687 Selva Lakes Cir roof permit 3
CITY OF ATLANTIC BEACH
J f) 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
- INSPECTION PHONE LINE 247-5814
;3 f)
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-2775
Job Type: ROOF PERMIT
Description: RE ROOF
Estimated Value: $7,500.00
Issue Date: 12/13/2016
Expiration Date: 6/11/2017
PROPERTY ADDRESS:
Address: 687 SELVA LAKES CIR
RE Number: 172027-5880
PROPERTY OWNER:
Name: REVELS, JUDITH C
Address: 687 SELVA LAKES CIR
GENERAL CONTRACTOR INFORMATION:
Name: AMERICAN ROOFING OF JACKSONVILLE
AMERCIAN ROOFING OF JAX DANIAL KINKEL,RC29027546
Address: 1720 Wildwood Creek LN
Phone: 904-385-4375
FEES:
BUILDING PERMIT FEE $87.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $91.50
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 ((��
SJobOffice(904)247-5826 Fax F (904)247-5845 t�—ROOF- Z 7-7,c,—
Job
Address: 687 Selva Lakes Cir,Atlantic Beach. FL 32233 Permit Number:
Legal Description 44-60 16-25-298 M" L S GAIT 3 1dr 144 _ Poorest#172027-5880
—Floor Area oi�q.Ft.
Valuation of Work S 7,500.00 Proposed Work heated/cooled 2118 non-heated/cooled_2396
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of exis ing/proposed structure(s)(circle one): Commercial Residential
If an totaling structure,is a fire sprinkler system installed?(Circle one): Yea No NIA
Florida Product Approval# Ages Shingles FL76503 Atlas Un(ledayment, FL1 so
For multiple products an pryaappro
Describe in detail the type of work to be performed: Camplele leer off and Re-Roof
Proner[r Owner laim matian'
Name: Judith Revels Addmss: 687 Solve Lakes Circle
City Atlantic Beach State FLZiP 32233 Phone 004.855.5197
E-Mail or Fax#(Optional) irevleagunf.edu
Contractor Information:
Company Name:American Roofing of Jacksonville Qualifying Agent. Daniel P. Kinkel
Address: 1015 Atlantic Blvd.#352 City Atlantic Beach State FL Zip32233
Office Phone 904-385-4375 Job Site/Contact Number bO4.226.1 55Fax# 904.853.5318
State Certification/Regisnation# RC29027
Architect Name&Phoee# NA
Engineer's Name&Phone# NA
Fee Simple Title Holder Name and Address NA
Bonding Company Name and Address NA
Mortgage Lender Name and Address NA
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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 YOU NOTICE OF
COMMENCEMENT.
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