695 Selva Lakes Cir 2012 roof CITY OF ATLANTIC BEACH
l 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Dii
Application Number . . . . . 12-00001010 Date 8/03/12
Property Address 695 SELVA LAKES CIR
Application type description ROOF PERMIT
Property Zoning . . . . . TO FE UPDATED
Application valuation . . . 7500
______________ _____
Application desc
REROOF
____ ___________________________________ ____________________________________
Owner Contractor
________________________
------------------------
GRIFFIN NATHAN MONAHAN ROOFING
695 SELVA LAKES CIR 2050 KING CR S
ATLANTIC BEACH FL 322337326 NEPTUNE BEACH FL 32266
(904) 568_4920
_ _____________ _
-_-- -Permit . . . -._.- .- -ROOF PERMIT--
Additional desc . . REROOF oo
Permit Fee . . . . 90 . 00 Plan Check Fee .
Issue Date . . . . Valuation . . . . 7500
Expiration Date 1/30/13
p . .
----------------------------
Other Fees . . . . . ... . . . STA E DCA SURCHARGE 2 . 00
STA E DBPR SURCHARGE 2 . 00
_____ _ ___ _____ ________ -
Fee summary Charged aid Credited Due
--------------- -- ----------
-- ------ ---------- —-
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 94 . 00 94 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE PITH ALL CITY OFIATLANIIC BEACH ORDINANCES AND FILL FLORIDA
Bt ILDINC CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road;Atlantic Beach,FL 32233
Office(904) 247-5826 F (904)247-5845
Job Address: (' q S .; e I vc, La( eJ C-t,/.e Permit Number:
Legal Description Parcel#
oor ea o q. t. � Sq.pt
Valuation of Work$ -7 SOS- Proposed Work beaticooled non-heated/cooled
P RI
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Rea R
Use of evsfing/proposed structure(s)((circle one): Commercial ggesi aD
If an existing structure,is a fires Uer system t stalled? (Circle one):es No /A
Florida Product Approval# i ,--7 / F-L�h 7 t,(y , ra f,
For multiple products use product approve o m
Describe in detail the type of work to be performed: �_ Q_t 6 c• f\kt' f ,wJ
Qev,n �c otd rce,P- insl- ( ( m Shlr(.) y LhJn; L-/
Property Owner Information:
Name: Nat-yo.A (-(SAV) Address: SC 1U0_ bj Ve5 CI
City A-F1 dA h C, .'t1AUn State ip 3mz Phon
E-Mail or Fax#(Optional) i
i
Contractor Information:
N�
Company Name:MO n 1,o.. Qc.+ Ci.. Co�.FrncEc.� ; Quajifying Agent: NIA
Address: 2[)SO 1c.. � Ctrcrz Sc, `-� City �llt !i State_ _Zip 322 C,ra .
Office Phone .QC11 -9e Lc Job Site/Contact Number -jr -47Z� Fax#
State Certification/Registration 9 Re o(J472119
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address _
Mortgage Lender Name and Address
Appacatwo is hereby mase to obtain a permit to do the work and installations as indicated I certify that no work or inslalladan has commenced prior to the
issuance o((a permit and that all work will be per/ormed to meet the standards affil laws regulating construction in this jurisdiction. This permit becomes nuo
and void fwork it not commenced within six(6 months, or if construction or work is suryended or abandoned for a period of sir(6)months at any time after
mnc
work is comeed I understand that separate permits most be securedfor Elecbdca/ Work,Plumbing,Signs, Wells,Pools, Furnaces. Boilers, Neaters,
Tanks and Air Conditioners,etc
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.
1 hereby cert fy that I have read and examined this plication and know the some to 6e true and correct. All provisioru of laws and ordinances governing d,is
type o)work will be complied with wheth r spped oed herein or not. The gravingppfa permit does not presume to gwe a a o if r carcce(the
pro mica ofany other federal,state, ar cal law regulating construction or the pepprmance ofconstruction.
Signature of Owner ( jignature of Contract �A G
y( If
Print Name /1�t�7N.ftnY�G'R.1FFit� Ma`a'nsu'.VgO Qrint Name
_fin. .M#Rq
Sworn to and subse ibed be p'e me �r•'•ARyOO(� worn o and subscribeed�before me
this V Day of �y is Day of 1`I�+'<'
p�, :MY��p,1a � � JASoa eaAe o1 FlonEa
Notary Publ�—L6 EEtaee'�• ! otary Pu14543
ev
"147E OF
i
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No.
Slate of Florida, County of Duval III
THE UNDERSIGNED hereby give notice that the improvement It be made to certain real property in accordance with
Chapter 713,Florida Statutes, the following inforna[iori is provide in this Notice of Commencement.
1. Description of property(legal description of property and addres if available):
set 'L La145 n _+ L •,I- 14'
2. General Description of improvements:
3. Owner Information:
a)Name and Address: IJ NU �
G ' }u., ix l4c 3zz33
b)Interest in property:
p c)Name and address of simple titleholder(if other than owner):
Contractor Information:
�a)Name and Address: (Y)c ncil -,.� R�•- t =..ir; tax� . ', t� �- a L<-•So k.,,g C:. .i� _c -� .
b)Phone Number tr� zo 2Z —c� SS -„1. k•. , Gch Fes. 3tz a_ �
5. urety Information:
Information-
a)Name and Address:
b)Phone Number: Doc#'-m zi sasoe. OR BK 16022 Page 1685.
Number Pages. 1
c)Amount of Bond: $ Recordca 08 03 20121 at 11 24 AM.
„IM PULLER CLERK CIRCUIT COURT DUVAL
6. Lender Information: COUNTY
a)Name and Address: RECORDING$to 00
b) Phone Number:
7. Person within the State of Florida designated by owner upon wh m notices or other documents may be served as
provided by 713.13 (1)(a) 7,Florida Statutes:
a)Name and Address:
b)Phone Numbers of Designated Person:
8. In addition to bimself/herself,Owner designates of to receive a
copy of the Lienor's Notice as provided in Section 713.13 (1)(b , Florida Statutes.
a)Name and Address:
b) Phone Number of person or entity designated by owner:
9. Expiration date of Notice of Commencement(the expiration daft may not be before the completion of construction
and final payment to the contractor,but will be one(1)year froff the date of recording unless a different date is
specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROP R PAYMENTS UNDER CHAPTER 713, PART I,
SECTION 713.13 FLORIDA STATUTES, AND CAN ESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OFCOMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTI . IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFFRE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjx ry, I declare that I have read the foregoing'notice of commencement and that the facts stated
therein,are true to the best of my knowledge and belief
/VI/A-PA14 G-e /1rF(-,,
Signature of Owner or Owner's Authorized Officer/Director/Partner/Ma ager Signatory's Printed Name&Tittet0ffice