1630 Francis RERF18-0232 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
REIROOF SHINGLE -
MUST CALL BY 4PMI FOR NE)rr DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF1 B-0232
Description:
Estimated Value: 6150
Issue Date: 9/19/2018
Expiration Date: 3/18/2019
PROPERTY ADDRESS:
Address: 1630 FRANCIS AVE
RE Number: 1720979536
PROPERTY OWNER:
Name� SMITH MARY ELIZABETH
Address: 1630 FRANCIS AVE
ATLANTIC BEACH, FL 32233-4310
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 then 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$7,500.
Building Permit Application Uix)ated 12/8/17
City of Atlantic Beach
Fu SOD Seminole Road,Aflandc Beach,FIL 32233
:(904)247�5826 Fax:(904)247-5845
JobA Vdilk .";'n PT,76 Permit Numberk 18- OZ3.Z.
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00
Valuation of Work(Replacement Cost)$-Let,-_5t�— Heatecl/Cwled SF Non-Heatad/Cooled_
• Class of Work[Chrcle one): New Addrdo(_PJ!2_��-tl Repair M9,T-Dpnw,'PooI Window/Door
• Use ofexisdng/pnipmed structure(s)(C rcle one): Commercial (Besidnti.
• Ifan existing structure,is afire 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 NoTree Removal
F���etVpeofworkuzbeperforyned:
Florida Product Approval ff�ft&a I -for multiple products use product approvalform
pr9gapatner I*r!4K,0n
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Owner or A"n, Power of A$WcQeyor Agency Letter Required)
Contract
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Office oneLlu Job Site/Contact Number
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Architect Name&Phone 9
Engineer's Name&Phone If
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Application is hereby m Irtat .,a It to do the work and installations as indicated.I certify thatFo work or%W11JAnh.s
commenced prior W the Issuance of a permit and that all work Will be performed to meet the standards of all the law regulafiong
construction In this jurisdiction-I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.NOTICE:In addition to the require I
T ents of this
permit,there may be additional restrictions applicable to this property that may be found in the public records of this Oounty,and
there may be additional permits required from other governmental entities such as water management districts,state agencies,or
federad agencies.
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FIN�OICJINGC"SULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECOR R CEMENT.
(-,V- (Signatureof&XercrAgent)
(Including contractor)
S!=to%affirmed before me this 19 day of Si d swo�4`tojor affirmed1before me this 19 dayof
'$bv jjL,0j.,5 JVI-��ef- 2Alf,by0�W1.5 AlQ-r
(Sig..wre.falotary) (signature of Notary)
Psponally Known OR PTTiemonaIIVKnownOR
C odu
4.;,oduced Id. tionp. I Produced Identification
Type of(dentific= Type of ideninfication:
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1W(WECE OF COUMCNCEMEXT
Permit No MRSPARSINDUKICATM
State of Tax F.i
TO Whom it May Conmm; countyof-I I �h
The Undsmignod hereby Inhum's you that"I'MenamIS will be made W certain real pwpe
acc"Clance with Section 7113 offfie ny nd In
COMMENCEMENT. F'o"da'Stan"Ise,the following informudlon is stWed In thl,NOTICE OF
ga d*scVbDn Of PMPmy blem;
-Proved: I —) ;p
F-I f e,
Addrve,ofp,,p,rtybftImpM,AS(I: it
General deoMption ofImp,,,,amb, turner
*Adare's
OVMIS-Suarm:In SRO Of Me imProvement
Fee SmPle T"llehOldw(If Aar than owner)--------
Name ————————————————
Addreag
Contractor Rommo Brother,Rom,le,
A dreae
.
Phone NN�
Surety(if my) Fax No.
Address
Phone No---------- Fax No. AMM Of bond S
Name and address W am,pareor,Imanni, loon for the ooratmadon
Nam. offt,mpmv,,,,,,
Address
Phone No.
Fox No.
Name of p,,,,MMIn Me State of Florida.Other than him-011,destgnated by�ner upon whom rmtha,or no,
clocumard,My be eauxed.
Name DarayS.Reme,
A��'�m-4 An
0
I'MMS No.
Fax No.
In addition to hkn"f,mner deegn.re,,the fol"'W"a MaSo"I So moIl"I OOPY of the Lion&s N-11-SIS W-Aded in
Itedlon 713.08(2)(b),FWOS Suff"53.(Fill in at Ovmees qmnj
Nam.
Address
Phone No-
Fax No.
ExPiration date of Notice of Commumemem,(the expiration data is
differartclateisspe,ril,ay from the data of MiX,nim.unless
THIS SPACE FOR RECGROER,$USE ONLY
532 Page 1388. fee that �by
Doc#M18=187D.OR SKIS aebuexodarx
Nulther Pagaa:I
Re<xwded 09118(2018 01:20 PM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00
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