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Permit Roof 427 Sargo 2012 CY ► Jar �'` su CITY OF ATLANTIC BEACH N /r N) 800 SEMINOLE ROAD \\\..... 6 .x ' ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 12- 00000204 Date 2/21/12 Property Address 427 SARGO RD Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation . . . 5000 Application desc roof replacement Owner Contractor SIDELSKY, RUSSELL & WINFREE, L NELIGAN CONSTRUCTION (ROOFING) 335 3RD ST PO BOX 49249 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 247 -3777 Permit ROOF PERMIT Additional desc . Permit Fee . . . 75.00 Plan Check Fee .00 Issue Date . . . Valuation . . . . 5000 Expiration Date . 8/19/12 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. t.-0 CAA S ((, `^-' . (� t i l' G -: NOTICE OF COMMENCEMENT Doc # 2012033058, OR BK 15851 Page 2193, Number Pages: 1 Recorded 02/15/2012 at 11:34 AM, Permit No. JIM FULLER CLERK CIRCUIT COURT DUVAL -- COUNTY Tax Folio No. % 1 1 �} C>y- -- (,0 C,C, RECORDING $10 00 THE UNDERSIGNED hereby gives notice that improvements will be made to certain reat property, ana in accoruance wilt, accuuu 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 1.Description of property (legal description): 3 t - 1. (c 3 - a, -- 3 - L i ' t4 c. 1 a) Street (job) Address: L\ vt1 ;��� �-c-e-004::\ r. c- . lc k c °E rnS �1.t1 2 2.General description of improvements: ` j t , Ce Q_� 1cq c- olc cci 3.Owner Information • a) Name and address: ''� k 4{� °;- 5; a , 1 t, k.., E ,2 7 i. C 1- c, .A kw, -,. A ,L za3 ., b) Name and address of fee simple titleholder (if other thad owner) c) Interest in property 4.Contractor Information Po ' 'Box y , , / a) Name and address: , c c. '- Cu \ - '__t \ V' C_c f'\ . r.NcKk ' Z . b) Telephone No.: - .:."--24 2 - c\ Fax No. (Opt.) �y— i z i 1 5.Surety Information a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No. (Opt.) 6.Lender a) Name and address: Phone No. 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: b) Telephone No.: Fax No. (Opt.) 8.in addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: a) Name and address: b) Telephone No.: Fax No. (Opt.) 9.Expiration date of Notice of Commencement (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 1, 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 /�f /� „,-._ COUNTY OF PINELLAS 10 / /� � 7 C J � ,_____, �5ig of Owner or Owner's Authorized Officer/Dir or/Partner/Manager ` - c.-t SSC`zt . SlI)CZ S t`'s y P rint Name The foregoing instrument was acknowledged before me this ,�: day of V VY \.ckty , 20 VZ , by as (type of authority, e.g. officer, trustee, attorney in fact) for (name of party on behalf of whom instrument was executed). Personally Known OR Produced Identification . • ” - /� Notary Signature ) J , , _ • Type of Identification Produced }� G ' t \ 1 c) v Oc„ , OR Name (print) t ' 1t Z(' \ t \ �nz - \--A 9 o l\ Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that the f a c t s stated in it - • - • • •• • • . - . , • • • • elief. ,,klt; "'' , ELIZABETH ANNE LANGILLE FORMS/NOC,rvad2010 : I 1 t MY COMMISSION # D0973752 EXPIRES March 22, 2014 Signature of Natural Person Signing (in line # 10.) Above 407) 098-0153 Ftorie.NorsyBervk..xm BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 3 Office (904) 247 -5826 Fax (904) 247 -5845 (z. ; �1 Job Address: L t 7 50.... ® -Q©(3.A. 4 F Permit Number: Legal Description Parcel # 1l 1501- --000o Floor Area of Sq.r't Sq.Ft Valuation of Work $ 5 OG EC) Proposed Work heated /cooled non - heated /cooled 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 f.. Yep No N / /A 3 A Florida Product Approval # rl 5 y `} !d�. For multiple products use product approval form �� � �� Z. Describe in detail the type of work to be performed: Oo l e Q l C1 Ce UYl e 1(17( Property Owner Information: l Name: �f �t552� 5 s taic =�,S k�/ Address: 1 A ITT -0.S p 12-4. Ark-AarAc� f)ectdil City v\ c-'Pwccdf) State aZip 3 9,M3 Phone (c O - v X55 E -Mail or Fax # (Optional) Contractor Information: Company Name: c Ci ty4ctVkoc\ OtylA 17h0A 1 ualifying Agent: Address: P O, �d� t k C kay9 City JadcmYWf■,I \e.� \ State Q ` Z i Office Phone x'3/0 Job Site/ Contact Number u) ; v1 / -- - 74c4 Fax # 5 - t - — \72-A k State Certification/Registration # CC. t ;3 9.. j Ii5"6 r 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 if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for aperiod of six 16) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Bo 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 certO that I have read and examined this gpplication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether sieci ied 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 regulating construction or the performance of construction. Signature of Owner .' Signature of Contractor Print Name S c"'z /3 - sI Det_ S <>/` Print Name r Sworn to and subscribed before me Sworn to and subscribed before me this 1'A Day of - (; r , 20 \ Z- this 1'-\ Day of s 'C , 20 Z� Notary 1 blic .i ELI'.;•+ H Au, E LANOILLE �.� 4y' h ' ,,. , • '• • 9 M Y CO N I.4ISS • ' # DD973752 = ': ' 71 • : MY COMMISSION # CD97375r' •i'.` =r - EXPIRES March 22, 2014 • `-r EXPIRES March 22, 2043 ised 01.26.10 as) 34 r (401) ^1 FioRarNphryServ$ce.cam