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Permit 477 Sailfish (vault) FOR OFFICE USE ONLY Date---- ........1941 Permit .....Fee$.Z/.'040...... CITY OF ATLANTIC BEACH Valuation $ .4?p................................ FLORIDA House *---4-77. ....Fu-1:115*��,4-P 5 ..........I................................................................ APPLICATION FOR BUILDING PERMIT -I- / ............................................................................ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automdtically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlanfic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. _FL A T'1 "Z 0(a JL Date.......................................................----------------- 19------------ Owner.... .....CiP.M-M-^-4.:rl.r4-CSL--.-.eOAAddress....... -----------------------------------------------Telephone No............................. Architect_--_---------------------------------------------------------------------------------------Address-----------------------------------------------------------Telephone No...................--------- ContractorBuilder......................$A-MF—---------------------_-------------Address................------------------------------------------Telephone No........------------------- Lot No...................13---_------_-------------Illock No------------1.7...............Sub Division......._RCYAA..... ......_Zone.--_----------- --1-77-------------- r-le_0------SW44w_een....... ................... -----------and----------------------------------------------_-----Sts. Valuation $7_V_0_d>.*_PD.....For what purpose will building be used........................ ---------Type of construction............_--------------------- I 1 81 0 Dimensions of Building ---X-- --- ----------Dimensions of Lot. .............,Size of Footings--- An4------------ Size of Piers.------------------------------------Size of Sills-.----------------------------Greatest Sill Span in ft---------------------------Type Roof....rv.i L:r.-ur...... How will Building be Heated ----Will Building be on Solid or Filled Ground?-------5_a1_X>............. Size of Ceiling Joists--------- ----------- Distance on Centers-................ ---------- Greatest Span..................................... Size of Floor Joists-----------------------------------------------Distance on Centers........... ................................I Greatest Span------------------------------------------- Size of Rafters-------_---_---- -------------_...... Distance on Centers..... ------------------..... Greatest Span.....--------_----....................... This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. rA 2. When steel is in place and ready to pour columns and/or lintel. Z 3. When steel is in place and ready to pour beam. E-4 4. When framing is completed. 2 5. When rough plumbing is completed,-and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called forafter corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. Signature of Bu11der.1+t_R-.A-. AM�....................15. Address.................................................................................................... . -6 Signatureof Owner................................................................................. Address................................................................................................... IC BEACH CITY OF ATLANT 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001876 Date 11/12/09 Property Address . . . . . . 