1999 Selva Marina Dr shingle re-roof permit s- 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: RERF17-0119
Description: SHINGLE ROOF
Estimated Value: 20580
Issue Date: 11/15/2017
Expiration Date: 5/14/2018
PROPERTY ADDRESS:
Address: 1999 SELVA MARINA DR
RE Number: 169506 1010
PROPERTY OWNER:
Name: PECK LEE H
Address: 1999 SELVA MARINA DR
ATLANTIC BEACH, FL 32233-4519
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: BOSCO BUILDING CONTRACTORS
Address: 2158 MAYPORT RD
ATLANTIC BEACH, FL 32233
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$7,500.
Building Permit Application
City of Atlantic Beach
800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Fax: (904) 247-5845
Job Address: 1999 Selva Marina Drive Permit Number: RE KFT7
7 U
Legal Description 39-94 08-2S-29E,Selva Norte,Unit 1, Lot 5 RE# 169506-1010
Valuation of Work(Replacement Cost)$��S�C) Heated/Cooled SF 2,765 Non-Heated/Cooled 229
• Class of Work(Circle one): New Addition Alterationepair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial desidential
• 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: Roof Repair/Replacement
Florida Product Approval#� .�S53S51 t 1 rl --s
33for multiple products use product approval form
Property Owner InformaticfnL'_2.533• %8 cx <- Ur13Lr�a-ADcriCX')+
Name: Aileen&Lee Peck Address: 1999 Selva Marina Drive
City Atlantic Beach State FL Zip 32233 Phone 904-885-2110(Aileen)
E-Mail leehpeck@yahoo.com
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: Bosco Building Contractors,Inc. Qualifying Agent:
Address 2158 Mayport Road City Jacksonville State FL Zip 32233
Office Phone 904-241-0320 Job Site/Contact Number 904-241-0320
State Certification/Registration# CBC1250212 E-Mail todd@boscocbc.com
Architect Name& Phone#
Engineer's Name& Phone#
Workers Compensation _
Exempt/Insurer/Lease Employees/Expiration 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 regulationg
construction in this jurisdiction. I 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 ATTOR EY BEFORE
RECODING YOUR NOTICE OF COMMENCEMENT.
ZUA
(Signature of Owner or Agent including Contractor) (Signature of Contractor)
Signed and sworn to(or affirtned) before me this day of Signed and sworn to(or affirmed before me this day of
QCVra r . 2-0 1-1 , by Kms-Pe-C-\<- �, 2.011 by IIIndck A. e_:,Qc cb
(Signature of Notary) (Signature of Notary)
Denise A.Ennis Denise A.Ennis
N\�4]Personally Known ORNOTARY PUBLIC 1 Personally Known OR NOTARY PUBLIC
STATE OF FLORIDA
[ ] Produced Identificatio [ ]Produced Identification
Type of Identification: Comm#FF966426 Type of IdentificatioSTATE OF FLORIDA
n: Comm#FF966426
xp1res 31112020 %it IV, EWres 31112020
NOTICE OF COMMENCEMENT
State of �p f 1 C� Tax Folio No.1(o�
County of n",V Ck
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' this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: � Oib 2 S —2q S, S I—L_IJ R O 9--TE
LjLt4rr 1 1 l_o-Y- S
Address of property being improved: `��a S E"A, rl v\AQ-I N k DR.. M L ktjj c
General description of improvements: pd� PQ►. r' ' e.�1 Q C� (Y1�I��"
Owner: P_, � ., ) TA' 1-� L Address: 'QQ se-NQ \' ►(31,r11flQL,�(; ��j i
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
n Name:
Contractor: 1'
V Address: �-nS ^ . 1 O F-SO 0 V t x-33
x1 Telephone No.:—1��" �-\ 2� Fax No: O �� 2.
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No: Doc#2017234126,OR BK 18149 Page 1783,
Name and address of any person making a loan for the construction of the improvements Number Pages:1
Recorded 10/12/2017 09:32 AM,
Name: RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY
Address: RECORDING $10.00
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:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one (1) year from the date of recording unless a different date is
specified): —(
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: � /� Date: o t l \"1
Denise A.Ennis Before me this day of in the County of Ouval,State
NOTARY PUBLIC Of Florida,has personally appeared ,r c Pe-c-lL , 014 rre,C,
STATE OF FLORIDA Notary Public at Large,State of Florida,County of Duval.
Comm#FF966426 My commission exp es:
E)Ores 3/1/2020 Personally Known: or
Produced Identification: