410 MAKO DR - ROOF CITY OF ATLANTIC BEACH
• 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: RERF17-0162
Description: SHINGLE ROOF
Estimated Value: 7600
Issue Date: 10/31/2017
Expiration Date: 4/29/2018
PROPERTY ADDRESS:
Address: 410 MAKO DR
RE Number: 171471 0000
PROPERTY OWNER:
Name: POWELL ANASTACIA M
Address: 410 MAKO DR
ATLANTIC BEACH, FL 32233-3906
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$7,500.
/
s; BUILDING PERMIT APPLICATION- - - .- _ - - -
+j '' ' CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
) .
�-a"t,r Office:(904)247-5826 • Fax:(904)247-5845
RCRr- 17-RF
Job Address: 4 CW_ A CIAL0 `
�� ,, `� � 3 ) Permit Number:
gal'..c-n
9r' A O4-4
I� t 41144 4M 1—'1 llh_1 - ft )
Valuation of Work(Replacement Cost)$ t� O Heated/Cooled SF i 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_ etail the type' of work to be performed:
.1•-.e arc x.>1(— a ''''' ,orC..i,,cio
Florida Product Approval# ' TI..�L*I `-k1 Y) for multiple producti use product approval form
Pro.e ,. Owner Inforiimti 1-%5-1.c4f +`� J� C
`�
Name: k
ej, Q ±-61 ,-)..et(
Address: Li l u 1t1�(� ( V
City Statel , Zi hone D1 rij - g _ ( it
' E-Mail
Owner or Agent (If Agent,Power of Attorney or Agency Letter Required)
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 ATI*r Y BEFORE
RECORDING YOUR NOTICE OF CO i- .EMENT. .
Contractor l i formati+n:
Name of Compap -' , r _ ---_.me, " t • , Quali ng Agegt:\ r) , ( '
I, i , t
Address: I .} `'� F ,-t 1.� • •
-i City State Zip71G;)::),--1�
Office Phone sLOQ� Lr - C G> Job Site/Contact Number
State Certific 'on/Registration#Ct. ` .) _t,"-C- E-Mail
Architect Name &Phone#
Engineer's Name &Phone#
Worker's Compensation L.01 �� `Li ) ' 4 , = ,
t-' I L Exempt / lnsur� ( _)
�C `a� C' _�_-j, p Lease mployees piratron ate L v �Q` l
Application is hereby made to obtain a permit to do the work and installations as-indicated--I-certify7hat 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 laws regulating construction in this jurisdiction.
is permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suss ended or abandoned or a
period of six(6)months at any time after work is commencer. I understand that separate permits must be secured for - • ruc' Work,Plumbing,
Signs, Wells,Pools,Furnaces,Boilers,Heaters, Tanks and Air Conditioners,etc.
Signature of Property wner: Orn cla lA,iGCe jvt • f . J eL.< Signature of Contractor: M
Befor me -
this ay of 1 c)0 1 Th Before me thi . Day o ` — e C)
—♦ —,... — .•
r'" qi
m AMBER HI KS
Notary P'blit: r ` ` . d . 1 - .� No ubhc r. ..:`,'
( ' War'pick at of Florida
A= Commission k GG 129180
1 , ,,,,' �s.P'•., AMBERHICKS '�r� ;� �� My Comm.Expires Jul 2/,2021
I hereby cert]that I ha e-lik'iv:c',a rj Ictl t _ Citi t and know the same to be true alu .oi'r�c f 1!1 i Okriv94f rt tt?Iffectivul
ordinances governing di i � ;Igor/cConitthsfi�n IA@ 1;' whether specified herein or not. ISR o,rr r,b►v}R c�„t�t nt a mr
presume to give autltorii 14'i ,/^t oflyrarr ,Ezpyes}yy t2 o :.. of any other;federal, state, or local law regulating construction or the
petformanceofconstrucil0:,,.°FF:'�' Bonded through National Nni.:ry1•..n.
Rev.3/14/16
NOTICE OF COMMENCEMENT
(PREP-ARE IN DUPLICATE:
Permit R« _ Tax Folio-M57---LM, % l `b'uv
State of t County of 1�1f O .
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== ription of p ..tio being improved.:6\ _ 1'' 1�'riles] •e�Gy1,%.) (.---)\- 1 .
Address of property being improved: 1-1 lb \1\....A Q/11....t �
General description of improvements: tCCy4-
4‘1 n-l-` Owner Anii,4.177,44A Pou , I I g
Address G-r 0 go' 6�-4-� 1).6,- ti.--1(ri✓tfi •' �J I�J✓5 IC 2 '`
• Owner's interest in site of the improvement
Fee ' • : '`leholder(if other than owner)
Name .
Address -
r
1--- Contr-40,' -.-)k-- ' N.7) . .*1 Ilt.3 .4° -Q
Address . +� e1L - ��}' , - 1
Phone No. ) -.44 t., •ar q Fax No.
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
documents may be served: e
NameJI a�
•
Address u
Phone No. • Fax No.
,,ii a
.a
Oir a r
6aE c
• In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in �.E o z
`s V U -:oa
Section 713.06(2)(b).Florida Statutes.(Fill in at Owner's option). 2 o
Name
Address -tri. so�o;-
- q o=
Phone No. Fax No. \;c .=
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 OY t OWNER
/�
Slgned:t,,1/}�/��e11X at flaw ceK DATE
Before me this day of in the
County of Duval.State of rida,has ersonally appeared
r o11-•�
A�'.'y�� tit Aa i herein by i n t
Doc?f 2017248281,OR BK R�R� Page 2470, hirh<=IG i� r__ and ttfir hat a11"sh monis and declarations herein l -
�8281, 1816, are true and accurate
Number Pages: 1
Recorded 10/31/2017 02:10 PM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00 Notar tliiha arca. ate of — I -.. County ol �_S,I
commission expires:
Personally Known -a_—) • or
Produced Identification