1918 N Sherry RERF18-0210 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
'ISA V INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0210
Description: SHINGLE ROOF
Estimated Value: 16000
Issue Date: 8/24/2018
Expiration Date: 2/20/2019
PROPERTY ADDRESS:
Address: 1918 N SHERRY DR
RE Number. 172020 0824
PROPERTY OWNER:
Name: KAPLAN HAROLD T
Address: 1918 SHERRY OR N
ATLANTIC BEACH, FL 322334520
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.
Updated
Building Permit Application
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233 -.
Phone:( 4)247-5826 Fax:(904)247-5845 rj R (�_ b z i O
Job Address: , QI Permit Number.
{�
Legal Description3l ' b S I
Valuation of Work(Replacement Cost)$1 1 0 Heated/Cooled SF Nan-Heated/Cooled
• Class of Work(CdrJe one): New Addtkln terzti Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circe one): Commercial esidentia
• If an existing structure,is afire sprinkler system installed?(Circle one : es No N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in type of work to be performed: 5 H(f�G e
Florida Product Aooroy lg NDIS ( 41 7 nat5for multiple products use product approval form
Property caner info tic,
City 6yt Address: fe
City a Zip rens: Phone
E-Mail
Owner or Ap9m'IRAg q Power of Aq ey or Agency Letter Required)
Contractor inform in
Name of fo �. G 1n�+ S Dual i ' enC r
Address 1 City_ _._State ZIP
Office Phone Job Site/Contact Number
State Certification/Registretion E-Maii
Architect Name&Phone If
Engineer's Name&Phone If
Workers Compensation CL
�/t /\Ic> 1�...� �(} 1 (, p Eaanpr/Inwrer/Lease EmPIMees/EvplranonoMe Q[,[� ( +�y.J) QQ
Application Is hereby m bW in a e it to do the work and installations as indicated.I certify[hath.work or nista hn 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 agent s.
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 ORAN ATT RNEY BEFORE
RECE�NG YOUR NOTICE OF COMMENCEMENT.
(SlgnaWre of Owner or Agem) (Signature MConnector)
(indudng contractor)
Sig o d and swornto(or ffi
armed Before m this 2 day of S' ad and sworn to(o rmed)Ike ore m the is 21day of
�LB by �l 20f by �ff0- f
(Signature of Nobryl ,,�// (Stgna[ure of Notary)'
[ ]Personally Known OR lyve
,y rsonally Known OR
roduced Identification 1 ) L [ I Produced Identification
Type of Identification: 3/ Type of Identification:
EjW*NNOM,y Pudic Stab of FbriW M� NdaY Put lc Sble of FbMeNicholasJoshwOrower `rNiMola Joanua BrowerMyCommiaaM GG IDt97a +�c�. a MyLomifuon GG la191a Eapa• N.fYJ.]] Explbs 0]I 0..
p�.� C tPREPARE IN WPo.ICAM
PemdOitla. ��1A-r �6aL�
State Of county of
To whom it may concern: I
Thewith
Setl hereby Informs you that improvements will be made to comm teal ,
COMMENCEMENT.
accordance M N Section 713 of the FlOrida Statutes,the following Information is entitled In this NOTICE OF
COMMENCEM'eNT. a 1 Property,and In
Lege)description of property being improved: 31 • 4(�
l
Address apropedy being hnPmved:
Oeneval dezedpapn of Im Reroor
Addrem—
���PmVemenis:
OwneYs,nwrest in site of the Impmvaman: _T
Fee Simple Titleholder(if Other theno Yet)
Name
Address
Contractor Romano Bmfhen Roane in,
Address 155 L Levy Rd. ,an,each,R 3aT+a
Phots No.WO47 aa6�1e
SUrety(If emy)
Address
Phone No. AnWMtofbMdS
Fax No.
Name and address at anyparsan ma#ing a loan"or du mnstrucaon a the Un
Name - pmvamanv.
Adcress
Phone No.
Fax No.
Name of person within the State Of Florida.Other than himself,deal noted
documents m Y by mvner upon wham non 1
eY beaervetl: cos or Omer
Name Daim S.Romano '
Addran 1S56.Levy Ra,Ave.ft ae ,,Fl3Raa3 i
Phone No,
(90y aaB59ae
Fax No.
In eddiHan to himself,avmerdesignates the biioeing parson to receive a w
Section 713.06(2)(b).Rodda Statutes,tFi01n et Owners Py of the Lienors Notice as provided in
Name aPlron).
Address E
Phone No.
Fax No. pSp
Expiration data a Notre of Commen4mant(the expire On data is one 1 N @
different date is sPeafied): ( )year horn the date arEcydilg unless a�
THIS SPACE OR RECORDER'S USE ONLY V/NER
e0k da r n0.T y
Doo"
o T I f6
Numb E paM,5B1,OR 6K 78501 P tT
Number Peges:i age KO4, lamaun _tame wlmsm anm aha dssmrggy beann�q a
mweamazwrem 5'qr.
Recorded OSSSEL C LEAK PM,
BONNIE FUS$ELL CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00
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