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363 Aquatic Dr RERF20-0027 Shingle � REROOF SHINGLE PERMIT PERMIT NUMBER ::. CITY OF ATLANTIC BEACH RERF20-0027 "Mr ISSUED: 2/11/2020 800 SEMINOLE ROAD EXPIRES: 8/9/2020 `n ATLANTIC BEACH. FL 32233 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: 363 AQUATIC DR REROOF SHINGLE SHINGLE ROOF $4000.00 TYPE OF REAL ESTATE ZONING: I BUILDING USE I SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 171818 5266 AQUATIC GARDENS } COMPANY: I ADDRESS: CITY: STATE: ZIP: ROMANO BROTHERS ROOFING, INC 155 E. Levy Road Atlantic Beach FL 32233 OWNER: ADDRESS: CITY: STATE: I ZIP: TUNG DORIS L 1675 TUTBURY CT JACKSONVILLE FL 32246-0637 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 $75.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$79.00 Issued Date: 2/11/2020 1 of 2 s�L'�� Building Permit Application ���te�Lo �,� J r� �A r_: z City of Atlantic Beach Building Department **ALL INFORMATION ,V 800 Seminole Road,Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY I Phone: (904)247-5826 Fax: (904)247-5845 Email: Building-Dept@coab.usoaIS REQUIRED. Job Address: 3 3 r�Qt�C.,/��c. /0r Permit N}tmbfr: l� FZC ` VC)c 7 Legal Description 3 ---1 I I 1 -QS - E At f;4-.r (--r,�,e., CL.1D_ RE# I 1 113) �3 - `_— lA(P Valuation of Work(Replacement Cost)$ LIL)U(_. Heated/Cooled SF q Non-Heated/Cooled • Class of Work: ❑New ❑AdditionAlteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s). Alteration ✓iResidential • If an existing structure,is a fire sprinkler system installed?: EYes ❑No • Will tree s1heLemoved in association with proposed proiect?❑Yes(must submit separate Tree Removal Permit) ENo Describe in detail the type..?").work to be performed: -t' ✓DO It d , .s. I Fl ' Product Approval# "C\ (p«�. t T I )3( 1- 1 for multiple products use product approval form Property er Information ` 1 ` \ Nam . n , Address ;-`-t i( 1 '�`1.i k-- --)0--( P7-- t. C City _ c C L1(\ /t I State Zip14 Phone 1 Ut.t 9 el5 • `lit E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) n/a Contractor Information Name of Com Romano Brother Roofing Inc. Daniel Romano Qualifying Agent Address 155 Epany Levy Hd. City At antic Beach State FL Zip 32233 Office Phone (900246 5649 Job Site Contact Number State Certification/Registration# LLU1 i28893 E-Mail romanobrothersroofing@gmail.com Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer WBS WC 90-00-818-06 OR Exempt❑ Expiration Date Exp. 12/31/141 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 0 -AN ATTORNEY BEFORE RECORD G YOUR NO COMMENCEMENT. (Signature of Owner or Agent) (Signature of Contractor) Sign and sworn to(or a ,r before me thiss\ day of S. d d sworn to(or affir )before this "7 day of v' S..e 1 on 2 ant ?U ,by i ( AnV ature of No ry) (Signature of Notary) Vs_ersonally Known OR ,pr*. Notary Public State of F. . :'rsonally Known OR Produced Identificat� f '`F Nicholas Joshua Brower educed Identification ��►+` Notary Public State of Florida Type of Identification: L y My Commission GG 181978 Typ- .f Identification: -. Nichola . . . r. ower �10«1 Expires 02/01/2022 ,g' 7 ' ,per Yy Commission GG 181978 e o,na- Expires 02/01/2022 a a COMMENCEMENT Permit No.. mew*INDUpL10A'r } r • State of Tc•1111noin 3E may concern: a t,�of. 0.0 as"ar �c�+�j • The ui3d©re ,, d2©F](dBi�6fiy ddil'Qd533�5 lam$9^yz�i BGdd accay9ssi(ia aac ®s 713�a� u@ F9or€sIa° staftes,tin atalydd seab property,and in improved: Lege description ofg >;'naaate�as�a�cJ#n fhbfhbNOTICENOTICEOF, e. 13mperty being improved: 1.' - l ..-- - .... .__ . -- .....______,. .,__Acidress Ofprn er r being improved: ► X35,etvCenel3i description of immevements:Rot Owner *Address :� • • nWiler's Inter -est 43clte of the improvement - __--...________-----„--.44,- Fee 5irtapie Titleholder(if other than owner) Name Adaress _. _- o "—� • -}:. CUnfTIIClor +ma�o�rohaea;iaoo&ng 3stc • Address155 Levy J • did..tiyan41c Beech' R.3,23.3 Phone No.(8C,1}248-2744 . -. - St�r2Ey fit all ) .r No Address Phone No. Amount of bond 8 Narita and afld4ass of a Fox No. ~-- Yt�erso�ramicing. l • Na4ne S a t}ai?3')r the 4011a pti .add-----....,_-_________,----_,....--__-________„Ti �` "`~�--__ �. c6aa1ar tht=Lnproveanere. phone• Arne®}: "'-.------...�...,d'c,at NO. 1 pe�n•uvitllit3 the state of- - documel •nav be served: i'Ie,-+r}a'other than a1t,�Wal,,dere Narrle penny e.Romano • designated by ttov,�gr upon whom notices or other Adele tae s Levya,rascetae A • Phone No. (so4) ��a°p�s�ase i in addition "'. Pan No is himself,eaw3rol des C9nafts in ad i on b h ine following person' - _.... (2)ib),Florida Mutes.R lI in et€J receive a copy ofe Name Owner's El �,9t;a9oa'S Notice r� Atios). provider]in adds ass ----_____ Phone No. -���FaarN o -e.e_� • Elc�lr�rl4;�14�'�iaeSNe�c. ' different date iS 9 of , swilled): (the agfArsuon date Is one T€�9� a (d)year'Atom MD date of ' FOR RECCIRDEITZ UPJE ONLY _ recording tsrtl 3 ,� o Signed: • BaPoreme this Otilimn X f 2 z p� ,3 y or .0 0'o V l�6(N�a Gountj. P. 9 :farm. .a I e E1.�1�' o O d hlrta8elBita I� i I. ly tad n fits • 0 3 —v esele- .a- as the all N 3 v+ C • herein b Q Q Doc#2020031993,OR BK 19099 Page 1762, alb4rataanelaceuiate � •` }eEaddit •,tgleherebr. , 0 ? Number Pages:1 N Glc di -3 /' Recorded 02/10/2020 01:16 PM, • LN:‘,1"1 - i o RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL � `r` FZ �' COUNTY g,m-r-•,r; enm 8.S or [�►_� c0 RECORDING $10.00 Personally luaatrrr — or #1J~tf�I! �ducad IdentUlcatton _ cy