Permit Roof 433 Sailfish 2011 , m a `S CITY OF ATLANTIC BEACH
; , '', ; j 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
\\,_..,
Application Number 11- 00002322 Date 7/11/11
Property Address 433 SAILFISH DR
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 4520
Application desc
REROOF
Owner Contractor
SPRUANCE RON RUSSELL ROOFING INC
433 SAILFISH DRIVE 4419 HUDNALL RD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 636 -9909
Permit ROOF PERMIT
Additional desc .
Permit Fee • • • • 75.00 Plan Check Fee . . .00
Issue Date . . . . Valuation . . . . 4520
Expiration Date . . 1/07/12
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 79.00 79.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Jul 06 2011 12:24PM HP LASERJET FAX P• 1
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Sat- Office (904) 247 -5826 Fax (904) 247 -5845
9
Job Address: ' &Z4 I Ash Tom, $*' Permit Number:
Legal Description 3/"/ 38 o?S-i oyd./ P Pros UM' Z " Parcel i� / 7/397- DOO'O
� 1 Floor Area'of Sq.Ft. Sq.Ft
Valuation of Work S � j t5c 2 (3 Proposed Work heated/cooled Ic3 Q non - heated/cooled / tail
Class of Work (circle one): New Addition Alteration Repa Move Demolition pool/spa window /door
Use of existing/proposed structures) (circle one): Commercial sidenti
If an existing structure, is a fire spnnklder system installed? (Circle one): s -, N /A
Florida Product Approval # S y `i. 9 a. 'f7 9 • "
For multiple products use product approval form
Describe in detail the type of work to be performed: fR Repo •F
Frooerty Owner Information: . ��t .�
Name: i f f`Cjv t ?Zl., tSpre,ca, J C/ ' Address: ( f33 8. , Cad fry's h DE-
City .-f /gin 9-i0 e e h StateFLZip , T-27:,9 Phone `fib Si-- 5!Jo 3 - 1 9(,
E-Mail or Fax # (Optional)
Contractor Information:
Company Name: ',As j .,f / !,lit 0 _ i - s . ' • • g Agent: /As . •
Address: W/9 .•'- • City ! A , ■ ' State JCL, Zip ..__O
Office Phone - 0 -„00- j// g Job Site/ Contact Number Fax #
State Cettification(Registration #
Architect Name & Pbone #
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated I cerrtjy that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to me the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void work is not commenced within six (6) months, or iJ'construction or work is suspe ed or abandoned for a od ofsiz /6) months at any time afier
work is commenced I understand that separate permits must be secured for Elccerlrit Work, ?Iumbing, Sipes, Wells, Peals, Furnaces, Boilers, Heaters
Tanks and Air Conditioners, eta
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 YOUR NOTICE OF
COMMENCEMENT.
I hereby certify that I have read and examined this placation and know same to be true and correct. All provisions of taws and ordinances governing this
type of work will be complied with whether specifped trhe herein or not The granting of a permit does not presume to gyve authority to violate or cancel the
provsions of any other federal, state, or local law regulating construction or the performance of construction.
, y
r • ., Y d l r /'`�
Signature of Owner i, ,i'4 -data. ... Signature of Contractor .: _` t• _1 t ,
Print Name .. . .(. ....... .: � , ...... Print Name ..._....._ .... 5.0. I .........._..
Swamp and subscribed ore e Sworn to and subscrib d bef• re
this Day of v . 201 ( this 11 Day of ' . 20 I 1
to ( ,
- 1.1 1 111114 Tra4 ,
Notary Public IMIli i
{ . - A a Cti t, t otary ' , is i 7T► r ckL )
Revised 01.26.10
(
8HEIME J. AMATO , "�� "
�� rn� „
�`�►” `• SHEREE J. AMATO
��� ` , Notary Public • ( _ , ,� Rotar ` + My Comm I r i.d), � � g , , My Commes 20
••.,; p F ''', Comm 4 '-4, o r.; Commission di EE 89125
06- 17- 11;09:05AM ;Spruance ;904 399 1088 # 2/ 2
Jun lb Gull b: UUMM HP LMbhl<Jr I F HX P- 2
NOTICE OF COMMENCEMEcN1'
Permit# RL# :.1 7/ - 3/9-0000
State gfFlorida County of Duval
To Whom It May Concern:
The undersigned hereby informs you that improvemerus will be made to certain real property, and in
accordance with Section 713 of the .Florida Statues, the following information is stated in this:
LEGAL DESCRIPTION: 3/-4 3 S- 2 S 9e g o /04.4,01g 214'
Address of property being improved: y33 Sa 6"lsd" j D /2_ gea2h , L-
General description cf improvements ;RE-ROOF ?a,, 3
Owner: 1 4tht/lsQ, tCpri t.G1∎Y) fie
Owner's interest in site of the improvement; RE
Contractor : RONRUSSELL ROOFING, INC •- CCC1327484
Names and address offee simple title holder (if other than owner).
— Lender: •
Persons within the State of Florida designated by Owner upon whom notices or other documents may be
served as provided by Section 713.13 (1) (q) 7.. Florida Statutes.
In addition to himself, Owner designates the following persons to receive a copy of the Lienors Notice
as provided in Section 713.13 (1) (b), Florida Statutes.
Expiration date of Notice of Commencement (the expiration date is 1 year from date of recording unless a
dent date is speaif tea)
Sworn to and subscribed before afe.
• In the County ofDuvaL &ate of Florida
Personally Known : '' ]
SNOW J. AMATO \ E wiw • Mfr. jr1 ,/f ki °
•
.
�,�MN► Notary Public •gauge
a 6 • OE ••l211 State of Florida County of Duval
Doc # 201 1 1 46791. OR BK 15647 Page 1610,
Number Pages: 1
Recorded 07/06/2011 at 09.24 AM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00