285 Seminole RERF18-0253 ° REROOF SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RERF18-0253
ISSUED: 10/31/2018
800 SEMINOLE ROAD EXPIRES:4/29/2019
T ATLANTIC BEACH. FL 32233
MUST CALL
Y 4 PM FOR NEXT DAY INSPECTION.
• ,K MUST INSPECTION• • . • • , • t OF • ' • • BUILDING
ALL
CODE, NEC, IPIMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
285 SEMINOLE RD REROOF SHINGLE SHINGLE ROOF $5680.00
ZONING:TYPE OF REALESTATE
SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1705210000 SALTAIR SEC 01
COMPANY: ADDRESS:
ROMANO BROTHERS 155 E. Levy Road Atlantic Beach FL 32233
ROOFING, INC
OWNER: ADDRESS:
BROWN IAN A 285 SEMINOLE RD ATLANTIC BEACH FL 32233
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT
455-0000-3221000 0 580.00
STATE DBPR SURCHARGE
455-0000-208-0]00 0 $2.00
STATE OCASURCHARGE
455 0000208-06M 0 4.00
TOTAL:$89.00
Issued Date: 10/31/2018 1 oft
Building Permit App ication Updated 12/8/17
')*r City of Atlantic Beach
8170 Seminole Road,Atlantic Reach,FL 32733
!�
Phone:(Wil,247,-5826 Fax:(504)247-5845 CC
:ob Address: DOS $'eww'ale r� Permit Number. Rc—gI�ijs -`�h 7 53
Legal Description /0- (6 - aS —a)J E .1 9c 1 Jo; Nn9 RE1f11D5a-1 t000
Valuation of Work(Replacement Cost)$ S-4W O'9" Heated/Cooled SIF /NSo Non-Heated/cooled
o Class of Work€Grde one): New Addition Alteration Repair Move Demo Pool Window/Door
Use of iriSting/proposed structure(s)(Circle ane): Commercial Residential
If an existing structure,is afire sprinkler system installed?lCircle one): Yes No N/A
Submit a Tree Removal Permit Application If any trees are to be removed or Affidavit of No Tree Removal
Describe In detail the type of work to be performed:
Rrrcoo-F .
Florida Product Approval for multiple products use product approvalform
property,Owner Information � 11
Name- T r Is,,w Address:_ r'n Je
City A&I ea{ • _ State.. LZip�9.i 51 Phone_90Y 0`�7U " 8$,a�3 _
E-Mail
Owner or Agent-( L.Power Ofey or Agency Letter Required) '
ContractorinfOrma
Name of(O�mpan § E. ti � �S Qualify ng ent: 1 u'sS , k A G+ '1 )
Address ff_�.' _ (,'- City _State Zip
Office Phone,.x t 7 > » Job Site/Contact Number
State Certification{Registration:;.ti ti1'.:; t-d .?E-Mail
Architect Name&Phone tl _
Engineer's Name&Phone 4
WorkersCompensation kt-1LNS ) -10 n 6 '
'.# t EumPt/Inen¢r/l¢xe Empkry¢ee!EaPRation Daft ( ) '�') r
Application.is herebym bbtain ape It to do the work and installations as indicated.I certify thatfioworkormsta l� In as
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,SOILERS,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.
Ui+AF:N`sl4tfa TO OWN ER: YOUR FAIL URE TO RECORD A NOTICE OF COMMENCEMENT 114,A'd
RESULT IN YOUR PAYiMG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO C KAIN RHANCiNit, CONSULT IMT€i YOUR -ENDER OR AN ATTORNEY BEFORE
RECORD{ G° O OT{CE OF COMMENCEMENT.
(Signa ure of Dwneror Agent) (Signature of contractor)
(including contractor) .�// 2
Signed and sworn to(or affirmed)before me this li_day of Si�jetl�and�s�worn tzo�(orrj(firm before me is r�day of
Ltd• ?fA•by_ _ S.L�.10V ZAIaby_. in
� �� ISienatvre of NDWry) (Signature at Notary) -'
[W<rmnally Known OR ( ersonally Known OR
Op'w.,� PATRICUGPURDY
[ I Produced ldenti icatim, *?'W< (omni gGG22290a [ I Produced ldentlfkatipn
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NOTICE OF COMNZYCEMSE i'
IPnEPARDINDUPUrATM
Permtt No. Taxlzollo No. / Oso, -0000
Sloth at �-I Countyaf I ra.t
Towhomttmaycaneam: '
The undersigned hereby Informs you Nat3nsprovomanq WIN be made to certain real pmpany,and in
accordance with Section 7113 of the Fiotida StaNtes,thefoNowbtg Information is stated in this NOTICE OF
COMMENCEMENT. [�
Legal desopstion ofpmpagy Doing improsed: !C}- O f6 's,5 aQc SA/'!'Nr
�fi H11 1
Add 199s afproperly bemg hnProved: r�fi.� ,S2•IA.A ( /CI II'eG C CA
-, sa
T� General desnrlptiotl of Impmvemenfs:Owned
•q'Ctlt�j 'Owmer A Sraw.at
*Address _3Y0, Aft 41Clu r S')' SAX paO$—
Ownars Interest In 5Da a4 me improvamem
Fee Simple Tidebulder(M mherthan owrer)
Name
Address
Can Phone Now sea Oft eRasSrlpinc
Adere�163 R.IavyHA AdaNlciimdy FL 34233
Phone No.(SN ft Fax Ne.
Barely IN my)
Address Amaantofbond5
Phone No. _Fax No._ I
Name and atltltess of anyperson meeinga ken fords,construction of ma impmvemmea, '
Name
Address
Phone No, Fax No.
Name of person within ms Stat of Flodtle.other than himself.demgraated by owner upon whom notima or duw ,
documents maybe served:
Name 0ensy8.R.aso
Address l550.levy Rd.Adentic Hevc4,PG9N9&.9 _
Phone No,(s0Q2de-mss Fast No,
In addition to hhnself,owner desifpm es the fatlowfigperson to receive a copy of the Lienets Notice as Provided M
Section 713.08(2)(b),Fiolida 8ttutea./FID in at Owners option).
Nanta
Address
Phone Na ,Fox No.
Expiration data Of NOtioe ofCmnmeceemem(the elplratlon date is We(1)VOW from the date of recording unless
d0wentoate Isapecifieft
THIS SPACE FOR RECORDER'e USE ONLY O"Ifft
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Remrtled 1025/201801 DS PM, ? 19.2072
RONNIE FUSSELL CLERK CIRCUIT COU RT DUVAL /n' ��.a•*�}t�i
COUNTY Nam euasewwye.sme .cwxym
RECORDING $10.00 Iiy_ mmlaalemvAvnc: --
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