Permit ReRoof 630 Sailfish Dr 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
5113
Application Number . . . . . 12-00001783 Date 12/06/12
Property Address . . . . . . 630 SAILFISH DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3800
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Application desc
reroof
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Owner Contractor
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PERKINS, CATRINA C BEACHES HABITAT
630 SAILFISH DR E 1671 FRANCIS AVENUE
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-1222
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 3800
Expiration Date . . 6/04/13
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 74 . 00 74 . 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
ob Address: Permit Number:
,egal Description o-`- 39 S ME ?141-5 Parcel # 1-o}- 3 ( k 5-
oor Area o q. t. Sq.Ft
'aluation of Work S Proposed Work heated/cooled 1450 non-heated/cooled 7S
4464;&; seee -00
lass of Work(circle one): New Addition AlterationRe j Move Demolition pool/spa window/door
se of existing/proposed structure(s) (circle one): Commercial
an existing structure,is a fire sprinkler system installed? (Circle one): No /A
lorida Product Approval# 1T'a
or multiple products use product approval orm
escribe in detail the type of work to be performed:
roperty Owner Information:
ameAddress:
ity_ 1 State'4i__._Zip 3 ts33 Phone _714, - ?W3
Mail or Fax#,(Optional)
mtractor Information:
)mpany Name: U,_tl �; .. Qualifying Agent:
idress: 1 Ln t Gr .,,L%!& j� City R%&4e5 State tel. Zip 3 2.L
"rice Phone !q&y- Zu i- i itt. Job Site/Contact Number 5o V- 33tl- 12.&-L Fax#
ate Certification/Registration#
•chitect Name&Phone# 111 R
igineer's Name&Phone# 1✓/�
e Simple Title Holder Name and Address
>nding Company Name and Address
brtgage Lender Name and Address
plication 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
,ance 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
i void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a period ofsix(6)months at any time after
rk is commenced, I understand that separate permits must be secured for Electrical-Work,Plumbing, Signs, Wells,Pools, Furnaces,Boilers,Heaters,
7ks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR EUPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR,LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMAIENCEMENT.
reb certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
o7work will be complied with whether specij ed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
visions of any other federal,state, or local law regulating construction or the performance of construction.
pature of Owner Signature of Contractor
�
of Name }
� �( Print Name
_...._....._......._. .. . � . ...........................................................
orn to and subscribed before me Sworn o and subs ribcd before me
Day of��+p��� 20 (L this �\Day of _ b�.�L 20 r"Z
- - - - I �
ih�.
M.FREEMAN
liar Pub is .0 °` o y Pub is ='_ Notary Public-State of Florida
_ `�'= Notary Public-Sta!897794
Florida •.
• "M My CoJ�m.Expires Jun 10,2013
• era y Comm.Expires J ,2013 r vl"i iisii�416D 897794
%r
Commission#r O �'�O
— — —
NOTICE OF COMMENCEMENT
State of Florida Tax Folio No.
County of Duval
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.
Ik
Legal Description of property being improved: 3o- (o o 3s- As -..%,5 F �u�k� 7c�,w.s �� 1
Address of property being improved: (00 S4 i 1:65 -4 I _" j�� � 3 2,L 33
General description of improvements: t4l,;-- e 1—A-tz'K IAVA.) -ge s �" Inc �.f3 -}viler w,►, S
��� v��J �Cx ��, •-� r,LeL� � �„a c� rue� )r�.k
6 3n Sc i l s� I�•, �I r a,.i,�. ��.
Owner. CuA %.o- ?r-,kr,.t c
Address: ' ''. :71 F eRe nye Atlantic U 4ti,ci= oz=a3223
d
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
C ntractor: Habitat for Humanity of the Jacksonville Beaches
ddress: 1671 Francis Avenue Atlantic Beach FL 32233
hone No.: 904-241-1222 Fax No.: 904-241-4310
Surety(if any):
Address: Amount of bond$:
Phone No.: Fax No.:
Name and address of any person making a loan for the construction of the improvements:
Name:
Address:
Phone No.: Fax No.:
Name of person within the State of Florida,other than himself, designated by owner upon whom notices or other documents may be
served':
Name:
Address:
Phone No.: Fax No.:
In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b), Florida Statues. (Fill in at Owner's option)
Name:
Address:
Phone No.: Fax No.:
Expiration date of Notice of Commencement(the expiration date is one(1)year form 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 with your lender or attorney before commencing work or recording your notice of commencement.
THIS SPACE FOR RECORDER'S USE OWNER/-7 /