2137 Seminole Rd RERF19-0144 Shingle • 46.Ir,�� REROOF SHINGLE PERMIT PERMIT NUMBER
:1 ri RERF19-0144
.M7:. ; CITY OF ATLANTIC BEACH
�\ Vr 800 SEMINOLE ROAD ISSUED: 10/23/2019
`�LOH19. ATLANTIC BEACH. FL 32233 EXPIRES: 4/20/2020
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:
2137 SEMINOLE RD REROOF SHINGLE SHINGLE ROOF $7372.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169515 0510 SECTION LAND
COMPANY: ADDRESS: CITY: STATE: ZIP:
ROMANO BROTHERS
ROOFING, INC 155 E. Levy Road Atlantic Beach FL 32233
OWNER: ADDRESS: CITY: STATE: ZIP:
BULL JUDITH 2137 SEMINOLE RD ATLANTIC BEACH FL 32233-5921
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 $90.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$94.00
Issued Date: 10/23/2019 1 of 2
60.A., REROOF SHINGLE PERMIT PERMIT NUMBER
Oi _
�y=r .. CITY OF ATLANTIC BEACH
ISSUED: 10/23/2019
800 SEMINOLE ROAD RERF19-0144
4`rt 9ATLANTIC BEACH. FL 32233 EXPIRES: 4/20/2020
Issued Date: 10/23/2019 2 of 2
�s=''% Building Permit Application Updated l0/9/18
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City of Atlantic Beach Building Department **ALL INFORMATION
Jv 800 Seminole Road,Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904)247-5826 Fax: (904)247-5845 Email: Building-Dept@coab.us IS REQUIRED. /I
Job Address: c� .51 �,�e 4-A 1 rla.f. C`� "�Permit Number: R RF I -0 ( `T�
Legal Descripp o - -� ) NA- C� - l� 1 4,,od RE# �q1� iO
Valuation of Work c Replacem nt,st)$ 31� Heated/Cooled SF I ,a Non-Heated/Cooled
• Class of Work: ❑New ❑Addition CIteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): OCommercial ✓Residential
• If an existing structure,is a fire sprinkler system installed?: Ekes ❑No
• Will tree(s)be removed in association with proposed proiect?fYes(must submit separate Tree Removal Permit) ®No
Describe in detail the type of work to be performed:
44-10dr C.'-). R po e_i n SI-',ek
Florida Product Approval#''1 101,z4, I '\ V'a� b•t4 for multiple products use product approval form
Property Owae,,r Information
• Name I -f r j ' c l( /� Ll L I/ Address
City A " / . State Zip .3 ,3 Z Phone % 0 v-' 1.1 Z--6E45
..-
E-Ma I
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 Qualifying Agent
Address 55 E Levy Rd. City At antic Beach State FL Zip 32233
Office Phone
(904)246-5649 Job Site Contact Number
State Certification/Registration# C,C.t,1328893 ,E-Mail romanobrothersrooting@gmail.corn
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer WBS WC 90-00-818-06 OR Exempt 0 Expiration Date Exp. 12/31/
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
applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND , s 3• °
U- O m
(. OBTAIN FIN • ING, CONSULT WITH YOUR LENDER O' ORNEY BEFORE dm��
R CORDING • �: .► • • C•MMENCEMENT. �t=N
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, N G20da Signed and sworn to(or affirme before me this 22.day of
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The Linfierah2ned herekAr rre7orrao you that Paroprolioraonts%FIB be made to gartain Yogi property,and.in
sceortIonse Mgt Oectiloa 713 oli-ft Floricia'Otatuies:ito ffonowing inforamOdon is stated in this;NaTiCE OF -
CGIVIEMICEIVENT.
Waal description of pir.sperty beinrafed:
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General description of improvements:Reruc/r
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Owner's interest in site Mho
Fee Simple Titleholder(if other than
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Name
Address
c-,,urrimutor ROT/am)Brothers Raefing Inc
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Address 155 11:_________Leey Rd.:lila:T/1c Beech,FL 32233
62424E44m
Phone No-_______________________Pag Ne• _ _________L
Surety(IF any)
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_Amount of bond$
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Name and address of any person merino a lz-ien for the constuction of the h-nprovements.
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Name of pen-w - the State of Florida,other than himssif,deSigilated by owner coon whose notioas or other I
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documents-may he served:
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Denny S.Rumann •
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Name
I5 R.Levy Rd.Atlerx.de Bee91,sasas
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Phone No_ L . ' hick_
In addition to himself,owner designate.e the following person to rece.ive a elJp.F of the Lima's Notice as provided In
Section 713.06(2)(b),Florida Shhilitee.(Fill in at 01Jvrter's option).
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Name
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Eicpirslion date of Notice of Commencement(the empiretIon date is one(1)year from the date of recording unless t-:i en.5.g r4
different date is spedfied):
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Recorded 10/23/2019O9:42 AM,
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RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL _
WM-ay Public ail...give.SL-te Qtr ±--.'eounqe
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COUNTY
My crwarriissIoneuptes: . ,_-__IL-:_z_L_____
RECORDING $10.00
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