435 Aquatic - Reroof CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
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: RERF17-0084
Description: re-roof F00124.1 8 FL5325.1
Estimated Value: 6000
Issue Date: 8/29/2017
Expiration Date: 2/25/2018
PROPERTY ADDRESS:
Address: 435 AQUATIC DR
RE Number: 171818 5290
PROPERTY OWNER:
Name: JACQUES CHRISTOPHER S
Address: 435 AQUATIC DR
ATLANTIC BEACH, FL 32233-3833
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$7,500.
Building Permit Application Updated 5/5/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
zo. // ff), Phone:(904)247-5826 Fax:(904)247-5845 p r1�t p
Job Address: 4X i Aqu*7 O/: Permit Number:
Legal Description '38-71-/7-'S &9F Ag �A L+vlis !a4 .23-C RE# 17181A -5910
Valuation of Work(Replacement Cost)$ OCCI1 CAI- Heated/Cooled SF n_VA Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair MoDemo Pool Window/Door
• Use of existing/proposed structure(s)(Cirde one): Commerci I Residentia .et��
• If an existing structure,is a fire sprinkler system installed?(Circle one): yes No 'r':l�
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe In detail the type of work to be performed:
fer'F �•�avt S Q d' inSd''t// Jet.) _447' le
Florida Product Approval If /0/24, / $'315. I for multiple products use product approval form
Property Owner Information
Name: N?; Address: q-35,
City State Ai Zip!3=3:j • 9 So -(3 S 3
E-Mail C dl.00.oa
Owner or Agent(if Agent,Power of Attorney rAge Letter Required)
Contractor lnf ma ' n
Name of Company: r R Qualifying Agent: Ani C W
Address� City t?- State Zip ' -
Office Phone L Job Site/Contact Number D
State Certification/Registration It1-;11_AP- "' E-Mall
Architect Name g Phone#-Ij 14
Engineer's Name&PhanIf
14 WorkersCompensatlon 1. _e 211 -
Fxem Insure Lease Employees I apirition e
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'1 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 FINANPNC4,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECO YOU NOT( E OF COMMENCEMENT.
(Signa of Owner or Agent) V (Signature of Contractor)
(Including contractor)
Signed al d s orn to(or afnpq d)-befo ir�day of 'gned and sworn to(or aflirme fore me a ay of
yyl..M1 I S 6 C by - t Lt is
(N ifth-
10
Na,rwux-HaeaFVWgn otary) 15 "' a Not�yy�rEErxKxs
(pmni5sbnr GG'Bun • Notary PuBk-LNedF pyJi
Mytpnm.Evdres 1.1}2,2021 _ commlfrlunlW 1191aa
Mvtamm.Erdmlul P,N21
........... xmx,rrc,•g�xmwx,•rxm,
WixrlrMUNx WiWUIXoIm Mm ���p��t�(((
]Personalty Known OR 1 Personally Known OR
i Produced Iden ufi.uo t I Produced IdeMHication
of Identification: Type of Identification:
NOTICE OF COMMENCEMENT
IPREPAREW DUPLICATE) p ryy,
Pennh No Tax Folio No. _ ���®/On-M
3tete of A County of:� 1/ 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 713 of the Florida Statutes,the following information is stated In this NOTICE OF
COMMENCEMENT.
Legaltlesca3ripfi of property being Improved: 3[S"7/ /7 9S E Ae +G l%rl�wc
�o� -� r,
Address of property being improved: 43.5 r koi4w- 2r A4 / 114
General description ofimprovemems: germ 4F
Add IQ ss Y35 \ Q. '7r
0Mners interest in sits of the Improvement
Fee Simple Titleholder(If Omer than var er)
me
Atldres
Contra
Address
e fin• Phone No Fax No.
Suray(if any)
I Address Amount of bond S
Phone No. Fax No.
Name and address of any person making a loan for the const ucdon of the Improvements.
Name
Address
Phone No. Fax No.
Name of person within the State of Florida.other Man himself.designated by Owner upon whom notices or other
documents may be served:
Name . .............
Address a
Phone No. Fax No. •.
In addition to himself,owner designates Me tollmring person to receive a copy of the Lianors Notice as provideal in ;
Section 713.06(2)(b).Florida Statutes.(Fill in at O.mers option).
Name
3
Address
Phone No. Fax No. Y a A
s $
Expirationdate of Notice of Commencement(the expiration data is one(1)year from me date of rergrtllnp unless a
different
nt ddate Is sperifletl):
THIS SPACE FOR RECORDER'S USE ONLYWNER
- — sloe DATS /7 M
e.m la Wy
Ooc M 2017202348,OR BK 18105 Page i 1 i, fDwal.5 M a.has penonelly eppamad
Numberd 0&22 nt •'j>,nel am ernm,st atell..Marrsenaaecl.,.xo6.hereu�I T-ft
Recorded Fussell
ER CIRCUIT
w.and <onm
Ronnie Fussell CLERK CIRCUIT COURT DUVAL D
COUNTY
RECORDING$10.00 1
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