1098 Main St RERF19-0085 Shingle REROOF SHINGLE PERMIT PERMIT NUMBER
RERF19-0085
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 6/14/2019
ATLANTIC BEACH. FIL 32233 EXPIRES: 12/11/2019
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:
1098 MAIN ST REROOF SHINGLE SHINGLE ROOF $10100.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION-
CONSTRUCTION: NUMBER: GROUP:
1709950500 ATLANTIC BEACH SEC H
COMPANY: ADDRESS: CITY: STATE: ZIP:
ROMANO BROTHERS 155 E. Levy Road Atlantic Beach FL 32233
ROOFING, INC
OWNER: ADDRESS: CITY: STATE: ZIP:
BOOTE JON ETTE 1098 MAIN ST ATLANTIC BEACH FL 32233-2624
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.
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DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 4SS-0000-322-1000 0 $105.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 45S-0000-208-0600 0 $2.00
TOTAL: $109.00
Issued Date: 6/14/2019 1 of 2
Building Permit Appl kation Updated 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
Job ddress: loq (e, k_,Jn;r� S� P 7mit b upber:
egal Descr tion
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Valuation 0- 1 0 1 'Heate'c?r[ilobled S'F Non-Heated/Cooled
• Class of Work(Circle one): New Aciclitidc�;� Repair N1 )01 Window/Door
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• Use of existing/proposed structure(s)(Circle one'): Commercial��Zsidentioal P
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Descri'je in detail the type of work to be performed:
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Florida Product Approval#r'l for multiple products use product approval form
Pro crt wner I ation
Na e- U Address:
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Owner or Age-itlif t, Power of AttQjney or Agency Letter Required)
Contractor Inforrinalihn
Name of�ornpaor.Tmv'
Qualifying Agent:
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Office Phone!.__�=�Vl_l CitY__�=�I::�_State ip—
Job Site/Contact Number
State Certification/Registration -Mail
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Architect Name&Phone 9
Engineer's Name&Phone A
Workers Compensation P
Exempt/Insurer/Lease Employees Expiration Date
A pl�ication is hereb m4d6 o bbtain i`pir6t to do the work and installations as indicated. I certi;rl�Po w�®ri��'r i�n�-�tlalloiCnhas
p y
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 jurisdiction. ; 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.
ift'Al'MING TO OWNER: YOUR FAILURE TO RECORDA NOTiCE OF COMMENCEMENT hAAV
i[72 11N YOUR PAYiNG TWICE 'E—OR WPROVEMENTS TO YOUR PROPERPF. IF YOU INTENIDI
'37 AiN FINANrC-NNG, CONSULT WITH YOUR LEN DER OR.AN AT TORN EY BEFOR�E_
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,6 ca "RMING YOUR NOTICE OF COMMENCEMENT.
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Doc#2019138833,OR BK 18827 Page 1656, it
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Recorded 06/13/2019 02:28 PM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY
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