719 SELVA LAKES CIR - ROOF 13 CITY OF ATLANTIC BEACH
z
4k s" 800 SEMINOLE ROAD
j x ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
30B INFORMATION:
Sob ID: 16-ROOF-798
Job Type: ROOF PERMIT
Description: RE- ROOF
Estimated Value: $7,200.00
Issue Date: 4/6/2016
Expiration Date: 10/3/2016
PROPERTY ADDRESS:
Address: 719 SELVA LAKES CIR
RE Number: 172027-5864
PROPERTY OWNER:
Name: GENTRY, FRANCES M
Address: 719 SELVA LAKES CIR ATLANTIC BEACH, FL
GENERAL CONTRACTOR INFORMATION:
Name: ROMANO BROTHERS ROOFING, INC
Address: 1188 N 12TH ST QA DANIEL JOSEPH ROMANO
Phone: - -
FEES:
PLAN CHECK FEES $43.00
BUILDING PERMIT FEE $86.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $133.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Apr 051612:27p Romano 9042464810 p.1
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office (904) 247-5826 Fax (904)247-5845 Vp —R o p V_79&
I b Address: I q Iv-a n 1�.,QS C C Per 't Number:
Legal llescri i I-0 1 arc
# 1 a(-•. 7-) _
Floor Area of Sq.Ft. Sq.Ft
Va ua on ork$ -C)t) Proposed Work heated/cooled non-heated/cooled
lass of Work(circle one): New Additio Alteration Repair Mew D- olition poollspa window/door
Use of existing/proposed structure(s)((circle one):. Commercial Residential
fan existing structure,is a fire spriinkl,r system installed? Circe o e): o N/A
lorida Product Approval# i 0 . '
For multiple products use product approwa orm
festke___Las
)escribe in detail the type of work to be perform
'ro,erty Owner Info i tion: '
t
Jame: ■e, r Address: t 9 Va. x r
:ity !1 .. S . - ) Zi. J 'hone UM iiiig t —
Mail or F. tiotional)r
:ontractor Informa ion: n I
:ompany N: sllir ft. . . .. IP — Qual' g Agent: C rZi_e_f l iIt_.t 0.
kddress: \' — J� City State Zip �3
)ice Phone c) -• ( t4 �' b i` Con t Nu er Fax#
;tate Certification/Registration# "D ?�C1
rchitect Name&Phone#
ingineer's Name&Phone#
'ee Simple Title Holder Name and Address
3onding Company Name and Address
Aortgage Lender Name and Address
pplication is hereby made to obtain a permit to do the work and installations as indicated. I certi6)that no work or installation has commenced prior to the
?suance 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
nd void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6)months at any time after
Pork is commenced l understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, Furnaces,Boilers,Heaters,
'rinks and Air Cotuiltioners,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. _
hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and or s governing this
pe of work will be complied with whether speed herein or not. The granting of a permit does not prestme to give arrth to violate or cancel the
rovisions of any other federal,state,or local law regulating construction or the performance of construction_
,ignature of Owner • / -` .r , ,g„- g Signatu of Contractor
'r i m
iiCs �' J r /7 Print Name r ' " dow'
worn�to and subscri oil I bef&re a Sworn : . d subscri..+� before • e
sDayof ! ' I • i ,20) thi < ay of ammo .20 1
' �. y mot
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l. . 'u s IC �.►1"�"�� AMBER L H1 . . Pu'he I MY COMMISSION#FF033216
=o, AGE;-;
MY COMMISSION tt'FF033216 'r ,at/
Apr 051612:27p Romano 9042464810 p.2
NOTICE OF COMMENCEMENT
(PR EPARE'N DUPLICATE)
Permit N Tax Folio No.
State of rL County of c Yi 1-,
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.
Le. •esc'ptlon of p •• rty bei g improved: ' - ■ ,- - mr r mr
I • ' £Sik
Addr,@ss of properly being improved i . / A L , 4 cr C `,
General description of improvements: (k_, 14 t
P .r4 +--— Wner ( a , A_A. _•1 'D ' .
—�--. Address 1 � � � M '
Ovmer's interest in site of the improvernen', CAA „..p -. rL,,.)(-1 Co t
Fee Simple Titleholder(if other than owner)
Name.-- 1
. Address t
f^J Contra •.,r : , • , , - -_W b-_. --�. et
I r/ • _ � � _
Address Aso +
Phone 1%1,. ' C Fax No. �t�IC}!� I
`-1 Surety(if any)
Address Amount of bond S
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:vithin 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 co
N
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). y 2 h a
Name U :ti 0 8
Et ;,1 m
Address Z z t
J o ^ r
Phone No. Fax No. CC Fn. rr 4
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a .e- t CZ
. v
different date is specified): C 0 W +
THIS SPACE FOR RECORDER'S USE ONLY 0 lit R f , -
, to 1-CATE ,�``.'---;,.' 2
-u-pgme this�1 t dayy dqd �i q in the y,°: 6�x 4
r 1 fl -�� !' C. NC.'d V!l/trf�r ff herein by `;k.4 �,;g+
Coo#201601 4961,OR BK 17515 Page o62, himself herself and affirms that all state did dectareiiona herein ;.-Z.„L. ' S
Number Pages: 1 are true and accurate
Recorded 04'0512016 at 12:24 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL .
COUNTY
RECORDING S10.00 ... .Public etLarne.st -.� _ , - ,-/of _Ihn Jfirmzi
toy commission expires: "`au!. -
Personally Known or
Produced tdenolkatkn