1502 FRANCIS AVE RERF18-0086 Shingle CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
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: RERF18-0086
Description: FL 10124.1 FIL 5325
Estimated Value: 11550
Issue Date: 4/12/2018
Expiration Date: 10/9/2018
PROPERTY ADDRESS:
Address: 1502 FRANCIS AVE
RE Number: 1721430000
PROPERTY OWNER:
Name: LYLES TOMMY
Address: 13925 HUNTERWOOD RD
JACKSONVILLE, FL 32225-1905
GENERAL CONTRACTOR INFORMA77ON:
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
Phone:(904)24N5826 Fax:(904)247-5845
Job Address: CL r)W V To Permit Number:
Leg.#�-�scriptio4 -aQ E !�Srl Lin tS RE#
*AW-c-ov
Valuation of Work(Replacement Cost) 'ooled SF Non-Heated/Cooled
Class of Work(Circle one): New Additio7A�1 � Repair Move Demo 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
cribe in detail the type of work to be performed:
-R I D1QA - I
Florida Product Approval# unqt for multiple products use product approval form
Property Owner Information
NamJ� bVkc!T Addrps I �-3k?2-C- MJ'A4�.J�Jj' P-9
city- State -F( Zip 32-0-2--:r- _Phone 9q &13 4,612- 2-2-/ —9$1 Fi/
E-Mail
Owner or Aprr7-A�nt, Power of A7tney orAgency Letter Required)
Contractor Informadon
Name of CoT <1
pan QualiftMnt: !:4 ox t
Address Ci ty State Zip n LA 1) 0-3
Office Phone�Ll I c�; '�—.A,, qQl Job Site/Contact Number
State Certification/Registration E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation t-SD LS: )qn f�—:l a e) r� to -
C�l Lo Exempt/Insurer/Lease Employees/Expiration Date U- r�)�
Application is hereby m hobtain-a p-e-rinit to do the work and installations as indicated. I certify th'a-tVo htion 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 besecured 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.
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
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE rnczz
x, -.51
0�-
RECORDING YOUR NOTICE OF COMMENCEMENT. o 0,3
.311.-
ag 0-9
I ID
(Signature of Owner or Agent) (Signature of Contractor) .C I;
C)
LL 3: (incl.di CD
E! ng contractor) , !4
Z 0 -n
sworn to(or affirm,�aefore me tl e this of
4) _�day of Sipqed and sw mt ( IF before me thi- day of 4-a
L> by
by LIX AA
0
r
0 o w
=L) (Signature of Notary) (Signature of Notary)
15.9 �-
r nally Known OR
_;Ir W111 fersonally Known OR
I-AlUal LIMN ced Identific Produced Identification
"a entification Type of Identification:
6U'1�7.a q�L;A.
T( ' Man
Ult C3
Permit jjo. 1PREPARE IN DUPLICATE)
StBte of Tax F I.
0 Ia'
COun
TO Whor ty of
The undersigned hereby 111fo that improvement
accordance with Section 713 of trms you S
COMMENCE[WalqT. Will be made to certain real property a
Le he Florida Statutes,the following information I nd in
Mllft�ption Of Property bein I roved: is Stated in this NOTICE OF
.'Addre.55 Of PrOPerty being improved:
General description
Of improvements: Reroof
0
wrier
;F-- Address
11vners interest in sit,of Ine improverne.4
Fee Simple Titleholder(if other than Owner)
Name
Address
Contractor Romano
B"thOrs RooflnL,ine
Address 155 E.Levy Rd.Adaillic Beach.FL 39-933
Phone No (9041246-5649
Sul'alY(if any) Fax No.
Address
P.hone Na. Amount of bond 8
Fax No.
Name and address any person
Name making loan forthe construction or-(-
ne 111"iPro%jem6nis.
""Mens,
Address
Phone No.
Fax No.
-nay be Served- self designated by Owner uponWhom notices or all,
documents,
Name of Person within the state Of Florida.ofther then him,
Name Danny S.Romano er
Address 155 E.-Letry Rd,Za'n'
tic Beach FL 32233
Phone No. (904)246-5649
In addition to himself,ownerd-----------—Fax No.
esianates the
Section 713.o6(2)(b).Florida statutes.(jz a Person to receive a copy Of the Lienors
Name III In a'
'Ot'jnefs Option). "OtIce as Provided in
Address
Phone INO.
Fax No.
Expiration date of Notics,
Or Commencement(the expiration da U. 09
different date is sPeciried)-- te is one(1)Year from the date of
TH18 SPACE pop recording unless
I
USr ONLY -C C
01NAI-ER CA
as re E
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Number Pages: 1
Recorded 04/12/2018 01:oo pM, ArqA16z 1
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00 tai'l PublIc at Large.�statio!
atia of
tAy commission expIfe.- countyot
'in
Personally Kncr.,.-n
-rea'
Produced IdentMcation