1909 SELVA MARINA DR - ROOF �� '' S, CITY OF ATLANTIC BEACH
� ' l 800 SEMINOLE ROAD
Kvir _____ 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-3713
Job Type: ROOF PERMIT
Description: re-roof FL-16503 & FL-16226
Estimated Value: $15,297.00
Issue Date: 4/10/2017
Expiration Date: 10/7/2017
PROPERTY ADDRESS:
Address: 1909 SELVA MARINA DR
RE Number: 172020-0852
PROPERTY OWNER:
Name: GRANT, TINA
Address: 1909 SELVA MARINA
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 $126.49
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $130.49
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: 1909 Selva Marina Dr Permit Number: I — COP 13
Legal Description 37-40 8,9-2S-29E SELVA MARINA UNIT 10-C LOT 25 Parcel# 172020-0852
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 15.297.00 Proposed Work heated/cooled 2.811 non-heated/cooled 3,283
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Residential
installed?an existing structure,is a fire sprinkler system (Circle one): Yes No N/A
Florida Product Approval # Atlas Shingles FL16503 Atlas Underlayment, FL16226
For multiple products use product approval form
Describe in detail the type of work to be performed: Complete tear off and Re-Roof
Property Owner Information:
Name: Tina Grant Address: 1909 Selva Marina Dr
City Atlantic Beach State FLZip 32233 Phone (904)322-2499
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:American Roofing of Jacksonville Qualifying Agent: Daniel P. Kinkel
Address: 3047 St Johns Bluff Road South City Jacksonville State FL Zip32246
Office Phone 904-385-4375 Job Site/Contact Number 904.226.1205 Fax# 904.853.5318
State Certification/Registration# RC29027546
Architect Name& Phone# 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
Application is hereby made to obtain a permit to do the work and installations as indicated. /certift 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 laws regulating construction in this jurisdiction. This permit becomes null
and void f 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 after
work is commenced. I understand that separate permits must be secured for Electrical-Work, Plumbing,Signs, Wells, Pools, Furnaces, Boilers,Heaters,
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 WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby cert that I have read and examined thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,st e,or local law •gulating construction or the performance of construction.
' 'Signature of Owner a Signature of Contractor �/
•
Print Name 1.;';./10( ( Print Name - . . j X14L'
Swori0o . '• subs '•ed befor me - Swo t and subscribe l efo r- me
this I• of ! ,20 1. ( this Day of :,L. � , 20
ma OA
Notary N. ic otary Pu. tc
TONI GINDLESPERGER -!f
r�� =_ MY COMMISSION#FF 924951 TONI GINDI. &L 40.'•.10
•?- EXPIRES:October 6,2019 MY COMMISSION FF
fib,-
�' Bonded Thru Notary Public Underrrters ;*s
,ei? EXPIRES:October 6,2019
;' ficnded Thru Notary Public Underwriters
1� w :x
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No. 172020-0852
State of Florida,County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance
with Chapter 713, Florida Statutes,the following information is provided in this Notice of Commencement.
1. Description of property(legal description of property and address if available):
37-40 8,9-2S-29E SELVA MARINA UNIT 10-C LOT 25
Doc#2017081790,OR BK 17940 Page 312,
1909 Selva Marina Drive, Atlantic Beach, FL 32233 Number Pages: 1
Recorded 04/10/2017 at 09:53 AM.
2. General Description of improvements: Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
Complete Tear-Off and Re-Roof RECORDING$10.00
3. Owner Information:
a)Name and Address: Tina Grant, 1909 Selva Marina Dr, Atlantic Beach, FL 32233
b)Interest in 100%
c)Name and address of simple titleholder(if other than owner):
NA
a ' 4. Contractor Information:
a)Name and Address: American Roofing of Jacksonville
I 41 3047 St Johns Bluff Road South, Ste 7, Jacksonville, FL 32246
b) Phone Number: (904) 385-4375
5. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction
and final payment to the contractor,but will be one(1)year from the date of recording unless a different date is
specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I,
SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated
therein e true to the e of my knowledge and belief. - . �-
1 l ✓1Q Pi •6v-ekt�t�
Signature of Own or Owner's Authorized Officer/Director/Partner/Manager Signatory's Printed Name&Title/Office
The foregoing instrument was acknowledged before me this 4 day of ,p p---k: 1 ,20 l 7 3
by n0. e 0-4 A.+ as ( r� r .
(Name of Person) (Type o Authorit ,i.e. fti r/Attorne ) (Na e o Part Instrument was Executed for)
Noa7 P
NOTARY eP:UBL(ICO, SttTAc TEFnLOdRI �A
U
• t___
,,:N___MYTcOOGMIINDSSONSPE#FRGE2R4951
. EXPIRES:October 6,2019
undeiviriters ® Personally Known
:,;1 BadedThu ® ldentificatiorlType: C s3 -Sl3-`�Q4 7
—D
_
(Affix Notatj'Sat ove)
Revised 2/01/16
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No. 172020-0852
State of Florida,County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance
with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
1. Description of property(legal description of property and address if available):
37-40 8,9-2S-29E SELVA MARINA UNIT 10-C LOT 25
1909 Selva Marina Drive, Atlantic Beach, FL 32233
2. General Description of improvements:
Complete Tear-Off and Re-Roof
3. Owner Information:
a)Name and Address: Tina Grant, 1909 Selva Marina Dr, Atlantic Beach, FL 32233
b)Interest in 100%
c)Name and address of simple titleholder(if other than owner):
NA
4. Contractor Information:
a)Name and Address: American Roofing of Jacksonville
1015 Atlantic Blvd, Suite 352, Atlantic Beach, FL 32233
b)Phone Number: (904) 385-4375
5. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction
and final payment to the contractor,but will be one(1)year from the date of recording unless a different date is
specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I,
SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated
therein re true t' the best o knowledge and belief.
Signature o Owner or 0, ner` Authorized Officer/Director/Partner/Manager Signatory's Printed Name&Title/Office
The foregoing instrument was acknowledged before me this Ito day of /vlC«LIA ,20 l7 ,
by l 'ACk Ci`add as tuJ ar for
(Name of Person) (Type of Authority,i.e. i cer/Att. ) (Name of PartyInstrument was Executed for)
""" DACODAH PARRISH
I tiLn.i I iti • "+. Commission#GG 009947
STAR 'U:LIC, S 'AOF FLORIDA
4_ eJu
ly10,2020
Print Name: c�JC�CCUC
C1� Curey tra}uyTroyFaMlnwra+se80a3857619
personally Known
®'IdentificationType: L��'
(Affix Notary Seal Above)
Revised 2/01/16