658 Selva Lakes Cir re-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: RERF17-0049
Description: SHINGLES
Estimated Value: 8597
Issue Date: 7/17/2017
Expiration Date: 1/13/2018
PROPERTY ADDRESS:
Address: 658 SELVA LAKES CIR
RE Number; 172027 5808
PROPERTY OWNER:
Name: FADEL DONALD J JR
Address: 658 SELVA LAKES CIR
ATLANTIC BEACH, FL 32233-4377
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ROGERO &WILLIAMS ROOFING CONTRACTORS IN
Address: 883 Lawhon Dr ST
JACKSONVILLE, FL 32259
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.
Doc % 2017162816, OR SK 18050 Page 806, Number page.: 1, Recorded 07/12/2017
at 03:30 PM, Ronnie R Snell CLERK CIRCUIT COURT OWAD COUNTY R6COROING $10.00
NOTIC,JE OAF COMMENCEMENT
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Building Permit Application
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(99I00,4))247-5826 Fax:(904)247-5845
bb Address: Permit Number: RE C W 17— /OT (4 9
Legal Descrlptla - 'I � I Iq
2'
Valuation of Work(Replacement Cost)$ "I Neated/Cooled SF 7--t--�—Non-Heated/Cuokad �D
• Class of Work(Grck one): New Addltton Aiteratlo Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Once one): Commerce I'Residential
• If an existing structure,is afire sprinkler system installed?(Circle one): Yes NoO N/A
• Submit a Tree Removal Permit Application If any trees are to be removed or Affidavit of No Tree Removal
DeIl th_etype of work to be peed: A�+ �F ��'
'c;rlAOrz.�tn �f 5h/ !Pi �J�/1 ICJ vI? rf
Florida Product Approval If d for multiple prodo aseprod ct p rm
Prooertv Owner Information
Name: 11) &8AED Address: J(P _ 7I�n7T
City State Zip,37 Phone
E- all
de —C=/t1Z5L—
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information �^
Name of Compan V- uali in Agent:SLI 1
Address �� FZ I S City-M
State L
Office Phones {A l A Job Site/Contact Number -
State Certification/Registration#' E-manQ QyYI
Architect Name&Phone#
Engineer's Name&Phon
Workers Compensation
Eaem /Insurer/Ieau Emplmyees/Expirnion 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 regulatiang
construction in this jurisdiction.l 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
RE ING YO NOTICE OF COMMENCEMENT.
UU Op
(Signature (owner or 4ent including Contra 0 (Signature ofContractor)
Signed nd sworn(o( affirmed)before me this r Bay of ned an swom to(or affime_d before me this day of
by by
turgR(�JFf (Sign re of Notary)
NOTARY PUBLIC Tma Netlks
STATE OF FLORIDA NOTARY PUBLIC
/ Cmvr*FF235532 / STATE OF FLORIDA
ersonally Known OR Fifes 5128/2OfB ereonally Known OR Gmrn#FF235M
I I Produced Identification [ I Produced Iden, on.
Type of Identification: Type of IdentlBauon: Expkea 5/28/2fH9