739 SELVA LAKES CIR - ROOFI
S}=\iy�.
f. JJ,..
r _ `Sf CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
-611 .---.
I /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-2878
Job Type: ROOF PERMIT
Description: RE ROOF
Estimated Value: $9,698.00
Issue Date: 12/28/2016
Expiration Date: 6/26/2017
PROPERTY ADDRESS:
Address: 739 SELVA LAKES CIR
RE Number: 172027-5854
PROPERTY OWNER:
Name: FOY, PATRICIA L
Address: 739 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 $98.49
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $102.49
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AM) 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 Co�`Rco4? Z -,7E),
ArzAtrr/b /31,1i
,lolr Add -791 cWy,44 652g4y5 .._ Permit Number: -.-.. ._._
Legal Descriptio l.�P_`044_1 !1 ��h V..A� . �°aice #•J/(1.11.`'/_5 •�9__._.._...._
oor i•ca oar d. 'l.
b`alr:aation of Work 4,g� ,.911,_45_. Proposed Work heated/cooled ��Q� non lreuted/coolcdaa _
('4a::r: of Work(circle one): New Addition Alteration 1Z:rZ ) Move Demolition pool/spa window/door
Use of existing/proposed structure(s) circle one): Commercial
If an existing structure,is a fire spr'l r,,s,3'stem • stalled? (Circle one): Yes No
Florida Product Approval #� / /Z) -1=0S lip
For multiple products use product approva form 2
Describe in detail the type of work to be performed: // A �_ ' ., _� *• v/. l ",
.1'oe /ytitw. _._ — -.--..__... .. .. . ..- _.. --------
LI!
,,‘;tris. Owuer Intirrruatso;<:
„40/%L �D ncidress
7-7cae Stal l �% ?Phunc At /--- ...____ ______________.
, •.;. r ± .., ',Optional) __ ----•---------------._..
Contractor Information:�LO •
/Company Name. - Qualifying Agent:✓T��!��✓iy
Address: . f' _�� A. City / _State Zi
Office Phone' � ' Job Site/Contact Num ger ' - - Fax
State Certification/Registration# At -, lir;
Architect Name & Phone#
—
I iig;ineer•s Name&. Phone# _.—___ _--- -- -- --
Fee Simple Title Holder Name and Address_
Bonding Company Name and Address__
*viortcagc Lender Name and Address ____.... _._
.•lpplication is hereby made to obtain a permit to do the work and installations as indicated. /certify that no work or installation has commenced prior to
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes.
and void if work is not commenced within six(6)months. or if construction or work is suspended or abandoned for a�period of six(6)months at any time a
work is commenced. 1 understand that separate permits must be secured for ElectricalpWork, Plumbing,Signs, Wells, Pools, Furnaces, Boilers, Heat
Tanks and Air Conditioners,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 W ITU
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICF, OF
COMMENCEMENT.
•;,<,•ehe .rrrr(r mat I have read aid examined this application and know the same to be true and correct. All provisions(paws and urdinanc.c.','o C•rnurg
r,• , ",r,,r4 ;will be e.smplie.l 1•itlr whether specified herein or not. The granting of a permit does not presume to give authority to%tutu:.• e1,•:•,move/
•-••••,:, •,,;. ,,n. ,,firer federal.suite. or 1.meal law regulating construction or the per formmrce o/construe•liun.
Signature of Owner Signature of Contractor
• est
Print Name /4L/#7 / 7 Print Name .N.j-C. :
Sworn to and subscribed before me Sworn tq and subscyibed beforeme
�
this NA. Day of Oar, .� • 2
,,.•- c0 this Day f IJcti f_ r,.. ,•20/'
44.7.41.444.
',1:.,%,:.>• Publie• . Nr
• PAUL ROBERT CASSETTA �``nuu"'' PAUL ROBERT CASSETTA
,,11111,1," ♦,�•�rY•(_
Kvls 01 26.10
-• Commission N 0 39155
=INS, Commission N FF 39
"11 ., � , My Comm.ssion Expires
.� t;c My Comm:ss,Jn Expires %; !�
°'��, July 24. 2017 ?°;;; � July 240 2017
%,,,11,1„�
,
Doc # 2016293901, OR BK 17823 Page 692, Number Pages: 1, Recorded 12/27/2016
at 03:48 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF COMMENCEMENT
IPRFPARF IN DUPLICATE)
Permit No: Tax Folio No. 45i1 +' 4
State of g County of
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information is stated In this NOTICE OF
COMMENCEMENT.
Legal description of pr petty being improved: /,/ -' ' AY
Address of properly bell improved:'t /1721!-S -. .... 415 `-��
General description of improvements: Re--Roof
Owner /'l// /D
dress __��LVA' [A. s CA .0�� T" 5'1MS
Owner's interest in site o the improvement Owner
Fee Simple Titleholder(If other than owner)
Name Rogero and Williams Roofing Contractors
Address 3415 Kori Road Jacksonville Florida 32257
Contractor Jeremey Rogero
Address 3415 Kori Road Jacksonville Florida 32257
Phone No. 904.518.5463 Fax No. 904.866.4773
Surety(If any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
Address
Phone No. Fax No.
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other
documents may he served:
Name Jeremey Rogero
Address 3415 Kori Road Jacksonville Florida 32257
Phone No. 904.518.5463 Fax No. 904.866.4771
in addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided In
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date is specified)
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Seined: / nate --�---/
Before methis / i day of L - 00/-t
_ in the county of Simi State of Hatch.hat a sonaay ePneud "'CGCG V
PAUL ROBERT CASSETTA re ,a;, co yr herein by Nmsel/ne.sett
t• Commission r FF 39188 and athma that d stetementsana decYrxMow.s hmauot trad ecawne.
MY Gommrs s•2 Fe
c- a
July 24. 04
[.,
17 `o t!
.. - ---- Notary PaWiut tame. state of Dories County of Duval.
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