41 W 2ND ST - ROOF („,_
is CITY OF ATLANTIC BEACH
a tiiit
> 800 SEMINOLE ROAD
vATLANTIC BEACH, FL 32233
;3>>� INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0222
Description: SHINGLE ROOF
Estimated Value: 13000
Issue Date: 12/15/2017
Expiration Date: 6/13/2018
PROPERTY ADDRESS:
Address: 41 W 2ND ST
RE Number: 170732 0000
PROPERTY OWNER:
Name: CERQUEIRA ATILLO
Address: 36 W 6TH ST
ATLANTIC BEACH, FL 32233
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$7,500.
/ .
S�yt BUILDING PERMIT APPLICATION
Pa M1' CITY OF ATLANTIC BEACH
u
/ 800 Seminole Road,Atlantic Beach FL 32233
��JP}J'/"
Office:(904)247-5826 • Fax:(904)247-5845
Job Address: l I U.) , ,J ,D- ,, _' Permit Number: •
Le'-,
Legal Description VC>-r S ti 5 t 1 LD4 L (�1 'ThO-1-- - -c�)
Valuation of Work(Replacement Cost)$ `"3DX ) Heated/Cooled SF < Non-Heated/Cooled
• Class of Work(Circle one): New Addition ( AlterationRe air Move-p 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
D ribe in detail the type of work to be performed:
(t C-7 RS. 30 i C (L'1 S a e Solo 1 c Li 4 Z5'3 s-
Florida Product Approval ,'L ( DI 3 t I 'L5 for multiple products use product approval form
Property Owner Information
CLit S
Name: l�j �,( q V P �( (` Address:
City V \ I State• Zip��� Phone eipl� . 33l •,. (0)
E-Mail
Owner or Agent or 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 ATT. " . Y BEFORE
RECORDING YOUR NOTICE OF C EMENT.
Contractor Informat].+n:
Name of Comps• ;. e _ • �,tt, b� Qual
i ng Agagt: n 14'
t"'. c/1 La'
Address: I . p ' ' IF f City 1 State Zip
Office Phone 1-4- (J 1,. – Job Site/Contact Number
State Certific 'on/Registration#( t_1 4 -Li E-Mail
Architect Name &Phone#
Engineer's Name &Phone#
Worker's Compensation l t_ a. 1LIRIUM .� , _
Oa q 1)- DU -E3 )U -Lt xempt nsu e mp oyees''- puahon sate v,, IQ �I
Application is hereby made to obtain a permit to do the work and installations as indicate: I-certif that no work or installation has commen cl
ed
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.
This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is sus.ended or abandoned IF a
period ofsix(6)months at any time after work is commenced. I understand that separate permits must be secure • lectrical Work,Plumbing,
Signs, Wells,Pools,Furnaces,Boilers,Heat' Tanks and Air Conditioners,etc.
Signature o •ro. -. Owner: I�Z,. ,, , ignature of Contractor: -
Befo e me '' ,/�
this-/ D. • of • C Before me Day of. 40
No . Public: _ 41. l a • / .� N. Public: . . -�. .,-.
tullsylflar.�_
- ,.R HICKS
•'..... "'',, AMBER HICKS =''s� •'f .. .iom
- 4C4). ,, t abbe-Stdtcof Florida
• •
I herd)! i that I•,,',17.t..: ,ly al1W9 tairfi at�rJ ri ippl/vation and know the sante to be trite . e ` . ;d,{s' •lbtr ; rlaitr.s rrl
ordinances over ni s TT, o ldbs,,,,frGh&gi®Oi li with whether specified herein or t.t L"sf.:m ' ' ,'• P
-� f }ttos of
presume to give ant tr; •:���!t�,nTcr.�1��V1E�lupli'e2Ol,�otrs of any otlrefecleral, state, or 1, -� `r''ii` t',;;qaf►� ;• jt,
petfortnance of con •': , : NehRedHiaugtiNation alNal dryAssn. 0
Rev.3/14/16
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Nc- t 9 l I �
Folio — I ac
State of ` County of;I _..);,,)\/1C' }
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.• I des •• n of property being improved:+` U - f ( m `t_S -aci r �"* ,
Ad ess fpro being improved: i u-.) • S4-
General description of improvements: _jr ' .
Owner 1 \ k►_) (‘ rrcf
Address t L \J. �
Owners interest in site of the improvement
Fee Simple Titleholder(if other than owner)
-
me :,. \
Addres c
Contra . • rtl�:1f_+',°'ii)
,-,11i� . - �t�+/`- j f1 C.
Address 'Sd`i • � � � � �
Phone N ' \ LLL n•< x �'' 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
• 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:
Name
Address
Phone No. Fax No.
o�.,
In addition to himself.owner designates the following person to receive a copy of the Lienors Notice as provided in ,o"^' 2
Section 713.06(2)(b).Florida Statutes.(Fill in at Owners option). "�".
Name m =o w z
E E a
Address > E
Phone No_ Fax No. z L'-
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 ONLYOWNER `_
Doc#2017286944,OR BK 18220 Page 2429, •.. signed: / /' 611DATEi111 . )[7
Number Pages:1 Before me this day of in ha
Recorded 12/15/2017 1 1:13 AM, - Count;o' ural to of Flo' as personally appeared •
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL )t�d %emensan reinherr.l -�j 1� -
himsel6'herself and affi s that all temants and declarations herein
COUNTY _ rue nd accurate_
RECORDING $10.00
i ,M!_t
No- y Pubic at Large. ..C-1---".".II . County of Mr 111.12 0
J commission expires:
Personally Kna...n 'i — or
Produced identification j