2019 SELVA MARINA DR ROOF 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-1036
Job Type: ROOF PERMIT
Description: reroof fl 1956.3
Estimated Value: $17,877.00
Issue Date: 5/4/2015
Expiration Date: 10/31/2015
PROPERTY ADDRESS:
Address: 2019 SELVA MARINA DR
RE Number: 169506-1080
PROPERTY OWNER:
Name: WHALEN, PETER R&CARLA DE, '
Address: 2019 SELVA MARINA DR 2019 SELVA MARINA DR
GENERAL CONTRACTOR INFORMATION:
Name: AMERICAN ROOFING LLC
Address: 2625 SE HIGHWAY 441 OA DONALD SCOTT CHAPMAN
Phone: -
FEES:
BUILDING PERMIT FEE $139.39
STATE DCA SURCHARGE $2.09
STATE DBPR SURCHARGE $2.09
Total Payments: $143.57
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: .2Q/9 .S6fy a Jffiw'�hA hr Permit Number:
Legal Description , our Parcel UPace
eaor 3t.Valuation of Work$14R17,nn Proposed Work heated/cooled no—Sq,F n-heated/cooled X,
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/propused structum(s)((circle one): Commercial
If an existing structure,is a fire spnnuer system installed?(Circle one): YesoN/A
Florida Product Approval# /q Sri-
For multiple products use product approve orm yy�� /�
Describe in detail the type of work to be performed:_k P- Rn Afi
Prooerty Owner Information:
Name: /�.�fr>, (,l,ptil 'r�y� Address:70 f4 SP�✓a /nn f r`n f�Y
City 3.1 -Phone, JOY
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name:_ »fJi n i Sjh)i 1� Qualifying Agent: �}s K�
miceAddrePhone Alb„!' B/w a`2S City.�f�q,�Sr State J Z4
Office Phone R75 Job Site/Contact Number Qnt/ e236—J7a,�pas,#
State Certification/Registration# RC,2Q/k.2'7 �i'r�
Architect Name&Phone# le
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address 101441
Applicaissuance on is hereby made to obtain a permit to do the work and installations as indicated. I cert that no work or installation has commenced prior to the
issuance oJapermit and that all work wdI beperformedtomeet the standards ofall laws regulatingconstriction in thisjurisdictim. Thispermtt becomes null
and void effwork is not commenced within six(6)months, or if construction or work is suspended or dbandonedfora rind ofsis//6)months at any time ager
work is commenced. I understand that separate permits most be secured for Electric(Work,Plumbing,Signs, Wells,Pools,Jrurnaers,Bogen,Healers,
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.
I herebycenf,thatIhave veadandesaminedthis a,ppplicano andknowthesametobe Vueandcomect Allprovisiomaflawsandordinancesgoverntngthis
type o)work will be complied with whether speciped teres or not. The granting of a permit does not presume to give authority to violate or conte!the
provisions ofany other federal, tate,or l�oca�llaw/reg ad construction or the performance ofconrVuction.
Signature of OwnerZ
/ Signature of Contractor,
Prim Name ./ L,r...li_.l� L1'.//. ..........._..._................_...... Print Name X�........ 1JYll. .!.........._.__..-.._..........
Beforea Beforg e
this/J�Da f this
Vk Ngny Pu tsuMa yq NWry PYMk S1W gFbMs
Nlew Ra
Notary bIC +� j My Canxnugan EE101ref Notary Public / My Cgnffl M1al01712
O �U' Eyns 0ilW11015 ` MT K PM0)1 mss
NOTICE OF COMMENCEMENT
C iPaeP.neiN txvLlcn7el
,mr No. /.J� &6"/�—/n?K Tax fdio No.,g25
Sued d M,.- County d ..uetl
To whom It may motion:
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 Mated in this NOTICE OF
COMMENCEMENT.
Legal tlesenpdon of pmperry being Syn 9— LSF
Atltlress dProperry being improved' 2019 ?l
if�n dr f3fYa�/ t[ 3aaQ4
General detimption of knKooPvements:IR00f
R
Adcreiyp{ .DM9: � 7),' Al/�f�
Owner's Interest In site of the Improvement NA
Pas Simple Ttbholtler(if other than owner)NA
Name NA
Address
CPnVecim American ReoOng of lack onwlle
Address 1015 Atlantic Blvd.Suite 352,Adi ntic Heath.R 32233
Phone No.901-2281206 Fax No.904-425-9464
unity(9 any)NA
Address
Amount of bond S
Phone No. Fax No.
Name and address of any person making a loan for the construction of the imirovements.
Name NA
Atltlress
Phone No, Fax No.
Name of Person within this State Of FlorWe,other than himself.designated by owner upon whom notices or dher
documents may IM servetl:
Name NA
Address
Phone No. Fax No.
In Worker W himsef.owner magnates the fallowing person W receive a WPY of the Lianor's Ndioe ea provided in
Section 713.06(2)W.Flonfa Statutes(Fill in at Owners option).
Name NA
Address
Phone No. Fax No.
E%piretlon data of Notice of Commencement(die expiration date Is one(1)Yem hon the date am000 Ing unless e
different date Is speor ad):
THIS SPACE FOR RECORDER'S USE ONLY sk. /! / DAM
Be"memix ewd hoe
County �e Sbaa Flo de. Peryney egweiM
Cocg 2015100530.OR BK 17153 Page 318, Nmealr-tureen
Number Pa9e5:1nw eM ec ebNFr wry N rYPu Slallof Flake
1ecndw105+0412015 at 08:57 AM. YM rho
Ronnie Fussell CLERK CIRCUIT COURT DUVAL My Mian EEr0ete2
COUNT
E IAMao15
ftECORDiNG$10.00 No�Po
e.Wr:
waemlly zoos"
PIJdYuo Iseek apl