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920 Sailfish Dr 2012 roof i 11 CITA OF ATLANTIC BEACH Is1 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 12- .0001156 Date 9/04/12 Application Number 920 SAILFISH DR Property Address . . • Application type description R00 PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5200 Application desc REROOF ---------------------------- Owner Contractor -------- PAGE, RAYMOND ALIGN ROOFING, LLC 2242 NEWBERRY RD 920 SAILFISH DRIVE JACKSONVILLE FL 32218 ATLANTIC BEACH FL 32233 (904) 237-4700 ---------- ----------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . Plan Check Fee . 00 Permit Fee . . . . 80 . 00 5200 Issue Date Valuation Expiration Date . . 3/03/13 --------------------------------- Special Notes and Comments NEED NOC ----------------- Other Fees 2 . 00 STATE DCA SURCHARGE STATE DBPR SURCHARGE 2 . 00 __-------- ____ -------- Fee summary Charged Paid Credited ----Due--- ---- -- 00 . 00 Permit Fee Total 80 . 00 80 . 00 . Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 84 . 00 84 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY O ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLAN irIC BEACH 800 Seminole Road, A laritic Beach,FL 32233 Office(904)247-5826 Fax (904)247-5845 Job Address: ��' S /� r- TI.�N�� 0o—k 7,?213�Permit Number: Legal Description d`e- R,,oParcel# nor Area of Sq.F,. Sq.Ft Valuation of Work$ , 2-9-2 Proposed Work heal ed/cooled non-heated/cooled Class of Work(circle one): ew Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) circle one):installed? al Residential If an existing structure,is a fire sprinkler system nstalled? (Cir le one): Yes No N /A Florida Product Approval# For multiple products use pro uct approval form Describe in detail the type of work to be performed: �e Proaertyonwner Information: Name: /'l Ar ,� e- Address: 2-Z 5.4 s City State Zip 3 2ZI3 Phone E-Mail or Fax#(Optional) Contractor Information: /,' o, uali .n A ent: Company Name: S� � �� L�-� � g g Address: 12-1c, 2• ✓e f- C ty-YA, - s a��1 tc State Zip32 - Office Phone 9^y 7 2 i - 7 4 3 Job Site/Contact Numbe C-e /3 Z 9SG o Fax# 90 y s4"- 7 .L State Certification/Registration# Architect Name&Phone# Engineer's Name& Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address 11 pplication is hereby made to obtain a permit to do lite work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance o,f a permit and that all work will be performed to meet the standards of 11 laws regulating construction in this jurisdiction. This permit becomes null and void tf work is not commenced within six(6)months,or ij'construction or wc rk is suspended or abandoned for a period of sixp6)months at any time after work is commenced I understand that separate permits must be secured for ectrica!Work, Plumbing,Signs, Wells, PdWs, urnaces, Boilers,Heaters, Tanks and Air Conditioners,eta WARNING TO OWNER: YOUR FAI URE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND T OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BE ORE RECORDING YOITW NOTICE OF COMMENCEMENT. 1 here h certify that 1 have read and examined this application and know the sameto be true and correct. All provisions of laws and ordinances governing this type ofwspecified ork will be complied with whether herein or not. The gra ing of a permit does not presume to give authority to violate or cancel the provisuons of any other federal,state,or local law regulating construction or thexrformance of construction. XSignature of Owner �� Signature of Contractor Print Name /� �, Print Name W4 Swom to and subscrib�ed bore me Sworn to and subscribed befor 20/L this / Day of e _.. _ L this SHIRLEY L.GRAHAM _ M MM ON 9 14901 . M1Y GnMMISSION#t DD 967760 otary Public °�• EXPIRE&February 1a, o EX ' Bonded Thai Notary f u61ic Undervrriters , , aonr 107 �Ottq NOTICE OF COMMENCEMENT EME NT State of T/0 2;04 Tax Folio No. -- - County of A"2 1. t- -- To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: -- Address of property being improved: ,_ S - --- - General description of improvements: Owner: � rt+q e. Addres Owner's interest in site of the improvement: _.------ Fee Simple Titleholder(if other than owner): Name: Contractor: ¢ L• � ' LL M-- Address: /2 % /Z >,t ; j t c:(c y .. J►rL .J 2 L (c Telephone No.: 7a/ 7 G 63 Fax N `S Surety(if any) _ _... Amount of Bond S Address: Telephone No: Fax No: Name and address of any person making a loan for the construction o F the improvements Name: __-- Address: Phone No: __ Fax No: Name of person within the State of Florida,other than himself, desi ated by owner upon whom notices or other documents may be served: Name: _ --- Address: Telephone No: Fax o: In addition to himself, owner designates the following person to receive a copy of the Lienors Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: _ Fax o: Expiration date of Notice of Commencement(the expiration date isi one (1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER i Signed: day of .r i-- in the County of Duval,Stat Before me this .__ (.._ - Doc#2012190004,OR BK 16056 Page 2001, Of Florida,has personally appeared Number Pages:1 Notary Public l.,arge,Stale of Florida Recorded 09/04/2012 at 01:53 PM, My $� My commissio expires: My COMMISSION _ JIM FULLER CLERK CIRCUIT COURT DUVAL :•. .*- COUNTY Personally Kn r�n:_ ' RECORDING$10.00 Produced(dent Ccation: P C_(�_. EXPIRES November 30.2015 II