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482 E Sailfish Dr RERF20-0044 Shingle S r i�'.N REROOF SHINGLE PERMIT PERMIT NUMBER �'. _ v RERF20-0044 \-6 -. ��.: CITY OF ATLANTIC BEACH 6d ISSUED: 3/5/2020 800 SEMINOLE ROAD Ao's»i• ATLANTIC BEACH. FL 32233 EXPIRES: 9/1/2020 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: 482 E SAILFISH DR REROOF SHINGLE SHINGLE ROOF $5200.00 TYPE OF REAL ESTATE I ZONING: BUILDING USE iSUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 171403 0000 ROYAL PALMS UNIT 02A3.00 COMPANY: ADDRESS: CITY: STATE: I ZIP: ROMANO BROTHERS 155 E. Levy Road Atlantic Beach FL 32233 ROOFING, INC OWNER: ADDRESS: CITY: STATE: I ZIP: BURNS STEPHANIE J 482 SAILFISH DR E ATLANTIC BEACH FL 32233 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 $80.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$84.00 Issued Date:3/5/2020 1 of 2 (fL1JT?J REROOF SHINGLE PERMIT PERMIT NUMBER v A RERF20-0044 CITY OF ATLANTIC BEACH �� z� ISSUED: 3/5/2020 \ ,r (� 800 SEMINOLE ROAD EXPIRES: 9/1/2020 ``�'; ATLANTIC BEACH. FL 32233 Issued Date:3/5/2020 2 of 2 Building Permit Application Updated 10/9/18 fir' t. Cityof Atlantic Beach BuildingDepartment **ALL INFORMATION War 800 Seminole Road,Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY 014 9 1 1 �a Phone: (904)247-5826 Fax: (904)247-5845 Email: Building-Dept@coab.us IS REQUIRED. Job Address: S30, I U , `4, Permit Number: k E---r< F zo - 0044 al D sc-r}Qtipn A . It., 1-\_-. .t - q E (1 }Zt r).(- --P1- 4C- RE# I -II �t - (OW c,1o lu_ 5 On i- a y oA�. - bbl k'i R-. •Valuation of Work(Replacement Cost)$ $a.i>J Heated/Cooled SF ILA Non-Heated/Cooled • Class of Work: ❑New ❑Addition ❑aeration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial ❑✓Residential • If an existing structure,is a fire sprinkler system installed?: ✓❑�-Ye s ❑No • Will tree(s)be removed in association with proposed project?I—IYes(must submit separate Tree Removal Permit) ❑�No Describ • tail the type of work to be performed: 4\t nC)Ir L I L , k Z -c rent ILS l . l -.1I 8c'1.4 Florida Product Approval# for multiple products use product approval form Property Owner Information Name c' 5 ep h 019 /1 j Address G/2, , .,s/,-, /ham'<,51:., A "" City ,,L/,z.,/ 1 - A e - c/ State r/. Zip 3 2 3 3 Phone 9041-673- ,3/ 7 0 E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) n/a Contractor Information Name of Com any Romano Brother Roofing Inc. Qualifying Agent Daniel Romano Address 155 EpLevy Rd. City Atlantic Beach State FL Zip 32233 Office Phone (904)246-5649 Job Site Contact Number State Certification/Registration# LLL1328893 E-Mail romanobrothersrooting@gmad.com Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer WBS WC 90-00-818-06 OR Exempt❑ Expiration Date Exp. 12/31/1A 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 -0 a,m federal agencies. „- ...' _‘ :^ ‘' �, 5 m`� OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be dbnej.cbmitiance wit4 a i..... Y. m o 92 o applicable laws regulating construction and zoning. o`= U 7 N C WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCyNTV ,21 , zo o RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. tOU IN ' D zz4wX • OBTAIN . ANCING, CONSULT WITH YOUR LENDER O' ATTORNEY BEFORE •. ` • COR• j�, '•UR • ICE OF COMMENCEMENT. r _ a co 2 0m - om'- d CS (Signature of Owner or Agent) (Signature of Contractor) . N e`o .ON2 S N .igned and sworn to(or affirmed fore e this Zc�,day of Signed and sworn to(or affirmedbefore ine t ) day of U r”) I N / ZD by ( )O - /.� ► o.<Lin 217 e by .✓1(�: I �`�l,,n Lw ---.. . .natuIP- (Signa otary) • d 4 I Personally Known OR ,'ersonally Known OR Ikill a Produced Identification SD / [ Produced Identification ype of Identification: ' L • Type of Identification: NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio II t ` DE - t') State of 1L County of .v' e,_� 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. Lea description rope ng Improved:3� S- p c'a �t c�� tea l�Lks On Address of property being improved: U YJ a- ,Se. i t`,.. L-, N\f-- General description of improvements: REROOF Owner -_1 S eiC1`l A I%I it'/l S LL // Address 7 g. . _S(",., Fes r //i / A io '• /I /Ub a1 C Ad 11 3,7)3 3 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 n �m Address o o w Phone No. Fax No. m 0 V)N ON Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a a o a r. different date is specified): = u'E o a. Zoom THIS SPACE FOR RECORDER'S USE ONLY titO NER m t v= O z� Signed: _ DATtki Z Z�ill Befor me this days( e •yq, Co` Q 4!` •,St q}�of F{�jd@,I�as{ r o ally appeared y �JU/ %1 lJ�(�1^�) herein by d himself/hers If and affirms that all statements and declarations hereinis 1 are true and accurate qy.s Doc#2020050767,OR BK 19126 Page 464, Number Pages:1 Recorded 03/03/2020 01:19 PM, Notary Public at Large,State of ".- , County of .D,...)-v RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL My commission expires: 7 t -2Z COUNTY Personally Known or RECORDING $10.00 Produced Identification D. c .