1505 Selva Marina RERF18-0158 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
PERMITINFORMAT11 :
PERMIT NO: RERF18-0158
Description: Remof FL16350 FL 21350 Underiayment
Estimated Value: 23566
Issue Date: 7/3/2018
Expiration Date: 12/30/2018
PROPERTY ADDRESS:
Address: 1505 SELVA MARINA DR
RE Number: 1719350000
PROPERTYOWNER:
Name: NALLWILLIAM
Address: 1505 SELVA MARINA DR
ATLANTIC BEACH, FL 32233-5613
GENERAL CONTRACrOR JN�KMAI.�om
Name;
Address:
Phone:
Name: AMERICAN ROOFING OF JACKSONVILLE
Address: 2117 University Blvd. S
JACKSONVILLE, FL 32216
Phone:
PERMIT INFORKATION:
Please see attached Oonditilo, 11 Droval —
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.
NOTICE: in addition to the requirements of this pennit,there may be additional restrictions
applicable to this property that may be found in the public records of this county,and there may
be additional permits required from other governmental entities such as water management
districts state encies, or federal encies.
-2-� ding an estimate value of
7A notice of Commencement is only requirred for work required when RVAC work
$2,500.For HVAC work,a Notice of Commencement is
exceeds and estimated value of$7,500.
Building Permit Application
city of Atlantic Beach
goo Seminole Road,Atlantic Beach,Fl.32233
Phone:(904)247-5826 Fax:(904)247-5845
Job Address: 1505 Selva Marina Or,Atlantic Beach,FL 32233 Permit Number: RAY'Fta
Legal Description 27-6 16-2S-26E SELVA MARINA UNIT 2 LOT 1 BLIK 3 RE# 171935-0000
Valuation of Work(Replacement Cost)$_L3,566.00 Heated/Cooled SF 3,375 Non-Heated/CooledS�128
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(arcle one): Commercial Residential
• If an existing structure,is afire 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 pe of work to be performed: Complete tea r off a nd roof replacement using Aii���
Shingle and Weatermaster 200 peel and stick underlayment. 77 'SS� .31,;
Florida Product Approvalff for multiple products use prod u ct approval form
Property Owner Information
Name: Lori Gaglione and Patrick Nall Address- 1505 Seiva Marina Drive
City Atlantic Beach —State �L tip 32233 Phone
E-Mail Lorigag@bellsouth.net
Owner or Agent(if Agent,Power of Attorney or Agency Lever Requ
Contractor Informption
NameofCompany: American Roofing of Jacksonville Qualifying Agent. Danie[P.Kinkel
Address 2117 University Blvd 5 city Jacksonville State FL Zip 32216
Office Phone 904-385-4375 Job Site/Conl�lt N.Mbe�Chns Dennis,904-626-4636
State Certifi tion Registration# RC90227546 E-Mail dan0americanrooflngia..com
Architect Name&Phone#
Engineer's Name&Phone# NA
Workers Compensation Builder's Mutal insurance#WCV0263113,expiration L/2R2019
Exempt/insurer/w...cmAnw.0 upirrucin can,
Application is hereby made to obtain a permit to do the work and installations as indicated.I cenify 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 lam 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 ATTORNEY BEFORE/,I
OURN ICEOFC MENCEMENT.
REC DING Y
Slane r Ow, ro ent u ingComlector) (StIfiaturecfCo6raKE�y
Signed and sworn to(o affir d) efor e this day of Signed and sworn to(Qr aff irmed)before me thisqla day of
JIM aJ4 6 by I I —'LJo_L_ 9()Id by
6f 4xl& A
(Signature of Notary) of Notary)
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Type of Identif I....11denti
NOTICE OF COMMENCEMENT
Perm it No. Tax Folio No. 171935-0000
State of Florida,County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance
with Chapter 713,Florida Statutes,the following information is provided in this Notice ofCommencement.
I. Description of property(legal description ofproperry and address if available):
27-6 16-2S-26E SELVA MARINA UNIT 2 LOT 1 BLK 3
1505 Selva Marina Dr, Atlantic Beach, FL 32233
2. General Description of improvements:
Complete Tear-Off and Re-Roof
3. Owner Infornnation:
a)Name and Address: Lori Gaglione and Patrick Nall, 1505 Selv Marina Dr, Atlantc Beach, FL 32233
b)Interest in 100%
c)Name and address of'simple titleholder(ifoither than owner):
NA
4. Contractor Information:
a)NameandAddress: American Roofinoof Jacksonville
2117 UniversitV Blvd S. Jacksonville, FL 32216
b)Phone Number: (904) 385-4375
5. Expiration date ofNotice ofCornmencement(the expiration date may not be before the completion ofconstruction
and final payment to the contractor,but will be one(H yew from the date ofmcording 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 1,
SECTION 713.13 FLORIDA STATUTES, AND CAN RESULT IN YOUR 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 COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
Und 9pipilty of ' I d I e ftt I have reA the foregoing notice of commencement and that the facts stated
thi e!Ir P ri
ere
berei true to; st of knowledge elief.
-ee%y:, A. i!Lginge,
Si"re r or 's ori 0 Wr/Dm:ctoYParmer[Mma-gff Signatory's Printed Name V itle/Office
0 c
The foregoing instrut rut was acknowle fore me this day of 2 0
by AnIx /,o Me,,,
N...fP..rt alcing statemea)
AVA, k0111,V
All"LOUISE ALLEN NOTARY PUBLIC STATE OF FLORIDA
CO1111ISSIO" FFWn0
EXP�S Aty t41.Mill Print Name: AriL) LnuisL ALLeO—
now
Doc N 20181S3555,OR BK 18,13t, Page 1139,
Numbw Pages:I
R��1810.39AIA, Revised 1/01/18
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00