147 BELVEDERE ST - ROOF rS ,App,�Jv,
d ' ° CITY OF ATLANTIC BEACH
:> 800 SEMINOLE ROAD
z7611(! ATLANTIC BEACH, FL 32233
'-.tin 9%' INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0223
Description: shingle re-roof- FL10124.1 & FL10626.1
Estimated Value: 8440
Issue Date: 12/18/2017
Expiration Date: 6/16/2018
PROPERTY ADDRESS:
Address: 147 BELVEDERE ST
RE Number: 170586 0500
PROPERTY OWNER:
Name: RING JESSICA U
Address: 147 BELVEDERE 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$7,500.
/
4
iw
. ,'i\ BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
::::1.-0.219.r Office:(904)247-5826 • Fax: (904)247-5845
Job Address: -1`t 1 �Q___1 • • SI- Permit Number: 4-e Ft 1` t3
Legal Description lb 1Th S S . a ,,Ii-111 e< ' •C I 1-)D g( i- 60
Valuation of Work(Replacement Cost)$ Soh Heated/Cooled SF all Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair ove :-""o Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial ' - 'denti.-
■ 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 ' detail the type of work to be performed:
el4 t) 01a11 , I - L ) DL-Q . I p C —.ce s4-► or(
Florida Product Approval#` 1 1./- 14(.1 , 1 1 1(N.; ./J . I for multiple products use product approval form
Properrttyy Owner tion
'-'?
Name JPy>I n r n
a, Address: -1 ` ,P 01 • _ 34
City I St Zipa33 Phone(D1 DU' L., L q - ut ot,. :
' 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 ATTORN Y BEFORE
RECORDING YOUR NOTICE OF C EMENT. • r - .,
Contractor Informati+n:
Name of Compap _ r, " 1
_ t Quali ng Aga�nt: n b c, .,L)
. Address: I � P vi t City State Zip ,
Office Phone NL(1 I r -` ,( q Job Site/Contact Number
State Certific ion/Registration#thL._I? if-4t-i-ti-Ci E-Mail
Architect Name &Phone#
Engineer's Name &Phone#
Worker's Compensation l_;.* ILID . 14::-•,-Am.) .
q L)- Do 1 g -(��J ExemptC/ Insstir Lease mployees piration�atte . IQ •
• 1
Application is hereby made to obtain a permit to do the work and installations as indicated. I certikthat no work or installlion has comm.- �ed'-g.,a
poor to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdic on,„—�.
This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned ,r a'is ^ i
period ofsix(6 months at any time after work is commenced I understandthat separate permits must be secured for Electrical Work,Plum ng,o t.f, 1
Signs, Wells,Pools,Furnaces, rs,Heaters, Tanks and Air Conditioners,etc. - . I
zz sl
• fI
1
Signature of Pr..erty Owne `' Signature of Contractor: A
Befqre Ale
this `1 'f�Da e Before me ' Day of � • c - 1 '�(
Not. Public: _ - — 4� 0N...--U----
a:'•KL '
C� Notary ublic: 1 C ->1'i 48
S i ¢P4.=
I hereby cert that I G
n . Fppll
.4& colon and know the same to be true and correct. A!!provisions oflaw le
ordinances governing 44 --�;'�a 1wt64.0di Eiil�eft Ei4c°6 pith whether specified herein or not. The granting of a permit does not
presume to give autlii l iOA�.'. tte 4yarr;ifitt;fegiT2gvgo 'ist ns of any other fe eral, state, or local lata're ulatin construction or the
performance of consul cl or My Comm.Expires Jul27,2021 ' regulating
�••.�OF Fl�'�
Bonded Through National Notary Assn.
Rev.3114/16
��_ �� �; �,� NOTICE OF COMMENCEMENT
��r== q� W= (PREPARE IN DUPLICATE)
Permit N -
"0500
State of � Tax Folio No.
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. G
Legal description of property being improved: (0 _ l"� S - a 1 E
Address of property being improved: w. 1 J+. c
General description of improvemefrts:
r.IW ''caner s
Address G\ 7 C-, i- _ Sk.
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name:.-----
"� Address
)()
,� 1 Contract., , -
-14
Addressl*:- j F �{ /� a� rs
.
Phone N .A-
Fax
C ,
Fax ax 1'f
No. • L_
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:
Name a;*•,�s
_
Address :.7)--W q .
Phone No. Fax No. """
F,
In addition to himself,owner designates the followa ^°
g person to receive a copy of the Lienor's Notice as provided in .- 3 3,
cs
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). m
Name =a ° ;,
Address = -^ N
Z
g v.
o T
Phone No. _ Fax No. a o 0
.
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 ONLY OWNER - 1
Sian d. � AD"1'r�0y
`
Before mg `s day of DA E
1 y in the
T County of. - Stata of Ffo has
r 1 f1 -� d@ personally a pear d pp:
1. V' �e 1� tl C:Vii r .[r[_h=_rein by
Doc#2017274768,OR BK 18204 Page 1317,
1" self!heerself and fitrms that all state ents and dectaratiof s herein
Number Pages:1 /are true and accur-a
Recorded 11/30/2017 02:27 PM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL -
COUNTY a / i
RECORDING $10.00 .•cry Public atLarge.St 'e.cf'""- M , Countyor I♦1111A'
Ml
My commission expires:
Personally Knownor
Produced Identification