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354 Seminole Rd RERF20-0051 Shingle ,rS"''' REROOF SHINGLE PERMIT C PERMIT NUMBER si CITY OF ATLANTIC BEACH RERF20-0051 x ISSUED: 3/12/2020 800 SEMINOLE ROAD OR 9r ATLANTIC BEACH. FL 32233 EXPIRES: 9/8/2020 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: 354 SEMINOLE ROAD REROOF SHINGLE SHINGLE ROOF $6210.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: ` NUMBER: GROUP: COMPANY: ADDRESS: ' CITY: STATE: ° ZIP: RO BROTHERS 155 E. Levy Road Atlantic Beach FL 32233 ROOFING, INC OWNER: ADDRESS: CITY: STATE: ; ZIP: MICROBIAL NATURAL 1207 SEMINOLE RD ATLANTIC BEACH FL 32233 PRODUCTS INC 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 $85.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$89.00 Issued Date:3/12/2020 1 of 2 j*jr REROOF SHINGLE PERMIT PERMIT NUMBER r'71/10: RERF20-0051 CITY OF ATLANTIC BEACH ISSUED: 3/12/2020 800 SEMINOLE ROAD `F 9� ATLANTIC BEACH, FL 32233 EXPIRES: 9/8/2020 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: REROOF SHINGLE SHINGLE ROOF $6210.00 TYPE OF REAL ESTATE j BUILDING USE ZONING: ! SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: COMPANY: ADDRESS: CITY: 3 STATE: ZIP: ROMANO BROTHERS ROOFING, INC 155 E. Levy Road Atlantic Beach FL 32233 OWNER: ADDRESS: CITY: I STATE: ZIP: MICROBIAL NATURAL PRODUCTS INC 1207 SEMINOLE RD 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. FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $85.00 STATE DBPR SURCHARGE 45S-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$89.00 Issued Date: 3/12/2020 1 of 2 rs..�.' REROOF SHINGLE PERMIT PERMIT NUMBER fJ�'' s� RERF20-0051 z CITY OF ATLANTIC BEACH "� ISSUED: 3/12/2020 lif 800 SEMINOLE ROAD .a wATLANTIC BEACH, FL 32233 EXPIRES: 9/8/2020 Issued Date:3/12/2020 2 of 2 Building Permit Application Updated 12/8/17 City of Atlantic Beach •a%: 800 Seminole Road,Atlantic Beach,FL 32233 'ff Phone:(904)247-5826 Fax:(904)247-5845 • Job Address: E S t --�C I n a(X ( Permit Number: RG RF Z©''• CDd5 I Legal Description lei• CS" It • as - c -9t • um 5Qt a- 50.1.1-O E# 116 1.1<)--t • ( v 1.0-1--1.0-1-- c.Lo ` , Valuation of Work(Replacement Cost)$ (..,„,. .it) .. Cu Heated/Cooled SF Non-Heated/Cooled o Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door o Use of existing/proposed structure(s)(Circle one): Commercial Residential a If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A a Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal kDescribe in detail the type of work to be performed: ........ 5h„ fqi 11? P 4 s le, IA/ Florida Product Approval Dv i ( D ia4l. ( C-1c c ••' 1 13 O • •y for multiple products use product approval form Pro pert Owner Information . t� / J� ` *Name: OrAliyt �- xe�Z1-t Address: /A67 Se/I-i x/a l e /�1 CY- City ,f741,:&,14 ec / State AL Zip 3a,L Phone ?CI', 024 -..S-6157-5- E-Mail S65 SE-Mail d7 c C 0C,P C_c,Mtet S ,A, r-i- Owner or A nt,Power of A ney or Agency Letter Required) Contractor Informs - n ii Name of Com_pan . --1,7-A 'C3 if\l r ' 1 S Qualifyi gent: i •% r .• ,' y'1 l,•,) Address �. .V . � City State Zip Office Phone Job Site Contact Number State Certification/Registration ~C 1 `�' � . "5E-Mail Site/ Architect Name&Phone# Engineer's Name&Phone# . Workers Compensationii I,t S I i 1�--10-c C `,y• avi DfS EL=-)C- IID-4. -)- i P,)+ Exempt/Insurer/Lease Employees/Expiration Date ' ltp6 �� S - a Application is hereby m obtain a per it to do the work and installations as indicated.I certify thatY�o work or insta�lat�has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulationg construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK, S(c Ns, /r.-, r-- WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.NOTICE:In addition to tile [iulre ie t t) i �--, ;1 �, •ds o this un :,.a b "� Fy_' _- 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. MAR 1 0 2020 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 COMMENCPVIldchtinaCIrPartMant RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY: ✓1tiiti1iNIC`,'H?, ;=", TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE A•,. RECORDING YOUR NOTICE OF COMMENCEMENT. \ `yl ry j-) 1 f° (Signature.f 0 ner or Agent) ?a (Signature of Contractor) o o.2 LL o (including contractor) 3 m N 3 N C 2 co °m'-ito -d and sworn to(or affirm-.)befor- me this I day of Si ned and sworn to(or affirm-d)before m-this 4 day of g 8 o g 1-;-9, '4'-; .......00, 7-1111.1.0..._.. ...iir _.cD o 4 am (Signature o 'otary) (Signature of Notary) ii4g- 1 zz�" mpg 1 ] '•rsonally Known ORPersonally Known OR �•• • ,- oduced Identificatioi 1 )Produced Identification 4- 't4.. of Identification: '� ( Type of Identification: NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio 17.k. OL13 = ` CC03/ State of FL County of .1.-4.)v�( 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: I 0/4 I j UP as f , lig 1, f Address of property being improved: 3454 %kJ,„"C t 3 -3-3 General description of improvements: REROOF -4-Owner ()CC-L.9(CLS W S}?2 eJ �l j ,�C Address /9Q7 ,Sr4-1 j is. 7ff' Rol_ �: ,'v>7Gt-�-7r� 1?aC_I4, AZ) 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. S05'400 1 'i Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a ; 7�x different date is specified): *04. i THIS SPACE FOR RECORDER'S USE ONLY NA) ' OWNE 4Bi9 V��^ ]✓ DATE o o Before me this day of v m e y ftrounty of quval Sta e ofFJoride a p rson y.appeared ,37(/ _N o' o. �C C neer ' RI�_.o`n himself/h self and affirms t at all statements and declarations herein g g Co(4 are true and accurate c Doc#2020055868,OR BK 19133 Page 1492, N�i mFt Number Pages:1 c ° Te m° Recorded 03/10/2020 10:02 AM, _ RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL / 00 S COUNTY o ary Public at Large,State of ''1' . , County of 1111.1Vall RECORDING $10.00 My commission expires: Personally Known a 0 Produced Identification x)«11—NRI MI S� - .