Loading...
479 Selva lakes Cir 2014 Roof C,� CITY OF ATLANTIC BEACH i f 800 SEMINOLE ROAD r� ATLANTIC BEACH,FL 32233 J ~ °' INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00001340 Date 8/19/14 Property Address . . . . . . 479 SELVA LAKES CIR Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5120 --------------------------------------- Application desc reroof -------------------------------------- Owner Contractor ------------------ ------------------------ STANDELL, SCOTT H RON RUSSELL ROOFING INC 479 SELVA LAKES CIR 4419 HUDNALL RD ATLANTIC BEACH FL 32233 (9C4) 0LE NV4L E FL 32207 -- ------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . 00 Permit Fee . . . . 80 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 5120 Expiration Date . . 2/15/15 _____ _ _ -------- Other Fees STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 Fee summary Charged Paid Credited Due ---------- ----------------- ---------- ---------- --- Permit Fee Total 80 . 00 80 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 84 . 00 84 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office ('904)247-5826 Fax(904)247-5845 Job Address: 4'79 Se 1 j 4� L--c le ,`) Permit Number: Legal Description 7-Z 5 -Z,9 Va L Ke'5 Parcel# oor Area o q. t. q.Ft Valuation of Work$ Jai ! 2� 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):installed? Residential If an existing structure,is a fire sprinkler system nstalled?(Circle one): es o N/A Florida Product Approval# 10 1214, 1 v For multiple products use pro uct approval orm Describe in detail the type of work to be performed: Q`f©OT Uj ► h A f 3--f a b 5 h i aA 1 e S 95m GVH& W Ce--,.8-f Cco;k i� S�z- p C►�I Property Owner Information: Name: 1J. +"Ck C\1 Address: 2. S2? , f-C 00 ?` N L City a StateC 4 Zip 0 3 4S Phone 90 Ll - 99l E-Mail or Fax#(Optional) Contractor Information: _ t Company?14 1�0 S c"&t J a(Qualifying Agent: +; Address: U - J City UO-C C<53 nv State p-4- Zip- Z ZC' Office Phone go'-f-714-196 7 Job Site/Contact Number 96 et-71,V-l9 6 7 Fax# 96 q-6o 3 6-97U/ State Certification/Registration# C C C 1 5.7-7 '-($`( 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. 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 laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aper►od of sir6)months at any time after work is commenced I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, urnaces,Boilers,Heaters, Tanks and Air Conditioners,eta 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. I hereb certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinanc rntng this type of work will be complied with whether speci ied herein or not. The granting of a permit does not presume to give authority to v' ate or c l the provisions of any other federal,state, or local law regulating construction or the performance of construction. C—� Signature of Owner Signature of Contractor Print Name Sf.0*.S+0- 2` 1 Print Name L.. .Q.l.'.1:C�td....._!....`-U5.5clf.............................................. _....................................................................................................................................... Sworn to and subsc 'bed before me Swo to and subscr ed befo a me this Day of 5 T .20�_ this `v` Day of ^CJ 20 14 TERRANCE SAtMLLI SANnLLI NGTARY PURI IC Ry PURLI TaC otary Public STATE OF FLORIDA Notary Public STATE OF FLORIDA Comm#FF016455W- Mvrei=017 455 Expires 51812017 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. R-14 Tax Folio No. State of Florida County of Duval To whom it may concern: 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 improved: '0-6S 1 7-Z S-Z 9,F Address of property being improved: 7g �0. K� �r � �<< �t'Ci�'f i 1 L —?z Z S?3 General description of improvements: R2rOOf i 1 Owner ,t 1 Address `�s� . F; y't 30 31+ Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Ron Russell Roofing,Inc. Address 4419 Hudnall Road,Jacksonville,FL 32207 Phone No.904-714-1907 Fax No. 904-636-9909 Surety(if any) Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name N/A 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 Ron Russell Roofing,Inc. Address 4419 Hudnall Road, Jacksonville, FL 32207 Phone No. 904-714-1907 Fax No.904-636-9909 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 N/A 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 ONLY �(— OWNERDATE ay$�/g Signed: ; •�" { *1W 144 Before me this day of in the OR BK 16883 Page.10841 Coun of yal.S to ida. as personally appeared of FI r Doc; -0[41067114, tY 5 f 4.IM I► herein by Number Pages:1 hlmselN herself and affirms that all statements and declarations herein TERRANCE SANTILLI Recorded 08119i�014 at 02:1?PM, are true and accurate NOT PUBLIC Ronnie Fussell CLERK CIRCUIT COURT DWaL STATE OF FLORIDA COUNTY Comm#FF016455 RECORDING$10 00 ares 51812017 No Public at L e t County of My commission expires: _ Personalty Known or Produced Identification