2331 Seminole Rd RERF19-0121 Shingle REROOF SHINGLE PERMIT PERMITNUMBER
CITY OF ATLANTIC BEACH RERF19-0121
800 SEMINOLE ROAD ISSUED: 9/5/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 3/3/2020
MUST CALL INSPECTION • • • 1 + 247-5814 BY 4 PM FOR • •
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • '
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:
2331 SEMINOLE RD REROOF SHINGLE shingle re-roof- FL10124.1 & $7000.00
12328.4
TYPE OF
• • GROUP:
168908 1202 BLUFFS
COMPANY: ADDRESS:
ROMANO BROTHERS
ROOFING, INC 155 E. Levy Road Atlantic Beach FL 32233
• ADDRESS:
HARRISON KEVIN 2331 SEMINOLE RD ATLANTIC BEACH FL 32233-5925
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 . .
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 $90.00
STATE DBPR SURCHARGE 45S-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $94.00
Issued Date:9/5/2019 1 of 2
•S�S'`''`''� REROOF SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RERF19-0121
800 SEMINOLE ROAD
ISSUED: 9/5/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 3/3/2020
Issued Date:9/5/2019 2 of 2
1 Building Permit Application Updated 10/9/78
City of Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
�urt�r IS REQUIRED.
--d-
PPhone: (904) 247-5826 Email: Building-Dept@coab.us n p /�
Job Address: o�33/ �,Ai ^ e rd Permit Number: N—F to — O I
k'11 L.eC2j�n-r ,., co'"*-r.A tier.
Legal Description `3 7--'77 9 7-dS --J9/' , 0,56 .(I.rn wry 07 / � RE#
aW vEo -sr
Valuation of Work(Replacement Cost)$ U Heated/Cooled SF�_Non-Heated/Cooled
• Class of Work: ❑New ❑Addition 19Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑WindRECEIVED
• Use of existing/proposed structure(s): ❑Commercial ❑Residential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No
• Will trees be removed in association with Provosed roiect? ❑Yes must submit se arate Tree Removal fikaitil ()NQQ1Q
Describe in detail the type of work to be performed: )&fOvf Sulldipq
Florida Product Approval_).0/, H s � L '�3�`Cy L' for multiple roduc s I !1t
P P Citq�M"PM&8wach, FL
Property Owner Information
Name jC`v n 14,x, Address &13) Se..,i-e/e•
City A+jsa+,'- 9co.c k State H Zip 33 1;3 Phone
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company�ibe /�wna�n o ; .c�l+�ts r`1 Qualifying Agent .�4 n•t AC,14-`i
Address r. d City 41 fid/► State F/ Zip d 3
Office Phone III-q— '2' Y9 Job Site Contact Number 9,,./-G/4'—i'Y74.
State Certification/Registration# �C /3�EGrI3 E-Mail
Architect Name&Phone#
Engineers Name&Phone#
Workers Compensation Insurer G
!� ®� cempt� ❑ Expiration Date
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
ermit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and
t re may be additional permits required from other governmental entities such as water management districts,state agencies,or
V,j Sof eral agencies.
NER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all
m Z Za licable laws regulating construction and zoning.
x _.p
'S?.o oz ARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY C-
L Kzo
NN -51 SULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND o o� 1
oa.oa `03iv 1
N'2� OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE � .`s
Nino T CORDING YOUR NOTICE OF COMMENCEMENT. - Nim d e
N fa
D7
(Signature of Owner or Agent) (Signature of Contractor)
m1
Si ned and sworn to(or affirmed)Oeforg me this2] ay of Si ned and sworn to(or affirm-A)before me this day of
2D(c(�by / noo by
(Signature of Notary) (Signature of Notary)
[ ]Personally Known OR ersonally Known OR
Wroduced Identification [ ]Produced Identification
/type of Identification: �� Type of Identification:
NOTICE OF COMMENCEMENT
PREPARE IN DUPL CATE)
Permit No Tax Fol'c Nc. 168908-1202
S'a!e of FLCcuny cf Duval
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property;and In
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: 37-7737-2S-29E.086 BLUFFS UNIT 2 LOT 1,11NDIVIDED 1/15 INTEREST IN COMMON AREA O/R 4864-85
Address of property being improved: 2331 SEMINOLE RD Atlantic Beach FL 32233
Gene,al cescr'ptlon cf rrprovemerts, REROOF
owner Kevin Harrison
Address 2331 SEMINOLE RD Atlantic Beach FL 32233
Ow-,er s r.terest�n sl`e of the:rprovement
Fee S7mple Titlenolder(if other than owner)
Name
Address
Contractor RONIANO BROTHERS ROOFING INC
Aadress PO BOX 330337 ATLANTIC BEACH FL 32233
Phone No.904-246-5649 Fax No 904-246-4810
SLrety Rf any)
Address Amc_n'of bo^d$
Phone No Fax No.
Name ano actress cf any person ma-drg a can fcr the construct on of the improvements.
Name
Address
Phone No. Fax No
Name of person with'n the State of Florida other than himself,designated by owner upon whom notices or other
documents may be served:
Name DANNY ROMANO
Aadress 155 LEVY RD SUITE E ATLANTIC BEACH FL 32233
Phone No. 904-610-0476 Fax No.
in addition'o nimself,cwrer desigra-es the follow ng person to receive a copy cf the Lieror's Not ce as provided in
Section 713 GE(2)Ib). Florida Statutes.(Fi l n at Owner's option) p
NameD'
Address
x<<'zo
Phone No. Fax No. 2
Exp'rat on da-e cf t,ctice cf Corn IT en Ce Tient(the exp rat°on Cate.s cne i1)year from t!-e date c`record'rg ur'ess a C L
Cifferent Cate:s specified) N
G)216
THIS SPACE FOR RECORDER'S USE ONLY OWNER 6)CD 2
6
Signed: DATA ca
Before me:his day of In the m
Couof OCe,.State of ,orida, rs al,y appeareo
MA f ' srein by
him elfI he self and a rens:hat a I s-atements and cadarations heron
Doc#2019202391,OR BK 18916 Page 1803, are true area accurate
Number Pages:1
Recorded 08/29/2019 02:06 PM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY ry Public at-arga,State of Co,nty o1 /'
RECORDING $10.00 Mycomm'ssionexpires:
Fersonaly Known or
Produced lcaVrication