1398 Main St RERF19-0080 Shingle REROOF SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RERF19-0080
ISSUED: 6/4/2019
800 SEMINOLE ROAD EXPIRES: 12/1/2019
ATLANTIC BEACH. FL 322�33 —
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, IPIVIC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY,
NOTICE: 1.addition to he requirements of his permit, hero may be additional restrictions applicable to this property
OT'C I "'Onto E". u m 'o may a "'o
t t Ey ,f. o . .... of th s Co.. Y,an ay be additional permits required from other
hat may be found n the public records of this county,and there may be ad
b s I
Entities S.c as snctsstat..gonc'es'.
Fgovernmental entities such as�water managerneritclistricts,state agencies,or federal agencies.
JOBADDIRESS: PERMITTYPE: DESCRIPTION: VALUEOFWORK:
1398 MAIN ST REROOF SHINGLE SHINGLE ROOF $3725.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP: —
1710510150 ATLANTIC BEACH SECH
COMPANY: ADDRESS: CITY: STATE: ZIP:
ROMANO BROTHERS 155 E. Levy Road Atlantic Beach FL 32233
ROOFING, INC
-- OWNER: ADDRESS: CITY: STATE: ZIP:
PEARCE WILLIAM D 1398 MAIN ST ATLANTIC BEACH FL 32233-2626
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.
LISTOF CONDITIONS
Roll off container company
must be on City approved list. Container cannot be placed on City right-of-way.
FEES
DESCHIMON ACCO T OUA!N 1111 PAID A-0-1
0
BUILDINGPERMI� S-M3U2!21000 Q
STATE DBPR SURCHARGE 455-0000 208-0700 a $2.00
$2.00
STATE DC 0
TOTAL:$74.00
Issued Date:6/4/2019 1of2
F�.; Building Permit Application Updated 12/8117
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(9041247-5945
Job Address: Lng r�� Sj Aii-I &Il, PermItNumber. REK Pig - C)OBO
-V
Legal Description le-031 8�4 ffl, qfa /oil OXRgE#?Coll LW 6513 Olt
Valuation of Work(Replacement Cost) qp .... HeatedjCooled SF 10 All Non-Heated/Cooled
• Class of Work(Circle one); (gP Addhion Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): CommnercaL__S=;___
• If an existing structure,is a fire sprinkler system Installed?(Circle one): Yes lco
• Submit a Tree Rernwal Permit Application if any trees are to be removed or Aff davit of No Tree Removal
7�type of work to be performed:
,4.,Aik 40 <kmAlic-
Florida Product Approval# � 10 1 Yo 1 for multiple products use product approxal form
Property Owner Information
Name Address: 1349 e4K SJ'
City State F) Zip 32037 Phone V J013
E-Mail
Ownei or Agentl I,Power of A Day or Agency Letter Required)
Contractor In n
Name of Comp n I Qualifylpg4gent
Office Phone L�W �A J'�> State ):Jj Zip a:l
Job Site/Contact Number
State Certificatil t�atln Fb-�f A E-Mail
Architect Name&I
Engineer's Name&Phone#
Workers Compensation 47,�,r
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W has
'at,
Application is hereby im blitainape it to do the work and installations as Indicated.I certify that oworkormAlla.
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 ju risd coon.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMB]NG,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.NOTICE:In addition to the requirement 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 gcniernmental entities such as water management districts,state agencies,or
federal agencies. Z
OWN ER'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 con struction and zoning.
WAFINING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF You IN I END
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
tRDING Y!70TICE OF COMMENCEMENT.
Mg6ature of OwWWor Agent) (Signature of Contractor)
(including contractor)
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