599 Clippership Ln shingle re-roof permit rj�-1rYr�v�
CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
r46M 9' INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0141
Description: RE ROOF SHINGLES
Estimated Value: 7800
Issue Date: 10/23/2017
Expiration Date: 4/21/2018
PROPERTY ADDRESS:
Address: 599 CLIPPERSHIP LN
RE Number: 170703 0214
PROPERTY OWNER:
Name: HASTEDE WILLIAM A ET AL
Address: 599 CLIPPER SHIP LN
ATLANTIC BEACH, FL 32233-4112
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$7,500.
Oct 16 17 01:09p Romano 9042464810 p.1
f
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
211, 800 Seminole Road,Atlantic Beach FL 32233
Office: (904)247-5826 • Fax:f904)247-5845 , _ I
Job Address: 9$ C
^ Permit Number:
Legal Description .ZS-6+/ ---)5 _Z4 ;r Sic lol-7 Air
1'7
Valuation of Work(Replacement Cost)$ '7 '"►� a+� Heated/Cooled SF
Non-Heated/Cooled
° Class of Work(Cir(!le one): New Addition Alteration Repair n P Demo Fool WindowiDoor
Use of existing/proposed structure(s) (Circle one): Commercial Res'
• If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No ,
Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
[Dcscribeini detail the type of work to be performed:
Florida Product Approval i# /u 1�LJ, �
for multiple products use product approval farm
PrOPertv Owner Information J o s e-
p h
S��
Came: 'G C +6>bCr Z Address: Sj i t e
�' 1 State r/ Zip� -phone
E-Mail
Owner Or Agent (if Ageot,PowerofAttorney orAgency LetterRequined
/� i.7 TTi� �- i t^• J f-njJ FAILURE-
-r V R-_,^jZ, nm�
_♦E.,rI �V yo-,
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T.An\r �1N Nl. l\7!" r T---T T rT� T -,.r
1 l�t . 0tJ1Z 1�1t'vT 'rCT�_. iF YOU �'"�
T-;t^r �.f v..;U ��, ��`:�Lti ,_lei _ _CUP ��l�ilJJP ^•' i A-� X11;�
-�L..l:i�' ly LT x :1 ri =TLl t 1t' E �J'F�.��L_ifrr—_ ~r l r :TT \ vl�. e�il`ti
Contractor Fiuformafibn: 1�
Name of CompaAy-'—1�,, z• 1� "-- 4 1l -
r-- Quali n A ent:
Address: } _ Zr
g g - � : c ,
Cit
Office Phone ,t t - r 1- G' Y-=L-State Zip
J 'ob Site/Contact Number
State Certific 'on/Registration# '�.� t'_i� ( =� E-Mail
Architect Name &Phone#
Engineer's Name &Phone#
Worker's Compensation �_;� �' 1L1�, ,
` i .- �. -'�_` 1~� xempt / surer' ease Mp oyees puahon stet
c. - �..:� , f: ti, 1i
flpplication is hereby mad obtain ans
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p_rlor to the issuance of a en t and that all work will be perforn d tol nateec the standards of all l�s regulating corTstl-Lbat no Work-or inion in tl i rinsictlra
77&permlt becomes nu and Id if work is not commended tivitilin sir f6 months, or if constnrction or Tvark is suspended or abandoned for a
pperiod o//'six(tf nionths t any tr e after work is commenced l aindeistalyd that separate pelrnifs must be secured for Electrical Work,Plumbing,
Signs, i3`ells,�ools,Fi iTaces, filers,Heater T s Id it CoTlditlorlers,etG
Signature of Property Own Signature of Contractor: !
Bef me
this Da -1 Before mrblic.-Z
t � Day of f '1
Notary ublie: � Notary P
BERHICKS
I her•cblp cc1 tiff- aY:. tec gpyjtr�� ads t plictlt on crud
OI7lllll?STC.. �Ql'C Ri cs r t ltG'C,ilCi' {J( J lI pi171 'fU1TS oflaws C1iTC!
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t7t'.%OIJiICiiTCL'U/r �i74a1��°•,ptjii. dondedthrou,hNaIJWUI loxyA%Sn _ i7Sli'11G[U77 p;';be
•-'.�,, ,fir• �Y��'•ErRires1u111,1021
Oct 1617 01:09p Romano 9042464810 p.2
NOTICE OF COMMENCEMENT
(PREPARE IN DL'PLICA T Et
Permit Tax Folio No. I 1 7 — Q ] �,
State of County of
To whom it may concern:
The undersigned hereby informs you that improvements will he 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. c/
Legal description of property being improved:
!-4- 7 2,&
Address of property being improved:
General description of improvemen-s:
i
�-} Owner r C k tr
Address (f I.,gaer go�
&:vner's interest in site of the improvement
Fee leholder(if other than owner)
. Name
Address
r
Contr
Address
� Phone No. Fax No.
Surety(ifany)
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
Phone No. Fax No.
Name of person within the State of Florida.other than himself,designated by avner upon whom notices or other 16
a W` s
Z
documents maybe served:
Name ¢ ��
Address
Phone No, Fax No.
In addition to himself.owner designates the fallo-ring person to receive a copy of the Lienor's No-ice as provided in
FA
`$
Section.713.06(2)(b),Florida Statutes.(Fill in at Owner's option). _
Name
r
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expi cn date is one(1)year from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE O Y yy
Signe , DATE
' 3ef rem day of T`—in th—s
=o J vzJ„ e Fl a, p ally a r�
horein by
D #20172353T>,OR BK 18151 Pay 934, himse fi r a s, to e s n car ns herein
are urge
Number Pages: 1
Recorded 1 Di 132017 10:54 AM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL r -
COUNTY
RECORDING $10.00 ary ublicatLargasta Ceurityot;
bty comm ssion exp.res: