178 Seminole Rd ROOF20-0066 Permit PacketOWNER:ADDRESS:CITY:STATE:ZIP:
BALKMAN BRIAN 178 SEMINOLE RD ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
ROMANO BROTHERS
ROOFING, INC 155 E. Levy Road Atlantic Beach FL 32233
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170594 0000 SALTAIR SEC 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
178 SEMINOLE RD ROOF NON SHINGLE TORCHDOWN ROOF $12125.00
FEES
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 BUILDING ROOF IN-PROGRESS INSPECTION REQUIRED INFORMATIONAL
Notes:
a. The roof sheathing for all new construction must remain uncovered until the Roof Sheathing Inspection is approved.
b. All roofing projects require an In-Progress Inspection.
c. Sheathing installation and replacement guidelines per APA.
d. Underlayment must conform to FBC-R Table 905.1.1
e. Shingles must conform to ASTM D3161 G or H, or ASTM D7158 F
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.
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.
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.
1 of 2Issued Date: 11/9/2020
PERMIT NUMBER
ROOF20-0066
ISSUED: 11/9/2020
EXPIRES: 5/8/2021
ROOF NON SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $115.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $57.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.59
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $177.09
2 of 2Issued Date: 11/9/2020
PERMIT NUMBER
ROOF20-0066
ISSUED: 11/9/2020
EXPIRES: 5/8/2021
ROOF NON SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $177.09
ROOF20-0066 Address: 178 SEMINOLE RD APN: 170594 0000 $177.09
BUILDING $115.00
BUILDING PERMIT 455-0000-322-1000 0 $115.00
BUILDING PLAN REVIEW $57.50
BUILDING PLAN CHECK 455-0000-322-1001 0 $57.50
STATE SURCHARGES $4.59
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.59
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R14065 $177.09
Printed: Monday, November 9, 2020 11:48 AM
Date Paid: Monday, November 09, 2020
Paid By: ROMANO BROTHERS ROOFING, INC
Pay Method: CREDIT CARD 393546792
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R14065
~+; CENTRALSQUARE
ROOF20-0066
(it)j 3aiYM1~! ~~'.'.;:::; 3~~f ik21tim1
::•._z._:.-.. BOO Seminole Road, Atlantic Bec:ch, FL 32233
Updated 12/8/17
.~one: (:104) 247-5826 fa;;. (904) 247-!>845
Job Addressf''"'\ Cb "Sc~ i r\OU ~d.______ Permit Number: __________ _
Legal Description ID~n-~-~9 E ~\+o..LL ~L' J~~h\ ~ . RE# _\::)'t$59L( 'OOl )l)
Valuc:·i:lon of Worl. (Replacement Cost) $ \ ';).\;,;).. S t ,ea.:ec.jCtJulaci SF ~ S t\lon-Meated/Cooled _____ _ r -;:;;:_.
o Class of Work (Cii'd?. Ji!a}: Ne~, /\dditic,rl-..~ Repair M~~l Window/Door
o Use of existing/proposed structure(sj {f.:ir-::1'2 oi1e): Comrnet'cial ~~i--'
o If an existing structure, is a fire sprinkler system ins':allerJ? (Circle 011e): Yes No N/A
<> Submit a Tree Removal Permit Hppiicarion if any trees are to be removed or Affidavit of I\Jo Tree Removal
te,cdbe ;n aeta;1 the type of wo,k tc be peifor.nedc ~ j
~fQQ-\-'"--= o:D \ ~ \ __________ ___.;
Florida Product Approval il......l::... l ~ ~-"'----"-'---\~~~C\---_ for multiple products use product approval form
P:·cp:::;~~ner lnforma~io11
Name:_l?r-.~ ~~~ ____ Address: .r~S <;~.>.10 \-L. R---J, ___ _