477 E SAILFISH DR Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5750 ---------------------------------------- ------------------------------------ Application desc re roof ---------------------------------------- ------------------------------------ Contractor Owner ------------------------ MANN' S ROOFING AND WATERPROOFI POTTER, MICHAEL 477 SAILFISH DRIVE NG LLC D W ATLANTIC BEACH FL 32233 2114 UNIVERSITY BLV JACKSONVILLE FL 32217 (904) 419-1010 ---------------------------------------- ----------------------------- ------- Permit ROOF PERMIT Additional desc RE ROOF Permit Fee . . . . 80 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 5750 Expiration Date . . 5/11/10 --------------------------------------- ------------------------------------- Fee summary Charged Daid Credited Due ----------------- ---------- --- ------- ---------- ---------- Permit Fee Total 80 . 00 80 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 80 . 00 80 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 16383 DEPARTMENT -CITY OF ATLANTIC:: ACH: TION I NV Z ZA �T be r 4!,7, Sk I tp fir �: .Vejvii t NUM 40Tj,6�, BEAC� Ft,,Otij)A'� Q'2 3 ermit Type:,MECH X'CAL ATL ,of Work:A�L :14tpAL j)iSCRliTl 0`4�, ss T TION 'Tw 1`1 ns r .. TYWALUM NUM c6 t B: ock Lot. _ 8 S, ct 100 ' D f"ropose use; Est. V41_ 1 prov�. Co' t Totil, Fees : 37 .00, 7 .0,0: , )ate r _14S E�,AND C011L ---------- A p L I'CAT 0 N PRES TER Ftl CA I T 37 .00 e.,! DRIVX EAST A 3; 100 $3 MAT,VOP -D N AIR 01 L 4o 1(i4t, SOVITH bk 32 �,05 lllt,1111_111�1$4111,k�,,�bmi Q N _E-'INsPrzbTI NS. MUtT BE AEOUESTED Al'LEAST 24,HOURS�PRIOR TO INSPECTION anc J ..................... MATEV.4AL,RUBBISH AND DESR I$FROM THIS WORK IV UST NOT.8,E,PLA,CED IN PUB9C,S PACE AN,0 MI JST.OE VILDING, �CLEARED UP AND-HAULED AWAY BYtITHER CONTRACTOR OR C WNEFI PLY,WITH THE, M EC H l%N 'S' USN LAW C AN RESULT IN It L ' ING TWICE FORS 01 NG IM PRON EIVI E p ATY, NEWPAY J�6 D ACCORDING TO APPROVE044ANS WHICH ARE PART ()FTH PERMIT AND SU,BJECTJO REVOCATI FOR UF 'LAT 'Of LAW. '0 ION OF APPLICABLEPROVISIONS lklt RM-waylpi 01A fAl� DECK$ ANTIC1'13E"�,j EPARTMENT NQJ)� AT, UL", <a� BUILDING AND ZONING INSPECTION DIYISION CITY OF ATLANTIC EACH ATLAwic REAC14, I-L01110A 32231 APPLICATION FOR MECI- ANICAL PERMIT CAI.L.It'! NUMHErl IMPORTANT --- Applicant h) COHiploo all lems insechon; 1, ill. and IV. Street AdJ-rs, 1-17 7 LOCAT 10H Q r- Ar,4 BUILDING Sub di�;f;on 11. IDENTIFICATION I o hf- complefed by 311 aplDlIcants 1;— 1- domq 11'e —oA '1% d0'%".I'twd ;n fl�e A,—, 0,11--0 J;na,,cr% A"() SIA"CIO(JI of 90"1 P'n0'(-? N#rns of mockanical Car) fiqcfari Or Z/�eO 3 3 Contractor (prinfll /J -e —n]..I of int P Ila of Pto,povly O.n*f er I O�;: Sigr Owe Of at Aviliotio., Arc ileCl of E119;neor GENEW-IN ON A, Type of �falinq fuel: IS OIIIER CONSInUCTIOM 13UHG DONE OU 0 Usciric THIS RUILDING On SITE C) Gas — G IP Ej Nalutat El Ctnlral Utility Ir YES, GIVE HUMBE" Or CONSInUCTION [] oil "rnmIT 0 oflier — Specify IV, MFCHAk4IC-AL EQUIPMEW TO St lt4STALLED NATUIAF OF worlK (Provide complete list of components on back of Illil form) Apf�Fle'ddentlal or I I c-o4TIT11n.wial (3 Heat 0 Space U R"oosod IJ C*nIrel n Floor 1 1 HOW Bullding �jd01I`-A;r Conditioning; 0 Room Ej Central 0 Dycl System: Material --- 'Thit6*11 Maximum capacity New lost allal 1011(No systeill pypvloosly 01SIA110d) Extension or arld on to exIsting %ysleffl C) Other -- spedly 0 Cooling to.4r: Capacity 9 P.M. 0 Fire tprimlileri: Number of C) Elevator (I Manlift 0 E1C,4I6f0E-----(number) 1141S SPACE FOK OFFICE USE ONLY Gasoline pumps. - (number) (RocolvV41 Tank--kumber) Remarli LPG containers (number) UA(it*d pressure vasset Permit Approyed DefeL-- toilers '�') 0 Cj Of,6*r — Specify Permit F*O--- LIST ALL EQUIPWINT AIR CONDITIONING AND RATION FQUII'N1FNf Capacity A pmvtmg Number lJnjljl Description Model Number Ifantifacturtr (Tons) DEPARTMENT OF BUILD114G 3295 CITY OF ATLANTIC BEACH. FLORIDA PERMi0T NO.— PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date Feb 23 19 77 Valuation$ 1 ,000. 00 Fee S 3 - 00 This pamit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. This is to certify that N_ C _ Ralirtria-ri (Jesse ynchar-) has permission to build ANKXVIN addition to house Classification residence Owned N . C . Balistreri Lot Block S/I) House No- 477 Sailfish Drive According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOO1 INGS MUST BE IN- SPECTED B FORE POURING. �T PERMI VOID SIX MONTHS AFTE DATE OF ISSUE x 'a No 0 Building ma rial, rubbish and debris Z from this w ik must not he placed in public space, and must be cleared up and haiiled away by either contractor or owner. Paul R. Steckla Official. FOR OFFICE PERMIT CONTRACTOR USE ONLY NUMBER DATE PLUMBING ELECTRICAL SEWER WATER J1 FOR OFFICE USE ONLY Date.-:.... ...........................19 Z7 Permit #------------------------Fee c�n............... CITY OF ATLANTIC BEACH 19Z90 � 0 1 Valuation $�z..................................;,7...... t!:V 7 _7 FLORIDA House #...................��=................................ ............................................................................ APPLICATION FOR BUILDING PERMIT .........................A...... ......................... . .. ......... ........................... ............ Application is hereby made for the approval of the detailed statement the plans and specifications h4eiMIL'sub itted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of he State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Fermit is automdtically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlaniie Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that -a list of sub-contractors be submitted to this office so that licenses can be verified. e....... . ................................... 19............ T ......... ------- ......Z_,.Telephone No----------------------------- Owner... ------------------------------------------------------------------------------- Address.... .............. Architect-.._-_------------------------------------------ .................... ---------------Address,... ......................................................Telephone No----------------__-------- ------Address---- -U.... ................. ............. .. ..... ...... Contractor Builder,.� ....Telephone,No................. -------------------------Zone------_-----_- ............................---------- Lot No.--..---.... . --------------------------------19ock No-------_------_------_------Sub Divislin_J� Sts. ---------------------------------------------Street_---------_-----------Side Between... --------------------------------_---and-------------------------------- ---------------- _,_,__._.,�1_.Type of construction-------1�� ................... Valuation $ I--------For what purpose will building be used-----------.... ....I--- ---- 'Size of Footings------ Dimensions of Building--- --------- -------------Dimensions of Lot.------------ -1................................. Size of Piers.---------__--_------------------Size of Sills-------------__------- -----GTeatest ill Span in ft----.....................Type Roof-------------------------------------- How will Building be Heated?------- ------------_------_--------..................Will Building be on Solid or Filled Ground?........................................ Size of Ceiling Joists------------------------------------------- Distance on Centers............................................ Greatest Span........................................... it Size of Floor Joists----------------------------------------------Distance on Centers.......... _.........