751 SAILFISH DR RES22-0002 Interior RemodelOWNER:ADDRESS:CITY:STATE:ZIP:
SAILFISH DR FAMILY TRUST C/O MICHAEL MANGANI ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171235 0000 ROYAL PALMS UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
751 SAILFISH DR RESIDENTIAL ALTERATION
RESIDENTIAL INTERIOR REMODEL $10000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BLDG 2ND PLAN REVIEW FEE 455-0000-322-1006 0 $50.00
BUILDING PERMIT 455-0000-322-1000 0 $105.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $52.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.11
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 BUILDING ROUGH TRADES INSPECTION INFORMATIONAL
Notes:
THE ROOF MUST BE COMPLETE AND THE BUILDING DRIED IN BEFORE SCHEDULING ROUGH TRADES INSPECTIONS.
NOTICE: In addition to the requirements of this permit, 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 agencies, or federal agencies.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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
RECORDING YOUR NOTICE OF COMMENCEMENT.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 2Issued Date: 2/2/2022
PERMIT NUMBER
RES22-0002
ISSUED: 2/2/2022
EXPIRES: 8/1/2022
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.08
TOTAL: $212.69
2 of 2Issued Date: 2/2/2022
PERMIT NUMBER
RES22-0002
ISSUED: 2/2/2022
EXPIRES: 8/1/2022
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $212.69
RES22-0002 Address: 751 SAILFISH DR APN: 171235 0000 $212.69
BLDG SUBSEQUENT PLAN REVIEW FEES $50.00
BLDG 2ND PLAN REVIEW FEE 455-0000-322-1006 0 $50.00
BUILDING $105.00
BUILDING PERMIT 455-0000-322-1000 0 $105.00
BUILDING PLAN REVIEW $52.50
BUILDING PLAN CHECK 455-0000-322-1001 0 $52.50
STATE SURCHARGES $5.19
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.11
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.08
TOTAL FEES PAID BY RECEIPT: R18653 $212.69
Printed: Wednesday, February 2, 2022 10:10 AM
Date Paid: Wednesday, February 02, 2022
Paid By: SAILFISH DR FAMILY TRUST
Pay Method: CREDIT CARD 582039942
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R18653
Final Plumbing
Final Electrical
Final HVAC
CC Final
Final Building*
Swimming Pool Steel
Swimming Pool Safety
Electrical Grounding & Bonding
Swimming Pool Final (Bldg)
Swimming Pool Final (PW)
Formed Columns/ Beams*
Masonry Cell Fill
Structural Steel*
OTHER:
OTHER:
OTHER:
OTHER:
OTHER:
Power Pole
Silt Fence
Piers/ Stem Walls
Underground Plumbing
Underground Electric
Foundation/ Footing
Slab**
Retaining Wall Footing
Driveway
Sewer (Building Dept)
Sewer Tap (Utilities Dept)
Rough Electric*
Rough Plumbing/ Top Out*
Rough Mechanical*
House Wrap
Wall Sheathing
Roof Sheathing
Tie-down Framing Connections
Rough Framing
Roofing In Progress
Window/Door In-Progress
Insulation Ceiling
Insulation Wall
Exterior Lath
Stucco Scratch Coat
Exterior Siding In-Progress
Brick Flashing & Ties
Early Power
Gas Rough
Gas Final*
* When all rough electric, plumbing, mechanical are complete but before any work is
covered up.
* When all gas piping is complete and wallboard is installed but before gas is
attached to any appliance. All outlets must be capped and pipe pressurized at a
minimum of 15 lbs.
* For new living space: When all construction work including electrical, plumbing,
mechanical, exterior finish, grading, required paving and landscaping is complete
and the building is ready for occupancy, but before being occupied
Additional inspections may apply to your project if your project
contains these elements:
INSPECTIONS REQUIRED FOR BUILDING PERMITS
To verify compliance with building codes, inspections of the work authorized are required at various points of the construction.
The following inspections are typically required for residential projects:
Date: Initial: Date: Initial:
_____________________________________________________
Permit Type
____________________________________________________
Permit No.
__________________________________________________________
Job Address
____________________________________________________
Contractor
POST THIS CARD WITH PERMITS AND PERMIT
DOCUMENTATION IN FRONT OF BUILDING
Construction Hours per City Code: 7am—7pm Weekdays; 9am—7pm Weekends
Building Department Public Works/Utilities Fire Department
Phone: 904-247-5826 Phone: 904-247-5834 Phone: 904-630-4789
Fax: 904-247-5845 Fax: 904-247-5843 Fax: 904-630-4203
* When forms and reinforcing steel, anchor bolts, sleeves and inserts, and all
electrical, plumbing and mechanical work is in place, but before concrete is poured.
