551 Selva Lakes Cir 2013 roof CITY OF ATLANTIC BEACH
Ise
J 800 SEMINOLE ROAD
- s) ATLANTIC BEACH, FL 32233
J -r
INSPECTION PHONE LINE 247-5814
119
Application Number . . . . . 13-00002846 Date 6/11/13
Property Address . . . . . . 551 SELVA LAKES CIR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6800
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Application desc
reroof
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Owner Contractor
-
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FNMA GREAT WHITE CONSTRUCTION INC
% BANK OF AMERCIA 4320 DEERWOOD LAKE PWY
400 COUNTRYWIDE WY JACKSONVILLE FL 32216
SIMI VALLEY CA 930656298 (904) 838-1659
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . 85 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 6800
Expiration Date . . 12/08/13
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Other Fees . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ------
Permit Fee Total 85 . 00 85 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 89 . 00 89 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALI, CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
iPREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of V-%- County of
To whom It may concern: a
The undersigned hereby informs you that Improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following Information Is stated in this NOTICE OF
COMMENCEMENT.
;Legal description of property being id: -it \1 .a 5-3li
, improved:
Address of property being improved:
ltLlUl�crig,
General description of improvements:
Owner FII J M uA MC.✓k 7 t(YL`((y,
Address t{ t CJcx�tr �i++,� ►(fir y�l plc 5 (X '7 J aS y
i,
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
c Name... .
r t' Address
Contractor
Address �t 2e
Phone No. gag•8.3Ff-I(aS9 Fax No. _I -8(ofv- - L4(o-12x,40
Surety(if any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a ban for the construction of the improvements.
Name
d
Address
Phone No. Fax No.
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other
documents may be served:
Name
Address
Phone No. Fax No.
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 Owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date is specified)
THIS SPACE FOR RECORDER'S USE ONLYa ^ OWN J
Signed: �4 I U i DATE f (3
Before me this day of i I u_ in the
County ofv t of F onalty appeared
rC
careen cy
himsei(I h~and atn Tha4 all staterne0i,and declarations herein
Doc#2013147909,OR BK 16405 Page 2044,
Number Pages:1 i are true and accurate
Recorded 06/1112013 at 02:10 PM, o�WAY P% TRAVIS SUUGMR
Ronnie Fussell CLERK CIRCUIT COURT DUVAL r
COUNTY * MYCOMMINON#EE 162194
RECORDING$10.00 Notary Pudic at Large,state ofa
My commissm expires:
Personally Known or—
Produced identification
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: �`SI 5�`�4 �—� Permit Number:
Legal Description - t I, Area of Parcel# 11.1)-�,a1 - S�
t
Valuation of Work$ kw Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial �_sident'
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval# i 611• L is
For multiple products use product approval orm
Describe in detail the type of work to be performed: �� C
Property Owner Information:
Name: Fu0,� Address: 55"►00-ivc 1.c,1<e�
City " i3ch _State Zip X 33 Phone 9 23L ,59
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: G rcck 4�h�f 1e o n5�i�x -w Qualifying Agent: Tt2ty �l t.t�=
Address: L130c, city State fit- Zip 3.4-9-1�
Office Phone 9.vu S 3`a -t to s5 Job Site/Contact Number—016q Fax# l V_ ,.7 4(e-U'lt) _
State Certification/Registration# l S
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 laws regulating construction in thperiod isjurisdiction. This permit becomes null
?n or work is suspended or and work void if
o works of 1commenced within six understand that separate permits r i ft n secured for Electrical Work, Plumbing,Signs,or aWells,Pools,x urnaces,Boilers,months at t Heaters,
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 BEFORE RECORDING YOUR NOTICE OF H
YOUR LENDER OR AN ATTOCOMMENCEMENT.
1 hereb certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contractor
Print Name 1_!(G ...5 � ..:................................................................
Print Name YY�,w.l�.........lY!....0. ..........................................................................
........_. 11......
...... ...... .....
Before me Bef e 20
this I Day of a ,_ 20 13 th' Day f
ot►s;.ee�,0 TRAVIS SLAUGHTER
Notary Public * * No i
EXPIRES:January ry 2016 Revised 10.24.12
��TFOf F`�De Bonded Thru Budget Notary Services