1894 Selva Marina Dr roof permit 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: RERF17-0046
Description: SHINGLE
Estimated Value: 17945
Issue Date: 7/14/2017
Expiration Date: 1/10/2018
PROPERTY ADDRESS:
Address: 1894 SELVA MARINA DR
RE Number: 1694620130
PROPERTYOWNER:
Name: SAUCERMAN RALPH J
Address: 1894 SELVA MARINA DR
ATLANTIC BEACH, I'L 32233-5620
GENERAL CONTRACTOR INFORMATE
Name:
Address:
Phone:
Name: Dale Tadlock Roofing, Inc.
Address: 1408 Capital CIR NE Suite#3
TALLAHASSEE, FL 32308
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.
Building Permit Application
City of Atlantic Beach
*c 800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5a26 Faic:(9041247-5845
)o1b Address: 1894 Selva Manna Clive Permit Number: C- P'rl '7- Cc)`4(�:,
Utgal Descriptilsh 45-S-8-2SE Sevilla Garden Unit I Lot 5 R& 16"62-0130
Valwation Of Work(Replacement Cost)S 17t945mOO Neareed/Cooled lif:_Non�handard/cooled.
Class of Work(Chroe one): New Addition Alteration Repair Me" Demo Pool Window/Door
Use of existing/pro,posed structure(s)lGhche one): Commercial <�ResodetW
(fan endesting structure,is a fire sprinkler system Installed?(arcle one): yes No 6;)
SubmitaTree Removal PermitApplication ifamytrees am to be removed orAffidavitedNoTme Removal
Describeindartall the type ofworkto be Performed:
Reroof
FividaProductApprowl# FLIM4�l� for multiple products use product approval form
Property Owner I rhormation
Name: Ralph Saucarmen Addnul� 1894SOlvalifiannaDrive
City �c peace State q 'P =33 Phone 410�70X*219
Ewell sassauctemnamiliao.com,
Owner or Agent(if Agent Power of Attorney or Agency Letter Required) Ralph Sauctiman
contractor inhashinartion
Name of Company: Tadlock Roofing INC. QualthringApint:
Address 7909 ftige Highway Unit 211 City_2��Ilw state�Vp VILL
Office Phone JobSite/Consectifurelear as�x'T
Scene Cerdfication/Registration# coonseenT E4111all 1,AlIQ
Architect:Name&Phone 9
gneareer's Name&Phone 9
Workers Compensation
eusnWanuarl.un�.esi cxv.d.�larte
ApPicatice,h hereby made to obtain a permit W do the work and installations as indicated.I cently that no work or humiliation has
commenced prior to the issuamse 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 pemit must be,secured for EL15CIRICAL WORK,PLUMBING.SIGNS,
WELLS,POCKS,FURNACES,BOILERS,HEAMRS,TANKS,and AIR CONDITIONERS.act.
OWNER'S AFFIDAVIT.I certify that all the foregoing information is accurate a nd that all work will be done In comp liar w with all
applicable lam regulating constructidn 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
RECORDING UR N MENCEMENT.
OW, �b�
I naboaaFoamere,ftentincluding"or (Senstuneacminector)
Signed a.d,w..to Imrafffirmed)before m this�frdayof Si of it won.to Orinffirrn.dl before me this i'-3d.v of
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Doc # 2017157702, OR EK 18043 Page 1356, Number Pages: 1, Recorded
07/06/2017 at 04:05 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
T.Fo1k,No 169462-0130 N 1)f I C L Up CEMENT
To Whova It blav Con,etn:
Th. undetviv,,W.[wreby informs j�,th,,, nlreovent.�,� w, te nAc ru",mv,ra Mieert� nod ki with �vuti
0 the I tim"swimel.d.fiollo."nImbritution,, Iwed 11 t1l NO rICL ty-COWNIENCEM"
nesermnyon oFpqpeM SINGLE FAWILY RESIDENCE-8itilt I% coutirry twCON
I Agw I)innTiPlinn:45-6-8-2S-29E Sevilla Garden Unit 1 LOt 5
sile. Xkneli: 11n4 I Ao"+�r- &vx-1, FL
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%dd—,i: 1894 Salve Marina Dr.Atlantic Beach, FI 32233
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h1ennnistioll. N.. Ookelf,diftieR.111.1g.1ne.
Add�i: 14WC t:apital Cirew NE.Tallahmin%Flonda 3230
Telephom.%o, (850)971-3516F-,No (SWI813-02"
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