* When all structural steel members are in place and all connections are complete,
but before such work is covered or concealed.
** FORM BOARD ELEVATION CERTIFICATE MUST BE ON-SITE FOR SLAB INSPECTION
1
IMPORTANT
PERMIT AND INSPECTION NOTES
BUILDING.
1. The City Sea Turtle Protection Ordinance applies where land either has frontage on Beach Avenue, the
Cloister Condominium, or is located eastward of Seminole Road from 20th Street northward to the City Limits.
2. No fill dirt can be delivered without prior approval from Public Works. Per COAB, 24-68.
3. The bottom of all foundation footings must be minimum 12 inches below existing grade, per COAB, 24-68
and FBC-B, Section 403.1.4. Site conditions may require footings to be deeper or higher above finished grade.
Please review COAB Bulletin 1-16 to ensure minimum Finished Floor Elevation (FFE).
4. Fill dirt inside foundation walls must be compacted in 8-inch lifts, per FBC-R506.2.1. Please submit
compaction tests, from a third-party testing agency, for every 16 inches of fill or fraction thereof.
5. At Final Inspection, a 6-inch clearance between exterior wall coverings and final grade (top of sod or mulch)
will be required, per FBC-R318.7. Please plan FFE and lot grading accordingly.
6. Where questionable soils are found, during inspection, soil and compaction tests may be required, per FBC-
R401.
7. Please provide a form-board or stem wall elevation form, from a licensed surveyor, for slab inspection.
8. Please review COAB Bulletin 2-18 to determine if a survey with setbacks and dimensions to property lines is
required for slab inspection.
9. The placement and protection of steel reinforcement (Rebar) must comply with FBC-R606 (Masonry) and
R608 (Concrete), including required Standard Hooks at top and bottom of vertical rebar.
10. Inspections:
a. In-Progress Inspections are required for Exterior Siding and Window and Door Inspections and
should be scheduled for the first day of work.
b. A Scratch-Coat Inspection is required for stucco work. If you intend to apply a double-up, brown-
coat, please call the Building Department to schedule a same-day Scratch-Coat Inspection.
c. All roofing projects require an In-Progress Inspection, Residential and Commercial.
d. The roof must be complete and the building dried in before scheduling rough trades inspections.
11. The joint tape for ZIP Board products is considered the dry-in or House Wrap for the building and must be
inspected before covering over. All holes and penetrations in the sheathing and overdriven nails must be
sealed.
12. Please post the building permit documents in a conspicuous location, before start of construction,
including the Building Permit, Notice Of Commencement (NOC), and Construction Site Management Plan. The
Police Department may review the management plan for compliance and parking.
13. Blocking any sidewalk or street is prohibited without prior approval from the Police Department and City
Manager.
2
14. All work must match the approved plans. All changes to the approved plans must be re-submitted for plan
review and approved before it can be inspected. Building inspectors are not authorized to approve changes to
the approved plans in the field. (See Mechanical)
15. Where excavation is required for new construction, the provisions of FBC-B, Section 3307 will apply,
including a 10-Day prior notice to adjoining property owners and protection of adjoining properties. Where
the excavation exceeds 24 inches, temporary retaining walls must designed by the Engineer Of Record (EOR)
and installed during or immediately after excavation.
EXISTING BUILDINGS – REMODELS, RENOVATIONS, ADDITIONS, CHANGE OF OCCUPANCY.
1. Existing buildings are reviewed and permitted under the Florida Building Code-Existing Buildings (FBC-
EB). The applicant must specify the method of compliance, per FBC-EB 301.1, and include that
information on the plans, with the Design Criteria and Code Analysis.
2. The requirements for the method specified will be found in the corresponding FBC-EB Chapter.
3. When it is discovered during construction that the Compliance Method is not correct, or the project
has expanded into another Compliance Method, revised plans will be required to update the Permit.
No inspections will be conducted until the approved revisions are on site.
4. Any wall opened by removing interior or exterior wall coverings is considered a Work Area, and current
provisions for Energy Conservation, including weatherproofing and insulation will apply.
