703 Selva Lakes Cir re-roof permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
� I 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: 16-ROOF-2465
Job Type: ROOF PERMIT
Description: RE ROOF SHINGLES
Estimated Value: $6,470.00
Issue Date: 11/3/2016
Expiration Date: 5/2/2017
PROPERTY ADDRESS:
Address: 703 SELVA LAKES CIR
RE Number: 172027-5872
PROPERTY OWNER:
Name: DICKSON, JEAN M & DONALD,
Address: 703 SELVA LAKES CIR 703 SELVA LAKES CIR
GENERAL CONTRACTOR INFORMATION:
Name: ROMANO BROTHERS ROOFING, INC
,CCC1328893
Address: 1188 N 12TH ST OA DANIEL JOSEPH ROMANO
Phone: -
FEES:
BUILDING PERMIT FEE $82.35
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $86.35
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
Nov 031610:36a Romano 9042464810 p.3
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845 (o -Roo P Z4 GS
Fab Address: l tc 5 �P}}e��rmiTur ,qr.
1 40
Legal Description l - ) -c+�- IY-rcel# Uk -},r
rmorfuraor Sqxt.
Valuation of Work S Proposed Work heated/cooled� non-heated/cooled
Class of Work(circle one): New Ad ion Alt; Repair ov 'trea pool/spa window/door
ti
Use ofexisting/prouosnl.structure(s)(cireleone): Commercial
If an existing stm ure,is a fire�pri_nkkller s stem installed? (Circle ane): Yes No N/A
Florida Product Approval# ) t^( + -�j$ 5 , L
For multiple products use-P-miluct approv orm
Describe in detail the type of work to be performedx _
Property Owner.Information:
Vame:s _c `lE4
City L3 PStace zipR _'�1Phone
E-Mail or Fax#(Optional)
Contract r Informs los:
Company Na e Quali Agent: ' Cri
4ddress: l City I' State Zip
Dffice Phone - . ]oy 't i umber Fax#
hate Certifcation/Registration# 1
4 1titectName&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
9pphi ion be here made to obtain a permit to do the work and hutd/ations w indicated. I eerrify that no work w installation has commenced prior to the
Auonceo apermi and thw alf work will be performed to meet the standards ofall haws regulating construction in thtsjurisdiednn ThispermirbecomesmdI
mdwid workisnwcommenmdwithinsis(6fmonths, wtfcorWntctionwwwktssrndedwabandonedfora0ertod ofalx/6j months atany time a(r¢r
xork$commenced. I vrderstand that separate permits must be secured for 6leRNcar Work,Pismbing,SYgu, Wel Ls,pooh,Furn..,Rollers,Hrdem,
ranbondAir Condhimm,etn
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 Y61)R NOTICE OF
COMMENCEMENT.
certify thatf have readand examined this pficwionandknowthrsametobetrueandcorrect. Allprovisionoflmvsamiwdinancesgmunin5this
lu rk will be complied with whethw syen red herein or nor. The grawing of a permit does not presume to give authadfy to violate or canoe the
wovsions ofany other federal,score,w local law r¢gulwing cautruwion we the performance ofcomtrurtion
signature of OwnerSignature Contractor
:'rind Name _ k11.x..�r.G.`cSaui...._.. Print Name
sworg.�an subsrd,befpre aSozomr4oand subscri ore m
hiyl i I)dy of ,j/�'r'!' 20 1 is 1 I pasLof P_. ` 20
ary. li /. . '� 11 - aAMISSIONp F0 1a
1:� ,1 MYCOWASSION*FF'033216 ary a '\tp YvP� EJtPIq�S Juy 2017
Nov 0316 10:36a Romano 9042464810 p.4
?VO'TIOE Or C0b1IVIEI@'CEMEXT
J�ti. Tax Follo Nof '
County or:
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To whom It may concern:
The undersigned hereby Informs you that Improvements will be made to certain real property,and In
accordance whh Section 713 of the Florida Statutes,the following Information is stated 1n this N9TICE OF
COMMENCEMENT,
L%"sjrptionmpg Pan eing improvaa: -
Addre"of PmPery being hrlpmved: `f r .
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Address' V'L
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Fez No.
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Address
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Nem.end address of any Person making a loan forthe consm.1dion of ma W M,, ,,e.
Poem•
Address
phone No. Fax No.
Name of pamon within the State of Florida.other man himseF..designated by owner upon whom,Duc--mother f
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tlOCUmeldS maybe served: '
Name
Address ;
Phone No. -Fax No.
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In addition tc himself,myna,dasignmea thefoXomr,person to mcelve ax 3
aoPY of the Liaois Notice as Provided in ai y
Sadicn 773.05(2)(b1.Florida StaN(es.(FXI fn et Umer's olPtial).
Name _
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Adtlrass
Phony No. - 3. m
.ax No.
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E)pimM1on date o(Notice of Commencemanl(the"Peation data Is bee(1)year`rum the date of mmrd'irg unlaa a
dBferant date Is spatlfied):
THIS SPACE FOR RECORDER'S USE ONLY mNNER
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Number Pages. t a'ae as
Retarded 13.14"2018 at t736 Aµ �
R.Vvs Fuss al CLERK CIRCUIT COURT DUVAL r
COUNTY
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