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600 STURDIVANT AVE - ROOF J SA CITY OF ATLANTIC BEACH r ? 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 '%0;3 9%' INSPECTION PHONE LINE 247-5814 REROOF SHINGLE - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RERF17-0212 Description: 600 &602 MODIFIED ROOF Estimated Value: 8400 Issue Date: 12/13/2017 Expiration Date: 6/11/2018 PROPERTY ADDRESS: Address: 600 STURDIVANT AVE RE Number: 170669 0050 PROPERTY OWNER: Name: ELIZABETH CURTIS Address: 111 CHERRY ST NEPTUNE BEACH, FL 32266 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: ROMANO BROTHERS ROOFING, INC Address: 155 E. Levy Road QA DANIEL JOSEPH ROMANO 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. 51-ark. City of Atlantic Beach APPLICATION NUMBER J� Building Department (To be assigned by the Building Department.) 800 Seminole Road RE.f.F t `7 — 0Z l Z ,� •- _� Atlantic Beach, Florida 32233-5445 LJ Phone(904)247-5826 • Fax(904)247-5845 os3 gi' E-mail: building-dept@coab.us Date routed: I — City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 600 S -0 (Lb1V FST Department review required Yes No wilding i Applicant: RC)Al P1/4ILD© �p(RELe.& Planning &Zoning ^ Tree Administrator Project: _ ' W \ Q7 £T 1-< Q Q F t N-DG\ Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By 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: APPLICATION STATUS Reviewing Department First Review: [ 'proved. ❑Denied. [Not applicable (Circle one.) Comments: /1/6 6........_ ILDIN PLANNING &ZONING Reviewed by: 1" ' ' Date:/21 2-i 7 TREE ADMIN. Second Review: Approved as revised. ❑Denied. Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 OFFICE COPY NV',ty Building Permit Application Updated 5/5/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach, FL 32233 4' ' Phone: (904) 247-5826 Fax: (904) 247-5845 Job Address: C,C�O -- O S±Ur II) ve. -i- A Pi 33 3 Permit Number: IR C RF 1 7vz Legal Description io-$ 21- -2.4 E j f c-,f Scc,I /6? )25 c Y Id1-77? RE# ]'SLG S'_("rfs-0 Valuation of Work(Replacement Cost)$ -,,./c7O.O,I Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial Residential • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A • 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: g,_1:1,00 P I jc),.0 icc.0 1 ‘J-cJ,,t, Re ,c, ,hen't' Florida Product Approval# 5G SP() a 1 GA c 4 rc(-/ ciau,. for multiple products use product approval form Property Owner Infoat:on ,J/ l Name: ,p6.1 Fi I�)—(16 e.• . �1/". 1 dress: III CLet�y s�4i/� / City t4tel Zip Phone Z7 6 -/90 E-Mail 'r4 4-v ' i', `1 AA C-A77' ici- °i , ./lve4 Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Name of Company: kr)ncA r, b214 6 R ,f^n� In) qualifying Agent: Address �-7 S S F /• .A.17/ Svc-1- E City Alle•Ar•c. b„./1./ State F( Zip 312 y 3 Office Phone ).(./C. 5 ,c4' Job Site/Contact Number coy -G(C -c/7 C. State Certification/Registration# (3)551 '.3 E-Mail Ro, ),oto Nit('S Roo C.n j C3 C;..i I ,c-. Architect Name&Phone# Engineer's Name&Phone#n ++ '' it v Workers Compensatioi UL Lt c y ae r-\ Lk) 3161:). l,x9_ b • c c - 6' ( Cj Exempt/Insurer/Lease Employees/Expiration Date 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 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 FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.;;:4' ----4V (Signature of Owner or Agent) Signature of Contractor) (including contractor) ned and.cworn to irme4before me this it day of '.ned and sworn to(or a 1 •-d)before met is ` day of t. �, • - IVA+ --Is 1-) , •y_( a C _ a I ti 0�•� —.�. r A '—C— `3f — — — — . nature of Notary) �r /�Ct•r•bi •!ti 1 �- I :''d;;riY,.,, .r:ERHICKS ( I ?i �i� •' 1' �,' Notary Public-State of Florida I I :•• t�' Y Commission N GG 129180 I `•: ��:r•- Commission M GG 129180 +�.+,we; My Comm.Expires Jul 27,2021 ,o I'', , I handed ttuou h Sal anal Salar Assn. � ':•; ; � ,:,� My Comm.Expires Jul 27,2021 9 y [']1eesona111yM01liUtyNAi°,'iNorarynssn. Personally Known OR AP- ro uce dent) Ica Ion [/]'Produced Identification Type of Identification: [ Type of Identification: NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit ,. Tax Folio No. / JCI t‘6 — r)o`5 0 State of t—I 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 information Is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: )O '- ( — 5 — )-5 F 'cam I .4G i Q 6-CL i" 1(,) 4` -7 7 e2J e I/2 int -2-2% Address of property being improved: 6r..)- Cal S 4-O r 1.11,14+ A' . - - 4+i6.n4.t 6,/,../..# 1 3.2.1.-53 General description of improvements: f. it1Q 41 r)-1-4k Owner t",„t J C�,5 1 t 2t,ijc.-f- 1-1 3 Address ill c LI<rr,) :54- fLk_P-"-U/1C- 1-2),G.c_LM 0-1 3.2a66 -Lia Owner's interest in site of the improvement Fee e - .leholder(if other than owner) Name Address (53 Cont/• res:- , "� 1 tin ak• M ` r\I Address 01l _ f ,N;Q4._ Phone No. I 1 .- Fax No. i Surety(if any) • Address Amount of bond$ 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 owner upon whom notices or other 0 J R documents may be served: - . Name v L. -.2, z 3 u y Address - =Z E e S Phone No. ' Fax No. , c ts V V _ designates the followingr Y In addition to himself,owner 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 ~• O"'Y `� 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 '� NER Doc#2017283858,OR BK 18217 Page 779, \� Si•• DATE g ••e this day of i _ _ ,. ar in the Number Pages: 1 • ,, • Du,:I -tate otiFl•rida.h. •erson. yappeared (^� Recorded 12/12/2017 10:31 AM, % `L' ...11, `{-. herein by p) i-1 RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL himself/herself and affirms that all ste em=_nts and declarations herein 6 . COUNTY are true and- curate RECORDING $10.00 r . ,, I . Notary Public at Large.State of . County of "d"1: f` My commission expires: 1 ` Personally Kno.'n � or Produced Identification