485 Sailfish Dr roof 2012 41 CITY OF ATLANTIC BEACH
or)
J 800 SEMINOLE ROAD
J° ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
4,013!9?
Application Number . . . 12-00001807 Date 12/12/12
Property Address 485 SAILFISH DR
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 15000
Application desc
reroof
Owner Contractor
SOK, JAMES A NEW LOOK RENOVATIONS INC
485 SAILFISH DR E
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246
(904) 535-0735
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 125 . 00 Plan Check Fee . . . 00
Issue Date . . . Valuation . . . . 15000
Expiration Date . 6/10/13
Other Fees STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
Fee summary Charged Paid Credited Due
Permit Fee Total 125 . 00 125 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 129 . 00 129 . 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
Job Address: y � j l � b/ E pp Permit Number:
mber:
of7` it..7
Legal Description 30--9y fig`Z i r i /9JwS v�, ZParcel # / 7J
Z70 0000
Floor A a o Sq r S q rt
Valuation of Work$ /, /
Q D0 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 N/A
If an existing structure,is a fire sprinkler ystem installed? (Circle one): Yes
Florida Product Approval # ft, kc )
For multiple products use product approva form
Describe in detail the type of work to be performed: , mli eye" ETK,14 J <Ago t w/ b,/
Property Owner Information:
S' Address: T' Sa.,�' 21 Dr.
Name: /# 1*, S ° State Zip ?2233 Phone Clot/ - 8`91- 9175
City �-l.►�#rte ���
E-Mail or Fax# (Optional)
Contractor Information:
• r, _ Qualifying Agent: L
Name: _. god, � tat FL. Zip JZL4�Y'i
Address: N :ec le if)04 City J"L�Lttle✓.11•! 1
Address: Z,fts' :<�!d •tl� Fax#
Office Phone f '•rY .0 P J Job Site/Contact Number ffi S.?5 O73�
State Certification/Registration# Gh - /2A-329Z / Gee-- /329G2S
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 f is permit made to all work will be performed orrmed work and
the standardssof as indicated. I certify that no work or installation all laws regulating or on construction tiejurisdi jurisdiction. This permit e becomes null
issuance of a permit and that all wo P f
and void if men is not commenced within six(6) permits or u must be secured for work is suspended
Signs, Wells,
Pools, Furnaces, Boilers, Heaters,
work is commenced. I understand that separate permits must be secured for Electrica Work, Plumbing, 'g
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR F AIL PAYING TWICE OR IMPROVEMENTS
COMMENCEMENT MAY RESULT IN YOUR
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING
RECORDING YOUR NSULT WITH
YOUR LENDER OR AN BEFORE
locate or • . he
I hero corkfwthat I have read and h this n or not. .The Thee granting of a correct. All laws and 'io[at or is
type si work any t rfed federal,with p
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Contractor ,/_ / ��∎
Signature of Owner A
Print Name Ca"eS
A. Sok„ Print Name 44 fir,4 S
Sworn to and subscrib d before e Sworn to and subscribed before e
20 Day of ►. ) f-, 20 Z
Day of ti+ t V L this y
this_ y �� °�, 57 /* ".Y;`144:- 1 Vim. - t Notary: c''' MY c •MISSION#EE181328
46.- o MY COM I tea'•N#EE 181328 ??4,� EXPIRES March 1eaQst�d 01.26.10
%,i, •,: EXPIRES March 21 2016 [407)398-0153 FwrdeNOmss°'
(407)398-0153 FtorkleNOWY °OO^
NOTICE OF COMMENCEMENT
MRESPAPE IN OU t:ATe)
Permit No Tax Folio No. -----
Stete,of fri _ County of .0..0 4____-_ _
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.
Leg&description of property being improve,: ot 171)(14 Ar. ---of/Gy ikz,2. 444, Ft-32.2-33
r _ �,� � Z r_3. 133
Addr. of property being imps ovied: .. _ _... - .
G-c" -131 description of improve.ments (ii ..
Ax ... ,i 4$S S*4;tfeltabr C. D . c RG , 3 .133
Owner', .rte rest in::te; .e i...P 0'. .r, ;,:
Fee Simple Titleholder(If other than owner) ___r__,__ _ ----•----
Name
AJdres _ .._ _/ __._ _.___._
Contractor 44,/`G /1jla_.5
Addra5r Z S Z S B A i v p t r r y e- -k ✓�f l _.___4,K f_ .k—3?,'z y G -
Phone NO...C.!y:.dsr-.0. , - x NC. _
Surety(if turf)._ __._ ._ .. �_ _.�
Address— _ Amount of bond$
Phone No.. _ _____ _ ._-Fax Nc. _ _____.__..-._...____.__._._.._._
Name and address of any person making a loan for the construction of the improvement=_•.
Address
, hone No 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_ - ___.__._____ _ _ _ _ __
Pt,one 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 Statutes (r-iii in at Owner's option).
Name ,-___ __ — _ �___ _.__-- _� �.__v_____
Address W
Phone Na.,_ _ Fax No.
N to
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date is specified):___________ ____.____ _ ----- _.---_._M _ W tw `'N' 5
THIS SPACE FOR RECORDER'$USE ONLY I ER a
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fiere�Oy iL y
Doc#2012258969,OR BK 16147 Page 798, trireaerr , a ma inat asi= ma s area dec s-atitns neresn Y f cc 1
Number Pages:1 I true and 2101:1Tritt, U x a
Recorded 11/16/2012 at 11:28 AM, f 0 W
JIM FULLER CLERK CIRCUIT COURT DUVAL i11 -
COUNTY i '
RECORDING$10.00 _._ - `� C �5
hiy ecminissiare expare —__ _ __ __ ,_,�t,1`-1—_____