1101 Hibiscus RERF18-0213�1•.:vv.
CITY OF ATLANTIC BEACH
~?
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
-un S),
INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO:
RERF18-0213
Description:
SHINGLE ROOF
Estimated Value:
7000
Issue Date:
8/24/2018
Expiration Date:
2/20/2019
PROPERTY ADDRESS:
Address:
1101 HIBISCUS ST
RE Number:
171011 0100
PROPERTY OWNER:
Name:
LEON AGUSTIN
Address:
1101 HIBISCUS ST
ATLANTIC BEACH, FL 32233-2651
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:
YtTfiiiB:•7:7LL\r{.l:F
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 $7,500.
Building Permit Application Updated 22/8/27
City of Atlantic Beach
800 Seminole Road, Atlantic Beach, FL 32233
L Phone:( ) 47-5826 In: (904) 247-5845 /� /� /.-, 2
Job Address: ) I () I b 1 3Q7� P r RN umber: _ R lGe FF 1 — t•/ Z- 13
Legal Description` 3$ 3g. a g •��.. Q) D ri RE# I 1 V I I DI ill
Valuation of Work (Replacement Cost)$eated/Cooled SFlq Non-Heated/Cooled
• Class of Work (Circle one): New Additio Altera' Repair M of Window/Door
• Use of existing/proposed stmcture(s)(Circle one): Commercial idem
• If an existing structure, is afire sprinkler system installed?(Circle one): Yes No N/A
aoo uc a n me nemovat remit Application if any trees are to be removed or Affidavit of No Time Removal
Zscri detail the type of work to be
performed:
' Y./W F Mr -7 .� IQp
Florida Product Approval If II s,, r� �
iL for multiple products use product approval form
City _
E -Mail
Owner
Name
Letter Required)
Office Phone taLU �y_y L�l.4(.N - job Site/contact Number
State Certification/Registrztion �y� F-+F--ci1 �oryr�TZ�7i—LT-1JE-Mall
Architect Name & Phone #
Engineer's Name & Phone #
Workers Compensation
t Ck '
L.�C 7D CJ:a'T`,IYj- pI . EMmx/Insvnr/IeauEmplarees/rrPuadeen . fi ) I Z7b
Application is herebyrtWde T606tain a `eWnit to do the work and installations as Indicated. I certifythat o work or nsta I n hs
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. l 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: F YOUR TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYIN ICE FO VE ENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FIN ANCI , CONSUL HYO LENDER OR AN ATTORNEY BEFORE
RECOR G OTICE OF OM EENT.
or Agent) (Signature of Contractor)
(in<lud
Si,FAie�cl and sworn to me d) bef rem thisZ day of Sign d and SWOM to (or affirmea,d� .be�r(ore me this 2 day of
LO by _ L1 QLD by r
(Signature of Notary)
[IPerso Ilygnawn OR [ ersonally Known OR
duced Identifcatj
f I Produced identification
Type of Identification: Type of Identification:
NotaryPudicStel•o1Ebk• �� NINery P.M. SUM q Fonda
Nicholas Joshua Brower +� NiMplas Joshua grower
/ E,pm a]NIM22 tgtalg qr w� Eyxanno xi=2 etgn