Permit Roof 660 Sailfish 2011 "1" \ i�JtJ
!› CITY OF ATLANTIC BEACH
a n, .9 800 SEMINOLE ROAD
�. �� . „ ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002458 Date 8/08/11
Property Address 660 SAILFISH DR
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 5000
Application desc
REROOF
Owner Contractor
TGM PROPERTIES GREAT WHITE CONSTRUCTION INC
4320 DEERWOOD LAKE PWY
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
Permit W /W /O BUILDING PERMIT
Additional desc .
Permit Fee . . . 150.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 5000
Expiration Date . 2/04/12
Special Notes and Comments
NEED NOC
Other Fees STATE DCA SURCHARGE 2.25
STATE DBPR SURCHARGE 2.25
Fee summary Charged Paid Credited Due
Permit Fee Total 150.00 150.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 154.50 154.50 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ix BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: Co (., SG \�.-,h tom. r Pt 1c..Qti\ Url, 3211 — Permit Number:
Legal Description Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ 5, Bop Proposed Work heated /cooled t Soo non- heated /cooled
Class of Work (circle one): New Addition Alteration air, Move Demolition pool/spa window /door
Use of existing/proposed structure(s) (circle one): Commercial ' esi lii�'P
i
If an existing structure, is a fire sprinkler system installed? (Circle one): No N /A
Florida Product Approval # f C 1 Ll . I (s V; , "5 krs) (=1`k sk - oxc: . (y - 1q, 13)
For multiple products use product approval form
Describe in detail the type of work to be performed: het 06C-
Property Owner Information:
31 3c' - , y roc\
Name: G m R roper 11 C5 Address: (Cd 3j
City - C_ -L.s State VI --Zip 3 2 03)1 Phone 104. C - 3 t - t 6:5`1
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: Cw c. ocAcm Qualifying Agent: Trcw iS S16.k..4Lkti'
Address: t-13 u eYwc,o & Lt a City State Cc_ Zip 3
Office Phone 9 cx-( 0 4 -1 L Sy Job Site/ Contact Number '1.cx( 6 - 313 ( (5 Fax # 44 g - cx.,00
State Certification/Registration # c_C e--- l2.a9o5
Architect Name & Phone #
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 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 laws regulating construction in this jurisdiction. This permit becomes null
and void of work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a�period of six (6) months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters,
Tanks and Air Conditioners, etc.
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.
1 hereby certify that I have read and examined this . application and know the same to be true and correct. All provisions of laws and ordinances governing this
type o work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, state, or local law regulating construction or the performance of construction. 2______
Signature of Owner /
g Signature of Contractor ... 21------ Print Name C v - c_t_c3 S\ c, , Print Name �IRt c\c2L jL Ci
Sworn to ubscribed before me Swo .• • d subscribed before me
this ay p fii� rT • � ;=" 011 thi• -, - • . of I 1 201
_ .= `,f i '
Ir ' • - SION .0 1 tfin Rr*' I j
IC 1 '
Natal"), NO i i "C MY iMMISSION '57/6 Natal") , ' u rr ;� %�� ti Notary Underwriters No ���- o EXP • ES: Eebru.� 014
ry
Pu p . t Bonded hru Notary Pu . ,erw ) ised 01.26.10
08- 08 -'11 08:52 FROM -A11 Florida Title +904- 399 -2636 T -877 P0001/0001 F -047
at 01 :30 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 DEED
DOC ST $402.50
THIS INSTRUMENT PREPARED BY:
All Florida Tile Services, Inc.
Vickie Lowry
4417 Beacb Blvd., Smite 105
Jacksonville, FL 32207
RECORD AND RETURN TO:
As Florida Title Services, lac.
4417 Beach BM., Suite 105
Jecksomee, FL 32207
RE PARCEL ID 4: 171213-0000
CONTRACT SALES PRICE: $57,500.00
SPECIAL CORPORATE
WARRANTY DEED
THIS SPECIAL WARRANTY DEED made this 20th day of July, 2011 by Jax
Bargain Carpet, Inc, hereinafter referred to as Grantor, whether one or more, and whose
address is 630 Edgewood Ave. N. Jacksonville, FL 32254, to TGM Properties Inc.,
hereinafter referred to as Grantee, whether one or more, and whose address is 204 Jessie Lee C t.
Green Cove Springs, FL 32043
(Wheiever used herein the tern "grantor sea "grantee" include a0 the polies t0 this hiStrument and the heir.
legal representatives end assigns of individuals, and the successors and aesigu of corparions
WITNESSETH:
THAT Grantor, for and in consideration ate sum of Ten and NO /100 Dollars and other
valuable considerations, in hand paid by Grantee, the receipt whereof is hereby acknowledged,
dots grant bargain, sell, alien, remise, release, convey and confirm unto Grantee the following
described land situate, lying and being in the County of Duval, State of Florida to wit:
r Lot 28, Block 5, Royal Palms Unit One, according to plat thereof as recorded
in Plat Book 30, pages 60 and 60A, of the current public records of Duval
County, Florida,
SUBJECT TO taxes accruing subsequent to December 31, 2010.
SUBJECT TO all covenants, restrictions, matters and easements of record, including,
without limitation, those matters identified on Exhibit "A" attached hereto and by this reference
incorporated herein.
