708 Selva Lakes Cir re-roof permit CITY OF ATLANTIC BEACH
l 800 SEMINOLE ROAD
r� ATLANTIC BEACH,FL 32233
> v INSPECTION PHONE LINE 247-5814
; v
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-2738
Job Type: ROOF PERMIT
Description: re-roof FL10674-R10 and FL15216
Estimated Value: $10,399.00
Issue Date: 12/8/2016
Expiration Date: 6/6/2017
PROPERTY ADDRESS:
Address: 708 SELVA LAKES CIR
RE Number: 172027-5836
PROPERTY OWNER:
Name: BELLOIT, WHITNEY E
Address: 708 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 $102.00
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $106.00
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: 2n_ekj_ Ca ' ak-2f.l ('PI/ Ash{� Permit Number:
Legal Description/_'' k25..1� llI l �a S u� l Parcel # Do��' ��
oor Area or o4 �9�t
Valuation of Work S io 3 99 Proposed Work he-----oole,[d7(�� non-heated/cooled
Class of Work(circle one): New Addition Alteration Par N7ove Demolition pool/spa window/door
Use of existiog/proposed structura(s)((circle one): Commercial esidential
If an existing structure,is a fire sprtnWer systeminstalled. Circle one): o /A
Florida Product Approval# ✓. �_C7�—�
For multiple products use product approval farm
Describe in detail the type of work to be performed: sad c.S (G
t roL Tly-l)W11cer Informat/io/n:1
taurc Wi lbd— Address:
-dY'rL —State dip_37753Phone
i':-Mail os Frs P (Optional)_.__--
Contractor information: oQ-
Company Name: 0 � Qualifyin Agent: �a�,yF-�61C/�
Address: Pr. �� City State PZr
Office Phone _ ", Job Site/Contact�33 O g N mbar D!J _Fax# 4Ue/�'/s(9t177/
State Certification/Registration#—
Architect Name& Phone#
Pee Simple('Tile Nnlder Name and Address "--- ------------- ""_"
Bonding Cnnrp:ury Name and Address__ ----__
Mortgage Lender Name and Address _"--
-Indication is hereby aside to obtain a permit to do the work and installations as indicated. (certify that no work or installation has commenced prior to
issuance of permit and that all work wt/l be performed to meet the standards of ail laws regulating constrvction in this jurisdiction/. This permit becomes
and raid J work it nnl commenced within sic(6)months. or if corutrvction or work is su pe7A, Mumma ,si ns,wells, Pool., Fuinaces, Boilers t Heat
nark is commenced I understand that separate permits must be secured for Elecble g, s
Tnnks and dlr Candahmen,in.
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 ATTORNEYY BEF R ERECORDING YUR NOTICE OF
COMa„g
fora,!t ierafil ural I ha. real and Hurn mrd phim
ec icd herein
oralknow the same to be true and truest. -to
Illy l�'• nee!
aner
r.nier I low riego(nng construction hepergfnrman r Jeonl ucJuSignature of O Signature of ContractorPrintNamePrintName
Sworn t and subscribeQ,lfe}}bse a Sworn to and subscribed¢ to me 2
d b l� 201,E thi
thisra.
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MV mission Expires
1.26.10
2a, 2017
Doc 1 2016261973, OR BIC 17777 Page 882, Number Pages: 1, Recorded 11/15/2016
at 01:38 PN, Ronnie Russell CLERK CIRCUIT COURT DWAL COUNTY RECORDING $10.00
P
` NOTICE OF COMMENCEMENT
IMrP.a IN t.I rATn
Permit Nu Tae Fae No.
Shia Rr _ cwnga —�VVAI�
Tuwhom it mayoasXX,.
IDB undery nea Fereby,inbrms You that imprpeemen4 will W made tourtan rplpmprti,nal In
¢ordarte with Sxtun713 of tlm Florida Sbmth,the IalvwirrR inlorrmabn is stand An thisNO aOF
COMMENCEMENT.
Ee .i aeFNN,an IP baing impr=Vad:l l, '�FFI� �In"25 —25'E
n
AddreN a paperrybeing imeroped
Gerwral desmpl,Mimpmuenw.ntz. n
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address
Owner's mnest In Sire of that' armenr Purer
Fee Smpk Tdlehalaet lif MMr than owrcrl
Name Ro{emand WdmmsR MCVMr[
Address 3x15 Col Road lad k Florida 31351
.ndratm hremey RMem
mdmss MIS Add Rad Iatkadai Flame 33151
Plmne IN, RON SM5163 -F.M. 991.866.1711
suretylif."
Address Amount of bpd 5
phone No, ;..No.
Name and Haire,a A,pecan maks,•Ian fm 9e anstruc e,Of Nle lmprwemama.
Name
address
mrone Na -F.Em.
Name of Reran within Me State of Florida,Otter than himself,mall{naxd by Owner upon whom aches 91 omer
d...,may W wanted:
Name Jannywar,Nae
AM. MIS gal Rad lacMonygk Florida 31157
ph..NO. 994518.5463 Fae No. Red MA771
In addition To h nneN,Omer ava mates the follow.,a.Ad re¢M Aapt'OF ma 4erlMs Ndkeis pm ided In
Sntion 71106011br,NOTAIR Shyl(Fd In at Owners DEARTH.
name
aaaneF
Phone Na. Fia Na
FaMmmn date Of NNIa of CommeMemem(OR eepMNen data N we 111 Your imm sit Wa OF Hosting aMesaa
di8erentd8eamantiedl
THIS SPACE FOR RECORDER-5 U%MY OWNER
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