639 Selva Lakes Cir re-roof permit SI
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-2514
Job Type: ROOF PERMIT
Description: re-roof
Estimated Value: $8,963.00
Issue Date: 11!8/2016
Expiration Date: 5(7/2017
PROPERTY ADDRESS:
Address: 639 SELVA LAKES CIR
RE Number: 172027-5904
PROPERTY OWNER:
Name: FIVEASH, JOHN
Address: 639 SELVA LAKES CIR
GENERAL CONTRACTOR INFORMATION:
Name: SUPERIOR BUILDING INC, SUPERIOR ROOFING AND
RESTORATION, INC
Michael Robert Beard,CCC1330262
Address: 3143 Waller ST
Phone: -
FEES:
BUILDING PERMIT FEE $94.82
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $98.82
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
OfFec(904)247-5826 Fax(904)247-5845 1,
Job Address: 639 Selva Lakes Circle Atlantic Beach, FL 32233 Permit Number- 110—(L-0�r— �( 1
Legal Description 44-60 16-2S-29E Salva Lakes Unit 3 Lot 156 Pamela 172027-5904
Valuation of Work$ 8,963.62 Proposed Work hFlocoArcaol eated/cooled 1988 nrt on heated/cooled 2454
Class of Work(circle one): New Addition Allegation Repair Move Demolition pool/spa window/door
Use of eaisdng/proppo0aae!d structure(! circle one): Commercial Residential
If ao existing struchre,is a fire spam er system installed. (Circe one): Yes No N/A
Florida Product Approval#
For multiple products use pr net approve orm
Describe in detail the type of work to be performed: Re-roof 19 squares Atlas Pristine 30 year shingles fl 7/12 pitch,Product
Approval#FL16305.1
Pronerry Owner Information:
Name:John Fiveash Address:639 Salta Lakes Circle
City ABeno Beach State FL Zip IM3 Phone 9068111-0555
E-Mail or Fax#(Optional)
Contractor Infarmation:
Company Name:Summor Roofing and R%tOreaon lne Qualifying Agent: Michael Beard
Address: 3143Weller Street City Jacksonville Stale FL Zip 322M
Office Ph. 900.570-"211 Job SiWConm3Number 9065709016 Fax# Sot-713-2M
Sime Cerification/Regisntioo# CCO1330 62
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Tide Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
App(imu �s4.0 oha work ape rr hrwork md, nd(atbk, miMimred (ming roworkowo,iriImrono Th",enredprvor,o eM
ao , o,Mihmall within 11 Mpg oat ,warwroon or work l ,wnsed g aonmlhislu sdiolion Thi perm• M1e<ome,m,(1
a�ad�w r4 r, d ihinvix(b .nrl True Al msrceMed �b d7pe 1 ?�u/m IFs o�wY ewer
ork s dal mlersraM dol sepamrt pervnnr mxrr M1e seearedf r Flee W a Pbnabg.Sigm,rYe&,Poalr acct Hollers,Hearn.
T n4a"AUCoaOrsai em
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 YOr1JR NOTICE OF
COMMENCEMENT.
(FereM1Fyy Aai(#we reW orvluammed cis non aMkmmr,l�eswme�o 6enueaMmnze,. A((provisions. lowaaM nidi s8overoftsns
type oJwoN will
he complied wish whether+ lM M1ere,n or rrot ]Irc Swmi,q la perms dces,wl prervme ro s�r'e aullwrlry aneel Ne
provs—fon,inherldeml.vare,or hwak a�w rexu(wnng gain rue �h'dirnmr,ceaocmawul—
Sigtumrc of Owner—� ' Signature of Contra
Print Name John Fiveash Prim Name _ Michael Beard
Swo aanjy..rU ri I fl�c Swo , and subs. e
this Dayof chis Day of 20
Notiov PUNIC v I 0
JERIKA A.VAZOUFZ JERIKA A. 26.10
NOTARY PUBLIC NOTARY PUBLIC
STATE OF FLORIDA STATE OF FLORIDA
Comm#FF0446M Comm#FF0445M
Elvins 81112017 E1tpIres&1112017
Doc 8 2016227141, OR BK 17728 Page 817, Number Pages: 1, Recorded 09/30/2016
at 11:05 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF COMMENCEMENT
Stmeof _Florida _ Tax Folio No. 172027-5904
County of Dwal
To Whom It May Conecm:
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.
Legal Description of property being improved: 44-60 16-2S-22E Saha Lakes Unit 3 Lot 156
Address of property being improved: 639 Selva Lakes Circle Atlantic Beach FL 32233 _
General description of improvements: Re-roof
Owne, John Fiveash_ Address: 639 Salva Lakes Circle Atlantic Beach, FL 32233
Owner's interest in site of the improvemem: Residence
Fee Simple Titleholder(if other than owauO: ---
Name:__ .
Contractor._Michael Beard
Address: 3143 Wailer Street Jacksonville, FL 32254 _
Telephone No.: 904-570-9426 Fax\o:_904-713-2773
Surety(if eny)
Address: ,___-._ AmountofBond S
Telephone No: _ Fax No:_
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: In No: _.
Fame of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be
scnedr Name:
Address:
Telephone No: Fax No:_
In addition to himself. owner designates the following person to receive a copy of the Lienors Notice as provided in Section
713.06(3)(6),Florida Statues. (Fill in at Owner's option)
\ante: _
Address:
Telephone No:_ Fax No:
Expiration data of Notice of Commencement(the expiation date is one(1)year from the done of recording unless a different date is
specified):_ ---
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: ,{A _ _ Date
aerom me th"s day of F Pres in rhe Courcy ofDuv States Of Plodda has personally a F'• e
Notary Puhlwe,Large,SmteofFlmipa untyof Duval.
My rnmmissinn cvmree/ f ( _ . .__ . _—
Perwmlp —
Proouced 1 ntifleatio¢ or
V'/Ad�,,rr/�/^� NOTARY PUBLIC
LV/1N IL STATE OF FLORIDA
VVV I . �*FPOM5C
E)ires 8/112017