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339 SKATE RD - RERF20-0024 r '1-,vir%»\ REROOF SHINGLE PERMIT PERMIT NUMBER - 'fr° P. CITY OF ATLANTIC BEACH RERF20-0024 fi ISSUED: 2/7/2020 800 SEMINOLE ROAD -71,, ATLANTIC BEACH. FL 32233 EXPIRES: 8/5/2020 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: 339 SKATE RD REROOF SHINGLE shingle re roof FL10124.1 & $8420.00 FL13857.4 TYPE OF 1 REAL ESTATE BUILDING USE ZONING: SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 171676 0000 ROYAL PALMS UNIT 02A3.00 COMPANY: ADDRESS: CITY: STATE: ZIP: RO BROTHERS 155 E. Levy Road Atlantic Beach FL 32233 ROOFING, INC OWNER: ADDRESS: I CITY: STATE: ZIP: HICKS FREDDIE L 339 SKATE RD ATLANTIC BEACH FL 32233-3819 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 $95.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $99.00 Issued Date: 2/7/2020 1 of 2 V lka"--,,,,,,e,,:`v�' Building Permit ApplicationUpdated 10/9/18 �...__ , City of Atlantic Beach Building Department **ALL INFORMATION `_� 4 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY �J't IS REQUIRED. Phone: (904) /247-5826 Email: Building-Dept@coab.us -1 Job Address: '� ?9 ok Rd p Permit Number: f-e g_P o► s- OOa _t Legal Description 21-/C /7•- OS -a9 r R// sF PIT,,r A,c�/y t/ Pd-s wit.1- E# f 7/6 7( "cm° Valuation of Work(Replacement Cost)$ .?/3O OZ Heated/Cooled SF y ',O Non-Heated/Cooled • Class of Work: ❑New ❑Addition ❑Alteration ❑Repairr�DMove ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial LUResidential • If an existing structure,is a fire sprinkler system installed?: ❑Yes CIKO • Will tree(s)be removed in association with proposed project? EYes(must submit separate Tree Removal Permit) ❑DM Describe in detail the type of work to be performed: Florida Product Approval Vl /6/,)/, / 'Cl-/,32)s-7 ; `I for multiple products use product approval form Property Q'ner Information Name / r;�_ / _ii-i#( Address �y 20--(1)(0`r City At( &J f- State )1? Zip 12,233 Phone fit1 S65/9 E-Mail Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Name of Company le-Or'Ie v.c. I .iJ1t riy "eal+►v, Qualifying Agent 4.11 y• A-4.--14.-,_,, Address /< /e'•-r ,ed 5=.,Ic !_' City ,lam/ ,9-,-....A State v=/ Zip 5.?34 Office Phone 90V- 0116•'cg' Job Site Contact Number •a“. `S,qg State Certification/Registration# (((' /. i 7`Zs'73 E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer OR Exempt❑ 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 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 TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RE, OR ING YOUR NO 1 f OF COMMENCEMENT. --- ,C44 LA-4 LU - (Signature of Owner or Agent) (Signature of Contractor) Sign �and sworn to(or affirmet befo - m: ,is 6 day of reled and sworn to(or affirm before met ' 6 day of pOja . �- (Signa . • 'otary) (Signature of Notary) [ ]Personally Known OR ,lPersonally Known OR ) 1Produced Identification •/ l El Produced Identification ype of Identi' r• - -" _ •_ Type of Identification: . ' �� Notary Public State of Fbrida *I Notary Public State of Florida Nicholas Joshua Brower Nicholas Joshua Brower tc My Commission GG 181978 �c My commission GG 181978 a w Expires 02/01/2022 OrRV. Expires 02/01/2022 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. 171676-0000 • State of I t. 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: 31-16 17-2S-29E R/P OF PT OF ROYAL PALMS UNIT 2 A LOT 8 BLK 24 Address of property being improved: 339 SKATE RD Atlantic Beach FL 32233 General description of improvements: REROOF Owner Freddie Hicks cf Pear Alfc. Address 339 SKATE RD 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. 904-610-0476 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 ' Phone No. Fax No. O(�o� Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a ' different date is specified): o O - THIS SPACE FOR RECORDER'S USE ONLY •• NE7 ! .' o_ Si. ' •- � DATE 2•'4:' S U U'a O._ Befo- e this (Ly day• • b�,�, in the Z Z w Countyof Duva jttate Florid�r a;p rso al appeared �� / C herein by ,yr himse ft herself and affirms that at statements and declarations herein are true and accurate Doc#2020029820,OR BK 19096 Page 1320, °h.s ` Number Pages: 1 • Recorded 02/07/2020 09:39 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL ubiicatLarge.State of . Coyotyof •s COUNTY y commission expires: Personally Known or RECORDING $10 00 Produced Identification L