330 Garden Ln - Reroof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ROOF NON SHINGLE -
MUST CALL BY 4PM FOR NEXr DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ROOF17-0027
Description: torch& peel & stick roof system
Estimated Value: 8100
Is,sue Date: 8/29/2017
Expiration Date: 2/25/2018
PROPERTY ADDRESS:
Address: 330 GARDEN LN
RE Number: 1720205015
PROPERTYOWNER:
Name: BETTE L WALSH REVOCABLE LIVING TRUST
Add ress: 330 GARDEN LN
ATLANTIC BEACH, FIL 322334522
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ROMANO BROTHERS ROOFING, INC
Address: 1188 N 12TH ST CA DANIEL JOSEPH ROMANO
JACKSONVILLE BEACH, FIL 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 RVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 00 F 1-9 o,)-1
Phone(904)247-5826 Fax(904)247-61145 CIL
E-mail: building-dept@mab.us Daterouted: —alLo— n—
City web�site: httip:J/�.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: (D t4i L ir� r t review required Y N
ul�Iding
Applicant: Um aA &vS V-00G' 0 � Planning &Zoning
Tree Administrator
Project: 't sic Ity t V) j L)U� Public Works
Public Utilities
si Public Safety
Fire Services
Other Agency Review or Permit Required Review t Date
of Pemlt=pBy
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
APPLI-CATION STATUS
Reviewing Department First Review: T(Approved. DDenied. EJNot applicable
(Circle one.) Comments:
—'N
PLANNING&ZONING Reviewed by:— Date:k'/—c—; 'L7—
TREE ADMIN. Second Review: DApproved as revised. ODenied.V [-]Not applicable
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:—
FIRE SERVICES Third Review: ElApproved as revised. []Denied. ONot applicable
Comments:
Reviewed by: Date
Rovivid MMM017
Building Permit Application Updated 5/5/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233 OFFICE COPY
f) Phone:(904)247-5826 Fax:(904)247-5845
Job Address: (fnjrje in I VA- Permit Nu r: 9-OOF 1-1- 00a-q
- A VJIFM4--n- � If�rs --
L,gaiDesalption 37-9'/ 09 --'S -011f Iref", ~'�A $'i RE# 0 ZI?iQ- 1279
Valuation ofWork(Replacement Cost)$ 18111ax" Heated/Couled SF V241 Non-Hearted/Cooled_
. Class of Work(circle one): New Addition Alteration Repair Move Demo Pool Winclow/Door
Res dent
. Use ofexisting/proposed structure(s)(circle one): Commerdal (�
. Ifan existing structure,Is afire sprinkler system Installed?(arcle one): Yes No0w
. Submit a Tree Removal Permit Application if any trees are to be removed or Affidwit of No Tree Removal
Describe In detail the type of work to be performed:
S k , I eg ot Aeu� Sk-L'g/eg
;.40"Cl ,LkA' <.JI'Ve.- 4 1 ~
Florida Product Approvallf 4-325:j 2aZ/ dW, for multiple products use product approval form
Proaaerty Owner Information
—Na m e: PW Hrr�,^ Address: 3"CC)
city --State,9 zip 3.7271 PhaRn-e�I'Fd,�- 0-�IV
E-Mail
Owner or Agent(if Ag tit,Power of Attorney�or Ageiby Letter Required) —
Contractor Inf In at-
Name off Comp Qualifying Agent: deli r
Adore g 4- lflcl 1? J. ��Sat e Zip
ty Stat
Offices; Job Site/Cozlutct"N�.�mb.r St'
hone L -Ltj _,_ t�- 40�4 i.
p I r7�' W-f C' I r
State Certificastion/Registration I E-MaIICCA�G N ry AQ
Architect Narri Phone If
Engineer's Name&Phqa�#
Workers Compense n V l"'pri
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
appliceble knvs regulating construction and 2oning.
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 YOUR NOTICE OF COMMENCEMENT.
aeQK.a— ,
V tn-atli-m of dwner or Agent) (SignatureofContractor)
n contractor)
k;.nl-orn to(or affir efc, e m t is day of Signed and sworn to(or affirmed)before this 41 day of
Zliq '4-0k-A by 00LAt IA1()fy\"O
- - - - - - - - at f Nonnef 7—sesseassesse (Sigrainne 0 Notary)
JoINIFEIR XHMTM
uycommssuWpw�
C. �i".uIGCIN Wine:�r 27.202
'114 "'
MycM.f,pte,h12 211
50na"'
Produced Identification k"-.ducedidentif ation
Type of Identification: 7LA' Type of Ide7ntfficatio
6L 64 i LCASk
NOTICE OF COMMENCEMENT 1%
Permit No.AL-E—17 ooc)7 ""IN OFFICE COPY
State of Tax
To Whom It may concern.
The undersigned hereby Informs you
accordance with Section 713 of the that bm'"-runintS will be made to certain real property and 1.
COMMENCEMENT. Florida Statutes,the following information is stated In this N�TICE OF
J'MrrTabe
Address Of Property being Improved:
Gainers]description of in orovements.7
Di�)j
Owner C,t)j f
Address r
Owner's interest in site ofthe improvement
Fee Simple Titleholder(Ifother then owner)
a
Addres
Contra
Address
Phone No Fax No.
Surety(if any)
Address unt of bond
Phione No. Fax No.
Name and address of any person making a loan for tm�construction of the Improvements,
Name
Address
phone No. 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:
Name
Address
Phone No. Fax No.
In addition W himself,owner designates the following pairson to receive a copy ofthe Lienor.Notice as provided in
Section 713.06(2)(b).Florida Statutes.(Fill In at Owner's option).
Name
Address
Phone No. Fax No.
Expiration date Of Notice of Commencement(Me expiration date Is me(1)Year from Me date of recording unless a
d1fifurand data is specited):
THIS SPACE FOR RECORDER'el U—SE ONLY OWNER
DATJE�
In ths
tun��a 4 swe or ,xared
D.I12017185106,013131<18061 Page1133,
Number Peg":1
Recorded 0Bf0a12D17 at 01:00 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
Urdy
RECORDING$10.00 LkL5��S__—
�_-ry Kl�— or
PrxJ�ld�rflcefion