1155 Ocean Blvd re-roof permitCITY OF ATLANTIC BEACH
r
- n 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ra INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0075
Description: FL10674.1 & FL21703
Estimated Value: 11000
Issue Date: 8/9/2017
Expiration Date: 2/5/2018
PROPERTY ADDRESS:
Address: 1155 OCEAN BLVD
RE Number: 170276 0000
PROPERTY OWNER:
Name: ANDREWS MARK LEE
Address: 1155 OCEAN BV
ATLANTIC BEACH, FL 32233-5739
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.
Building Permit Application Updated SIS/17
City of Atlantic Beach
800 Seminole Road, Atlantic Beach, FL 32233 -
°%' �t Phone: (904) 247-5826 Fax: (904) 247-5845
Job Address: 11 SS Q $/r/el Permit Number: F' III- (Do -+S
Legal Description 1/ '7s -;F16 A&A/ & i3c A /d Z dLA y.P RE#
Valuation of Work(Replacement Cost) $_kO , Heated/Cooled SF_�!=Non- Heated/Cooled
• Class of Work (Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s) (Circle one): Commercial Residenti
• If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No
99>
Submit a Tree Removal Permit Application if any trees are to be removep or Amoavn of no „a ,�- -
Descdbe-In detail the type of work to be performed: .2e *Vol/
Xtra r 14#'A hii-se Only S�ah4�f •"'
Florida Product Approval If /06-74,1 F o%/ 7C Q for multiple products use product approval forth
City All, I 14,h
E -Mail
Owner or Agent (If Agent,
Office Phone P,41_1 I) 11
State Certification/Registr:
Architect Name & Phone If
Engineer's Name & Phgnpg
State ) 1. Zip
Letter Required)
Application is hereby made to obtain a permitto do thework 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. l 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
RECORDI YOU NNN�CEO� C�� ENCEMENT.
,
(Signature of Owner or Agent) (signature of contractor)
rmuuung wuueuml .
swoorrnr tto((oorrafbrrt1`d ,b�e�f1o1re thi day Signed and swornt rimed)hefore meth"s day of
�.A4 by � 'Y f e d' g W
\"hCyS?.r i�•„��ry
:rso Personally Known OR
lurecedd Known
Identificatlon� ]Produced Identification
of Ideirtification: Type of Identification:ion:n:
NOTICE OF COMMENCEMENT
IP6 PAPE Ell DUPLIC'.TEI
Permit No. Tax Fdo NoV70Q
State of rL Coun y of; I 1
To whom it may concern:
The undersigned hereby Informs you that Improvements will be made to certain real property, and in
accordance with Section TI of the Florida Statutes, the following Information Is stated In this NOTICE OF
COMMENCEMENT. II
Legal description of property being improved:
Address of property, being improved:
3J2,e3
/Iti of.OL
An IsQ
—P
General description of improvemeres:
Rerodf
S
Address /15 J C E&A n h/Yr+ P} I ((Gh / J cid S -S
Owners interest in site of the improvement
Fee Simple Titleholder IIf other than ownen
Surety (if any)
bond S
Phone
Name and address of any person making a loan for the construction of the improvements.
Phone
Name of person %!thin the State of Florida, other than himself. designated by owner upon whom notices or other
documents may be sewed:
Name
Phone No. Fax No.
In addition to himself. pmiar designates the follmving person w receive a copy of the Lienors Notice as provided in
Section 713.06 (2) (b). Florida Statutes. (Fill in at 0, hers option).
Phone No. Fax No.
Expiration date of Notice of Commencement (•Jre expusdon date is one (1) year from the date of recording unless a
different date is specified):
D-#2017185109 OR BK 18081 Page 1136,
Number Pages:i
Ronnie d06xl CLE7a!01:00IT \
Ronnie Fussell CLERK CIRCUIT COURT D WAL
COUNTY
RECORDING $10.00 - °"�' '" s'' .coomyof
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