631 Selva Lakes Cir (vault ) roof CIT OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
` SPECTION PRONE LINE 247-5826
INSPECTION EMAIL REQ ST:
Building-dent a coab.us
Application Number . . . . . 08-00000366 Date 3/24 08
Property Address 631 SELVA LAKES CIR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5100
--------------------------------------- -------
Application desc
REROOF, FL 183
---------------------------------------- ----------------------
Owner Contractor
------------------------
------------------------
WHITE TOWNSEND ROOFING &
631 SELVA LAKES CIRCLE CONSTRUCTION SERVICES
ATLANTIC BEACH FL 32233 2771-29 MONUMENT RD #338
JACKSONVILLE FL 322225
(904) 645-0796
-----Permit . - . - . --ROOF PERMIT
Additional desc
Permit Fee . . . . 60 . 00 Plan Check Fee 00 I
Issue Date . . . . Valuation . . .�s x.00
Expiration Date . . 9/20/08
-------------------------------r----
Fee summary Charged aid Credited Due
----------------- ---------- --- ------ ---------- ----------
Permit Fee Total 60 . 00 60 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 60 . 00 60 . 00 . 00 . 00
i
PERMIT 1S APPROVED.ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
i
CITY OF ATLANTIC B-A CH 08-1
800 SEMINOLE ROAD,ATLANTIC BE kCH,FL 32233
OFFICE:(904)247-5826•FAX NO.: 04)247-5845
BUILDING-DEPT@COAB S DUVAL COUNTY
? r1 BUILDING PERMIT A PLICATIONe
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RESIDENTIAL
c ❑NEW UILDING ❑DEMOLITION
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LOT_BLOCK_SUB DIVISION ❑ALT ON
❑CONVERTING USE [3 COMMERCIAL
❑ACCESSORY BLDG. '
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[03 REP R
❑POOL/SPA 13 YES [3 NIA
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15. MPANY N E;, ,� , 23.COMPANY NAME:
9.NAME: { 6C�In Llj.�lv'iGr3
V� N� Ik
h"}'A►( l ,,f} 16 �.NAME: 24.LICENSEE NAME:
1
17STATE OF FLORIDA LICENSE NO.:
I 25.STATE OF FLORIDA LICENSE NO.:
.
10.ADDRESS: / LC L
�� I j21�•, L�I�zs C r C... t> Do
18.ADDRESS: M 0 r,K K9' vt f I?g 26.ADDRESS:
11.OFFICE PHONE: 12.FAX NO.: 19.OF ICE PHONE: 20. AX O.: 27.OFFICE PHONE: 28.FAX NO.:
95'1 - 3y31 q5-�3 7 w —svYZ
21CELL PHONE: 29.CELL PHONE:
.
13.CELL PHONE: 4-77-
14,EMAIL ADDRESS: 22. MAIL AD ESS , 30 EMAIL ADDRESS
{ ,..a'S+s
31 NAME: 33.NAME: 35.NAME:
32.ADDRESS: 34.ADDRESS: 36.ADDRESS:
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Application is hereby made to obtain a permit to do the work and insta ations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be perform ad to meet the standards of all laws regulating construction in this
jurisdiction. This permit becomes null and void if work is not commenced vithin six(6)months, or if construction or work is suspended or
abandoned for a period of six(6) months at any time after work is commE iced. I understand that separate permits must be secured for
Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,I-le-ati rs,Tanks, Air Conditioners,etc.
OWNER'S AFFIDAVIT- I certify that all the foregoing information is accuraleand that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referen d building or any part therof,until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by' buildi g official,as required by law.
irMr WARNING TO WNER: ***
YOUR FAILURE TO RECORD A NOTICE 0 ROPERTY. A NOTICE OF IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR
COMMENCEMENT MUST BE RECORDED AND P TED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN INANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDIN YOUR NOTICE OF COMMENCEMENT.
Signe .
Date: 3 b Sig Date: � d�
Before me this g day of ,` �+ 2007 in the county of Befo me this_�day of f 20*in the county of
Duval,State of Florida,has personally appeared Duv ,State of Flo
,IV. rida,has personally appeared
,�4•t Ir GJ ko c. -ram
herin by himself/herself and affirms that all statements and declarations are hedr by himself/herself and affirms that all statements and declarations are
true and accurate. i/�y true and accurate.
Notary Public at Large,State of�= County of ✓l,1 V`, Notary Public at Large,State of�,County of U �-
Personally Known
❑F orsonally Known
❑Produced Identification- oroduced Identificatio -
Notary Signature: Not ry Signatures
y.y.�Cl�MtyI TOWN�EIJID JM
/�/��
• NNNy •�11 N ft N, 44 JM M.
COAB F S�:�E M�1s, , -":.? MY COMMISSION 1�DD 755085
I,Irt� omn+iaion N DO!f2l1S2 EXPIRES:ApN 5,2012
RECORDING$10.00 �f
• NeMeY 1Pu1Ne•8hM d fINiIM ( ''l/`
- IligrCalrlYNonE+111+�HMlr1i.
Notary e u w
or
PPeeraanany
Produced+
NOTICE OIP COM NCEMENT .
(PREPARE IN DUPUI TE)
Permit No_ Tax Folio �o. � 627 �-
State of o c- rn County of i Ou u4
To whom it may concern:
The undersigned hereby informs you that improvementsill be made to certain real property,and In
accordance with Section 713 of the Florida Statutes,the follo Ing Information is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being improved:
Address of property being improved: 01 5d uG L^415 a H Lr_ z4G
-3
` 3�2 3
General description of improvements: A 17' A;A e—r6 of
1
Owner
Address 63 AJC ALAVesC i ft(~+;c_ Aencb,, FL
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor_
....Townsend Roofing and Construction iervices. Inc.
Address 2771-29 M numeM Rd#338 Jackson, ill FL 32225
Phone No. (904)645-5887 Fax No. (904)645-5442
Surety(d any)
Address Amount of bond S
Phone No_ Fax
Name and address of any person making a loan for the construction of the improvements.
Name
Address
Phone No_ Fax N
Name of person within the State of Florida,other than himself,deii n ignated by owner upon whom notices or other
documents may be served:
Name
Address
Phone No_ Fax W.
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 Owners option)Ii
Name
Address
Phone No. Fax No_
Expiration date of Notice of Commencement(the expiration date one(1)year from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORnFRxc nu nrur v 01 O R //
Doc#2008072277,OR BK 14429-Page 1647, sited DATE .3hi le Qc
Number Pages:1 Before"x Oft day of in the
Filed&Recorded 03121/2008 at 01:17 PM, countyk=!' tate°l tws pefacnaly appeared
JIM FULLER CLERK CIRCUIT COURT DUVAL hinsew
n
COUNTY are true accu
RECORDING$10.00 ' TOWN"M rX
Ileattlr POW-WAN Of IUtiM t✓'
- ------------ --- --- ---=- WCowale AEglloaNaI*&
Notary a �s , A
My
PersonaNy or
Produced IdenitR
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