1892 Sea Oats RERF18-0202 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEIR DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERFI B-0202
Description: SHINGLE ROOF
Estimated Value: 15280
Issue Data:
Expiration Date:
PROPERTY ADDRESS:
Address: 1892 SEA OATS OR
RE Number. 172020 0582
PROPERTY OWNER:
Name: NORMAN E CHARLES JR
Address: 872 RTE 194N
ABBOTTSTOWN, PA 17301-8805
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ROMANO BROTHERS ROOFING, INC
Address: 490 LEVY RD
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$7,500.
a Building Permit Application Updated 12/8/17
2 City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233 ,
Phone:(904)247-5826 Fax:(904)247-5845
Job Address: 199Z s '# C7m 68 Ap"11 Apermit NurPDbgr. a
Legal Description p l f RE#
Valuation of Work(Replacement Cost)$ �5,a'p(� eated/Cooled SF Now He ited/Cooled i
• Gass of Work(Circle one): New Additio Alterati epair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial esi ent
• If an existing structure,is a fire sprinkler system installed?(Circle one : No N/A
• SutMIS a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal 71
Desc a in detail th type of work to be performed:
efoeFrr
Florida Product Approval# YI Ibl . I for multiple products use product approval form
Property Owner Information .�pp
Name: E. CAJVe."4 q i✓ Address: S T
city..�&2e2LAyuB4YiwE RAe// state ✓=L zip 32yPo Phone 3j ] yS's^ ars33
E-MailOQ
OwnerorA'ers"T LPower of At� ney or Agency Letter Required)
Contractor Inform �n
Name of�Or pan . 1 GYx�. S quali pent, Y�
Address I V V, tAANGry State Lp
Office Phone Job Site/Contact Number
State Certification/Registration E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation li_,1M IIJTSIC
``TTSI1 }}1 �p Exempt/Inwmr/aerie EmWwees/rnoirauon MW 5t
Applicationnis hereby trin a pelt nmatl2el;tait to do the work and installations as indicated.I certify that fio work ormsta lan 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.)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 PECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR P OU INTEND
TO OBTAIN FINANCING, ONSULT WI YOUR LENDER OR AN EFORE
R CE OFC ENCEMENT.
toreof Owner or (Signature Comrecmr)
(including contractor) '
St ed and swilm't,o(or/affirmed,& foreelI��[[nhe this_aday of S1i'edandswomto(o affirmed Wore n/ this-3day of
by VAyI(ffU6YY.p.1� .Sl by. :F,
(518nature ry Com'''''—''..-- (Signature of Notary)' .
I I Personally Known OR ufrersonally Known OR
[ I Produced Identification ( I Produced Identification
Type of Identification: C Type of ldentieoHon: nary
.hal10 Nan,PWM1c sfn of Flwga I F NWryPualc eYRgflwlda
Nicholas Joshua Brower q ) Nicholas Jsehua&oxer
My Commoamn GGU1Oa '11�r,I E.p4es 02roV10�1a1%a
�� Expras 02h0112W2
NOTYCE OF OOMMEi1PCEMNT
(PREPARE IN UUPLICATd
,is,of Tau Fohi
Coumyof
TOvrhomhmayeoncem: '
The undersigned hereby Itdorms YOU that Improvements will be made to certain real pmpany,and in
accordance with Section 713 of the Fbrtda Statutes,the following inlomation is
COMMENCEMENT. statetl to this NOTICE OF
Legal sorption of Property being improved; 3i .
Qq lf�k
Address Of PmPerty being improved:
General descrarliich of improvmnants:doer
PCukk'*Owner /'> I M
el
-0tAddre» T.c
Ow (S interest in site of the Imprdvemed
Fee Simple TiVehPlder(Vother#rm owrrer)
Name
Address
Contractor Renare Inches Roofing le,
Address 10 6 Laay Re Nynuc Rears,t13aEti
Phone No.1104)?Attseas
Fax Na.
Surety('deny)
Address
Phone No. Fax No ntofbond5
Name end address of any Parson maeing a loon for the coadmil n of Ne Improvameois.
Name
Address
Phone No. Fax No
Name of parson within the Slate of Florida.ether than himself,desi naled b owner
documents may be served: g y Upon whom rmtlr»s or other
Name Danny S.Ronaeo
Address ISS ILL 7 Rd,Adam.l)vaah,P1.3g2Si
Phone No. Fax No.
In addition In himself,owner designers,the folbwing parson m red"WO a COPY Of&a Lienora Notice as Provided In
SecVOn 71308(2)(b),monde Stall tas.(Fill in at Owners option)-
Name
Address
Phone No. Fax Na
E10seation data of Notice of Corranopcerneat(tlte eap6mbn data Is one(1)yea �m#te def recording unless a
different date k spea#atl):
Em�n
THIS SPACE FOR RECORDER'S USE ONLY pyyN $3
a� DATE y-:CEQ
eHaem IS, aayof dnE
st /s�a/��b,�ga,au Lb
a6nselahenNte zMnny Aet ap shgae�patppsp til'
Doc#2018190728,OR SK 18490 Page 444 am"eaana Is i z
Number Pages:1
Receded 08/13201802:28 PM, ea`r��trc
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL #
COUNTY n nsrotapa, •"�
RECORDING $10.00 xry m,,,easyw,agil,..: _ or
amd-Qaia:O„----------