519 SELVA LAKES CIR - ROOF J. (.?
�S f CITY OF ATLANTIC BEACH
• 800 SEMINOLE ROAD
j — N 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-3720
Job Type: ROOF PERMIT
Description: re-roof FL-11602-R2 & FL-10674-R8
Estimated Value: $4,405.00
Issue Date: 4/10/2017
Expiration Date: 10/7/2017
PROPERTY ADDRESS:
Address: 519 SELVA LAKES CIR
RE Number: 172027-5502
PROPERTY OWNER:
Name: PUTNAM, ILSE E
Address: 519 SELVA LAKES CIR
GENERAL CONTRACTOR INFORMATION:
Name: TURNKEY CONSTRUCTION RUBEN LAVARIAS
Ruben Dionisio Lavarias, CCC1329475
Address: 5991 Chester AVE STE 105
Phone: - -
FEES:
BUILDING PERMIT FEE $72.03
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $76.03
PERMIT IS APPROVED ONLY IN ACCORDANCE WITII ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office(904)247-5826 Fax (904) 247-5845
/ _ f,_ q+l►�n-Met, 3Ag 33 i�--�d 3-114-0Job Address: 51q SEIv&- 5 eine I8CAW Ft 'Permit Number:
2
Legal Description 4,5-11 - 079 " 5t i YG.
�a-1 s uN1P Parcel # /1-.20,74 -S5-6,77
Valuation of Work$ 44405Proposed Work
Floor Area
heated/cooled i 2 q- R fro pc R� P}�'
�'13i St Ft non-heated/cooled I 1 Sf 14.)0F plek h f (p 3(P 9t
Rcscre
Class of Work(circle one): Cleyw Addition Alteration Repair Move Demolition pooUspa v.nidLA. cio; r
Use of existing/proposed structure(s)(circle one) Commercial 'esidential
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
//400.7—g-4Florida Product Approval # 3N11460 �L 10144 4 PS tuuc(Or) h2ehf 12N� FL
For multiple products use product approval form
Describe in detail the type of work to be performed - u&reS= /4 P/ (47' (2
Property Owner information:
•
Nam-PE-kV— 1,17s -PU'h 1-1-rr1 Address:. 5I 9 SEI V A -CLi S e i z- /t — •----
City f1TL /tri re, ePERcJ1 stateFLzip3a.233 Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: TURNKEY CONSTRUCTION &MAINTENANCE. INC. Qualifying Agent: RUBEN LAVARIAS
Address: 5991 CHESTER AVE, STE 105 CityJACKSONVILLE State FL Zip 32217
Office Phone (904) 900 1069 Job Site/Contact Number Fax# (904)683 9651
State Certification/Registration# CCC 1329475 _.
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
.I pplieation is hrlrehv male to obtain a penult to do the trot*and installations els indicated. l cell/%'that no%cork or installation has c onstnenee(i prior to the
issuance of a permit and that all a ark will be per/brined to meet flu standards of(Ii!lawns regulating construction'tion Ill this lnristhene lr. This pel71111 becomes nlrll
and void if urn*is not c•onrmeuc•ul within six rh)mouths, or if construction or monk is.sus ended or abandoned fora period of six tbl months the at nor rune after
%rrn is commenced. I mnlersuru(I that sepainle permits bust he secured f n'Electrical!fork, Phuohiug,Signs, Welk, Foals, bantam. Roller&Heaters.
Tanks and:lir Conditioners,rn
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.
/hereby cer•n<i&hurl I have orad and examined this application and knots the.ualu'to be err('and eorr('C 1. Ill provisions of laws and Indimmre.s governing this
type of work will he complied with whether s)(Tilted herein or not. l'hr;owning 0/o pernill does not presume to give authority to violate or cancel the
provisions of am'olherf'denvl.state teal Ai r regulating Cr)n5tnlc•tiau or the petfonnauce o/c'ulcStrercnnn.
o
Signature of Owner \ _`, Signature of Contractor
Print Name kte(- r R, i�.(J, , pf417.4,41Print Name'U1 N ,rev A ►4S
Swo n to and subsc ed be'ore me S\\o:'n to and subscr ed befo e me
this Day of .<4, cELlNu+v AR es . l oc wARTH f
MY COMMIS. Q , MY COMMISSION#G 056157
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EXPIRES:Decanter 20,202 ‘r. ''Ma o7 EXPIRES:December 20,2020
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Boded-MN Budget NotarY tiW 9jE0F r Bonded Thru Budget Notary Services
Permit No,
Tax Folio No._
NOTICE OF COMMENCEMENT
State ofLORA
D
County of 1+2
The undersigned hereby gives notice that Improvement will be made to certain real property, and in accordance with
Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
1.Description of property: (legal description of the property,and street address if available): '73 r /1 /4-QS_gq&-
SEI vw La E5 w/ ra 407- 53
5147 Se l vA 41(16 1 /i 4 tLivu r7 c .-Bt IIC.H FL 3.9,9 3
2.General description of Improvement: RE-ROOF
3.Owner(name and address): SS Ie ---at.{-N
Si q 5e l vp t_ca_e £I Qcl t, pr rLM +CC. .Pc.H Fc) ,3.a33
a.Owner's Interest in property: Fee 5i m1o1 t
b. Name and address of fee simple titleholder(if other than Owner):
4. Contractor: (name and address): STM itik CO(t STR UCTION AND 511,pr,0�6ITp��R61�lpAHC{ (,LnaR932217C..
3991 CHRI U AVE. S 4 Ea �VM JACHS`CH C7 ULILE. FL
a.Contractor's phone number: (904)900 1069
5.Surety(name and address): N/A
a.Surety phone number:
b.Amount of bond: $
6.a.Lender: (name and address):N/A
b. Lender's phone number:
7.a.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a) 7.,Florida Statutes: (name and address)
Nth
b. Phone numbers of designated persons:
B.a, In addition to himself or herself,Owner designates of to receive a copy of the tenor's
Notice as provided in Section 713.13(1)(b), Florida Statutes.
b. Phone number of person or entity designated by owner:
•
9. Expiration date of notice of commencement(the expiration date Is 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 VOUR PAVING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE 30B SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND
TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEV BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMCE ENT9
Owner's Signature
•
Print Name: Fel-Pc P u.t fw pr -
Tltie/Office: p 0 c e— i1-/ ll
The foregoing Instrument was acknowledged before me this 4 day of f 1 , 20 Ii by �51C �wu as
(type of authority,e.g.officer,trustee, attorney in fact) for(name of pa on behalf of whom Ins ument was
• executed) who (check one)_i::personally known to me or no produced 11=L- as
identification and who affirmed that all the above statements are true and correct. /� {.-��
CEUNIAV ARTNER ( _ W(��-kkJ)
C ' •�0 MY COMMISSION#GG 056787 Signature of Notary:
Nr
W9-15
',T,' F�(PIRES:prober 20,2020 Hy Commission Expires:
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PCr Fie! Bonded ThnJ Budget Notafy Se Aces