647 Selva Lakes Cir re-roof permit CITY OF ATLANTIC BEACH
7 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
]OB INFORMATION:
lob lD: 16-ROOF-1909
Job Type: ROOF PERMIT
Description: re-roof 24 squares 6/12 pitch shingles
Estimated Value: $9,077.00
Issue Date: 8/22/2016
Expiration Date: 2/18/2017
PROPERTY ADDRESS:
Address: 647 SELVA LAKES CIR
RE Number: 172027-5900
PROPERTY OWNER:
Name: FLUHARTY ET AL, JOANNE P
Address: 647 SELVA LAKES CIR
GENERAL CONTRACTOR INFORMATION:
Name: ROGERO &WILLIAMS ROOFING CONTRACTORS INC
Address: 883 Lawhon Dr ST
Phone: 904-518-5463
FEES:
BUILDING PERMIT FEE $95.39
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $99.39
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUH.DQ G PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax (904)247-5845
;ab Address: (Qy9 SPI%re aW � q 6 FL 3) D 3 40
3 Permit Number: Ib-QDO�- 1cj
Legal Description SeI V& LC," tori+ 3. L0+ 154 Parcel# 1/4,40 rd aS-a�)C�G
p 0 F mor ren.oArea of--Sq Ft—4g 1-t
VNIuatio n of Work S 90� Proposed Work heatod/cooled 106 S non-heatcdicooled o 0'/
ft rot>r-
_._ss (cireie one): Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/p=d
existiug/prod straMare(s)nprle one): Commercial
Ifanexistingstrc ,isaFrespnker system installed?
(Circle one) o N/A
Florida Product Approval# FL l '111-12.1 o Vhde-1-16rwt + Yt 1=L 1521
For multiple products use proditict productapproval form /
Describe in detail the type of work to he performed: I,r�iso Tlr C� (Y aants
6112- j2dr-A shiriale 5,
i' Ocej-lv Owner lnfonaationlI: ,/
'`_am, QAlfl � l Yla.rT� Address: 60 &1 Ira
4 State Ui Phone 95 to le 3 •n£stC7,
..-MH or Fax ' ,(Optional) — --
Contractor Information: (�
Companyme 1l T l l tarns KODtf frA. Qualifying Agent: �JL®
Address: (5 Of: �llt� O—City � r S Zip Z
OfftPhone 0 • g . S'le Job Site/Comact Number •25 • 770 Fax# bre 7l
Statee Cenificetien/Re` istration## CG 13�r0 akrl
Architect Name&Phone#
Lagineei's Name& Phone# -
e S itnple Title Holder Name and Addres��0 L ll 5 ri
!loading Company Name and Address
-&Age Lender Name and Address
.Ipplicntiao is hereby made to obtain a permil to do the work and instal/adons as indicated. I cert that no work or installation hat commenced prior tc
issuance oj'a permit and that all work will be performed to meet the standards oral laws regulating construction in this jurisdiction. This permil becomes o..
and said J rvork u nm commenced within six(6)months.or if construction or work is suspended or abandoned for a period ofsb/6J months at any time, re
work is commmmed. 1 understand that separate permits most be secured for Electrical Rork,Plumbing,Signs, a'el(s, Pools,Furnarts,Balers,Heinen
Tanks and Air Coadilinneis.de.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING XWICE FOR IMPROVEMENTS
O YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT !';:q
YOU79, LENDER OR AN ATTORNEY BEFORE RECORDING YO'tJR NOTsCF r r£
COMMENCEMENT.
r;•h} er i/i rt/lay.read and esamlaed this a plication and brow,the some to be line and etnrecr. All pro nu rIli lu• an dr an-
r b ✓mrphed,rnh nherher s/ec red h in or not The granting of a permit does not presu to g r c m n hn -? vinmt ..
<r,. , .t er to '. nnre nrftcn egad I .- cdan or the performance ojconstrucon.
Signature of Owner ri 'y4� Signature of Contractor/
Print Name _..._...0 F_!.[..IYte_-��A,— Prim Name
Swoand subsc ' ed before a Swogy�Q and subscrtp�before m
this Mayof 8 .20 this SIL O'Day of '1-�t JGlrf[ 5 0
• PAUL. ROBERT CASSEITA Nott'':' ""� PAUL ROBERT CABBETTA
Commission F FF 39155 ° Commission,/FF..39jBBl�
j� My Commiss on Eepins al� My Commis 7d'il' lV
July xa, 2017 Juxv xa. xot 7
Doe 1 2016188721, OR RR 17673 Page 2238, Number Pages: 1, Recorded
08/16/2016 at 10:69 M1, Ronnie Fussell CLERK CIRCUIT COURT DUVA COUNTY
RECORDING $10.00
NOTirCE OF COMMENCEMENT
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