--------------------- Greatest Span-------------------------------------------- VP Size of Rafters------------- --------_-------- Distance on Centers....... .........---_--_--......... Greatest Span.----------------_---------------------- 19 This rectangle is to represent the lot Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. M Z Z 2. When steel is in place and ready to pour columns and/or lintel. 3. When steel is in place and ready to pour beam. E-4 4. When framing is completed. 3 5. When rough plumbing is completed,-and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is cov red. 7. Electrical inspection by City of Jacksonville. M 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. I FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance 71th the tached plans apd specificatiphs, wlich are a part hereof, and in accordance with the build,ing 10 y of regulations of the Ci.t n ic Beach. Signature of ...................... A ddress..........------- ............................................. .............. Builder. . ....................i�. Signature of Owner ............................................................................................. .................................................. A ress FOR OFFICE USE ONLY� DEPARTMENT OF BUILDING Date /-A'&' 197J CITy OF ATLANTIC BEACH, F1 ORIDA Permit #ZA&Lpee $ 10 Valuation Application for Permit for HOUSE Miscellaneous Alteta tionc. 71 AF and, Repairs DESCRIBE r uxings, (State- if to repair,,faltef, add to or move building, erect a sign$, e tc. ) Sub.Divg�' Building on: Blk No.-� Valuation hAAv-maci Z �7 71 J-1-o- -r-. OA 1-9 Owner Name. i BUILDINGS �WD OCCUPANCY Bu ine BuildJ4 si 0 g Use Residential ,or Busine q What PXWribing! work to be done?Si 0 Size of Present Bldg. , Size o Exteaion ER Me Ite So of 'stories now _� 'after altered Material of roof--..— n Maierial of esent ,OuilldinL Material of Exterisio pywS To BE SMTTER H_ER3W TH SSA N.E C.2 _P-Y OIL BURNER OR GASOLINE EQUIPMENT Name oil Oil *Wner or, G,asoline Pump_ Type or Model- Name and Address of Manufacturer., In con#ectioh herewith, 'applicatiob Ls also 'RAM , made to in J�M4�: metal of gal. c4pacityi, tank(sY made by. ground- (Name of Manufacturer) Wr-6--, or Above) -(Under Aor A�ove) buildi, f 0 ng. (Ins 6,Zre 6FIOUts.14eY of FURNIP I H DRAW114G SHOWING ZNWTI-nL% XJAYOUTIoN REVERSE SIDE OF THIS B SIINS Size Claaslf Ication t (state whetMe—r gr5und, roof,, wail, P7x5]5ct1ng,, anner) H er of ponstruction at i' l I I luzoated? Of illuminati:)n MEa:Eii 0557ir Cap r n ty? Will Sign belover public proper 14G CjLT�UCbEl AND M§T fid—MI EN ,OF SIQK �OF Hh!GING WINE ADDITI INFORMATION BELOW (For canvas awnings provide dime toned drawi on reverse side) -M itop m Jet o d d C hA9" ItA&&-- Wnl L IMPORTANT NOTICSt - JI In, considerition of permit giver for doing work as descril*d ar in the abovelstatement, we heraby. a� ree to perfo said work in ce with the attached plans and ifications, which ,are a accord n Spec p 4ur t h oof, iand in 4ccordance with the building regulations of thO city 0 Atlantic Beach.' (Southern Standard Building Code) . Signat e1of Bq;L,l 4,xor I AddrelmaL -f Phone No. 1z FOR OFF1 '19 US13 ONT_-Y_ DEPARTMENT OF BUILDING '*7, :7/ 1 9� 7/ CITY1OF ATLANTIC BEACH, Permit $ Valuati Application for Permit for HOUSE Miscellaneous Alterations, a nd Repairs bBSCRIBE� 44 VA711V (Statei'if to re air) alter, add to o: move building, erect avvings, p signs, -&-c. ) Bgildingion: L I ot NO. 7 Blk No. Sub.Div.