TOGETHER with all the tenements, bereditanaents and appurtenances thereunto
belonging or in anywise appertaining, to have and to hold the same in fee supple forever.
IN WITNESS WHEREOF, Grantor has signed and sealed these presents the day and
year first above written.
Signed, sealed and delivered in our presence:
1 Jax Bar ' Ca et, Inc.
'ifs'a?'
witness l eg
By:Ra I Ke aldwin
/110.9. Its:vice President
■t flijAHEIrrir
7 eel 1 4111111w --
STATE OF Florida
COUNTY OF Duval
The foregoing instrument was acknowledged before me this 20th day of July, 2011 by Rachel
Kern Baldwin, Vicc President of Jax Bargain Carpet, Inc.. She has produced
� j as identification.
{ YICIOE Y06T
VQ ,�( �� Commigsfon # EE 025121
Notary PM ite, C and " r k Gres January 102015
V IC Yost ' .het , sow^ t
Notary Printed Sigadme
My commission expires: CJ i / 1 C7 ( ( 5
Documentary Stamps in the amount of 5402.50 have been paid.
Pair 1 of 1 fimm software by: Automated Real Estate Sefliea. [ne. - 800.330,1;95 fife: 27116A
2011- Aug -08 08 56 125FW /CF 904 -741 -7999 1/1
August 8, 2011
To the City of Atlantic Beach,
My name is Todd Moldenhauer owner of Tgm Properties Inc. My Company owns 660 Sailfish drive
32233, Travis Slaughter Is allowed to pull a Roofing permit on my property. If you have any questions
and or concerns please feel free to contact me directly at 904 - 291 - 8311.
Todd Moldenhauer
✓" � ♦�i
Tgm Propert' = • nc
AUG - 08 -2011 10:05 From:912 255 8553 Page :1'1
NOTICE OF COMMENCEMENT
Permit No. 1 , Tax Polio No.
State of Horida, County of Duval
THE I JNDERSIGNHD 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 of Commencement.
1. Description of property (legal description of property and address if available):
•
2. General Description of improvements:
3. Owner Tnfonlnation:
a) Name and Address: 1" Grn Rr Cs} t�c:,l� �h I tk..,rvt� h art_ 3 - z1
b) Interest in property:
c) Namc and address of simple titleholder (if other than owner):
4. Contractor Information:
a) Name and Address: (; t,...1C k , 43.24.) 4 .001 •-rCAF
b) Phone Number: iocl -433 14,51
5. Surety Information:
a) Name and Address:
b) Phone Number:
c) Amount of Bond: $
6. Lender Information:
a) Name and Address:
b) Phone Numher:
7. Person within the Slate of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13 (1)(a) 7, Florida Statutes:
a) Name and Address:
h) Phone Numbers of Designated Person:
8. In addition to himself /herself, Owner designates of to receive
a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes.
a) Name and Address;
b) Phone Number of person or entity designated by owner:
9 Expiration date of Notice of Commencement (The expiration date is one (1) year from the date of Recording unless a
different date is specified:
WARNING TO OWNER: ANY PAYMENTS MADE. BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OH COMMENCEMENT ARE CONSIDERED IMPROPER. PAYMENTS UNDER CHAPTER. 713, PART
I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RF:CORDED AND
POSTED ON THE JOB SITE BEFORE 'I'll.E FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NO'T'ICE OF COMMENCEMENT.
The foregoing instrument was acknowledged before me this 6 day of 1 , 20 t
*AO
N RY PUB IC, TE OF FLORIDA
Print Nance:
4friit., SHIRLEY t_ GRAHAM
1* .� 4 MY C+OArhq.5.SI0N:Lr[7Ginso Personally Known
°, EXPIRES: February 14, 2014 ldcntification/Type:
Bonded Thru Notary Pak Ungetwriters
Verification pursuant to Section 92.525, Florida Statutes. Under penalties ol'perjury, l declare that I have read the
foregoing and that the facts stated in it are true to the best of my knowledge and belief.
Doc 1t 20111720;33 OR 155713 Page 374 kJ' 02--
Number Pages 1
Recorded 08.0812011 al 10.05 AM Signature of Property Owner
JIM FULLER CLERK. CIRCUIT COURT DUVAL
COUNTY
RECORDING $1000
Revised 10/1/2009
WORK
CITY OF ATLANTIC BEACH
BUILDING AND ZONING DEPARTMENT
NOTI
, .. ,,, ,„ This`4building has been inspected a
,-,,T,1,,,,,,,,,,, # 1 G eneral Constru e chanical 0i, er
A
''',:'''''''''' -''''''' ' '- ' 0 Concrete and Masonry d Electrical
0 Plumbing r--, Gas Piping
IS NO EFT D
CORRECTAS NOTED B B 1 E ANY FURTHER WORK ,,, , r , , ,,,,,,,, „.4 - '' ' ',,,,,,, ,.... ' ' %, pe,r Pr% i
- - 2 At IV' eiNartl-t ID V : s;. ZIP :
+ ` µ 3 i :>
t �,f.fc:i Yz i
,,, , , t3,14.1:- , , , ,, , ,,k , ,7, ; ,: „ 3 , DO NOT REMOVE Tins NOTICE
}4 Ins to x Date:
Failur resp to this Notice within 10 days will result in this violation being forwarded
to die
CODE ;ENFORCEMENT
The posting of this Placard by its contenfs shall serve a due not