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1396 Main St RERF19-0077 Shingle REROOF SHINGLE PERMIT PERMIT NUMBER RERF19-0077 CITY OF ATLANTIC BEACH ISSUED:5/28/2019 800 SEMINOLE ROAD EXPIRES: 11/2412019 ATLANTIC BEACH. FL 32233 1 1 ALL WORK MUST CONFORM TO THI: Q! CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. F-ff� y be additional restrictions applicable to this property NOTICE� in addition to the requirements of this permit,there ma 1, r 's u ther, nal permits required from other that may be found in the public records of this county,and here ma, be adollfo Y t r. g m t tr.,ts,stat ederal agencies. III suc s r., s, ate g ncies governmental entities such as water management dist shingle re-roof- FI-10124.1 $3600.00 1396 MAIN ST REROOF SHINGLE & FL5325 ZONING: SUBDIVISION: YPE OF REALESTATE BUILDING USE CONSTRUCTION: NUMBER: GROUP: ATLANTIC BEACH SEC H 1710510100 ROMANO BROTHERS 155 E. Levy Road Atlantic Beach FIE 32233 ROOFING, INC JACKSONVILLE FIE 32250 MEEKER COLLEEN G 4234 STACEY RD W BEACH WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT] AY R 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. Roll off container company must be on city approved list. container cannot be placed on City right-of-way. DESCRIPTION ACCOUNT QUANTITY M.AMOUNT $70,00 BUILDINGPLKMII 455 OUN-322 1000 0 T STATE DSPR SURCHARGE 455�-208-0700 0 $2,00 $2,W STATE D TOTAL $74 00 issued Date:5128/2019 1 of 2 Building Permit Application Updated IZ/8/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 ode:(9N)247-5826 Fax:t9"247-5'45 JobAddress: Ibc(Iii " C� n PermitNumber: Legal Description _u:5A Pass s"�na5�L6_L Valuation of Work illeplacerrient Cost)$ -A 1 Heated/Cooled SF K"I Non,Heated/COOId_ • Class of Work(Circle one): New Addition(Z�Repair Mv, 'q��o pool Window/Door • Use of existing/proposed structure(s)(Circle One): Commercial ko�idential • [fan existing structure,is afire sprinkler system installed?(Circle one): Yes No N/A • Submit a Tree Removal Permit Application if any trees am to be removed Or Affidavit of NoTree Removal Describe in detail the type of Z t.beperfmmed 11�lft:,4 0am 5DWr Florida Product Approval#"Vk IDIMILI I for multiple products use product aipprumal form to a r Infordinati n Address: b 1 Name; 4 4- *&U,,E city State-4--Zip .;3 ;I-7-w Phone---W" E-Mail F4441 I A 0 PEW Owner or WA-'i'6?-Qency Letter Required) Contractor Inforrin n Name of orn a Quall nt: Address aty� State 23P Office Phone Job Slte/Contatt Number State Certification/Registration E-Mail Architect Name&Phone It Engineer's Name&Phone# Workers Compensation Ift/Insure, Lea. do an garion D qQ) w la LIXI ruly at 0 Wo ran>st!' An has Applicationishereby.L&.inape ittociXthe orkandinstallationsasindicated-Ic commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulationg constmction in this jurisdiction.I understand that a separate pemit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TAN KS,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 bounty,and them may be additional permits required from other governmental entities such as water management districts,state igencies,or federal agencies. OWNEWS AFFIDAVIT.I certify that ail the foregoing Information is accurate and that all work will be done in compliance with all applicable laws regulating consLnuction and zoning. WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY R Sp LT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND F T BTAIN FINANCING, CONSULT WITH YOUR LENDER 0 ANATTORNEY BEFORE OECk)RPING YOUR NOTICE OF COMME EMENT. Ou_ S_ ING OURN F1.1 Y e 0 own.rcirftent) (Signartude Of Contractor) (in udl ormascox) d or a is Of a th ay 0 _417- o. Ilb- d and swo�rn to(or a foarennMs.?b f Sr* dd and swom to(gr affirmarQ before a by P-h C"g'r_ 2J�0_by ;;7=b z, n 111 La of r IZ2 1 namally)(nownOR >A—dally Known OR od.ced Identification f ]Produced Identification f Idantificaticm: Type of Identification: Ni OF C0MMzffCzMzKT perl (PP"Mg IN Dupi Side of Tax I i I - T — coul 0'"wen 11 may Carel The undersigned hereby foccordstan with 8-4-713kftMs YOU no'MPrm�tt WHI be aftede to cartain y"PMP&nY,and I COMMENCEWHIBIT. of the na"U"'baboban'the f*lbwMg lnfonMim Is ttated 1.thin Nance 9p '?, I o'P UP IMP-mod, Addies,WoMP-ritybelingimpfiidi-M <,I G-lind dmwm If etwitimn.,Raw— -ROwn., *Ad,mes imbinpowenned—� 1*'"Ve TH10hulder(IfoUn,then owner). NMl_ Addian, contractor Ronald,Bonnew, eft, ..h. Accim,165 X LI ft A—IW�— Pi No.dol Inal Sural IN my) Few No. Adomis �---------AMunt Of bond 8 Phons I Nam and akinde,of my owed,nal a nan for Rue oneweel of ft exondxnandel Nam Addirval phone N, Fox No. Nation Of P�nvfthln the Son,W Folde, ther than Iftal do, document,may be mved "god"d by owned union whom notion,or th, Name 0w-Y&Fkwwwd , Addren, im�L�FAAU���,nMM, No. In Oddliber,to hbnsw.owner disagree,"following p�"recal A WAY Of ft U-noft N.V.as "action 713.06(2)(111 Fbi Stabig..UE In at Owner, PUMI 11"Wilded In Nam Addraw Phone No. Fax No. Z, EXPRatiOn deal of Notion of C.Menownext (the 0 data of model gm,, z�it _H1(1)Y*Waf�fftrn th F� TH'a SPACE FOR RECORDER'S UBE ONLY di j& jo Doc#2019123387 OR 11 88W PAI alemend by I I I R,Wrd�M281201912 22 PM. COURT DUVAL RONNIE FUSSELL CLERK CIRCUIT Col RECORDING SiOOO