599 Vikings Ln ROOF21-0009 Mod Bit RoofOWNER:ADDRESS:CITY:STATE:ZIP:
PORCELLI ARTHUR
RICHARD III ET AL FL
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:
170703 0238 SEASPRAY
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
599 VIKINGS LN ROOF NON SHINGLE modified bitumen roof $15000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $130.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $65.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.93
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $199.93
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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: 2/23/2021
PERMIT NUMBER
ROOF21-0009
ISSUED: 2/23/2021
EXPIRES: 8/22/2021
ROOF NON SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 2/23/2021
PERMIT NUMBER
ROOF21-0009
ISSUED: 2/23/2021
EXPIRES: 8/22/2021
ROOF NON SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $199.93
ROOF21-0009 Address: 599 VIKINGS LN APN: 170703 0238 $199.93
BUILDING $130.00
BUILDING PERMIT 455-0000-322-1000 0 $130.00
BUILDING PLAN REVIEW $65.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $65.00
STATE SURCHARGES $4.93
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.93
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R14979 $199.93
Printed: Tuesday, February 23, 2021 11:03 AM
Date Paid: Tuesday, February 23, 2021
Paid By: ROMANO BROTHERS ROOFING, INC
Pay Method: CREDIT CARD 426394015
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R14979
~+; CENTRALSQUARE
•
Job Address: 5 ~ 9 35 -·
Legal Descriptioril.?
• Class of Work (Circle one): New Addition ltera · Repair Movp--Bemo.-{ool Window/Door
Use of existing/proposed structure(s) {Circle one): Commercial R~sid.e.!:!!@!..) •
• If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed:
Florida Product Approval #..._!_t:'°'-'1!..._!.l..::D::....:..;l~~....!..!..._!__~==--=-=:........:~J.•...1......cLJ......A.1::U..~L• .1-.
Property Owner Information
Name: RyaVI B -j0i-\(
City A~lu q{tc (kb State PL
Address: '59c/ v ,1<;"'·15 Ii,
E-Mail ~/11 e,:55.tf@_5V1114 /f .c .M,, ...
Zip '?,)..J"?3 Phone L-/.J7-6J.r--)/sf(
Owner or Agent (If Agent, Power of Attorney or Agenc
Contractor In rmat1 n \
.9~)!6..,,6.f.~lU~J~~U~-UL1.~~C!i¥1if i g
--' ....... L,,,,'---'~--,~~U....+-:~"-:-''-,,..--------City.!....£ l__..µ4--1.,ac..,-11,-.l---
~4\::,~~=z::.~uZ-.n;,;f-.)-~~~-=:--rr-nJob Site/ Contact Number -.;,,,...J1u.!.-\l.....11_-¥--~-D--!....1._.-l-::....1.........z::::r;........:~,-_-
State Certific ion/Registration# ~•~-'--<.J.>i<!,!5,~~~.;,--
Architect Name & Phone#------------------------------+-----
Engineer's Name & Phone# t t
Workers Compensation \ • "") e;s \ d--5 j ~ (
==----Exempt/ Insur r / Lease Employees/ Expiration Date
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 regu lationg
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 require~ents of this
permit, there may be additional restrictions applicable to this property that may be found in the public records of this ~a unty, and
there may be additional permits required from other governmental entities such as water management districts, state agencies, or
federal agencies. . I
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 COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU 'INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
~ofCoetmtocJ _, (Signature of Owner or Agent)
(including contractor)
Signed and sworn to (or affirmed) before me this .:g_ day of
fdtru..n1 ' .)p-l / , b -~~......,""-'-'\.-"J-"""'----
[ ] Personally Known OR
[ ] Produced Identification
Type of ldentification:bJJ.::::~ • ._ .J,,.. ~,_UJ,,/.,_ ~,.,,, ~,/
111
· ~'-~,.,,, ~,_ l.J~ JJJ.~ '1.J,.,,, 11:.,_ ro,--~ .... L~ ~, ~.._ =.., =-,_ -., _J
Signed and sworn to (or affirmed) before me this _K day of
/;dcu,;,,,J ' Jp;. I , b ..!..a..11-"'. ~..,,_,=~~"'-----
(
~onally Known OR
[ ] Produced Identification
Type of Identification: __ +~~l--t;;;;;;;;~~~~~-
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