Ci ty _A..u-.u~-~~-'-. sre _E)__ Z'p __,._1..~3-Phone_ 'i c,~_:.;_~ c./. S:b ¾ 3
E-Mail _j1.~~--~~~~~CS2_~----· ·-----..,.,..-::: . ..., ___ _
~wner. or A?o1)~·(tlt\g~.,t, Power of /\~l2f.Q:~ or Agf!ncy Letter Reqt1ired) __ :-~
cc.n\:;·aci:ur l:-1?urmadon ) . --..... /
Name of Compan§-f'',r:":&Jl. II~~-v·· ... l',. ~!::;·:,i]'-; ___ Qu.allfying.Agent: J ..... Ji· ~--.v-., .~b:3J e'.1 ,,3) ,~ . 7~ . 0 -,---.. } -=-~ . , ... '\ ~-Address __ ~-.,, :_ _ •L~+--::\~--City_L-t1_2_ ___ State...l::'.l-~_...-Zip ::,.k-:{. ·:=)
Office Phone:..1U l~=L!_.._.:..~---=~~· Job Site/t:om:a1.i: Number __________________ _
Sta,c Ceni fication/Registration~d '11' t . ..it;. ,:)tr t7~1 'i :;JL-!Vlail
A~chitect Name & Phone#
F.ngineer's Name 11, Phone# _:.'i L 1 . ~ __ ..j1,_ r---··, ~ h ~ ----------
Workers Compensation .. l..!,:::~J½'S uUf"·J t'•-:: ll.::.!d.L [>,,··-:-)~ ~-· ,\,q;J C '
f_ _ -.'t. l)c ... f:{:. ~ {) n· ~ ... r ",,{ _.: Exemp1 /Insur~./ ceasf' Employee,/ [xplrat,on Date YCJ_.{) ' ;) :~ " @,
Application is hereby m:fue to-obtain a permit to do the wo.-1: and :r.stailations ar indicated. I certify that no work or ~ta la't'l~n has
commenced prlor ,o the issuance oi a permiL ,ind that al l work will b~ performed to meet the standards of all the laws regulationg
.:on~~ruction in tnis jurisdiction., t.ncierstand that a separ:ite permit must i:Je sec ured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HE.ll.T!:RS, TAi\WS, and AIR CONDITIONERS, .!tc. NOTICE: in addition t o the requirements of this
permit, lhere rnay be additional restrictions applic.;bic ;:c, th:s p.-:::perty that may be found in the public records of this county, and
there may be additionai permits required from ot1·,e, go,,e,,-,menial ;:;n,;ties such as water management districts, state agencies, or
federal agencies.
0\/\INER'S AFFIDAVIT: I certify that all the foregoing information b accurate and that all work will be done in compliance w ith all
applicable 1aws regulating construction and zoning.
\.I\H~Ri\Hf'J(G lu ru,tl\/N~!~: YOlm t;~.IU il.'{f TO ~fOJf-ll!) A l\!OT!C~ or.: (0~\/UVH:!i\!CBVil!]\rr MAV
m::iUU H\i Y~1~JR P!-'\Vh\ki "f'itFKr ruR iMP\;"{(!l\itME1~rfS 1G W)Uf~ ~Ror-,~;J-t rv. i~ VO!J H\ITEND
"fO 0$ ~ J\ti\1 ~IN;~~,CU\Jti 1''()1\l§UlY wrolJ YOlm lfid[iJtH Of-{ !ii\1 }.\'1fTO~NlE'll BlffORE
(including contractor)
Signed and sworn to {or affirri,;d) ~efore rr;; thj s 2.Q_ day of
~~.e.£-• .2f:rJ£.,, by ..C,C~-DcJ~
~;.---=-:
~of Notary)
Signea and sworn co (or affirmrl'!_) before m ~~ay of
Oe,h,blC· WUJ_, by -J)~ ~
~ -
I ) Personally Known OR
J>c7 Produccd Identification
Type of Identification:_.
W,ersonaily Known OR
~_,..~-V'l.~"°""""'""....,_.'w"l""''V'·~,.oduced 1oentification
of Identification: ___ ..,,....-,_
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5
APPENDDC 1: ATTACHMENT RE
Q
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· Table Deck
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:
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professional to resist th
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2
0
.
1
2
.
1
1
f
o
r
F
L
9
4
8
7
-
R
1
D
a
t
e
o
f
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s
s
u
a
n
c
e
:
1
2
/
0
9
/
2
0
1
1
A
p
p
e
n
d
i
x
1
,
P
a
g
e
3
o
f
3
Prepared by: Robert Nieminen, P
E
-
5
9
1
6
6
.