260 Camelia St RERF17-0151 shingle re-roof permit •j yL`l�
„y IS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
�r
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: RERF17-0151
Description: re-roof- FL5680.1 & FL5211.3R3
Estimated Value: 18643
Issue Date: 10/25/2017
Expiration Date: 4/23/2018
PROPERTY ADDRESS:
Address: 260 CAMELIA ST
RE Number: 170865 0000
PROPERTY OWNER:
Name: NEAL JOYCE J
Address: 260 CAMELIA ST
ATLANTIC BEACH, FL 32233-2515
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$7,500.
Oct 20 17 09:24a Romano 9042464810 p.1
�j t,'��`�•rlV
BUILDING PERMIT APPLICATION- - - - - - .
1J
CITY OF ATLANTIC BEACH
l
r.,19' 800 Seminole Road,Atlantic Beach FL 32233
Office:(904)247-5826 - Fax:(904)247-5845
Job Address: C ` s
o Permit Number.
Legal Description__ I`,,, �# 170
oc
Valuation of Work(Replacement Cost)$ °
I 043 Heate&Cooled SF Non-Heated/Cooled
Class of Work(Circle one): New Addition Alteration Repair
Use of existing/proposed stmeture(s) (Circle one): CommercialCllMqy-inhesal o Pool Window/Door
If an existing structure, is a fire sprinkler system installed?(Circle one): es No C NIA ,
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:
Florida Product Approval# I -- -
for multiple products use product approval form
Pro a Owner Information
Name: )C.a�
city (a
Address: C-br"JI B �41
•
State l Zip
E-Mail
„ aPhane j –
Owner or Agent (If Agent,Power of Attorney or Agency Letter Required
RE TO 1� iv,y�-.I71 .�% �ii,-.',_,,1�L
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` ^l_P i A i^ _-1 Ittiz�l'�I l.11�T(J_ !'!,"'�l^7U LTLT �;/j^'�3 :T,n'1=r`�i J t^^OUR PROP.��"R'l i _F Y_L.I�J a!TTL'i�•I y�
ur1 r.-��r�. � �;� = T n T V T Tyr x ,✓rC:T
YOUR �� I✓ Vi_i v•� '�!t .i2� �iJ'I .t ��
Contractor InforJlnan; i
Name of Compamr—l'
Address: f I Qualifying Agent: ' -
r
Office Phone .t ~" � C G,. t City State Zip
Job Site/Contact Number `–`State ---
Cerdfic on/Registration# 'L� a t>_ • E-Mail
Architect Name&Phone #
Engineer's Name &Phone#
Worker's Compensation t_: ```C. 1 lk , , 11
c� �. - _, c• xempt nsure a Employees prrahon ate �. _
Application is hereby made to brain a permit to do fire work and i»stallatrons ars indicotetl Irerltfjr7/lat no Werk or it stallation has conlelrced
ppnor to the issuance of a pehnit and that all work will be perfo►7rred to meet the standards ojall laws regulating const trction in this jut isdience >
7Ycispermit becarnes mill and void rf ivotk is not commenced within six(6 nrolrtlrs, or if corstl:rction or xo
period ofs&(6)months ttt any time after work is connlreneed 1 rinclerstand tlrgt sepalrrle pernrits must be cured 1�tr'eal work,Plutnbor a
isrg,
Srgns, ells, ools,Firriraces,Boilers,Heaters, Tanks and Air Corrditlorrers,etc
Signature of Property Over: r -
7TDay
Signature of Contractor:',.rthi .• ` Before me s Day of .
Not ublic: 1 �r
Not Public—_�/
-
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OCT AWfR1Lu dslon cw( noir the SCiire to be true I 1 16
01-d rr:rrrces gavelling thi.v tl�Ji' l ii1t � .., t = l r71" S ml
3t, rmibyal talet�Fl�tda-h ter specified herein or�i t: x, ary - 1 �S #1 les or
91'rSIrrne to give authoril,to vl !! :Cel a..
1. _ t t4i�t�rssis�ru�t�i"nrr other federal, state. ort 4rrl(d rrl 2Tr�i°i 'rc
7eTj01'17rlli1CCUfCJ:r;f1'1rC1f01:. ;��n;�"r4u1, My�pmm.ExpiresJul27,2021 ��� ��,
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE) tt-�� (
Permit Tax Folio No. V�e omo
State of County of V-e
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. Q j�
Legal description of property being improved: 1% , L(�
Address of property being improved: ,?(() C&t���
- _F1 'Zola 33 _
General description of improvements: R-9
r) *4 A
Owner v
Ad(e . � e , h - . �r BcG, 3;;)
O,mner s interest in site of the improvement
Fee leholder(if other than owner)
Name
r Address
Contr o t 1_ {�
Address V, 41
i
Phone No. Fax No.
• Surety(if any)
Address Amount of bond S
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
Address
e
Phone No. Fax No. $r
_ r
o ry _z
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other
documents may be served: m.=.`o Q
Name a a'E E o
> E o v
O
Address a a
z �
Phone No. Fax No.
In addition to himself,owner designates the following person to receive a copy of the Lienor's 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(the expiration date is one(1)year from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE 0 Y &2::Z/d.2t
SigDATE
Doc#2017242521,OR BK 18160 Page 946, B fore me t�� d y in the
Number Pages: 1 unty cl uval.Sfate of Flo' hasp rsonally appeared
Recorded 10/23/2017 02:48 PM, herein by )
RONNIEFUSSELLCLERKCIRCUITCOURTDUVAL hims a ell daffirmsthatallstate an and declarations herein
a n e and accurate
COUNTY
RECORDING $10.00
,kidlary PLIblic at Large.Stat of C unty f
My commission expires:
Peersonally Kno::n or
Produced Identification