455 SELVA LAKES CIR - ROOF �" s, CITY OF ATLANTIC BEACH
'z ; "- J 800 SEMINOLE ROAD
' " ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
N----.______.---2j---f-fj.rt 1 IYI"'
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROOF-2899
Job Type: ROOF PERMIT
Description: REROOF
Estimated Value: $5,511.00
Issue Date: 12/15/2015
Expiration Date: 6/12/2016
PROPERTY ADDRESS:
Address: 455 SELVA LAKES CIR
RE Number: 172027-5016
PROPERTY OWNER:
Name: DICKERSON, ROGER & SHELLEY K, *
Address: 425 E WOODHAVEN DRIVEE
GENERAL CONTRACTOR INFORMATION:
Name: K & D ROOFING & CONSTRUCTION
Address: 2758 DAWN RD SUITE 1 NE QA ROBERT ANTHONY HILE
Phone: - -
FEES:
BUILDING PERMIT FEE $77.56
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $81.56
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Doc # 2015282965, OR BK 17396 Page 2148, Number Pages: 1, Recorded
12/14/2015 at 09:42 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
.,,..-.4-0 ,-;-„#-, ,--,-4.:k .•-k s•"4';',1 i...r...7 le..'fsrl.:'.7`•%-r-. l•
.... ....:_..-L.-Z.! :........‘ 1/4.....•,...i..ia.t.t.,.:.1....z.c-........'..:................. ..
.:7,,.-: -.FF_ •.:.,....:."..‘"E
Penri:N.c.. __ 7ar Fo!io n:..: /7.1.120.77. 5-eilliP
_
To whom it_niay concern:
The undersigned hereby iarorns you that improvements will be mac:a to certain real property.and h
accordance with Section 713 of tile Florida Statutes.tr.e following informaLio..is stated in this NOTICE OF
CC.%vti.AE.NCEMENT.
lye:
,,,,,• -f orooerty be.ng if-.:••••:....e.:::
/YS .cc- Iva Li Li(es Cii•egTic . • 4'1 1 4--
11-1T7 '
iceas3(1 II. . il—.7;23 3
REROOF USING 50 YFAR SI-TiN. GLES
3enerai description of;mprc-a.:.-.ems• -
_, ne-
. : t■ er bi,..,_kC.1 i'S17r :7 _tLik
12-i' 1 i
^^r ss
... 1-1.57.1- Si 1p.ex Lek ke-i_ c t ' C . . /.1.41 • t4 1"C
i(...4 P-- 1,--)--3 3
.„
.0e(s.n:-,res:.r ve a'
. ... . ........
.ef.,
Ai:Iress
,
t,,;:.:s...t.w..,...1:. ,i; \,
l.
con.ac,. K4 ;..:/1:•
:'
• , . ...
1C-8111200fINIACalgtn1Cti011 CO.
Adsr'erss. 75'1.)''1')A:.x.N.N:.12! KT:T.: i;Ii■Ni'. ", ! : i:!CPA
. ‘: . i I
;
' • 3
c-3 dVq27581311wffitUartS"e
. :
Jacksonviic,FL32207
•-.1-1or:e No. ()"."341'17C I- "' 0 L.;
•C LI('.4 cq 1 i Fa ■.- :''.;i.•••:-.2,'19 jig
A ,...• . ...-
U.s. • ar •
., . .
1 .
S
---
A:crass
.ore o =BA V;
, 1
• .
■.
N..arr.a.-.o.acc.-ess;.,".any; scr,rnat::.^.:::a'car.f f:re Tons-. -..-r,of: e.:, :::;
,.. : . ._ .., . . .......; ..emen::
rest:
7-'-.orie No. =a, •ic
. . .
-
-.-...:r r, ,er;...0.-,
.•.:an
,...
,- ...:c.s
o. ,Inin tie tate of r!orSoa.ct•n_.... a:a.o i...•i 0•
. r se.' as!3!' ;:'
•- . - . ... . .
•:.*Z.T.:.
nen:3- ..se
.a - ser,e.:•-•
•
t,:arne
- _
4.-
ra.t.s..
...
”-.•:r :::-.o cr..'11':et&'..e.n....-s'',..:.:.7...a as c 7...- ...
