-b.,• be . -e me ,�0 itis Day of I _20 ) ) this l Day of �-� iiir r _ �- � �/�MBER ! HICKS .. .I..I�.. r�----- o� u:is : r( �'" ` 1 otaryPub�tico a y'.:"AMBER L HICKS .�^'\ o� MYCOF Iy ��� F �� "t• = oma; MY COMMISSION#FF033210 -"'.form;°"' EXI S Ju�yp 2 17 `"+ (40n398 l53 y as nd�'• EXPIRES July 2,2017 FlondallotarSerwce.corn (1071 398-0153 Florid�NotaryService corn • NOTICE OF COMMENCEMENT /� r (PREPARE IN DUPLICATE) PermitN Aa --6�� State t __ Tax Folio N•. ,.� _ )l h 1( a County of 1V , C� To whom It may concern: ♦♦.)� The undersigned hereby informs you that Improvements will be made to certain real roe V accordance with Section 713 of the Florida Statutes,the following Information Is stated in this NOTICE OF W COMMENCEMENT, 14. property,rtY,and in U ..,...Legal d-scription o"•ropelly being improved-3-1 - j Dd1 ' Li) 111 p Address of property being improve.• _a• • D iiMIUMBEIN Ai General description of improvemen s" (t -- 9wner A t —� Address 0 IIIMIVIWNPjMIIIU Owner's interest in site of the improvement ,..!. _ Fee Simple Titleholder(if other than owner) �� Name — Address Contract.,..- , t _ Address, yar Phone •. , ` � 7 _ c - -s N li Surety(if any) Fax No. sk Address Phone No. Amount of bond S Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. i Fax No. Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other ' documents may be served: to M c Name o o h . Address - * N z T a Phone No. -� O r Fax No. W N w In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in < OV zt w w o-• Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). Name > 2 Address Phone No. ;�.......,do, '.;- 14'. ,I . lar-_--.4;8;a, Fax No. Y. r�, l S Expiration date of Notice of Commencement(the expiration date is one 1 different date Is specified): ( )Year from the date of recording unless a THIS SPACE FOR RECORDER'S USE ONLY OWNE: -toned: / ♦ DATE '.10 :store me this day 1 Site of Fl r-t r)4.,..� •unty f Duv�, 71._ in the Q as personally appeared • - r hers-r and affirms that all stateme s and declarations herein in by Doc#2017125207,OR BK 17998 Page 1367, are true and a urate 6) Number Pages:1 Recorded 05/30/2017 at 01:10 PM, ^ Ronnie Fussell CLERK CIRCUIT COURT DUVAL IO '!` COUNTY Notary ubli at•rga. -1115--=/OP / RECORDING$10.00 My commission expires: Countyo IIIII1PjM Personally Known Produced Identification 11111r Of I