1603 W Linkside Dr RERF19-0069 Shingle REROOF SHINGLE PERMIT PERMIT NUMBER
14TIC B' RERF19-0069
0 ' S
C Cl T
ITY OF ATLANTIC BEACH ISSUED: 5/21/2019
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00 SEMINOLE ROAD EXPIRES: 11/17/2019
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s applicable to this property
NO ICE- in addition to the requirements of this permit,there may be additional restriction -c -s pro
�:�t
TIC b dclitional permits required from other
that may be found in the public records of this county,and there may ea its
governmenta
71 entities such as water management districts,state agencies,or federal agencies.
1603 W LINKSIDE DR REROOF SHINGLE SHINGLE ROOF $11000.00
SELVA UNKSIDE UNIT 02
1723746290
ROMANO BROTHERS 155 E. Levy Road Atlantic Beach FL 32233
ROOFING, INC —
LEWIS SUSAN E 1603 UNKSIDE DR W ATLANTIC BEACH FL 32233-7318
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.
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Roll off container company must be on city approved list. Container cannot be placed on City right-of-way.
FEES —1
AACCO
DESCRIPTION CCOUN I
BUILDINGPERMIT 455-MM-322-IOW $2
0
�U 455 o000-2 8 0700
STATTE DBPR SUKLhAK�t 08 $2.1
.. 0600 0
STATE DCA SURCHAK�t 4550X02 TUIAL:ILIR-w
Issued Date:5/21/2019 1 of 2
Building Permit Application Jpd�Wd 10/9/18
City of Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road,Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904)247-5826 Fax:(904)247-5845 Email:Building-Dept@coab.us IS REQUIRED.
Job Address: 1(63 W J,14 k4,k ds- -PermitN.mber: Rc-(ZP719 - 60G9
Legal Description 47-111M -296 -<,d&W /,t%ftd1 4�049/60"/38 RE# 17237V4000
Valuation of Work(Replacement Cost)$ 110Q6 Heated/C.OledSF AS$ Nan-Heated/Cooled_
• ClassofWork: []New ElAddition DAlteration Oftepair DMove L]Denno OPool ITNincloxv/Door
• Use of existing/proposed structure(s): [aommercial aesidential
• lfan existing structure,is afire sprinkler system mstalled?: Eyes Wo
• Will tree(sl be remmeed in association with Proposed pro ect?nes(must submit separate Tree Removal Permin o
Describe in detail the type of work to be performed: )Re�-b,3 4��
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Florida Product Approyal#TJ 161 JAI. I I 55Q� for multiple products use prod- F
Property Owner Informatim
Name S�121SSS.n Address 4, 0 b.,, W,,�5+
city A+! state F L� Zip 1-2 2 1 Phone c?Oc1 -934 - 1304
E-Mail
Owner or Agent(if Agent,Power of Attorney or Agency Letter Required) n/a
Contractor Information
Name fcc, Homano diromer Hcoung Inc. I Ar Damel Roa",,.
0 5m�an Quail%
15 Levy Rd City '10110 ant is"
Address f much Zip��
office Phone Job Site Contact Number
State Certification/flegistration It Uuu'�689T— E-Mail rearancitzrothenaroofin-9ffg-m-alFw—M
Architect Name&Phone#
Engineers Name&Phone#
Workers Compensation Insurer Wbti WU W-00-818-06 -ORExempto ExpirationDate—
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or insWtiation 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 fo r ELECTRICAL WORK,PLUM BING,SIG NS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etC. NOTICE:In addition to the requirements ofthis
permit,there my be additional restrictions applicable to this property that maybe 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
......A plicable laws regulating construction and zoning.
ARNIN13 TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
SULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
CONING YOU MMENCEMENT.
(Signature of owner or Agent) (Signature of Contractor)
L,J;ig,n1e,Panc1 sworn to(or affirmVibefore his day of Signed and sworn to(or affirmedl before me this da of
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(Signature of 1
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Personally Known OR 1,d%�rsonally Known OR
",.d..d Identification I Produceol Identification
Type of Identification: Type of Identification:
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RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY
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