1645 SELVA MARINA DR ROOF 2017 �� a, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0011
Description: RE ROOF SHINGLES
Estimated Value: 10800
Issue Date: 5/15/2017
Expiration Date: 11/11/2017
PROPERTY ADDRESS:
Address: 1645 SELVA MARINA DR
RE Number: 171994 0000
PROPERTY OWNER:
Name: LOCKWOOD TRUST
Address: 1645 SELVA MARINA DR
ATLANTIC BEACH, FL 322335615
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: HAMMER TIME ROOFING
Address: 13465 SOLEDAD CT DR 627 AQUATIC DR
JACKSONVILLE, FL 32204
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU 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 RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
?s y" BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH DATE
800 Seminole Road,Atlantic Beach FL 32233
Office:(904)247--5�8�26 • Fax:(904)247-5845 /
Job Address:�(�U � I t/r 1 I l4(Il�O 1 N Permit Number:
rvw f n a
Legal Descriptiorlt_4 Og-as'a5� S`klkl RE#�J���'nor7r�
Valuation of Work(Replacement Cost)$24 ]__Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): (New) Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed strut s)(Circle one): Commercial esi entre
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
• 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 performed:
We - 4 0 F -,41/ 7 C
Florida Product Approval# for multiple products use product approval form
Property Owner Informs ' e 6• r LU1de 6y-1"/LY'
Name: Address: /6yS -S /vt maiau, elf•
City J- State Wip —=U—Phone
E-Mail
Owner m Agent (If Agent,Power ofAtmme or Agcnry Idler Required)
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 NOTIC7E OF COMMENCEMENT.
Contractor Information:
Name of CompGLC Qualifyin Agent:" �Se crwi�
Address: 4 �o)f City�._S e
Office Phone ?Jf,��/' Job Site/Contact Number
State Certification/Registration# CC r,9c_qE-Mail
Architect Name& Phone#
Engineer's Name &Phone#
Worker's Compensation Su fh /-C< 0 7'x14
xempt usurer nipolce xplmtton ate
Application is hereby made to obtain a permit to do the work and installations as indicated !cert fy that no work or inrm/laao ommenced
Omar to the issuance of a permit and that al(work will be performed to meet the smndards afall laws regulating (ruction t s jcurisdiction.
This permit becomes null and void if work is rtat commenced within six(6 ontha. ar ifcoretruction or wor s nde or ndoned or.
period o(siz(6 months of any time after work is commermed. /urtdersm shat separate permits mvsi be sec ed jos !eA
plain ing,
Signs, Wells,Pools,Furnaces,Bailers,X niers, Tanks arc 'r Condlf/oners,etc
Signature of Prope O Signature of Contracto
r
Before 7
this_ ay of Before me this Day
Not Notary Publi is ci s s
r MY CO
"`,`' MY GOMMISSICN r92i951 z
-'` - E%PIPES'.Were's 2018 'sr EX?IFESOdoberamel9
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I hereb •?ha@Y'' l d this plication and know the same to b aws and
oresu pe o wor i w!R be complied with whether spec!ted herein or not. The granting of construction
permit does not
presume to give authority to via ate or cancel the provisions of any other je eral, state, or local law regulating construction or the
performance of construcnan.
Rev.52/16
NOTICE OF COMMENCEMENT
(PREPARE IN oU.RmATEI
Permit No. Tax Folio No. 171
State of FL.. County of ?.11-1
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 property being improved: ?p
Sc � AAS ro 1A-._f .0
Leo ( Alk f
Address of property being Improved: li 4iC S AA - 11 � f
General description of improvements: G
Ow a ITI'ST4E'Ri'IL- / .e / 17
Address IC 4t 1 D' Y! 3'd'ys 77
Owners interest in site of the improvement
Fee Simple Titleholder Of other than owner)
Name
Address
Contractor A_1L...,.
Adores s�
Phone No.&01
7/6-4/N4 Fax No.
Surety Of any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the conetroction 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 be served:
Name
Address
Phone No. Fax No.
In addition to himself,owner designates the following person to receive a COPY of the Ushers 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 data is specified):
THIS SPACE FOR RECORDER'S USE ONLY MERif
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Ooc#2017112773,OR BK 1798: Page 480, are true an cc rale 'COMMISSIONXFFSiti51
Number Pages:i EXPIRES:Oe-Willk 11
Recorded 05 1 5)2 01 7 at 01.40 PM. aeemmmen Pur uwawms
Ronnie Fussell CLERK CIRCUIT COURT DUVAL C/
COUNTY _
RECORDING$10.00 MyNcanmlaskn explress�w Wwpym
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