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795 TRITON RD REROOF SHINGLE j vll.�f1J}i s CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD v 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: RERF18-0068 Description: shingle re-roof- FL10124.1 & FL13857.4 Estimated Value: 7000 Issue Date: 3/16/2018 Expiration Date: 9/12/2018 PROPERTY ADDRESS: Address: 795 TRITON RD RE Number: 171330 0000 PROPERTY OWNER: Name: JOHNSON RONALD A Address: 95231 BERMUDA DR FERNANDINA BEACH, FL 32034 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$7,500. Building Permit Application Updated 12/8/17 - City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 hone:(904)247-5826 Fax:(904)247-5845 p p p Job Address: `'�`� 1 t ' TJ'� Permit Number: F L F F Legal De trip io11' fir , c U q� 12r1A Li � �!'�1 �� RE# 1 Valuation of Work(Replacement Cost)$`Z.Db a Heated/Cooled SF DD15 % Non-Heated/Cooled • Class of Work(Circle one): New Additio Alteration Repair M e Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial • 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: 1, II t Florida Product Approval# for multiple products use product approval form Propertv Owner Information 7 -�1 Name: r9 �' rel Address: ` f I!J/-) �. City State Zip 5 Phone E-Mail Owner o ge ent, Power of Attorney 4 Agency Letter Required) Contractor Informat n Name of Compan Qualif " g Agent: n t Address City State Zip Office Phone Job Site/Contact Number - State Certification/Registration#1 TIC I. E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation - �.a�C G 0, r".© � f L6 _ (1/ Exempt/[nsurer/Lease Employees/Expiration Date Application is herlebby made tl6lobtaln a perm) o 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 tegulationg 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 Pgencies,or federal agencies. NER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all �MOf plicable laws regulating construction and zoning. "44 �t 1 7� LL ARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY msZo ; °c uN SULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEN g o o� ' ^' :3 b w N N�" OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE N 3 U O N p _ -L..0 n y F N CORDING Y R NO C OF COMMENCEMENT. Ned d G O N N r,� N L° C'J n OD ZZ2w �O _r --p, •% (Si ature of Owner or Agent) (Signature of Contractor) m r it (including contractor) 15 ned and sworn to(or irm )before me this day of I ne and sworn to(or a Ir , before me s ay of •ti. - r 5 by �( ►G ^�i I� SD,� 1�-"C�� cwt�by '�' k t Gk o (Signature of Notary) (Signature of Notary)' [ ]Personally Known OR Personally Known OR Produced Identificatio [ )Produced Identification Ty f Identification: Type of Identification: I NOTICE OF C OMMENCEMENT (PREPARE IN DUPLICATE) Permit Noir State o; Tax Folio N . County of Ta whom it may_ y concern: The undersigned by mOrms you that improvements accordance with Secctione 131of the Florida Statutes,the foll wing information be e to is stated rtain real in property, s2N0 and in COMMENCEMENT. TICS OF al descrioti roper y being improved:-3 Address of proper b�qq improved: Q 'T(' ) D� General description of improvements: Reroof f Owner '�;i ry Address Owner's interest in site of the improvement j Fee Simple Titleholder(if other than owner) Name i 1n / Address I Q,ttJ�l/ Contractor Romano Brothers Roofing inc t Address 155 E.Levy Rd.Atlantic Beach,FL 32233 t Phone No. (9a4)246-ssas Fax iqo. Surety(if any) j Address i Amount of bond S Phone No. Fax No- Name and address Of any person making a loan for the construction of the im provements. Name Address Phone No. Fax No_ i Name of person within the State of Florida,other than himself,designated by o%-.ner upon whom notices or other j documents may be served: NameDanny S.Romano Address 155 E.Levy Rd,Atlantic Beach,FL 32233 Phone No. (904)246-5649 I Fax No. i In addition to himself,owner designates the folio::-in copy g person to receive a co of the Lienors Nonce as provided in Section 713.06(2)(b),Florida Statutes. (rill in at Owners option,). Name ; o U. om Address otn` Phone No. { cc 0 N Fax No. t C R y O Expiration date of Notice of Commencement(the expiration date is one 1 ` y E o different date is specified): Oyear from the date of recording unless a d THIS SP!LXCE FOR RECORDER'S USE ONLY zZ2w I OWNER �tt� Signed: E_fcre me this day of DATEE ! Doc#2018062992,OR BK 18318 Page 288, Co ty of Duva.Stat f r in he $ o =/i�ppear_a IOlr.s Number Pages: 1 lY herein by j him c.f h_rs_.[accurate a arms that ail statim=_fits and declarations herein Recorded 03/16/2018 01:47 PM, ; a2 true and accurate { RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL ' COUNTY RECORDING $10.00 i glary Public at Large.state o% Count of My commission expires: Personally Knm:m Produced Identification L 1 or