740 SELVA LAKES CIR - ROOF S .\j'
J' ,
,
`SCITY OF ATLANTIC BEACH
" f 800 SEMINOLE ROAD
j � 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: 17-ROOF-3378
Job Type: ROOF PERMIT
Description: RE ROOF
Estimated Value: $9,800.00
Issue Date: 2/28/2017
Expiration Date: 8/27/2017
PROPERTY ADDRESS:
Address: 740 SELVA LAKES CIR
RE Number: 1720.27-5852
PROPERTY OWNER:
Name: SWAN, NADINE C
Address: 740 SELVA LAKES CIR
GENERAL CONTRACTOR INFORMATION:
Name: BIGFOOT ROOFING & CONSTRUCTION
Kyle S. Maxwell, CBC1259087
Address: 615720 RIVER RD KYLE S MAXWELL
Phone: - -
FEES:
BUILDING PERMIT FEE $99.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $103.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH AI.I. CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
� -'£ f, Building Permit Application
�;
City of Atlantic Beach
E0 800 Seminole Road,Atlantic Beach, FL 32233
41;1,0,- Phone: (904)247-5826 Fax:(904) 247-5845
Job Address:
T"10 e‘ LaVies C(fCA C Permit Number: 17—Rocy-P- 3 3 78
Legal Description JL 1O 16-25-29F 5LUA LAKs AT-r gat Up /noa - 5752,
Valuation of Work(Replacement Cost)$ Q, •10 Heated/Cooled SF /C'Z I Non-Heated/Cooled 24
• Class of Work(Circle one): New Addition Alteratio Repai Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial •esiden a
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be pe ormed: kc eaL�8.-4!Lc
7eor0 cel rem) 1zs � PG FL / -719 ( - R�r
Florida Product Approval# 1 L1o1 Z4 - k'V for multiple products use product approval form
Prope Owner Information -1� � /U, /,�� G-r--
Name: Qr l/� W.UQn Addres • e L
City Ja _L, t t &. State h(i Zip Ark Phone 4 A . - L".�
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Informatiio�o I /� /, ,,,//
Name of Co y: ��;i(/_O/ t,Ity •A r .�/�u . I Qualifying A ent:�f/C (.t/�ll
Address I() " g'(,tJ i 3 • ( -( City J State L Zip 2
Office Phone - (-( (�5�„n.,^. Job Site/Con a umber D 11, /- 521- 0$8
State Certification/Registration# c..l�(32 C/%9 E-Mail ' 1 L1 & e r / -G0m
Architect Name&Phone# `J
Engineer's Name&Phone#
Workers Compensation _
Exempt/Insurer/Lease Employees/Expiration Date
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulationg
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
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
RECO
ING YOUR NOTI F COMMENCEMENT.
t
(Signature of Owner or gent including Contractor) (Signature of Contractor)
S, ned and sworn t. or affirmed before me this i day of Si ned and sworn (or affirme• b:fore • this Tjday of
4 • a le k i — • zvi 1, 2,:e a d
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(Signature of Notary) (Signature of Notary)
DAVID A HAINES DAVID A HAINES
MY COMMISSION#FF1 a21 as •r '•= MY COMMISSION#FF142144
[ Personally Known OR ';y
• ,4'f Personal) Known OR �� %� o:= EXPARES July 15, 2018
[ Produced Identification ''...o.n '' EXPIRES July 15, 201 [ Y ;,•�� �•
Produced Identification
Type of Identification: (ao�1 sse-o�s3 FloridallotaryService.com pe of Identification: (4071 ssa-o1ss FloridallotaryService.com
01/30/2017 at 12:17 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
PREPARE irl DUPLIG:.TE.
Permit No. Tax Folio No. 1 Z021. /h�`' l 75 a
State of T 0c ildG County of Du.v AL
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. rr� p(�(�_w`q �l-t-
LegalpL Voi,prope LI 1 LpcJved ' '� LOT t •
�'f (40 Selva Lakes Circle, Atlantic Beach,Florida 32233
Address of property being improved
Gerterai trescnptton of improvements. Tear off & re-roof
ownerNadine Swan
Address 740 Selva Lakes Circle, Atlantic Beach, Florida 32233
Owner s interest in site of the improvement
Fee Simple Titleholder of other than owner)
Name
Address
Contractor Bigfoot Roofing&Construction,Inc.
Address 10737 New Kings Rd.Suite 104,Jacksonville,FL 32219
Phone No. 904-751-6112 Fax No. 866-257-5115
Surety of any)
Address Amount of bond S
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 ,:Rhin the State of Florida.Other than h:rrrsei designated t•y o•'.ner upon'.AIM notices Or cthEr
documents rriar t*served
Name
Address
Phone No Fax No
in addition to himself o•vrter designates the folio rnng person tv receive a copy of the Lienors Notice as pra.,dec in
Section 713.06(2i ib-i.Florida Statutes !Fill in at Owners option i.
Name
Address
Phone No Fax No
Expiration date of Notice of Commencement ithe expiration dates one(If year from the date of recording unless a
deferent date is specified)
THIS SPACE FOR RECORDER'S USE ONLY OWNER
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MY COMMISSION #FF142144
;,�•„ :�o•' 15, 2018
1 ,,/ / ..E �,g: EXPIRES July
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