-R- �R, AA;l f3� )Wdress 6�) ;gl V 5L luation $ owner 's ame...Al!10- P- &S 7_0 E-0- BUILDINGS AN) OCCUPANCY BUildingjUse Residential or Business T-6/1 L— What P1- , ing work to be done? Size of resent Bldg. Size of Extension Lot Sizi�__ go. of s ories 'noK__after altered Material of roof , T f Exteniion Haterial ! of Present Buildincr Aaterial o NECESSARY PLANS TO BE SUBMITTED HEREWITH, OIL BURNER OR GAS)LINE EQUIPMENT Name of Oil Burner or Gasoline Pump Type or Model, Name and' Address of Manufacturer In connection herewith# , application iE also made to install: ga16 capacity tank(s) made by of , r.nk:.;e_ ground. (Name of banufacturer) i0nd.-ir or Above) (Under or Above) of building. Fcr (InEld; or 04faide) (Name of PUEHaser) FURNISHDRAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF THIS BLAW SIGNS Size Classification (State whether groUnd, roof, wall, pr6jecting,B er) Hateriallof Construction Illuminated?___�_Type of illuminatior (State whether Lamps or Neon Will sign be over public property?-- SUMT L)MWING SHOWING CONSTRUCTION OF SIGN AND METHOD OF IHMANG NG WRITE ADDITIONAL INFORMATION BELOW (For oanvas ,awnings provide dimenslon on erse side) '� IVA Alit A IMPORTANT 4-1 In consideration of permit given for doing the work as described in the a�ove statement, we hereby, agrEe to perform said work in accordance wit� the attached plans an� specifications, which are a part hereof, and in accordance with tle building regulations of the' City of Atlant�c Beach. (Southern Stdruiard Building Code) . or Signature of B4il�d1jr -of Owner , Phone Noj V Address 9C� 2- 17 77 T T :44 Ty AN EMIT Add 477 00 dt 'N ORIDA ,�223,3 BZACR rL t Typ of Wor Witiption � :Ldt; _1 - ; I RNO: oops*d V* tub 'PALM P 4 :c S,UNIT2 Is's a ' d V i-v 0 ", �42, 2,� AID, LUM 17,11 Y-' .10 OXON tpzzs CIO' IT $27-50 XRX kR, IXPA'%~txi W TTX $0 .00 191-!WT .00 rzz, tykl 7 A Z "To Tll;�' s. 4 ki"bri Oka U.00 Rho ' so 00 ATE J to 6XI Ap XYDRAUVM� 'HARK $0 .0 RZ SOPECT 'Fee 0 $04 so: mops RfiPO 0 ANVFOOTINGS M JST 911 ;T� �JEFO NIDTICO,—ALL CONCOVIE:f, �OATE OF IS� U MONTH$AF E's PE Tmosix 'ESP S'FROM- HIS WORK h I AQE6 USTI BE k IN PUB�,IC SPACE,AND M UST BE 1BUILDMG mktrzf IAL,RUBBISH AN T 40,T ' �d OkEb UP AN(I HAULED AWAY-BY-EitHOIC- 0,14TAACTOROR OWN ER PLY�WlTff T IPO , E Su I FA �EN ILAX AN, TIN WoRt to ,MECHANICS' Ll 140, WE V 41 A PIR EMEN"'S. INOTW To _0tAkS.WH1OH'ARE PA TH �E�RMIT,AND U RT )F Bilm RE AT, -1 WED ACCORE ING TO AOipsbVeO Is R io 4flo N,OFAJ OPL116AOLO�P'RM of iii$ Tic 4" b LAN, - EPARTMtNT,, CH.3UILDIt4G. 0000, CITY OF ATLANTIC� BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIOIS C) owner(s) : c- k/141 4 S Add r e s s Phone: Lot # Block or Unit # subdivision: f�0*12z 116S Contractor : U Phone No: Address DPy)Aa yq S Describe work to be done: U 1Z J1 I C),j -�o Present use of building: Valuation of Proposed Construction:— Proposed use: ��-�OJILA�A Is this an addition? If yes , what are the dimensions of the added space: /)V —ft . X -ft . Will the added area be heated and cooled? 17c., New electrical (or increase)?_V±_T New plumbing fixtures?,�20 New fireplace? )10 New Heat/AC?_ -*" SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY , ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Date: Signature OWNER: /-) /�; , Signature CONTRACTOR:_ Date: t\o MAY 13 1993 Building and Zoning IA` PALMS UNIT TWO, AS RFChR0 !T 6LOCK IN PLAf OK 30, WES 94 AND 94A'OF THE CURRENT PU IC RECORDS OF THE CITY OF JACKSONVILLE, DUVAL COUNTY, FLORIDA. rnp: Japies F. Smi th .