31 LEWIS ST RE-ROOF SHINGLE • v
ri rfJ,,.
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: RERF18-0087
Description: FL1 D124.1 FL 5325
Estimated Value: 0
Issue Date: 4/12/2018
Expiration Date: 10/9/2018
PROPERTY ADDRESS:
Address: 31 LEWIS ST
RE Number: 172203 0000
PROPERTY OWNER:
Name: ADVANTAGE SIGNS & ADVERTISING INC
Address: 31 LEWIS 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.
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
3 l ,p pne.(9041247-5826� 4)247-5845
Job Address: l 5 \�{' eJ� Permit Number:
Legal D,tcription 9 n•' RE# L �
Valuation of liork( placement Cost $ L—I---,Heated/Cooled SF� _Non-Heated/Cooled
• Class of Work(Circle one): New Addition (on
eration air Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle Commercia 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
e in detail the type of work to be performed:
C-I R-r: X1 4 -SO c.4 So6 I
Florida Product ApprovalrF0 cil a 4. ( ILJsaa1 for multiple produ is use product approval form
Property Owner Inform tion
Name: Address: 1 Ze%..)%- S Ste:
City NriC- /;44CI4 State _Zip ,7,�23> Phone 22/?— J'?d
E-Mail i /� y Z r r
Owner or AperrtITAnt, Power ofAt ney or Agency Letter Required)
Contractor Informs ' n. rte.
Name of Compan Qualif i n gent: N11''� G /�
Address _� City State Zip
Office Phone L 9 Q Job Site/Contact Number
State Certification/Registration E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation I Cs /1 C� L
Y� r Exempt/Insurer/Lease Employees/Expiration Date 4
Application is hereby and obtainVa pe�Ynit to do the work and installations as indicated. I certify thatY�o work or insta I�tli�on 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.
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
ORDING YOUR NOTICE OF COMMENCEMENT.
off_
a =`0'o
•
(Signature of Owner or Agent) a H 4 1
( g g ) (Signature of Contractor) V o
ES 1
m;Z z (including contractor) ,•E o 1
mo o'er S ed and sworn to(or affir ed)befor me this day of ned and swo'rn�to'(or a ed)before me thi I day of q-6 8 1
03mc 11 IV ,by rr by r Z MW
off;p 1
a' c av - tT
r
N d m (Si ure of Nota
� ry) (Signature of Notary} �
a Personally Known OR �tl
ersonally Known OR
roduced Identificati�� Produced Identification
of Identification: ► 11 Type of Identification:
Permit No. 'PREPARE IN DUPLICATE) I
State of
Tax Folio'
to whom it concern
Mai! County of i
; I
The undersigned herebyinfo P
accordance with Section 713 of the Florida Statutes,the following information is s
he y ou that improvements will be made to certain teat property,,and in `
fated in this iNOTICE OF
cription Of prop n Imp
Address Or property being improved.-
General
mproved;General description of Improvements:
RerooP f
0+,vner � +
7� Address
O%vnei's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
t
Address 1
✓� t
S\�j Contractor Romano Brothers itoohnb inc
Address 155 E Lev :
Y Rd.Atlantic Beach,rL 32233 I
Phone No.0904)246-5e4s
Surety(if any) Fax No.
1
Address
i
Phone No. Amount of bond S
f
Fax No.
Name and address of am , I
any making a loan for the constructi°n of the improvrme„n
Name j
,
Address #
Phone No.
Fax No.
Name of parson Within the State of Fax
other than himself,designated b
documents may, served: g Y o+nsr upon whom notices or other t
Name
Danny S.Romano
1
Address 155 E.Levy Rd,A�,I.nticeach,i L 32233
Phone No. (904)246.5649 '
Fax No.
In addition to himself owner designates the iotiov.ing par,-°n to receive a co
Section 713.06(2)(b),Florida Statutes.(Fill in at Ov.�ners opFion). pY of the Lienors iVotice as provided in f
Name
Address I
Phone No. ! - -
,
Fax No. !
Expiration date of Notice of Commencement(the expiration date is one 1
different date is specified): ( )Year from the date of recording unless a
d�
THIS SAACE r`Ofi RECORDER'S USE ONLY
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OWNER -
sin
8sforen'
dayar DA`c
f a ounty of Duval.aRata oPY L
Flin the
odda.has)orsoni*aPPearad I Z d
himseitt harss:f and alrums that a0 stela herein by I ' K
a2 true and accurate statements and declarations herein l z 2:i w
Doc#2018086023,OR BK 18348 Page?09,
Number Pages: 1 1 _ ii ,,tat
Recorded 04/12/2018 01:00 PM, 1'
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL -- - I 04
APO
COUNTY Notary Public at Large.state of Court t
RECORDING $10.00 4 67
t`ly commission expires: County or I
Personally Knorn
Produced Idenimcatlon
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