'-.ar.
titior::0 nin-,se!f.,.....•.,r,e..r est-grates:rte fc ,... ,
a:7e:so:-
.-o
• _ •
Ets•ror,•713.,:i=t".2.:O. Pon:ia Stat...:Ies :F..i:- :2-nee s covc-.-.
. .a'. . •
_
Actoress
mnone is..7.. -
_- '.c
---
,..
re.noe-sier.:,: •'••"•"''''Y Z•• . a a;•s :ear f r c.n el:.;fate..1`rec....;,c r•;^; ..lies s,,.
re 4: -.E.t.
c;ffa..•en:oate,...3 soeo:f:eo ..
---11:11-g Sii,V5E-.a 6R-A Ed0 i250-271-JSTail'41 L.Se..- . . \
2:i,1--s-;t):;--e e:-3:;.:•-1/4B"_.a.\-.-'..-----:,.--:l
l:-i3-.ctrr_o r-••4._.--
..a>.. ‘--
1 iJi AP-
s1 s;...9.
1 i
• ,A E f?.,;
:iv g m
4. 1'6i4°.
Z(.... •t".1
,C. ko
e•Xt.
1..L.,f •-li'• :'.
..1%,..4.•—• :.
.•'.!... .:.■••■,....;.:■;.:::iStit).4 . `*- ''''''' ""'s
.-+ . sN'.
, -4JiS1tJr O 10-
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
Date: p./44-15
15
Job Address: 445-5—S P I W a LGt0..e--S Ot'Y c I e- Al avi!'1 4-�ta ch f�L- j�� 73
Owner of Property: 7207e/ >I`Glir/SU4
Address: L/ ,_ft i ii{ Lt Ott '" ?e.--13c 7J`Telephone: 9U(1 - q 77--.S7a2e1 tiJ
Roof Contractor: J4-Z F)0 i✓L 0 0v/1-Atic•Ti State License Number:Or— 13-2 s-
Contractor's Address /•Se? 7L1 000 JI.C'le 5 1;‘,/i-Jorti,,,,ile_ (--.- J,Z 7
Telephone:'7° Fax: /OL '31 r' 3.2(1 q Email: ?O /J 0T`i - - *ei(g,1.CUN'f
07" f .
Scope of Work�� —y U 7 Roofing Material �i lit
Product Approval# cc,l0!�( - r Valuation of Work: $ 5—f!/. 9?
Required Inspections: Sheathing/In Progress- In /Final
If re-roof: Assessed Value of Structure:_<$300,000/_>$300,000;Roof-to-wall improvements required?
(Applies to single family structures only)
"WARNING TO OWNER: YOUR FAILURE TO RECORD NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED
ON THE JOB SITE B" 'RE E FIR INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTOR' 4 B\•RE • •RDING Y 0• • Ni 1 E OF COMMENCEMENT"
iq
y SIGNATURE OF OWNER: ''41; iliaMiLf. .\ o.\'• -∎. . 11 ,..0:5
IIIII .RY IVY
AS TO OWNER: *0';•••••e� KONNIEANGELIQUEGORDON
4. ,k1� * t_g * MY COMMISSION t FF 164564
Sworn to and subscribed before me this day of .� 2 sw EXPIRES:September 30,2018
State of Florida,County of Duval
Notary's Signature: Q1 +l fi`''r r.oP°) Bonded Tin Budget Notary Senkes
❑ P-rsonally known
Pr ed identification
i
oduc t cat n o
Type of identification produced �L ht-
SIGNATURE OF CONTRACTO /Lf'C/ Date: 1) L//-/r
AS TO CONTRACTOR: ,•Sworn to and subscribed before me this day of
/ 20 �`'' r•:u0<<, KONNIE ANGELIQUE GORDON
State of Florida,County of Duval *1 :� A * MY COMMISSION t FF 164564
Notary's Signature: 1 •■ Al died of° , EXPIRES:September 30,2018
P-rsonally known 'Fa coe Bonded Tutu Budget Notary Senkes
❑ Produced identification
Type of identification produced
800 Seminole Road•Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800•Fax:(904)247-5845
F:\roof permit applicaton 2010