5. Building inspectors are not authorized to approve changes to the approved plans in the field.
ROOFING.
a. The roof sheathing for all new construction must remain uncovered until the Roof Sheathing
Inspection is approved.
b. All roofing projects require an In-Progress Inspection.
c. Sheathing installation and replacement guidelines per APA.
d. Underlayment must conform to FBC-R Table 905.1.1
e. Shingles must conform to ASTM D3161 G or H, or ASTM D7158 F
ELECTRICAL.
1. Electrical work must comply with the provisions of the 2014 NEC.
2. Anti-Oxidant Compound is required on all exterior aluminum wiring connections, unless the Listing
Approval Documents for the conductors and the termination points, at each end, specifically allow
connection without the compound. (Three documents will be required)
PLUMBING.
1. Water supply and drain pipes must be insulated outside of conditioned areas, per FBC-R, P2603.5.
2. Where the entire sanitary drainage system is replaced, the existing building drain and building sewer
3
must be internally examined to verify proper size and slope and that piping is not broken or obstructed,
per FBC-R, P2502.1.
3. COAB requires an additional sewer cleanout near the sewer tap with a T-1 concrete box for protection.
4. Water service piping must be properly supported and covered by a minimum of 12 inches of soil, per
FBC-R, P2604.3.
MECHANICAL.
1. All equipment and duct work must match the approved plans and Energy Sheets.
The Manual S is the approved duct plan, and the as-built duct work must match the approved plans, or
a revised Manual S or equivalent must be submitted for review. An equivalent must include duct and
trunk layout and sizes, available static pressure, actual air flow, and total effective length, signed by the
Mechanical Contractor with State License Number.
FUEL GAS.
1. Fuel gas systems from the regulator to the appliances must comply with the FBC-Gas.
2. LP gas storage systems and outside piping must comply with NFPA 58.
3. All underground gas piping and tubing must be buried with 12-inches of cover.
4. CSST gas piping must comply with the manufacturer’s installation instructions and terms of approval.
4
01/23/20, 02/13/20
ar Owner Builder Affidavit ALL INFORMATION
HIGHLIGHTED IN
ovixt
City of Atlantic Beach Building Department GRAY IS REQUIRED.i r,=
h 800 Seminole Rd, Atlantic Beach, FL 32233
r ":,--'
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES
OWNER/ BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED
FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER
OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A
LICENSE.
YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF.
YOU MAY BUILD OR IMPROVE A ONE OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY
ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS.
THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE
CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH
IS IN VIOLATION OF THIS EXEMPTION.
YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS.
IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES
REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES.
II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT
SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. .
III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING
TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT
TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE
OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT (904-
247-5826 OR BUILDING-DEPT@COAB.US ) IF IN DOUBT.
V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I
COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT.
Job Address: 751 Sailfish Drive Atlantic Beach FL 32233
Owner Name:Michael Mari ani Phone Number: (904)803-9270
Mailing Address: 751 Sailfish Drive City: Atlantic Beach State: Fl Zip: 32233n
o
Notarized Signature of Owner V .
The-fe.cegoin ins rument was acknowledged before me this 6day o • 2024 in the State of Florida, County
of )v1rc
4114
Signature of Notary Public 4--------577647; TONIGINDLESPERGER
Personally Known OR [ ] Produced IdentificationMYCOMMISSION#GG 353178
EXPIRES:October 6,2023
i'• E30;, r NNntaryPublicUnderwr1ters Type of Identification:
Updated 10/24/18
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4? order based off of measurements provided by the customer
fD ib as a convenience only.DL Cabinetry will not accept responsibility
V or liability for the accuracy of the measurements provided.
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It is the customers responsibility to review the layout and the
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All dimensions size desi ons This is an original design and must Designed: 12/29/2021
given are subject to verification on not be released or copied unless Printed: 12/29/2021
job site and adjustment to fit job applicable fee has been paid or job
conditions. order placed.
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NOTICE OF COMMENCEMENT
State of 11 Oaa 1 Tax Folio No. /3 t?35 C.1De
County of ()k(k\
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: 3o • (00 /? ' 2 S — q
Roy,‘ Rctw\S utvi
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13/&
Address of property being improved: 1$( SO-k‘' 151 plc kef 322 33
General description of improvements:(km ode_ r'(\ / I o.(i l.l r-- ( w4 Ck C''5, -j S
Cov-4e2rnp.5 5 r
Owner: (11,-(A (Address:I . i t h:5ifDK_p-(14)-r, i 32233
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:: /
Contractor: / j Cave r " V1°, 011 I
Address:
Telephone No.: Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction 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:
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 f+ • `-: y•i1 i1-1 .h:.•i•e nt date is
OS,pY•PL` S
specified):
4`,F EXPIRES:EXPIRES:October 6,2023
THIS SPACE FOR RECORDER'S USE ONLY OWNER t;iiFV-, Bonded Thru Notary Public Underwriters
Signed: Date: t/b2.c.22
Doc#2022003830,OR BK 20084 Page 2071, Before me this 6 day ar\ ZO Z Z-in the County of Duval,State
Number Pages: 1 Of Florida,has personally appeared M y•t,m‘
Recorded 01/06/2022 08:35 AM,
Notary Public at Large,S ate of da,Cou 11, val.
