724 Selva Lakes Cir re-roof permit 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: 16-ROOF-2654
Job Type: ROOF PERMIT
Description: RE - ROOF SHINGLES
Estimated Value: $13,537.00
Issue Date: 11/28/2016
Expiration Date: 5/27/2017
PROPERTY ADDRESS:
Address: 724 SELVA LAKES CIR
RE Number: 172027-5844
PROPERTY OWNER:
Name: MCCULLOUGH, MAUREEN A
Address: 724 SELVA LAKES CIR
GENERAL CONTRACTOR INFORMATION:
Name: ROGERO &WILLIAMS ROOFING CONTRACTORS INC
Jeremey S. Rogero,CCC1330387
Address: 883 Lawhon Dr ST
Phone: 904-518-5463
FEES:
BUILDING PERMIT FEE $117.69
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $121.69
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: 724 Selva Lakes Circle Permit Number: 172027-5844
Legal Description 44-60-16-2S-29E Selva Lakes Unit 3 Lot 126 Parcel#
our rea o q. t. q, t
Valuation of Work$ 13,537.00 Proposed Work heated/cooled 1786 nop-heated/cooled 2399
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of eaisting/proposed structure(s)(circle one): Commercial Residential
If an existing structure,is afire sprinkler system installed?(Circle one): Yes No N/A
Florida ProductApproval# FL10674-R10 UMedayment: ProArrnour #F117420
For multiple products use-pr-o-d-vc-tapp--m—va1 form
Describe in detail the type of work to be performed: Reroof 34 squares 7/12 pitch shingles
-?ro /iryv.or f'L- Il y-Lo
Proverty Owner Information:
Name: Maureen McCullough Address: 724 Silva Lakes Circle
City Anannrt worth State dip 3223a Phone g04 s37 nsAi
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Rogero and Williams Roofing Contractors Qualifying Agent: Jeremey Rogero
Address: 3415 Kod Road City Jacksonville State Florida Zip 32257
Office Phone 804.516.5463 Job Site/Contact Number 804.256.7700 Fax# 904.866.4771
State Certification/Registration# CCC1330387
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Applicatian is herebyy made to obtain a permit to do the work analinstallations m indicated. I certify that an work or installation has commenced prior to the
isstmnre at(a permiland that all work will be perfarmed to meet the standards ofall laws regulating construction in this jurisdiction This permit becomes null
aha void ifwark is not cammertcedwithin six(6/months,or ifconshuction or work is surMedor abandoned far apinnal ofsu/6)months at any time oyer
work u commenced. I understood lust separate permits most be semaedfor DecalW Work Phmbing,Slim, Wdkv,Pao4, Pomata,Bolles,Hra(em,
Tanks and Air Condbioners,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 Y&ii NOTICE OF
COMMENCEMENT.
Thereby mrtfy that/have readandessamed thlsa plication andkrmw the same m be true andcorreei. Allprovis moflawsand rdinaaresgaverningthis
type of work will be complied th whether speci led herein or rm[ The granting of a permit does nat presume to give authority to violate or cancel the
provisions ofany=federa by,or locoIlaw regulating construction or the performance ofcamtruclum.
Signature of Owne Signature of Contractor
Print Name ..� �,,,........ M�_ .I�..P10...4 . Print Name Jeremey Ro.ero __.......
Swom���to And subscribed before mmqq Sworn to and subscribed before me
thisthis�Dayof AJxov�,..he.� .20 /1 this z U,Sy of n° _ 20 is
P,/jj
Notary Public PAUL ROBERT CASSETTA PONA ROBERT CASSETTA
Comminnion x FF ]9165 } Commiss,on#FF 39155
s^v �,' My Commis"on Espiro ,�J My Commiss,on E.piraslk iced 01.26.10
July 24, 2017
Doc R 2016267131, OR EK 17784 Page 1207, Number Pages: 1, Recorded
11/21/2016 at 04:43 PN, Ronnie l Sbsell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
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NOTICE OF COMMENCEMENT
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