230 Magnolia St RERF19-0068 Shingle Yt� REROOF SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RERF19-0068
800 SEMINOLE ROAD
ISSUED: 5/21/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 11/17/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PIVI FOR NEXT DAY INSPECTION.
• • • • • • • • r • • • • •
CODE, AND CITY OF • • OF ORDINANCES .
ALL CONDITIONS OF
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:
230 MAGNOLIA ST REROOF SHINGLE SHINGLE ROOF $5690.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170537 0000 SALTAIR SEC 01
COMPANY: ADDRESS:
ROMANO BROTHERS 155 E. Levy Road Atlantic Beach FL 32233
ROOFING, INC
• ADDRESS:
ROBINSON BARBARA 230 MAGNOLIA ST ATLANTIC BEACH FL 32233-4008
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDINGPERMIT 455-0000332-1000 0 $80.00
STATE 06PR SURCHARGE 455-0000-308-0J00 0 $3.00
STATE OCA SURCHARGE 455-0000-208-0600 0 $300
TOTAL:$84.00
Issued Date: 5/21/2019 1 of 2
Building Permit Application Updated ID/9/19
City of Atlantic Beach Building Department '*ALL INFORMATION
800 Seminole Road,Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904)247-5826 Fag:(904)247-5845 Email:Building-Dept@coab.us IS REQUIRED.
Job Address: �-1�O 1A 1eA2^ I�Y�II /l czy Permit Nuriku ; �R1_ i D 00
Legal Description
Valuation of Work(Replacement Cost))$ - �I ,F-I r�L_Heated/Cooled SF _ Non-Heated/Cooled
• Classof Work: ❑New OAddition GAlteration ❑Repair ❑Move ODemo OPool OWindow/Door
• Use ofexisting/proposed structure(s): []commercial aesidential
• If an existing structure,is afire sprinkler system installed?: Eyes Elio
• Willtree(s) removedin association withproposed r m submitseparater Removal Per i
f'
Describe In deta f work to be performed: S k
n � 2�
Florida Product Approval f1 for multiple products use product approval form
Prooerlar Owner lnforma'
Name
Address
city 1� SZip , a—_Ph —
E-Mail
Owner or Agent(if Agent,Power of Attorney or Agency Letter Required) n/a
Contractor Information Daniel Romano
Name of Company Romano Brother Roofing Inc. Qualif{vyinpp ABent
Address
155E Levy City Atlan1lc Bea State Zip
Office Phone Job Site Contact Number
State Certification/Registrationg E-Mail ramanobrothemr ing gmai.com
Architect Name&Phone N
Engineer's Name&Phone»
Workers Compensation Insurer t OR Exempt❑ Expiration Date
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 ofthb
permit,there maybe 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 �. w
applicable laws regulating construction and zoning. ^
J'e� IARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY s
OR
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Recorded 05/13201910:38 AM, d
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
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