1912 Selva Marina Dr 2015 Roof `s f CITY OF ATLANTIC BEACH
�) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROOF-147
Job Type: ROOF PERMIT
Description: FL 10674-R9
Estimated Value: $10,000.00
Issue Date: 1/21/2015
Expiration Date: 7/20/2015
PROPERTY ADDRESS:
Address: 1912 SELVA MARINA DR
RE Number: 169462-0110
PROPERTY OWNER:
Name: WERNKE, BARBARA
Address: 1912 SELVA MARINA DR
GENERAL CONTRACTOR INFORMATION:
Name: ALTA LAND DBA
Address: 13758 PLEASANT VALLEY DR MARK J FRIES
Phone: - -
FEES:
BUILDING PERMIT FEE $100.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $104.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904)247-5845
Job Address: FF-I,VA MARINA nR
Permit Number:
Legal Description -to o - � rr01 parcel# X19901'
�'O:
ea o q. t 2�3
Valuation of Work$� app _ proposed Work heated/cooled t
non-heated/cooled
Class of Work(circle one): New AdditionAlteratio Repair Move Demolition pool/spa window/door
Use of existing/proposed structures) (circle one): Commercial
If an existing structure,is a fire sprinkler system installed? (Circle onN/A
e): esid Snti o
Florida Product Approval# ', IPQ
For multiple products use product approval orm
Describe in detail the type of work to be performed: - RooF 3
_CorninI9 l'tsgUareS a � s
IDQU,:� 71117 paG.h
Property Owner Information: J£Ad�1NNtslf- YEK�1
Name: E �T SF�IQIES 200 'Address: P
City- l.A�>c (� n-v —C-Ibx (gS�ISb
E-Mail or Fax#(Optional) State UT Zip N S Phone
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name:_Arra N D aCON11Q,61cl 1 W. Qualifying Agent: P►lZIZ FRI E S
Address: 21 i� �S�Iq LA 13Ly n 5-rF_EO City 160 AA
Office Phone goLi- 2%q-Lj312 Job Site/Contact Number _State E� Zip-322,5-0-
State Certification/Registration#SSC (� 9d'�" 2►A"1812 Fax#$ l
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:f work is not commenced within sic(6)months, or if construction or work is suspended or abandoned fora_penod of six 0 months at arty time atter
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, ells,,pools, uurnaces,Boilers,ime ere,
Tanks and Air Contlitioners,etc
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COM W ENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR EAPROVEAIENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOiJR NOTICE OF
COAEVIENCEMENT.
I hereY
b certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type ojwork will be complied with whether spped ted 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!mv regulating constructi n or the performance of construction.
Signature of Ownei �? ��'�-(/ ' L� (lam
Signature of Contractor
Print Name ��NE jtJ/
Before me �.._.._...._...___.......,..__ __._. ._... Print Name MSK Ft21 E
........ ..._..�_.._..._._._...._.........
this 2 Day of � A jUARy 20 IS Before me
this 249�Day of UA12v 20 (S
Notary Pub l c
:,o.. e4 JCA IErL MIRANDA
JAMIE L MIRANDA '� My coMMlssloN#FF158o25
My COMMISSION#FF158025 Revised 01.26.10
v� EXPIRES September 8,2015
EXPIRES September 8,2018 "�Of.� � p
(407)398-0153 FloridallotarySemce.com
(407)398-0153 FloridallotaryService.com
Doc # 2015013111 , OR BK 17038 Page 2099, Number Pages: 1, Recorded
01/20/2015 at 01 :25 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Follo No.
State of FLORIDA County of DUVAL
To whom It may concern:
The undersigned hereby Informs you that Improvements will be made to certain real property,and In
accordance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being Improved: 45-6 08-2S- 29E SEVILLA GARDENS UNIT 01
Address of property being improved: 1912 SELVA MARINA DRIVE ATLANTIC BCH, FL, 3223
General description of improvements: RE-ROOF
Owner CHASEFLEX TRUST SERIES 2007 2 � ,NNtNE WcS - E
Address P.O.BOX 65450 SALT LAKE CITY,UT,84165 iq 12 SwvA MMttN04 R• W'.-
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor ALTA LAND&CONTRACT INC
Address 2730 ISABELLA BLVD STE 50 JACKSONVILLE BEACH.FL,32250
Phone No.904-219-1812 Fax No. 866-941-6461
Surety(if any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
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
i
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a ^o
different date is specified): I...1'° "a r•
THIS SPACE FOR RECORDER'S USE ONLY OWNER'`%G/ mss �:°
b'
slgne ' /� t ✓�'�'� DATE ••
Before _� ay of In e tn
County of Duv ,lzt t of Flor�ld�ghas person Ily appeared 'DC L
_ZrAN DING. wtny-\IEILD herein by 6 c7
hlmsel0 herself and amrms mm dl statements a declarations herein ° m
are true and accurate z !n ffl
y
z 'a W
V o
Notary Public at Large• of County of
My commission expires: 8 m Z
Personally Known or3 M a Q
Produced Identification 2 D