632 MAIN ST - ROOF (--
'101' .ts‘ CITY OF ATLANTIC BEACH
a 800 SEMINOLE ROAD
z ATLANTIC BEACH, FL 32233
r-.0;tis INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0111
Description: RE ROOF SHINGLE
Estimated Value: 6900
Issue Date: 10/5/2017
Expiration Date: 4/3/2018
PROPERTY ADDRESS:
Address: 632 MAIN ST
RE Number: 170915 1000
PROPERTY OWNER:
Name: CHIMUMENTO MATTHEW
Address: 632 MAIN ST
ATLANTIC BEACH, FL 32233-2532
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$7,500.
Oct 0517 09:49a Romano 9042464810 p.1
• �S"'L,JI'•� Building Permit Application
jUpdated 5/5f17
-,
City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
i,•1Phone:(904) 247-5826 Fax: (904)247-5845
Job Address: 'Cr,„-t.: \\.....A Q p Permit Nu ber:
Legal De ti i c M t- - Cl F .t ri C LO— %'r Lt RE# l r"1 ) - I C0.J
t73-
Valuation of Work(Replacement Cost)$ LA,el C)e) Heated/Cooled SF Q LI Non-Heated/Cooled
• Class of Work(Circle one): New Addition j Repair Movee Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial esidentiO
o If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
• Submit a Tree Removal Permit A.ppitcatlo - any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to ge performed: {
,i-A.e e Y — zi'11r\nle,
Florida Product Approval Y afor multiple products use product approval form
Prop-rty Own: lnformatio
Nam 4Il ;,.A '{ L%Yi,l�,y---�, Addr- s: LA
City ..�,� rak ..• State\ Zip ......_714110116Phone .111221.WZiUM
E-Mail
Owner or Agent(if Agent, Power of Attorney or Ageism.y Letter Required)
Contractor Informs 'pn '�`' ~�� �
- r
Name of Company ,s,..40.a:�.i� 1 `,41.-:,,,,,,-:, �I;r 1-, r c. I
,=^_,_ , � Qualify�gAgent:_. �t�.. ,1•i'_1 ,f)}.-1 �' ^!>
Address 9 ._11�? _ 81_',,_�-"t r' . J City_I_M ) Stated( .. Zip ;..)'�j "?.
' Office Phone{(W 1 ! r).t� . i_ (% (r ``.L)
., _ ?( T �_ -t Job Site/Contact Number( �.. �.�' ,� ):,"ti •(..{'' �."j ,.
State Certification/Registration#!(',1''C'..l`°'�:)1,?-,t•_ i'a E-Mail([.:A....t'_; ,.--4:::- ' ci:=,1,`r-.i=•(c{. :14 ,1'y. @i t_t Qj 1. t[A-
'Architect Name& Phone# 1 r j
Engineer's Name& Phone, .1. -\ IOC ' b- DO- ��B bt Q ,�. ) _-3}-
Workers om ens Tf l-i._, �_{�
Exempt insure lease Employees/Expiration D to
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
RESULTIN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
REORDING Y• .R NOTICE OF COMMENCEMENT.
T1
...=------
(Sign atur f Owner off• (Signature of Contractor)
(including contractor)
•gThd a . sworn to (or affir •:•)Jbef+ •. e this ,day of Signen sworn to(or affir :• before Sne this day of
. -:,�rp,, AMER H.CXS
`�i" .•- _ Notary Pubfik-SIa0uiFk rdj i , ,; j -
�.}."w"' -,�Si natureA�''•_ . . ommission••r / {r otary) _
Ay Commbpi,-.
�-
••••.:::,;. :•-'. Bondedthroughh'atKOOnt,:ryA5ta Notary Pubiir_StateolRoid-
;.s WComTtiswon i GG 129180
.No °' My Comm.Expires Jut 22,2a2I
[ j Personally Known OR '"" !iDrd�th ro'�h Nations N.:Cry Assn,
[r]Personally Known 0
1 1 Produced Identificatiort•--- f i D.-.-1,.- .-i ra�...:::..,.;,...
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE) I �(�(
Permit Tax olio o. 1v q ) - I 1...J��_
State of County of Cts
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.
tl d ri tiop•ofprope bei i , y eTh •. -Q a el
iii
Address of property being improve.' _ __ C1.4 "
General description of improvements - ° I Oa'
-4,1 1 Owner LA III
`
Address t _ mingramrimothm
Owner's interest in site of the improvement
Fee .• - = 'leholder(if other than owner) .......m......_Name
Address AIIIIIIIMEI�� N'�
Contr.�i7I' '�9'1Zr G'e rA v1� 1
6)>,---•
Address , � f "
y Phone No. le . AR . 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. 1.:? .'44'°
f-4*,.-}11
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other 5
documents may be served:
Name §'o
3�
Address ,,s m.- 0
.- a OD
-a ' ,
Phone No. Fax No. �• ,_
designates the followings �,N
In addition to himself,owner
person to receive a copy of the Lienor's Notice as provided in a 8$Q
Section 713.06(2)(b).Florida Statutes.(Fill in at Owner's option). s" PV a
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording ess a
different date is specified):
THIS SPACE FOR RECORDER'S USE O Y OWNS:
Sig I I�� / DATE I D• d'- l 1
o •this -7, 7 in the
Doc#2017228611,OR BK 18142 Palitg a 399, 't u .2 ate of Florida. rsonally a•peared
Number Pages: 1 _-.-......t. �. _ •libherein bye
nt.
himself;- self and a, r• that all . -meets- d•- larations herein
Recorded 10/052017,' at 10:21 AM, ar- a and accurate
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00
v., SII .�-_
Not-• -ubli at Large.State of -_ - Cou of Jj.
• •commission expires:
Personally Known " or
Produced Identification