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL
COUNTY My commission expires:
RECORDING $10.00 Personally Known: +4` 21111/0'
Produced Identification: D .L
S 1L`!r"`Revision Request/Correction to Comments ALL INFORMATION
s`
i
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
n`r
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
RCS —000?—
El
000 Z
Revision to Issued Permit OR Corrections to Comments Date: IA I/ZutZ-
Project Address:'76 I ,s;-(r., )4 W ,{lxn jv,u3c/l I 32233
Contractor/Contact Name: De--Ck-
Contact Phone: 9a./ca-1j() Email: C-04#ecu,e3q p"f/Iq,"'.'1
IAN 2 4 2022
BY.Description of Proposed Revision/Corrections:
fPe .- 2rt41 Ov 1. wcx-1. -Hepa'fevtW; it b42vjare.-tP4)
70 A-K`•c_
I 1 c1L \ ,affirm the revision/correction to comments is inclusive of the proposed changes.
printed nam
Wjll proposed revision/corrections add additional square footage to original submittal?
bliti No Yes (additional s.f.to be added:
Will proposed revision/corrections add additional increase in building value to original submittal?
kiNo *Yes (additional increase in building value:$ Contractor must sign if increase in valuation)
Signature of Contractor/Agent:
Office Use Only)
Approved Denied Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
Building
Planning&Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18
go' '` , Building Permit Application Updated 10/9/18
j City of Atlantic Beach Building Department ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
o`
IS REQUIRED.Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: 751 Sailfish Drive Atlantic Beach FL 32233 Permit Number: \ESZ 7_ OOG
Legal Description kl c,(J2ot f yd, C.r\ 1 4--- Lc 17 6I_ RE# 171235-0000
2ValuationofWork(Replacement Cost) $ 10,000 Heated/Cooled SF 221Non- Heated/Cooled
Class of Work: New LJAddition L Alteration LRepair LMove LIDemo LPool 'Window/Door
Use of existing/proposed structure(s): LiCommercial ®Residential
If an existing structure, is a fire sprinkler system installed?: LYes ®No
Will tree(s) be removed in association with proposed project? LYes(must submit separate Tree Removal Permit) x No
Describe in detail the type of work to be performed: Remove non load bearing wall and replace cabinets,countertops and sink.
P2cz jQ c_I LA)' 2 fit--1-te2.1 c l. 'tk."l,'L lei r t %• ti`( 2Q 10Gc')7,
Florida Product Approval # for multiple products use product approval form
Property Owner Information
Name Michael Mangani Address 751 Sailfish Drive
City Atlantic Beach State FL Zip 32233 Phone 904 803 9270
E Mail cadeques@hotmail.comhotmail.com
Owner or Agent (If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company Self Qualifying Agent
Address City State Zip
Office Phone Job Site Contact Number
State Certification/Registration# E-Mail
Architect Name& Phone#
Engineer's Name& Phone#
Workers Compensation Insurer OR E pt Expiration Date
Application is hereby made to obtain a permit to do the work and installation indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be pe rmed to meet the standards of all the laws regulating
construction in this jurisdiction. I understand that a separate permit st be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS, etc. NOTICE: In addition to the requirements of this
permit,there may be additional restrictions applicable to thjb 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 agencies,or
federal agencies.
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 El ANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDIJ OUR NOTICE OF COMMENCEMENT. 1
Signature of Owner or Agent)Signature of Contractor)
igned and sworn to(or a irmed)before me this day of Signed and sworn to(or affirmed)before me this day ofG?
Cp2 , •r _ .• ( c•!., by
Signature of Notary)
F•••. TONI GINOLESPERGER
I MY COMMISSION> GG 353178
Personally Known OR rsor ) Kno OREXPIRESCPo .
Produced Identification r `+., .: . ' _ , TnruN • Pr dt ca ionbfid :.
Type of Identification: = D.e o dentification
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