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Permit Res Alt 660 Sailfish 2011 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. � o. 6 0 3 Y - 2 S - 2 - 9' E e. l At1�S (AAA 1 1.Description of property (legal desc • . n : Mk a) Street (job) Address: 0 2.General description of improvements: Q r ,rvr0 v#1. 0 r■ 0 ." I rL • (0 r t e )( nii of 0 Y ton 3.Owner Infor { i � t, . a) Name and address: .1-G--- Vv\ r N ("t f •te 2 0 4 ] e- SS � C # ' 6-142'" 6-142'" C,u`1e. W C lr' b) Name and address of fe�.simple titlehg tf lder other than gwner) 1.12'5 Ca■ c) Interest in property ' -t- S% ("Pt IAA e 1 "01 if- EC ( 4.Contractor Information 21 .41 CO (IA • 11 23 tb 9r• a) Name and address: b) Telephone No.: " - �- . Fax No. (Opt.) 5. Surety Information I q a) Name and address: 11 l b) Amount of Bond: IN c) Telephone No.: r , 1 tY Fax No. (Opt.) r ( r 6.Lender a) Name and address: f Phone No. r1 N • 7. Identity of person within the State of Flo da designated by owner upon whom notices or other documents may be served: a) Name and address: A 14 Fax No. (Opt.) n A b) Telephone No.: n. 0" S.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(lxb), Florida Statutes: I a) Name and address: l ( Fax No. (Opt.) n R b) Telephone No.: 9.Expiration date of Notice of Commences (the expiration date is one 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 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 CO P MMENCING WORK OR RECORDING YOUR NOTIC E � LENDER OR AN ATTORNEY BEFORE E COMMENCEMENT. STATE OF FLORIDA 10. .... COUNTY OF PINE11 nS Signature . Dwner or Owner's Authorized Officer/Director/Parmer/Manager ()) mo ldt,.i .t.tr Print Name The foregoing instrument was acknowledged before me this / day of �' ��++ t-rf 44 , 20 // , by d N t S /7/RA/d 4I,t &e. N ©!*>Me4' (type of authority, e.g. officer, trustee, attorney in fact) for _�,4 14/u 6✓` (name of party on beir of wh • rume�nt s exec ed). Personally Known � OR Produced Identification Notary Si 8 nature / c e Name (print) / O hC /',/ b /544/4 se e Type of Identification Produced 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. FO /NOC n d20 Sig re o at Person Signing (in line # 10.) Above a¢''' .1.11•N- DA"asTAlti 6) * COMM SO i :Dos * EXPIRES: April 10, 2014 '',, „o,„0” Bolded ThuS *WI Sir** - ft,,'1.p./..,l, ' ' CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ____.) A., ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number . . . . . 11- 00002506 Date 8/23/11 Property Address 660 SAILFISH DR Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 3500 Application desc cut in overhead garage door and add door 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 . . . 70.00 Plan Check Fee . . 35.00 Issue Date . . . • Valuation . . . • 3500 Expiration Date . . 2/19/12 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Other Fees STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 70.00 70.00 .00 .00 Plan Check Total 35.00 35.00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 109.00 109.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. r i�4.V1— � Cit of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road _. 6 -r Atlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 • Fax (904) 247 -5845 1 p "- st �» V E -mail: building- dept @coab.us Date routed: Si 7 // City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 66 J 1 S h Department review required Y Building j '`✓ 6 Fa n &Zo Applicant: e ry 7 6L1/ � �7- .-/.tC " � Tree Administrator Project: Ott 7 1 7 a V"' 2 // N 4 Public Works DO e )4-7 BLS Public Utilities Q Public Safety p ee / Fire Services Review or Receipt Date Other Agency Review or Permit Required of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: DApproved. [Denied. (Circle one.) Comments: C BUILDING PLANNING &ZONING Reviewed by: J77 a Date: y 45`—// TREE ADMIN. Second Review: DApproved as revised. ❑Den d. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: � � a n . ,1 i.. • IN r• C A� - + � ,.c � ` 3' ),0233 > Number: /1 '02 Legal Description ? Q -- L 0 - 3 ? )- S � _ ,� l . P arce l # t 7 Z 1 � � - U G C �.� Floor Area of Sq.Ft. Sq.Ft Valuat:nn of Work $� G_ © Proposed Work heated /cooled I / 7 / non - heated /cooled . 5 --` _\ Class of Work (circle one): New Addition do K. - Alterat Repair Move Demolition pool/spa w /door% Use of existing/proposed structure(s) (circle one): Commercial esi If an existing structure, is a fire sprinkler system iinstalled? (Circle one) - o N /A Florida Product Approval # For multiple products use product approval form Describe in detail the type of work to be performed: - _ • _, e., a-7-- 1,- e-, ;' iw 9 0, c&c do r Property Owner Information: / S i // co Name: 0 � t-D t9 e r� � � ,-- S Address: J`o� � � S S i E l-- �' _ '~' C �{ .. City G t .- t`h ( ems. _ 5 t) ri nn 5 State ft-Zip 3:)..L - _ 2 > Phone `Jog - I - U -- 3 H E -Mail or Fax # (Optional) ci Ci L{ ' , c j - Pi '7 G Contractor Information: Company Name: ' �,�w`.��� 5 +— , C L r �— E-:- ; cti r V � �_ Al, Qua lifying Agent: Address: 1 i 6 o ( i 73 b 0 City ;t 1 bivJZ L l E State > - --. Zip 3 az Office Phone 6 )(2-1 - ci eP - - <�- 3 , 3 Job Site / Contact Number ( 1'4: ,, i, - q 6 3--(5 3 Fax # , 1 /i State Certification/Registration # ( ( C 9-;--S ` S Architect Name & Phone # '. ,, 5 k.A.• It A.'-'4 ee 0. "�9 - i s 7 (; l 3 7 Engineer's Name & Phone # t4a r-c l 6 .1.1., C.- 41 c t fl (cjcu_) 3 3 3 ec Fee Simple Title Holder Name and Address _�-" ( A LA, t ro t k; c S Bonding Company Name and Address A. / p Mortgage Lender Name and Address 1A / 1 } 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 if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for q period of six 16) months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Hers, 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 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 construc or the performance of construction. Signature of Owner S ignature of Contractor '` / ' V Print Name ,-- \ -- t, _ ,. Ill \kr, \ ',Gt,l v e .c Print Name ( A Sworn to and subscribe before e Sworn to and subscribed before e this g' Day of a , 201/ this Da of �-�y. , 20 // • NOta Public Notary Hone '��J s "/ i4:��� SPR PU �G% ,61.::';', DAVID H. STANFORD 1 / �••. DAVID 14. STANFORD MY COMMISSION # DD 968953 s MY COMMISSION # Dl5 X8953 * r. is * * t , s s v ' EXPIRES: April 10, 2014 s J m il EXPIRES: April 10, 2014 � ° "For e,c,0 Bonde Thru Budget Notary Service,, of F�0e�� Bootle. Thtu Budget Notary Services