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1892 Sea Oats Dr RERF19-0101 Shingle REROOF SHINGLE PERMIT PERMIT NUMBER ' CITY OF ATLANTIC BEACH RERF19-0101 J V 800 SEMINOLE ROAD ISSUED: 7/26/2019 J'il�r ATLANTIC BEACH. FL 32233 EXPIRES: 1/22/2020 MUST CALL INSPECTION • • • 1 i PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' CODE, ' OF • OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, 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. • : ADDRESS: PERMITTYPE: DESCRIPTION: WORK: 1829 SEA OATS DR REROOF SHINGLE SHINGLE ROOF $10840.00 TYPE OF ZONING: :D • • • GROUP: 172020 0548 SELVA MARINA UNIT 09 COMPANY: ADDRESS: ROMANO BROTHERS ROOFING, INC 155 E. Levy Road Atlantic Beach FL 32233 • ADDRESS: CITY: STATE: ZIP: SILVER RONALD H 1829 SEA OATS DR ATLANTIC BEACH FL 32233-4511 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 BUILDING PERMIT 455-0000-322-1000 C $105.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $109.00 Issued Date: 7/26/2019 1 of 2 rz Building Permit Application Updated 10/9/18 City of Atlantic Beach Building Department "ALL INFORMATION 800 Seminole Road,Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Fax: (904)247-5845 Email: Building-Dept@coab.us IS(R� C./EQUIIRRE1D. Job Address: 1i-" l�ci�S Permit Number: ��P_ I - - 10 1 i_Ot.a bl K-1 Legal Description No-ao Oq a S �LielI `�e\sja maY\��AYN� RE#I:] ao " 05148 Valuation of Work(Replacement Cost)$ AL1 Q Heated/Cooled SF Non-Heated/Cooled • ClassofWork: ❑New ❑Addition [Iteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): Dcommercial ✓kesidential • [fan existing structure,is afire sprinkler system installed?: [2]Yes ❑No • Will trees be removed in association with Proposed iproiectTlyes must submit separate Tree Removal Permit ZNo Describe in detail the type of work to be performed: _QW C Ul �-__1 f i 6 Florida Product Approval# 31 YI for multiple products use product approval form PropeMiOwfter Informs 'o ' � � Cl� `� fes_ Nam I, UNAddress D 5 W�V City State a Zip Phone E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) n/a Contractor Information Name of Company Romano Brother Roofing Inc. Qualifying Agent Daniel Romano Address 155 E Levy City Atlantic Beac State Zip 32233 Office Phone (904)246-5649 Job Site Contact Number State Certification/Registration# E-Mail romanobrothersroo ing gmai.com Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer B 90-00-818-06 OR Exempt[i Expiration Date Ex—p. 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 of this 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 applicable laws regulating construction and zoning. RNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY pg�' SULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND OBTAIN FINA CIN CON WITH YOUR LENDER OTTORNEY BEFORE omm ORDIN �EF OMMENCEMENT. _ co Laov oSa r of ner or Agent) (Signature of Contractor) E H zoom Vaned and sworn to(or affirme before a this 2- day of Sign d and sworn to(or affirm )before m isZ day of zz w'70�C, by kni by 01, (Signature of Notary) (Signature of Notary [ ]Personally Known OR VPersonally Known OR Produced Identification / [ ]Produced Identification Type of Identification: r�. L Type of Identification: st�te r�bairN�or SSu1g6lCA TT r Tax panomo. f�� es�3E a4s �zsrD: county of, �� ; @C(;O PHE3 EJ�d©F'S��D�QC3'fdQi�{,�,�3S+a'p5�3 ijg5i�89;;�96lDjtdi'3DifOba90AJkS LVij9$r?9 333 ©tV1N�tM ��P�s�9� iioe nBo {a° �LBff j➢& {- 3 E e2J ®Tt3irD B@70�� 4 } ! E!3o Jaa1PF�W]52�'�p�f®Egapi32t¢96d Oa � yv a153�jr. !-egai desct#aijcn sPa2ad f3�d�N�gP ®� f��perty ba)siV T'Jproyed: 4C 1 Address ofj3rnperkybelf?girnps�v�d: Cei)aray de scripnorr oFtrnAtaj!®merYs:Remo Q•a6a.�'�'t;wi9er �U Ova nes's iHt VSs iia sil's cts e imp �y- Fse�mPle Tllleh©1C)EY of oYner th�vay�en} - Naive ----- Address COntractor�a 3reF3aer, Addrez,s 155 7eVYRd !'- EMU e3raa� s Phalle No.(8Q�11238�r19 ,�I X3'3 Surety(if airy) R-M Ne. '---- Address . Phone Na. �tvtr,iine of bond P . Name ar�d adds Fax fdo. Name any ��30!3s-iis can t s�3UGt7£!17 OT1hcLrit7roVE?'tYrpnis Address (phone No. ® - !dna of ,''c::No._ docuManis-Ma da.other Paan hint se!,,dart_ v 6e served: �r+aiee!by ay,�gi.� Nam., 08nny e.R,,,n0 1J11R ly ©cy i 130tiM or oche' Arldresss 186 s.r suy-Rd,At3st-�e ` �eacri,PL 3829; ! P!'tone No. (M4) lfr additionPax No. t8 himself,g Owner das' Seetlorr Mae L9nz3►es 1ne Fo!!au Mg person (2)(b),Florida Mutes. s3 rive aAy a?the Name Wit!in a2 twre-5 MUM). Honor's Nonce aS PrOV16%sri Address phorle NO. ' �:c�rireflOsl r1�Pa8f NePies®fro dwal""tdate is !�arrrencamont sp6eiRed}: e Brc9o;l date is one 3 O 1'Ei9S PFOR R CORDER S �'!)yQ�r Si1DI1]Zhe date Of rggr� LL 2!2 !��R d131s�1 - �9[rnl 0 00 0 N O O ©IAJeSfR. U O N N Bsfare neStis 7t/ a pn `Y=yoP�_�""_"–--_LTr3i� L7. N E o V irVl�J�i �oim6f�Dw�1.S[�Ee P�mida hasp p aro E H narlyaaTi.sad n� 2 0 o m h!rnseltiheeseiP ° �` i0 CU.a alF�frua enil a naoU111141 stternenti ala ig herWri by z° t � mo w eclarat3mTs Doc#2019974966,OR BK 18878 Page 2476, t:srefn •r t Number Pages:1 Recorded 07/26/2019 02:04 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL if �qa COUNTYmy corMsalon�ljrG-;- to oe - r co""—tmly of RECORDING $10.00 pcuddcadldstW7�eaQfan nr