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408 Aquatic Dr RERF19-0166 Shingle rr1 L. REROOF SHINGLE PERMIT PERMIT NUMBER :" 'j,- CITY OF ATLANTIC BEACH RERF19-0166 �,v 800 SEMINOLE ROAD ISSUED: 11/20/2019 _ ATLANTIC BEACH. FL 32233 EXPIRES: 5/18/2020 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: 408 AQUATIC DR REROOF SHINGLE SHINGLE ROOF $7575.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 171818 5136 AQUATIC GARDENS COMPANY: ADDRESS: CITY: STATE: ZIP: RO BROTHERS 155 E. Levy Road Atlantic Beach FL 32233 ROOFING, INC OWNER: ADDRESS: CITY: STATE: ZIP: CHAMBERS JANE COOPER 408 AQUATIC DR ATLANTIC BEACH FL 32233-3803 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. FEES 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: $94.00 Issued Date: 11/20/2019 1 of 2 4t1.A r,� REROOF SHINGLE PERMIT PERMIT NUMBER `.` t r) CITY OF ATLANTIC BEACH RERF19-0166 �i► ~J ISSUED: 11/20/2019 800 SEMINOLE ROAD (,,E):19' ATLANTIC BEACH. FL 32233 EXPIRES: 5/18/2020 Issued Date: 11/20/2019 2 of 2 Building Permit Application Updated 10/9/18 .....t.,'' ity of Atlantic Beach Building Department **ALL INFORMATION � ' ' 800 Seminole Road,Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904)247-5826 F x: (904)247-5845 Email: Building-Dept@coab.us IS REQUIRED. Job Address: `-1 De) liqua-ilp Permit Number: RG RF [ 6' l0(c? Legal Description 5g-11 Y1- t l: 4,Ql�aA. (, Cylo c t r L et) I1( )14'1) 'S 13`p Valuation of Work(Replacement Cost)$ c \ l1 Heated/Cooled SF I l_p Non-Heated/Cooled • Class of Work: ❑New ❑Additionl Alteration ❑Repair [Wove ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): QCommercial aesidential • If an existing structure,is a fire sprinkler system installed?: ❑✓ Yes ❑No • Will tree(s)be removed in association with proposed proiect?L_lres(must submit separate Tree Removal Permit) EiNo Describe in detail the type of work to be performed: Florida Product Approval#T1 )D,WI .) .\ a-.I7 C2j'1(0 \ for multiple products use product approval form Proper wner Information .TitNCG C �l9�7.c¢-1 Name cL C. c416..4--/-**"' Address /GS" 7.4- 4477c D� City 7-)hTC , 6-.-1(1-1 F-- State FL Zip SZZ?� Phone '6l— VS5= /1 'D 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 Quality"ng Agent Address 155E Levy Rd. City At antic Beach State FL Zip 32233 Office Phone (904)246-5649 Job Site Contact Number State Certification/Registration# GCC1328893 E-mail romanobrothersroofing@gmail.corn Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer WBS WC 90-00-818-06 OR Exempt 0 Expiration Date Exp. 12/31/11% 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 .� ti OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE �,•,�, , ' DING YOUR NOTICE OF COMMENCEMENT. i ; m;Z Z (Signature of Owner or Agent) (Signature of Contractor) TT z z r �% 0ga h 4 0 3 d v i ed and sworn to(or affirmed before me this I( day of Signed and sworn to(or affirm_.)before -this )11 day of o 3 y i o n N)J f P"t. 2(9,by ' ti •.�5 Pl y,u.,,, (G( ,by �CALL A• e g o g g ti _� —�� /_ i_ c Iv N c W g (Signature of Notary) (Signature o Notary) N O m S [ 1 Personally Known OR personally Known OR 4,•roduced Identification [ Produced Identification Type of Identification: De Lt, Type of Identification: pewit No. P ARE IN DUPLICA E) i � �I . State of ----e Tal:sallao� TG%tern3EMay- neeren ° i'Iof accord-grace Tho�'3cialoj�aa©fl�ae��my Isrdb3aras you slat 86�agtrt�'o�®�ks aece uoE Teel �T1 *ft u@ n�®fie° r� r will a sssa�3e an certainvow accoCOR[tR race w th ,Elm following into a Cti0n is stekocl i ������end 43 Le.e descriptio 1�NOME®� ro l � periy being:P Rived: ' ) !kldFes^S E�f�IY€it3P►e�/tieingimproved: � � - -_ _ stementth General description of 3rn ° ] �L� AYefenaerrcs:Reraaf • • Stn C Nom`3t 2j . r�AdoI� I y�y ,� c>z ti l;.. _ _ Owner's interest in site One a IP 1 D Lsj..43- Vic t improvement F z .. T Fee Staple Titleholder(i'other than owner)) --���-•-m...—________—___----+ Adcire5s caritr&C'l'or Ron0 Brothers�R.aoTng Inc '"� '- -m Address i55 Levy d.!s?a3Yie 3 -- - (8Q�1}2�8 5&99 Beach, Z 3?.:43 - m Phor3C3UO.I . ftie - a•-•Iv -—______-..--_______--________+ st jrety of any) Address Phone Na. A11lt,eln�cf lo rld P "��._�"". Name Fit No.---� • and address aPa;�yperson r s ?r, Name S a loan for the ccr-sl,zlcPiarl of �' ` __ _4 theLproverner�,- .�ddY8s5 1 • Phone No.—_-_—______________—_—____—_________—___________--T g-_ - �i -_"�"e----- �� I Name of person-within iae;9tale o;1=lar?da.other than himself,designated ''� other - y be 3elved: gnaYed by owner wort wh©Ya 13©f(f s�or Name Danny e.Romano /�ddrWn3 IAB 8.Lir�'.d,Atl Be F3s2'Wt,PL aP29: -------''-------'------1- , �s m. i Pllorle Na. (sea} s sans 1 "_ Fax No. iif • In addition to himself,owner designates The following1 peados on to h(2)s{dye,wnRoer d Futes. person to receive a co Nacos (Fill in St sewn AJ(Tithe Lleneyr`s Notice es ProVi vd owners oAlios). in Address Phone No. • SdD dsla of Notice i. ,, . dll'fBrQt3E f18Y6 IS ®f�ommeoczrnonl '�,. sAo oti ed): (the enf� arl dale Is one(1)[3 WAGE {q© yq�yp �j(q veer Citin the date of unl o?m ••+�F7 O��t'SS4JE 671_i�EyYd1MN�Y1i�Y7�,p�41 ��y] �) - � � _•O at I 10 �71fl1<�Slp_ Co'3 m Q • ''s ole rids/.BPa[s l y or till PAIrer -/- L1A1�' ghe .:3 0 03 If Deo#2019266455,OP,BK 19008 Page 2 rYA?R ;� �l r4 ie, v 1, c. C H Par,a lly?o tad n Ehs - ,, m If Number Pages: 1 g 189, emelt and r ,co Recorded 11/19/201910:26AM aEe4 �da' "al ��s�an � �'ddadnnsRsre(herein by °D RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL u COUNTY RECORDING $10.00 My corinrdesioneupPersonallyICriev. vss: caurfryof • Produced Identlilcagon • -4 V