725 Plaza ROOF21-0007 TorchdownOWNER:ADDRESS:CITY:STATE:ZIP:
ROBERTS SANDRA 725 PLAZA ST 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:
171123 0000 ROYAL PALMS UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
725 PLAZA ROOF NON SHINGLE TOURCHED DOWN ROOF $8400.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $95.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $47.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.14
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $146.64
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: 2/17/2021
PERMIT NUMBER
ROOF21-0007
ISSUED: 2/17/2021
EXPIRES: 8/16/2021
ROOF NON SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 2/17/2021
PERMIT NUMBER
ROOF21-0007
ISSUED: 2/17/2021
EXPIRES: 8/16/2021
ROOF NON SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $146.64
ROOF21-0007 Address: 725 PLAZA APN: 171123 0000 $146.64
BUILDING $95.00
BUILDING PERMIT 455-0000-322-1000 0 $95.00
BUILDING PLAN REVIEW $47.50
BUILDING PLAN CHECK 455-0000-322-1001 0 $47.50
STATE SURCHARGES $4.14
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.14
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R14903 $146.64
Printed: Wednesday, February 17, 2021 10:30 AM
Date Paid: Wednesday, February 17, 2021
Paid By: ROMANO BROTHERS ROOFING, INC
Pay Method: CREDIT CARD 424410974
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R14903
~+; CENTRALSQUARE
ROOF21-0007
•
Building Permit Application . ~ Up
1
ated 12/8/17
City of At lantic Beach ~ JUl4.,,
800 Seminole Road, Atlant ic Beach, FL 32233
. ~\ Phone: (904) 247-5826 Fax: (904) 247-5845
Job Address: ,~s -t'. Cl z (\ . . Permit Nugter:irf-::v-.---------:-----:::::.
Legal Description-BO-k1) r,-:)S ~~9 E"Ja-,,-p l\j).\., ,s \)J.. \ \:n4-RE# I 1 11.:tl3 · m():)
Valuation of Work (Replacement Cost) $ · 00 Heated/Cooled SF _ :;J_. f ~on-Heated/Cooled_! ___ _
I •
• I
Class of Work (Circle one): New Addition Iteration pair M,swe ~ool Window/Door
Use of existing/proposed structure(s) {Circle one): Commercial <....aes~
• If an existing structure, is a fire sprinkler system installed? (Ci rcle one): Yes No N/A
0 Submit a Tree Removal Pe rmit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed:
Flo for multiple products use product a'pproval form ~~~~~~~--l
Pr .
:,:,_....,~...J'.U~'-'---+.--Y'-'-4-'--"'-'-ir+''------~,---Address: ) ;).-5" Q\ei :z?L )( J.. I
...,._,._,___.,_,____.,,=_,,_,,..____._....,_,,__..,_._,__....__,,_~-r---State 3:::\ Zi p 3 J23?, Phone 3 'fti, 31 'l -\1.c "i'J
I
Owner or Agent (If Agent, Power of Attorney
Contractor In rm
Name of Compan'/!~,'S..._'~~~•Cl..¥c...<...;""-'___.,..-,.._,.,,..,._,__,_...µ.,=----'--'---'--"-<,--Qua~~g Agent:,._l~.P-"+-+'~~--=----'-'~--=-!a.-'---'-+'._,_ __ _
Address \ -City i-\ ( ;»
l Job Site/Contact Number -----------~----
State Certification/Registration# :S E-Mail, _________________ --. ___ _
Architect Name & Phone#------------------------------+-----
Engineer's Name & Phone #---~-------.-~--l1f---,--r--------------------,-----
Workers Compensation _.....a\La..)-;t')...__5 _____ \-'d------1~~~i'-lf"-:.;:_::~I.___ __________________ _
Exem p t/ Insur r/Lease Employees/ Expiration Date
App lication is hereby made to obtain a permit to do the work and insta llations as indicated. I certify t hat 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 la ws /-egulationg
I
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 COND ITIO NERS, etc. NOTICE: In addition to the require~ents of this
permit, there may be additional restrict ions applicable to this property that may be fou nd in the public records of this ~ounty, and
there may be additional pe rm i ts required from other governmental entities such as water management districts, state agencies, or
federal agencies. 1 _.,.,,..,_,A
OWNER'S AFF ID AVIT: I certify that all the foregoing i nformation is accurate and that all work will be done in compliancJ with a
applicabl e laws regulat ing construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT
1
MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTE
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATT RNEY BEFORE
RECORDING YOUR ~OTWE OF COMMENCEMENT.
~(bCL ~ --"------.,.--,#-
(S ignature of Owner or Agent)
(including contractor)
Signed and sworn to (or affirmed) before me thisl2_ day of
$.,,tt,u· ,/, ,:J.c,; I , by Sc./! clnL /?o 6-e.e: f <:, I
(~rsona lly Known OR
( ] Produced Identification
(Signature of Contractor)
Signed and sworn to (or affirmed) before me this :l/J..__ day of ::.r:,-Mfre ,/, Jp; I , by lla-c1 1 ? / Po ,ri ~ ,•u;;,
r µ'~
Type of Identification: -~U..•!M'~,t,iJ~~'liiil)iN~~~~J
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APPENDIX 1: ATTAOfMENT RE
Q
U
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D
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Exterior Research and Design, U.
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.
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3
Prepared by: Robert Nieminen,
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Certificate of Authorization 19S03 Prepared by: Robert Nieminen, PE-S9166
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