599 Sturdivant Ave re-roof permit i'f�.LyrJv
J
CITY OF ATLANTIC BEACH
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800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
;3 �? INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0118
Description: RE ROOF SHINGLES
Estimated Value: 5560
Issue Date: 10/16/2017
Expiration Date: 4/14/2018
PROPERTY ADDRESS:
Address: 599 STURDIVANT AVE
RE Number: 170636 0210
PROPERTY OWNER:
Name: WILBY JAMES R
Address: 1015 ATLANTIC BLVD 101
ATLANTIC BEACH, FL 32233-3313
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ROMANO BROTHERS ROOFING, INC
Address: 155 LEVY RD
ATLANTIC BEACH, FL 32233
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$7,500.
Oct 11 17 01:28p Romano 9042464810 p.1
r� Building Permit Application Updated 515117
= City of Atlantic Beach
800 Seminole Road,Atlantic Beach, Fl. 32233
Phone: {904} 247-5826 Fax: (904) 24 -5845
Job Address: � L)r f,f�.L � R —"' `�( �— O '
Permit Number:
Legal Description IIS - I - 5—a� SCL14 ( &C Lv4 �RE# �.0 C) l2 u_, `,c
IU
Valuation of Work(Replacement Cost)$ JcZfs t Heated/Goofed SF Non-Hea#ed/Cooled
e Gass of Work(Circle one): New Addi o�Aepair iVlZe
I Window/Door
a Use of existing/proposed structure(s)(Circle one): Commercial ide tial
V If an existing structure,is afire sprinkler system tnstalied?(Circle one): Yes No N/A
. a Tree Removal Permit Application if any trees are to be removed o Affidavit of No Tree Removal
scribe in detail he type of work to be performed:
1 10 It
J !-{I'v
.Ds
Florida Product Approval# I r multiple products use product approval form
Pro ert Ow Infor ation
Name: r 1 Address: J i T fVC
City Stat zip Ph on e.q CliL'
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agen y Letter Required)
Contractor Informs -Qn ~�
� r
Name ofCompany:mit, i�_, •�, ;,C, Qualifgen
�ingA
Address.) e ) �-`_ti'l y' �, City 17 State 1-1 Zip
Office Phone I Job Site/Contact Number! I-")11.*L4
Stare Certification/Registration# ~+ ''L� 1''<A�_`�'•"j ,- >}Y = l,': �= }^
Architect Name& Phone#
Engineer's Name&Phone
'At Workers Compensation - .t T.~ I
Exempt Insure lease Employees/Exp ration D to
Application is hereby made to obtain a permit to do the work—and as ind cated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to rheet 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
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 TOY UR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR N ATTORNEY BEFOR
RECO ING YOUR NOTICE OF COMMENCEMENT.
ZIA 4 4-14 Zl!�� - )
(Signature o Owner orAgent) Ig Contractor}
(including contractor)
S'gned s n c;a me ore me th s day of ed a d sw n o or a ed) before m is day of
Zap �l,by a n+
n
(Signature of Notary) =�;,f My CO&SIO �bClery)
ar e
' �� EXP+RES JWy 2�Q0�3216
V
% AMBER
L HICKS F+�r+ca,v
.i. MY COKIMISSION _FF 3321 Servic c
Pe son? bb RES July 2,20i ' I Personally Know OR
) i nri Nora servic .c m [ 1 Producedldentifr ation
v of frinntiff ,*,�.�- n �.,
Oct 11 17 01:28p Romano 9042464810 p.2
NO'T'ICE OF Ct�MmR-
Perm"
Siete 0, Tax Folio No. >
County of.
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 infornkatlon is stated in this NOTICE OF
COMMENCEMENT.
LeoAi de riFtien of prop , b ing i roved:
r C
Address o►property being improv
Genere description of improvement :
O::hart
drAss
G::ner s:merest;n site of the irprovement
Fee Simple Titleholder Mother than m nevi
A.prne :�
Addrass
t .
Contra .1 1:1 ;r'11 " r..
?.ddress
Phone No C? Fax Na.
Sure (if anyi
Address
?hone No. _Amoul it of bond 5
Fax No.
Name and address of any person matting a loan for:he censtruciion o`the improvements.
Name
Address
Phone No_
Fax No.
Name of person :-ithin the State of Florida.other than himself,designated by ot•. er upon hom notices or other
cocuments may be served:
Nar'ie +
Address
Phone Na.
Fax NO. �
In addition to himseit.a.;•nerdesignates ttie foiic.ving person to r caive a spy of the Lienor's NotIce as providee in
Section 713.06(2)(b).Florida Statutes.(Fill`n at O; so M "h
Nzms a •� �g
Address m n i
�,
?hone No. 7`oFax No. '� z
A N �
Expiration date of Notice of Commencement;the expiration date is one I1 J year fr m the date of recording unless a 3
d7fferent date is specified):
THIS SPACE FOR RECORDEP.'S U5E ONLY. °f
OWNER
ER
i
Doc#2017,21019199,CR 6K 18117 Page 903, � _ _� aa?cr 1
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Number Pages:1 - Co uva Stara o:=lorid has er onatty �a ed nIlUUU1
Recorded Call 5201 1 at 11:08 AM, - himself el`-,nataistathsr� �{'t ty�
Ronnie Fussell CLERK CIRCUIT COURT DUVAL art_ and ,^artSsa d_Cs:aS� sheratn
COUNT`! =nda ace rat
RECORDING 510.00 /
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