1431 Jasmine St RERF19-0102 Shingle NJ
REROOF SHINGLE PERMIT PERMIT NUMBER
RERF19-0102
P CITY OF ATLANTIC BEACH ISSUED: 7/26/2019
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 1/22/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PIVI 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:
1431 JASMINE ST REROOF SHINGLE SHINGLE ROOF $8350.00
TYPE OF REALIESTATE
BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1710801000 ATLANTIC BEACH SEC H
CITY: STATE: ZIP:
COMPANY: ADDRESS:
ROMANO BROTHERS 155 E. Levy Road Atlantic Beach FL 32233
ROOFING, INC
ZIP:
T171 0 1:1 ADDRESS: CITY: STATE:
AMANN GEORGE W 1431 JASMINE ST ATLANTIC BEACH FL 32233-1850
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.
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $95.00
STATE DBPR SURCHARGE 4SS-0000-208-0700 0 $2.00
STATE DCA SU RCHARG E 455-0000-208-0600 0 $2.00
TOTAL: $99.00
Issued Date: 7/26/2019 1 of 2
Building IrPermit [Pipplication Updated 12/8/17
j
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
,'ob Address: 10_15 I Phone:(904)247-5826 Fax:(904)247-5845 -7
Permit Number: u'F (si,- c I C
Legal Description�B-�)LA 14() RE#171.1 OPn -k 000
VA
Valuation of Work(Replacement Cost) Heated/Cooled SF �Xs Non-Heated/Cooled
• Class of Work(Circle one): New Acicliti�on (��epair 1`40��� Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial ke���
• 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
Descrl'je in detail the type of work to be performed:
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Florida Product Approval# CA for multiple products use product approval form
Property Owner information
Name:_&Q.Ne 16 pn C4 Aj� Address: '12t jv-x e
City - .- 11 C,I A, State Zip-3 A k 3,3 Phone('c1c>'0 ck-�7_/_-7-2r
E-Mail
Owner or AgeritIff'Agept, Power of Att.QX_qey or Agency Letter Required)
Contractor in-form?R,on
Name of CornpanV: it
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-Qualifying�gent: :I--
Address
A- CitY____����State Zip k�
Office Phon Job Site/Contacc Number
State Certification/Registratioii',-�,�%,% -Mail
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pt/Insurer Lease Employees/Expiration Date Z -
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Application is hereby`mid6tdib�btain a it to do the work and installations as indicated.I certify that o work dr iTsta
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 requirernents 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
appiicable laws regulating construction and zoning.
WARNING ""'O OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
PESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS —0 YOUR PROPERTY. IF YOU INTEKIF��
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Doc#2019174967,OR BK 18878 Page 2477, T��=Sft'n'
Number Pages! 1 Uef
Recorded 07/26/2019 OZ04 PM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $1000