-P9 ,V77 NT Oki 'o 5,o�W o-cZ- J-o41 __--c�__co DAY rnllPqnN Fit A-qnoclAT -"-S LEGEND XZ� vnerl s;:ei : b I structimis s Manua n Ad No. C01014-3B El 697.685S6-3ii El LX1014-3B 0 697t,68756-3B VS1014-3B 697.68715 -3B YT1014-3B 69 794,681,32-313 0- Al: RROW 4', t(juding Maker BUildings�,o Nft"� -LIN( 1 in,."P'l 4� . CAUTION:SOME FAR I S HAI)E:SHARP EDGES.CARE MUSIC BE TAKEN WHEN I iANDLINGTHE VARIOUS PIECES TO AVOID A MISHAP FOR SAFETY SAKE, PLEASE READ SAFETY INFORMATION PROVIDED INTIAIS MANUAL LI BEFORE BEGINNING CONSTRUCTION,WEAR GLOVES I.NG DIMENSIONS Size rOUnded off to the nearest foot WHEN HANDLING METAL PARTS. Exterior DimensionG interior Dimensions 'Appiox� Foundation Storage Area (Roo' Edge to Rc of Edge) (Wall to Wall) Size Size Sq� Ft. CLI. Ft, Wid�h Depth Height V!i di 11 Depth Height 652 11411 1,� 97 �/9" 118 1/4" 157 1/2" Pr,F,/Q" 09 CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION Date: Job Address: A Owner of Property: cln 0 0 Address: lephone: CCC [.-? Roof Contractor: State License Number: V� I W j 0 Contractor's Address: 6r<4 <4 t�- vl� q CA Email: <2=��X_11L Telephone: 6C44, ScopeofWork: Roofing Material '3 FL Product Approval Valliation of Work: Required Inspections: Sheathing/in Progress-Dry In /Final Ifre-roof: Assessed Value of Structure:—<$300,000/_4300,0 Roof-to-wall improvements required? (Applies to single family structures only) "'WARNING TO OWNER: YOUR FAILURE TO RECORD NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE Of commmammr X"IGNATURE OF OWNER: ate: AS TO OWNER: Sworn to and subscribed before me this day of UW 20 State of Florida,County of Duval Notary Public State of Florida Notary's Signature: A Wendy Boufte ErP"ersonally known My Commission DD486166 [I Produced clentification Expires 1111312009 Type of identification produced SIGNATURE OF CONTRACTOO(�� .. Date: AS TO CONTRACTOR: Sworn to and subscribed before me this day of Q 04 20 0'X i Florida No PubucStoo,,: State of Florida,County of Duval ' 4": rift] Notary's Signature: UI)i Wendy Boulle my cmnissikon DD486166 E��ersonall) %4 EXWS 11113rM 0 Produced identification Type of identification produced 800 Seminole Road-Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800-Fax:(904)247-5845 F:\roof permit applicaton.docx 7/29/09 NOTICE OF COM:KENCEMENT (PREPARE IN DUPLI!CATE) Permit No. Tax Foil No. State of County I e�A To whom It may concern: The undersigned hereby Informs you that knprovemeM I will be made lo certain real property,and In accordance with Sectim 713 of the Florida StaU119%the fat owing Information Is stated In ftft NOTICE OF CONMENCEMENT. �'�1.. 1, - -,,– Legal description of property being InWoved: Address of property being improved: General description of improvements: c4 Owner 756 Address Owner's interest in sit,of the improvement_ Fee Simple Titleholder(Ilotherthen owner) Name Address 70] Address Phone NO. ------Fax 4o. Surety(if any) Address Amount of bond$ Phone No. Fax 4o. Name and address of arry person rnaldng a loan for the constrL ction of the Improvements. Name Address Phone No. Fax No. i Name of person within the State of Florida,other than himself,1 Jesignated by owner upon whom notices or other documents may be served: Name 0 Address Phone No. FaxWo. In addition to himself,owner designates the fdbwkV Person tc raosiva a copy of the Lienoes Notice as provided in Section 713.06(2)(b),Florida Statutes.(Fill In at Own6es 004 w)- Name Address Phone No. Fax No Expiration date of Notice of Commencement(Re expiration de le Is one(1)Year from the date of recording unless 9 dillerent date is specifted): THIS SPACE FOR RECORDEWS USE ONLY a I)z YOATE Doc#2009271732,OR BK 15064 Page 128, no dby of Number Pages: I Comm of S of Fitmift,ties pamonally appe—d tPrein by .0 S7 f -d r r Recorded 11/10/2009 at 12:54*PM, hins ty r ma;UM RN 818tsmOnts 8W declaralim herein ew he and OT am tna JIM FULLER CLERK CIRCUIT COURT DUVAL E and raw um"w 4v P4�. NO"Public StMe of Florida COUNTY Wendy 8outle RECORDING$10.00 my commmion DD486166 C (aa rynirp-qw1=9 Notery P I Law,S C ii.,Amjj .. at rW MY eWkes: Pal,=S�4-rlswwly ___" Pmduced Ida tirication