199 BEACH AVE 7 - PERMIT RERF18-0116 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PH.ONE-LINE 247-58-14
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMA77ON:
PERMIT NO: RERF18-0116
Description: shingle re-roof-FL10124.1 & FL5325
Estimated Value: 5400
Issue Date: 5/18/2018
Expiration Date: 11/14/2018
PROPERTY ADDRESS:
Address: 199 BEACH AVE 7
RE Number: 1703141014
PROPERTY OWNER:
Name: FELDMAN STEPHEN Z
Address: 890 AlA BEACH BLVD UNIT 10
ST AUGUSTINE, FL 32080-6700
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ROMANO BROTHERS ROOFING, INC
Address: 155 E. Levy Road QA DANIEL JOSEPH ROMANO
Atlantic Beach, FIL 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 pen-nit, 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$7,500.
Building Permit Application Up�ated 12/8/17
City of Atlantic Beach
C*�L J�-7 800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
&/ 32,137 VZ_&�_FJ I I J0
Job Address: 0 aim t%(�_ Permit Number:
.Legal-Descriptioll - ns REJ L
Heated/Cooled SF
Valuation o Wor C ep�aleekk olst)$_ on-Heated/Cooled
• Class of Work(Circle one): New Addition �era Repair M IYMTr&-.P,o indbw/Door
• Use of existing/proposed structure(s)(Circle one): Commercial 01
• 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
Me etail the type of work to be performed:
Florida Product Approval#"I;:- It F-1 _WQ . I N 4_1V_ f Itiple products use product qlpproval form
'11�1 — o(cmuyQ
Property Owner Information
Namez:��- /) (5�2-k, —Address: 1113-1q &Ok AW-MC i
city A--I-bA�e State F-L- ZipJ_,A"q,13 Phone q&v- IFY� 91W
E-Ma"I ' A-7 nnae kQfA_JsA 1;�D JAp_+v-[e�L4 '101"
n4, 0
Owner orAperitV?-A�nt,Power of At o ney or Adency Letter Required)
Contractor InformatJon
Name of CoT <1 Qualify, 9 nt: G
pan: V'\
Address LA City State zip
?!dd
Office Phone L Job Site/Contact Number
State Certification/Registrationf4c-p I"L�r E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation t\_4aJr) V3w&P:. 44V,0_ __ALLU "S I
L.IXI 4Q D, _3 Exempt/insurer/Lease Employees/Expiration Date
M at 0
Application is hereby obta n a permit to do the work and installations as indicated.I certify - - --k or i�fistalllt'?Ro'n has'
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws iegulationg
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 befound in the public records of this�Iounty,and
there may be additional permits required from other governmental entities such as water management districts,state hgencies,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
*0
licable laws regulating construction and zoning.
U.
"6 co C%
RNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT!MAY ' A n au
W=,OC
SULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU)INTEND :ng"-*i
f
Ealty OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEF Z o Z
,3 go
0 A?
C.,
0
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8�1
"T,0
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17ING YOUR NOTICE OF COMMENCEMENT.
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nature of O?vner or Agent) ntractor)
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(including contractor) 0%OA%0%OA%
gpe and sworn to or a irmed be ore me this day of Signed and sworn to(or affirmed)before me this i� f
clay�
t by ;a4 5 Catjer 20(% by
(Signature of Notary) (Signature of Notary)
P�e�nally Known OR UJR,�sonl ly Known OR
N?15'roduced Identification I Produced Identification
Type of Identification: J Type of Identification:
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No
State Of .Tax Foil
County o
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 I
COMMENCEMENT. s stated in this NOTICE OF
I descri ton of rope bein improv ed: N
Q- e
.Address of property being improved:
General description of improvements: Reroof
*Owner
*ddress P
Owners interest in site of the improvement 'U /11—
Fee SImpA Titleholder(if other than owner I A—
Name it 2
.........i�
–,Uli 0.51idi 01
Address U
Contractor Romano Brothers Roofing Inc
Address 155 E.Levy Rd.Atlantic Beach,FL 32233
Phone No.(1:11.14)246-5649 Fax No.
Surety(if any)
Address
Phone No. Fax No. mount of bond$
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 Danny S.Romano
Address 155 E.Levy Rd,Atlantic Beach FL 32233
Phone No. (904)248-SB49 Fax No.
In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
$1 cc
Address c cam
0
Phone No.
Fax No. -T 1;
a. 'm 0
?.I Es 8
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unle
different date is spedified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
dr
19ned:
&A DAT E
Bercre me this day of
MR
littfh4e
OfDuval. t teofFloa
un�Duval yers at appeared
'Or'
I 'a""
%ji.1. C _herein by
0
j
himselff her3e, nd arhfi.r=tuhait all statements and declarations herein
Doc#2018119223,OR 8 K 18392 Page 2310, are true and a'ccurate
Number Pages:1
Recorded 05/18/2018 11:34 AM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY <
Notary Public at Large.State f
RECORDING $10.00 couinFly of
My commission expires: y
Personally Knawrn
Produced Identill or
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