760 SABALO DR REROOF SHINGLE CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
/01 19 INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0066
Description: shingle re-roof- FL10124.1 & FL13857.4
Estimated Value: 6000
Issue Date: 3/16/2018
Expiration Date: 9/12/2018
PROPERTY ADDRESS:
Address: 760 SABALO DR
RE Number: 171457 0000
PROPERTY OWNER:
Name: LE HAM VAN
Address: 760 SABALO DR
ATLANTIC BEACH, FL 32233-3934
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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* 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$7,500.
Building Permit Application Updated 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Pho : 04)247-5826 Fax:(904)247-5845
Job Address: Permit Number:
Legal Description �,.�, �5i. IL � _ } �� ��` E� - .
Valuation of Work(Replacement Cost)$ Heated/Cooled SFVon-Heated/Cooled
• Class of Work(Circle one): New Additio Alteration Repair M Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial esidential
• 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:
n, n S� l ( T71 132 1
Florida Product Approval# for multiple prods Is use product approval form
Property Owner Information y, C ,-
Name: �� VA fJ Lk Address: 0) A-U-LiPi DT6\rc _
City L rJ—, L_ Ci-I- StateFL- Zip Phone y—5
E-Mail Sa6a n I R
Owner or Ant, Power o At ney or Agency Letter Required)
Contractor Information
Name of Compan V��, <1 Qualif 'n gent:
Address LA _ State Zip
Office Phone Job Site/Contact Number
State Certification/Registration E-Mail
Architect Name&Phone#
Engineer's Name&Phone# 01 p_r7S
Workers Compensation ) Cs.n �� L
�iC 1 1,ZC�� r� Exempt/Insurer/Lease Employees/Expiration Date �U i
Application is hereby m �lobtain a pe�Ynit to do the work and installations as indicated. I certify thatY�o work or insta IItlon 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. NOTICE:In addition to the requirements of this
permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and
there may be additional permits required from other governmental entities such as water management districts,state agencies, or
federal agencies.
'Mo
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all s �F
applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY m3Zz
X.< -'O
�0�d
ULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND03 u
o o
T OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE aN j 6
0 am R ORDING YOUR NOTICE OF COMMENCEMENT. N�?d
oma
r �Ur N �tAO
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to y 0 o
-,.0
160
N natur f Owner or Agent) (Sig ature of Contractor) °D
� w E o
a E �, including contractor)
�
ur�i ed and s\,yorn to(or affirm ) fore m da of Signed and sworn to(or affi d)before me t ' [ day of
zz2w { , aU1 �,by
v Gn
b (Signature of Notary) (Signature of Notary)
[ ]Personally Known OR Personally Known OR
Urof
�oduced Identification [ ]Produced Identification
Identification: > Type of Identification:
NOTICE OF COMMFJVCF
(PREPARE IN DUPLICATE)
PemState Of TeX F o 1
County of
To whom it mai i
• may
The undersigned hereby informs you that improvements,vill be made to certain real property,and)n
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE n
COMMENCEMENT. y
OF
I descriotnpropertyJb "roved:
R'l
i
Address of property being in-, roved:: ��ILS
General description of improvements: Re.rooF
1
O;:ner_ L
Address 5C I
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner) i
Name
Address
Contractor Romano Brothers Roofing ink l
I
Address 155 E.Levy Rd.Ailantic Beach,Ff,32233
Phone No. (904)246-5649 j
Surety(if ally) Fax No.
Address i
Phone l<lo.
Amount of bond S
Fax No.
Name and address of any person making a loan for the construction of the improvements.
i
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: i
Name Danny S.Romano
i
Address 155 E.Levy Rd,Atlantic Beach,FL 32233
Phone No (904)246-5649
Fax No. i
In addition to himself,ov:nerdesignates the folio+ring person to receive a copy of the Lienor's Notice as provided in
Section 713.06(2)(b).Florida Statutes.(Fill in at O,.mers option).
Name
Address
Phone No_
Fax No. ;
o co
Expiration date of Notice of Commencement(the expiration date is one 1 (D o
different date is specified): ( )Year from the date of recording unless a `'
(n L CON
TN15 SPACE FOR RECORDER'S USE ONLY `-' o.N
O NER y o
I Signed: I
000
aerore day 0 D:i E
fit e
Co nh of Duval.State 0.
o - �i ZZ' w
Doc#201806?447,OR BK 18316 Page 477, & VIA nJ ( t~ ally appearad
herein by i y
Number Pages: 1 hlm c f h_rs_.t an0 affirms that all statem=fits and declarations herein
Recorded 03/15/2018 11:47 AM, I ar true and accurate 4
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY I 't
RECORDING $10.00
Notary Public at Large.State or County Of
Nly commission expires:
Personally Kno•::n
Produced Identification or