225 5th St RERF19-0134 Shingle S"'f- REROOF SHINGLE PERMIT PERMIT NUMBER
j RERF19-0134
_�►,n.% CITY OF ATLANTIC BEACH
�� 800 SEMINOLE ROAD ISSUED: 9/30/2019
= ATLANTIC BEACH. FL 32233 EXPIRES: 3/28/2020
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:
225 5TH ST REROOF SHINGLE SHINGLE ROOF $11220.00
TYPE OF REAL ESTATE 1 ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170138 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
ROMANO BROTHERS
ROOFING, INC 155 E. Levy Road Atlantic Beach FL 32233
OWNER: ADDRESS: CITY: STATE: ZIP:
FISCELLA MOLLY G 225 5TH ST ATLANTIC BEACH FL 32233-5311
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 0 $110.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $114.00
Issued Date: 9/30/2019 1 of 2
s'''��'"�� REROOF SHINGLE PERMIT PERMIT NUMBER
Js� ,
iiii
. `� RERF19-0134
CITY OF ATLANTIC BEACH
~� " 1� ISSUED: 9/30/2019
800 SEMINOLE ROAD
�, olti EXPIRES: 3/28/2020
ATLANTIC BEACH. FL 32233 I
Issued Date: 9/30/2019 2 of 2
R FLP► - (3( 34
tf- 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 REQUIRED.
Job Address: )3s SA A 5+ Permit Number:
Legal Description .x-69 lt, --dS --09 ,E A&,t ahv 4-,..61, r 4S"o- /6•fslid diVivE# 170i ' " c
Valuation of Work(Replacement Cost)$0111 09O Heated/Cooled SF 3%/ Non-Heated/Cooled
• Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): QCommercial Q✓Residential
• If an existing structure,is a fire sprinkler system installed?: Eyesrr--1ENo
• Will tree(s)be removed in association with proposed proiect?LIYes(must submit separate Tree Removal Permit) EiNo
Describe in detail the type of work to be performed: n_ro. G --.
C-,4.i Pj4) 1. S-1,Ck Skk
A( ( e_.;
Florida Product Approval JO I)lis, l �1 10...75:4_ :„? Lt for multiple products use product approval form
Property Owner Information
Name AAc//v 1' C. f PA Address ?3 c 6"A S
City , fIAhI L i eex ,l, State v/ Zip •33373 Phone (k.y-
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) n/a
Contractor Information
Romano Brother Roofing Inc. Daniel Romano
Name of Company Qua Qualifying Agent
Address 155 EpLevy Rd. City Atlantic Beach State FL Zip 32233
Office Phone (904)246-5649 Job Site Contact Number
State Certification/Registration# LLL1328893 E-Mail romanobrothersroofing(c_Dgmail.com
Architect Name& Phone#
Engineer's Name&Phone#
Workers Compensation Insurer WBS WC 90-00-818-06 OR Exempt iii Expiration Date Exp. 12/31/1/31
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 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 g ,_ou
applicable laws regulating construction and zoning. ' m
ARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
oN
1 SULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND .,,,S..:,,
s 9 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN RNEY BEFORE 0-• r.E�
iso' CORDING YOU' OTip OF COMMENCEMENT. o rx
u)L ON ZZiW
n ,E o
LI) ignature of Owner or Agent) (Signature of Contractor)
t
Zoom $
cOLUa a� QY
z z w ''•ned and sworn to(or affirmed)before me this ( / day of Signed and sworn to(or affirme before me s day of
•rr )/i 2.e.)(et by 4 G i - . , /c( by k1.,i,4 .-�1' P.--ei-O
%q!sd —Signature of Notary) (Signature of Notary)
f ]Personally Known ORPersonally Known OR
'Produced Identification ...0 / f ]Produced Identification
Type of Identification: ( - Type of Identification:
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 170138-0000
State of FL County of 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: 5-69 16-2S-29E ATLANTIC BEACH E 95FT LOTS 1,2 BLK 18
Address of property being improved: 225 5TH ST Atlantic Beach FL 32233
General description of improvements: REROOF
Owner MOLLY FISCELLA
Address 225 5TH ST Atlantic Beach FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor ROMANO BROTHERS ROOFING INC
Address PO BOX 330337 ATLANTIC BEACH FL 32233
Phone No.904-246-5649 Fax No. 904-246-4810
Surety(if any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
Address
Phone No. Fax No.
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other
documents may be served:
Name DANNY ROMANO
Address 155 LEVY RD SUITE E ATLANTIC BEACH FL 32233
Phone No. 904 6100476 Fax No.
In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address co
Phone No. Fax No. u e,
to Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a y o
different date is specified): o o,`o_
B.
THIS SPACE FOR RECORDER'S USE ONLY } G9+� • OWfIER a' t.
Signed:k Y✓� J �� J DATE % "I� g r§U. U m
Before me this g') day of .rt . , in the 2 2
County of Duval.State of Florida,has rsfl.. , W
onally appeared
Doc#2019225007,OR BK 18949 Page 841, Molly Fiscella herein by �t,.
Number Pages: 1 himself/herself and affirms that all statements and declarations herein
are true and accurate C�*
Recorded 09/30/2019 10:55 AM, ice.
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL s
COUNTY "
RECORDING $10.00
Notary Public at Large.Stag pr . , County of MEW t
My commission expires: L
Personally Known or
Produced Identification ) -