Permit Remodel 660 Sailfish 2011 Ni
64 �, SA CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
x ` E '" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002469 Date 8/09/11
Property Address 660 SAILFISH DR
Application type description RESIDENTIAL OTHER
Property Zoning TO BE UPDATED
Application valuation . . . 9350
Application desc
DRYWALL, NEW INTERIOR DOORS SOFFITT FASIA REPAIRS
Owner Contractor
TGM PROPERTIES BENNETT'S QUALITY CONST. CO
3723 BROOKVIEW DR SOUTH
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246
Permit RESIDENTIAL ALT /OTHER
Additional desc .
Permit Fee . . . 100.00 Plan Check Fee .00
Issue Date Valuation . . 9350
Expiration Date . . 2/05/12
Special Notes and Comments
NEED NOC
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 100.00 100.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 104.00 104.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: (6 0 S'a,t l °S Permit Number:
Legal Description t4 ( 0 3% Fl S -gc) E R-cyct A l S -1- /Parcel #
Floor Area of Sq.Ft. t
Valuation of Work $ q,3s----0 Proposed Work heated /cooled J non- heated /cooled 3<
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window /door
Use of existing/proposed structure(s) (circle one): Commercial Residential
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval #
For multiple products use product approval form
( r
Describe in de 1 the type wo k to be performed: �` v • r[0,1- (c l % 1 S �'c� �j
cri_d‘c, s.
w
il 1,5
Property Owner Information:
Name: I `� may'- ri -F Address: Z t? � -f e S L (___2,‘2 C4
City Gnate\ Ce p ".4`5 S State --Zip 3) `t Phone goLi - Z `t / .- a' . , 1
E -Mail or Fax # (Optional) c"0-( - 7 c / - f' 7
Contractor Information:
Company Name: P +'Lt�C Q t i `
V era, / CC Qualif Agent: Ea r ( 1 . P l ia �r
Address: 1�' o 1 3 b City "
. "37.3q_ tCC rw; CI State PC C. Zip 3 4S
Office Phone v ,--1 4 R a- L3
l 3 Job Site/ Contact Number 0o-{� (11,1? � --t S� Fax # A �}
State Certification/Registration # (� (' 0 c" S . _ - ;(r l
Architect Name & Phone # t'"l 1 ti-
Engineer's Name & Phone # A (t.
Fee Simple Title Holder Name and Address / r`'n , ` h t
Bonding Company Name and Address A t t �
Mortgage Lender Name and Address A. / '
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 f work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a perrod of six _(6) months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plutnbing, Signs, Wells, Pools, Furnaces, Boilers, Healers,
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.
I hereby certify that 1 have read and examined this a plication and know the same to be true and correct. All provisions laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permi of t 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.
Signature of Owner 7:-.1/4\7-N_ Signature of Contractor (G.. 1xr,
Print Name - 6 - Z. I Ilite,i L ti Print Name �: r:\ \ ,
Sworn to and subscribed • efore
this q D - , of ,; . ' 20 Sworn this 9 D d s before me/
20
41 r_, A : A t I F A 1, I ir , / " ./A " i.e - . i /tie Notary 'ublic a� P� ORD / ; : /
t`...... � k DAVID H . S N otary u e t {'p n v a
4, MYCOMMISSI % � # DD 968953 * ; •••.N. , DAVID H. ST 0,31i. EXPIRES: April 10, 2014 * -;c_r * MY COMMISSION I ;
4 „." Bonded Ttuu Budget Notary Services ,, ' OFF ,,,t•
EXPIRES: April
ION • d 01.26.10
EOF Fl J 'f lOF FlO S' Bonded Thar Budget Notary Services
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Doc # 2011173600, OR BK 15680 Page 725, Number Pages: 1, Recorded 08/09/2011
at 02:38 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF COMMENCEMENT
Permit No.
Tax Folio No.
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section
713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
1.Description of property (legal desc , , n): O . 6 0 3 ' - 2 S -A E e 1 pk i hs (AAA I
a) Street (Job) Address: 0 ► . a
2.General description of improvements: Q ems.00.4, '.0,.. 0 f r., • fio r t t )(4.4r$ c9!` 0
3.0wner Information
a) Name and address: vv re t / ► at G F, )
'rG Q P pS 2a� �� .1.,e-e_ � (� -reap ``''�c
n b) Name and address of fesimple titlehqlder (if other tharwner) ' -42-2-3 C,q,,
rJ c) Interest in property e.-C 5. ••••••P I L % AA t kola t.(
I . 4 4.Contractor Information 1 /� ` a) Name and address: ( �C� S l r`T LO irtcl' ■ 1123 E,vret) 9Y. G
�1
b) Telephone No.: ciDq - 313.--1,-M, �1
3 Fax No. (Opt.) - - -J ��Z..'
5.Surety Information 2
a) Name and address: (\ °
b) Amount of Bond: IA A
c) Telephone No.: y. i tr Fax No. (Opt.) Yr ( 11
6.Lender
a) Name and address:
r ^
/A Phone No. y. I A
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a) Name and address: h I
b) Telephone No.: n,I IL Fax No. (Opt.) n 1 A
B.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1Xb), Florida Statutes:
a) Name and address: h ( A
b) Telephone No.: A l R Fax No. (Opt.) n / A
9.Expiration date of Notice of Commencement (the expiration date is one year front 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 OF
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 RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA
COUNTY OFPINELLAS 10.
Signature . wner or Owner's Authorized O@'rcar/Director/Partner/Manager
Signature PI ld.cA 11.;,4t.tr
Print Name
The foregoing instrument was acknowledged before me this / day of rr f� , 201/ , by h�
/�iS /04A//!RK e✓ as t�i .'e-f / (type of authority, e.g. officer, trustee,
/
attorney in fact) for Ali - i T e (name of party on bee of wh rument s exec ed
Personally Known ✓ OR Produced Identification Notary Signature / 7 Xi� J " .
Type of Identification Produced Name (print) l O h /fib/04.4A k e
OR
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief,
FORMS/NOC. d20I0
. fit N, DAVID a STANFORD Sig o�Person Signing (in line # 10.) Above
* * MY COMMISSION t DD 968953
6.,)
EXPIRES: April 10, 2014
.„ t �\o� B Th melt Notary y San