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645 Aquatic Dr RERF20-0026 Shingle REROOF SHINGLE PERMIT PERMIT NUMBER d IOWA rin CITY OF ATLANTIC BEACH RERF20-0026 r ISSUED: 2/11/2020 800 SEMINOLE ROAD "`j ATLANTIC BEACH, FL 32233 EXPIRES: 8/9/2020 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: 645 AQUATIC DR REROOF SHINGLE SHINGLE ROOF $5000.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 171818 5360 AQUATIC GARDENS COMPANY: ADDRESS: CITY: STATE: ZIP: ROMANO BROTHERS 155 E. Levy Road Atlantic Beach FL 32233 ROOFING, INC OWNER: ADDRESS: CITY: STATE: 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 $80.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$84.00 Issued Date: 2/11/2020 1 of 2 Building Permit Application Updated 10/9/18 1 »`7 City of Atlantic Beach Building Department **ALL INFORMATION uir 800 Seminole Road,Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY -I FS 9:, Phone: (904) 247-5826 Fax: (904)247-5845 Email: Building-Dept@coab.us IS REQUIRED. / EfiP Z0—00��o Job Address: 6 "/ 5 //eCA-C- fir 4d•', PeLmitNumber: of Legal Description 3 - 1 1 I.l. ,:ls al E At)�kt� /][¢'(Tong Nr. RE# 1 1 1 S'� ) 13 - 536D Valuation of Work(Replacement Cost)$ 0 1 Heated/Cooled SF 1 Le Non-Heated/Cooled • Class of Work: ❑New ❑Additionili ... Iteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): OCommercial Dtesidential • If an existing structure,is a fire sprinkler system installed?: E✓ Yes ❑No • Will tree(s)be removed in association with pro osed proiect?ores(must submit separate Tree Removal Permit) LNo Describe in detail the type of work to be performed: Florida Product Approval# t lD IL-4. ( 'F 13- . ‘ for multiple products use product approval form Prop• , 9 ner Informati n at-i. �� � 1 i �. Name I-. SP1 t Unf\ a Address t-1•l � 6 S , \t_./a City p Y1V State T1 Zip 3.-Will I,4 Phone lug q i •'3 - .%1 ?%( 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 Qualifying Agent Address 155 E Levy Hd. City At Beach State FL Zip 32233 Office Phone (904)246-5649 Job Site Contact Number State Certification/Registration# UGC,1328893 E-Mail romanobrothersrooting@gmail.corn Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer WBS WC 90-00-818-06 OR Exempt❑ Expiration Date Exp. 12/.31/04 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 ii� grhpl$ar a vyi#)all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN . 13-!RNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. /��� (Signature of Owner or Agent) (Signature of Contractor) d and sworn to n t (or affirm-•)before m is —day of S' nd sworo(or affirme• before me this 7 day of ,�lt7 /,++�-4: w,by :'.•_.-• 1 A 0 by __At I 011 --- � . ure of Notary (Signature (Signature Notary) ( 1 Personally Known OR .Wally Known OR Notary Public State of Florida Produced Identification p" Notary Public State of Florid Pro. ced Identification f' Nicholas Joshua Brower y e of Identification: , Nicholas Joshua BroweTYPe• Identification: , J My Con,mission CC 181,';.. e ion e' 181978 oir,' Expires 02/01/2022 q n./ Expires 02/01/2022 w_ COWEENCIMIXT peE�alik No. Pl ARE IN DUPLICATE) ' State o7 T• whom3t T 9.,is lia No. 1 e) I r - 9�s� def�3 ;�` Count of �• ?>h3a undersigned�k38� Jae;�i�I�E�a®5'ies you�s;a2 aG�a a1P€�Ie° Id >� ®P�ks Uv13DrE4 Made ua certain soa3 o /11e Following info Legei >escripticn eat�s�a fa*dad y N��TD J3 M froperiy main ira -7- ®� Ac e oro being irnp,Improved: C�i j A... i Ilftikih - • + �-� ---Ceaarei description ofIrFraveaeafs:RenoP "" "_ m ^m41;a1+--;.*Owner --'' -'` _Address l S' 1 77-7-7----------7---- - . °miiniereak 43"lls di%improvement ner's Fee iflapl® i7dyeh®It1Ci•(If other thard owner) _,__.,_______------77-----------4-t `"..._..__ __ Name Address CUnt3cCor fustAo�roF$�, oA&ng Inc ~"„ .._�____r —�. ,�Q �f • Address 155 evy3;d.an•ptic Beach,FL _. "- phone ido.(8Q4!}23B 5Lf9 . _ Surety ilf �..u._. ._� m rax No. t� address�¢ " �, w Phone No. Amount of ©fad ..—_—_,..— Address_._,,,,..__ ...�.-_.— Ndafareand eddE ss tdF an Fax No. any r,:a'lea, d Name g e.oar?a'0;the cnls(,xtc4ion of Address-- Y---� _ the L�;pfOVefrlea . Phone Name!� 'c.`.N.�. �.a.z,•.� i parson-within$126�&�of t=1Bf?da, dome of its rso -wi seed: other then hielscis,class mama Ory 0.Romano • 9n�Y@ei by owner rai�Ort whom notices or other • Address tss s.s evj,fid, - phone No (9071} Inaddition "_____ ..Fag No. -. hia�Esa9F owrlal'daSlgd�etes i Section X23.06(2)(b),Florida tl3tes. ane ii- a ring person ti ! receive apY of the a�el aor's Nome NameWillin�Owner's OArios), as provided in Addd ass _ Phone N®.m®c��j E cplfaPioPi date of Notice Corc3ara , different date is a acefatosrt -------- -8sta®ciRedP: (the oacpia e,�date fs one(1)year tom the d _ ; 5 i a> 1`s�9r9 v��A �Y�� r '�$d recording unless r3 '6 m—N 1 ��,�Rl � ' ��� fs1515 �---� c.D • o zoo . �i�, `i�� u O._b Baum PD r -� .d y oP b�ilif' v ' a' E N • C lPern 44 r:s ;oPF7 �`a reflRs)1 AEste a.t t� Doc#2020031994,OR BK 19099 Page 1763, hiradeal Israel? •.r 4y yfl?7!?23dp[i am 4Ada�d a `aliens?been SveratA by ,' Z �u Number Pages:1 mate '� me evil del resssherein Z w Recorded 02/10/2020 01:16 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL ,. 111 6 : COUNTY �� -- S RECORDING $10.00 Ji�dlbllcek nswfr8 �=`cP y�rnntissloAenlres: Personally Known — — of �d1 [ Poadutad IdehttilQon or 4