750 Plaza RERF20-0050 Shingle W-b REROOF SHINGLE PERMIT PERMIT NUMBER
RERF20-0050
s, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 3/12/2020
`''i 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:
750 PLAZA REROOF SHINGLE SHINGLE ROOF $7100.00
TYPE OF 1 REAL ESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171288 0000 ROYAL PALMS UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
ROMANO BROTHERS 155 E. Levy Road Atlantic Beach FL 32233
ROOFING, INC
OWNER: I ADDRESS: CITY: STATE: ZIP:
SHORE KRISTIN M 750 PLAZA ATLANTIC BEACH FL 32233-3932
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 $90.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$94.00
Issued Date:3/12/2020 1 of 2
1-51,,vii, REROOF SHINGLE PERMIT PERMIT NUMBER
>y ) CITY OF ATLANTIC BEACH RERF20-0050
~ 800 SEMINOLE ROAD ISSUED: 3/12/2020
`'';�� V ATLANTIC BEACH. FL 32233 EXPIRES: 9/8/2020
i
Issued Date: 3/12/2020 2 of 2
i'� Building Permit Application Updated 12/8/17
-../1
City of Atlantic Beach
;:/ 800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
Job Address: ....)rj 0 --..N azza. Permit Number: PES FZO C�oS O
Legal Description 3CU -qU ,1 ... s-aq- 1.`.,' IN-vs-Ws4 RE# I, I a - ncy.. U
Valuation of Work(Replacement Cost)$ , l o 1 Heated/Cooled SF �-t� Non-Heated/Cooled
o Class of Work(Circle one): New AdditIteration epair Pool Window/Door
a Use of existing/proposed structure(s)(Circle one): Commerciantial
a If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
o Submit a Tree Removal Permit Application jf-aritrees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed: i�.e_rooc
i 1u1ay . 1 I,D3 .4
Florida Product Approval# • ' ' fl `j‘th for multiple products use product approval form
Pro rty Owner Information
Na Kr1 S-+-ICI !kith-Elie- 3kOr' Address: 7�L� P(GriQ
City •{'((,.l{-J Ce, I"3eac State Zip 3Z-Z-3-7- Phone c(04- 71 —'J`tn"?
E-Mail tLr%5 - k.?.QxnPe.+41A,CU" . C011
Owner or Agerrt lfnt, Power of Atli. nay or Agency Letter Required)
Contractor Informs 'on ' -
Name of Com_ panel 1._ `1 t' i�• • 4','---4).-.)1 y
Address �T � � (1-‘`.1t,'
1 Qualifying-Agent: 7 �'�y.:.�� -- ��t:4 i �.. ;���
_-
f> _Rr :� City H 1`� State Zip . ::;•• .
Office Phone .k. _ _- , 4.,; Job Site/Contact Number
Stat4 Certification/Registration''''' '''7,-.:.. 2--;',' - ' .E-Mail
Architect Name&Phone#
Engineer's Name&Phone it
Workers Compensation 'l t, .. S'..� )+.-r 1 ',L.. i;C t,�i ('! - '.t 't <f :),,,L.. ..' . --
t� ;r• (r I —c:-..42-..,- .'-',1 s¢.' t Exempt/Insurer/Lease Employees/Expiration Date 9 "' j '-^ ,�
Application is hereby m de obtain a permit to do the work and installations as indicated. I certify that'ho work or instal Li i 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 ELECTRIC ~ "Ll BfN SI
WELLS, POOLS,FURNACES,BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc.NOTICE:In ad.iti Frextqmm
uiehks
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 1.1 NOTICE OF COM 5 � 4 cm-)vi Y-I�t
RESULT IN YOUR PAYING TWICE 'FOR IMPROVE.MVMENTS TO YOUR PROP R .`P 0U Ii11T1 EL
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR A ITORNEY BEFORE
RECORD - G YOUR NOTICE OF COMMENCEMENT.
1 / �
VP (Signature of Owner or Agent)
(Signature of Contractor)
(including contractor)
Signed and sworn to affirmed)beforetsne this, day of Signed and sworn to(or affirmed)clefore me this S day of
(Signature of NotaryT (Signature of Notary)
[ ]Personally Known OR Personally Known OR
[eProduced Identification , , (-- • I I Produced Identification
ype of!dent; a i. Type of Identification: _
Nicholas Joshua Brower IN--Notary Public State of Floriti�
My Commission GG 1819784
+� . Nicholas Joshua Brower
40. Expires 02l01I2022 Ila wT my Commission
022 181978
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio M, I M 4� - C C.
State of FL County of t✓c.)V r .
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.
L scription of pr p /�e n improved: 3D - `1 11 I 1 - ; S - I E.
Q t Li...A
Address of property being improved:'-)S-0 I Q`Z___(:( =7D- �
General description of improvements: PEROOF
Owner6Y1 5+1 f) �//� t('_
- �1plt y c>�'L e� / 2
Address-M(O 1`'I Di,7 Q 1 `CT-farf`t c. I Z1' CL i 1:(-, < )Z 2- 3 -S
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 Lienors Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone No. Fax No. 1 m
u- Om
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a Z co 0 N
different date is specified): 9 tN
N W g
THIS SPACE FOR RECORDER'S USE ONLY 9 likbrjA
O,WN R � (///� oL o m
`llAO �rl't 'n E oSI ned. /{� DATE a' '0 E 0
Before me this day of in the V V 0 a
ty of Duval,State of Florida has personally appeared Z Z w
Kri, -1-11\ 141 c./..QAI( 5V,D( Ci herein by
self/herself and affirms that all statements and declarations herein
are true and accurate ,s?
Doc#2020055867,OR BK 19133 Page 1491, i ,�d
Number Pages:1
Recorded 03/10/2020 10:02 AM, h
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Notary Public a . ._ = .1_County of ,t-r,,_'
COUNTY My commission expires: '2 ^ t•—Z'L-.
RECORDING $10.00 Personally Known or
Produced Identification D