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1530 FRANCIS AVE - ROOF REROOF SHINGLE PERMIT PERMIT NUMBER JenRERF18-0269 CITY OF ATLANTIC BEACH �r �r 800 SEMINOLE ROAD ISSUED: ATLANTIC BEACH. FL 32233 EXPIRES: MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC, 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. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 1530 FRANCIS AVE REROOF SHINGLE $5900.00 TYPE OF REAL ESTATE x ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 172097 9510 FRANCIS COVE REPLAT COMPANY: ADDRESS: CITY: STATE: ZIP: ROMANO BROTHERS ROOFING, INC 155 E. Levy Road Atlantic Beach FL 32233 OWNER: ADDRESS: CITY: STATE: I ZIP: RHONE KATIE BELL 1530 FRANCIS AVE ATLANTIC BEACH FL 32233-4308 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 455-0000-322-1000 0 $80.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $84.00 Issued Date: 1 of 2 Building Permit Application Updritedl0/9/1X m -? City of Atlantic Beach Building Department **ALL INFORMATION 800 Seminole Road,Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY 4-)j v Phone: (904)247-5826 Fax: (904)247-5845 Email: Building-Dept@coab.us IS REQUIRED. Job Address: �f C t\act j S .L4V42 (� Permit Nu `b�r: RL .c ' ©2. P c7 Legal Description5a' 4—1 (1 d�E �) t-fC,�Ca1 AP Valuation RE# i"\' .1"}(11 . °1S�0 Valuation of Work(Replacement Cost)$ LT)V Heated/Cooled SF Non-Heated/Cooled • Class of Work: [New ❑Addition 'Alteration ❑Repair ❑Move ❑Demo OPool LIWindow/Door • Use of existing/proposed structure(s): QCommercial Otesidential • If an existing structure,is a fire sprinkler system installed?: +]Yes ❑No • Will tree(s)be removed in association with proposed project?Oyes(must submit separate Tree Removal Permit) Ilio in detail the type of work to be performed: ;,..e iL`C.C" pai: NorC--' Florida Product Approva5F+ .'C2)Q(-1 . 1 �`F TI 53afor multiple products use product approval form Property-Owner Inf6rma • n Name ` '-�� ilta Address )� CL; C C- 1'1 I "'ty�� City N f5 Stat'`~( Zip oPhone qui.' - ( 1; -. - <_;'1 E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) n/a Contractor Information Name of CompanyRomano Brother Roofing Inc. Daniel Romano Qualifyin Agent Address 155 E Levy Hd. City Atlantic Beach State FL zip 32233 Office Phone f904)2�6 5649 Job Site Contact Number State Certification/Registration# C.C,C.1328893 E-Mail romanobrothersrooting@gmail.com Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer WBS WC 90-00-818-06 OR Exempt 0 Expiration Date Exp. 12/.31/1& Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating 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 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 FINANCING, CONSULT WITH YOUR LENDER TTORNEY BEFORE CORDING YOUR NOTICE OF COMMENCEMENT. =�., . .$...0 (, , - ►z6(,o c..a. - 4 0 m ; 24... � (Signature of Owner or Agent) (Signature of Contractor) CO N 4 Ilba.1" 2 H ON I .igned and sworn to(or affirmed)` before T. this day of Sin and sworn to(or ffirmed) •eeor- m-this 7•ay of n x S ?m 4v 2O 6.by V-1,4 - �1� )rte-Cr O'• �Q i%by • 0 . G I. ' a g E y I EJ o o _ Zo o v I 3E� 10�U'n o x o Q (Signature of Notary) (Signature of .ary) z°Z w R c>G)c iv t •y 't COPO n o 4 1 Personally Known OR [ sonally Known OR S W 1 T �ced Identification [ 1 Produced Identification 04, :31- - ype of Identification: ;, �- Type of Identification: NOTICE OF CI ENCEMENT (PREPARE IN DUPLICATE) Pettit No. I State of t Tax Folio No - I n County of min To whom it may concern: • The undersigned hereby Informs you that Improvements will be made to certain realro accordance with Section T13 of the Florida'Statutes,the following information is stated in this NOTICE OF • COMMENCEMENT. p petty.and In Legal description of property being improved: _ Address of property being unproved: • al AJC :. .:Fc-1-1. •; ( . 2233 General description of improvements:Remor • �Pi<tA1:F Owner \ s'e._ •-2---14L0 A –C__O (Sar . • Address I t 0 A.✓t cr s e 6-(i. -Re Gi. 3 2.2-33 Owner's interest in site of the improvement Fee Simple Titleholder(If other than owner) Name Address p Contractor Romano Brothers Roofing Inc • J'�� Address 155 E.Levy Rd Atlantic Beach,FI 32 233 Phone No.�4i X6849 • Surety Of any) Fax No. Address Phone No. Amount of bond$ Fax No. Name end address of anyk person making a loan for the construction of the improvements. Name Address ' Phone No. Fax No. Name of person-within the State of Florida,other than himself,designated by owner upon whom notices or other documents-may be served: Name Danny S.Romano • Address 155&Levy Rd,Atlantic Beach,FL 32238 Phone No. )248-5648 Fax No. In addition to himself,owner designates the following person to m Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's optiona a copy of the/tenor's Notice as provided in m Name u. o Address �,N„ Phone No. c' 7 • Fax No. 3�=N i_A o Expiration date of Notice of Commencement(the expiration date Is one(1)year from the date of z z >ll different date is specified): z `�''a . recording unless a z z�w THIS SPACE FOR RECORDER'S USE ONLY •, t,c OWNER t Before me this a–�'e DATE—�1 .3- 1.' j E ts/y County or. _..State of the 9Y•s4� / irttlt� «. .,,.,rFIoAC persanaNYwed hhttsel6 heraelr and that ail statements and d , :. hY are true and acauate . herein Doc#2018279892,OR BK 18612 Page 24, Number Pages: 1 �� Recorded 11/29/2018 11:28 AM, in RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL ., •-� My Edon expires: �a� or •i�f•! COUNTYPersonally Known RECORDING $10.00 Pcsdldenfiikatloa_ or p.. .