650 Sailfish Dr 2013 Roof �3 CITY OF ATLANTIC BEACH
s f 800 SEMINOLE ROAD
J
r� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number
13-00003593 Date 10/29/13
Property Address . . . . . . 650 SAILFISH DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation 4995
-------------------------------
Application desc
reroof
-------------------------------
Owner Contractor
- ----------
----- -------------___ --------------
CURRELLEY, FREDDIE TIM BATES ROOFING LLC
650 SAILFISH DRIVE 55066 COOK DRIVE
ATLANTIC BEACH FL 32233
CALLAHAN FL 32011
------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee . . . . 75 . 00 4995
Issue Date Valuation
Expiration Date . . 4/27/14
-----------
---------------- ------------------------- 2 . 00
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 , 00
STATE DBPR SURCHARGE
________ ------
Fee summary Charged
Paid CreditedDue
--------- ----------
----------
- ---- 75 . 00 75 . 00 . 00
Permit Fee Total 00 00 . 00
Plan Check Total • 00 00 . 00 4 . . 00
Other Fee Total 4 . 00 00 . 00
Grand Total 79 . 00 79 . 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: /-�-U QRr✓t Permit Number:
Legal Description Parcel#
Floor Area o q. t. Sq.Ft
Valuation of Work$ Y 9 95`= 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 Residentia
If an existing structure,is a fire sprinkler system installed? (Circle one): o N/A
Florida Product Approval# "X 7
For multiple products use product approval form
Describe in detail the type of work to be performed: /4 -A&1-07 CIE -'<A
Property Owner Information:
Name: -s-
- t4 zq &,u fA I y Address: IS-0 54%-4 i tt At-'#f
City,, T�i •-�l -�to State Zip [-Ltf Phone
E-Mail or Fax# (Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: -/ 1 M AA7, A.�444- Qualifying Agent: 'T.-• �?fs
Address: 53AU. CityC t State A Zip 2u 1 A
Office Phone Job Site/Contact Number Fax#
State Certification/Registration i&e 3
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. 1 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 work er
void if
mmenced.of commenced within six I understand that separate permits muor st be secured for Electrical Work,Plumbing,Sigconstruction or work is suspended or ns,or aperiod Wells P ols x urnacemons,Boilers at s,Heaime ters,
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 BEOMENTERECORDING YOUR NOTICE OF
COMMEI hereb certify that 1 have read and examined this application 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 specified 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 law regulating construction or the performance of construction.
P.i..
Signature of Ownjr e6y0 yL3'46 Signature of Contractor
Print Name <. . Print Name I...n-�.... ,/'� i 1.........................................................
14/-!. ......... -141v f.. y................................................ .............�
Be
thi ay of this Xy of 20
�pc out L 963477 att
a� Y
e�mlaFs.,;r:<< Not1,2014
Notary P i r, ,. .__� Aeeoo.Co. e�iREs:FebF�
1-8003 NOTARY of R F1 Notary p�uount Asea.Co.
r«.:','.;�.r., l.800-3-NOTARY ised 01.26.10
NOTICE OF COMMENCEMENT
Permit No.. Tax Folio No.
State of Florida, County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Description of property(legal description of property and address if available):
6,ex' 4im ii ism- AA-lyF e4-nde z ltm e& l2 .>z.}
2. General Description of improvements:
3. Owner Information:
a)Name and Address: SA�61L<�s.P►�,o�vi AYW.M e- dy-h%y R it s
b) Interest in property:
c)Name and address of simple titleholder(if othe.than owner:):
4. Contractor Information:
a)Name and Address: Ae-r v e a. y` cAf .r
b)Phone Number:
5. Surety Information:
a)Name and Address:
b)Phone Number: A
c)Amount of Bond: $
6. Lender Information:
a)Name and Address:
b) Phone Number: �✓�'
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13 (1)(a) 7,Florida Statutes:
a)Name and Address:
b)Phone Numbers of Designated Person:
8. In addition to himself/herself, Owner designates yy of to receive a
copy ori Llencjr's itOt-lc'v a. plc;,ide' tit uG:tii}fti 71�.i. (1) (t)), 1 livid':l St�tt�teJ.
a)Name and Address: ,ti/JA—
b)Phone Number of person or entity designated by owner:
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction
and final payment to the contractor,but will be one (1)year from the date of recording unless a different date is
specified: r* ��-�L ��
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 I,
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. INTEND
WORK OR RECORDING
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING
YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated
therein are true to the best of my knowledge and belief.
S a�---� t A f, Int C. G u Al .G. �
'reofwner or Owner's Au ortzed Officer/Director/Partner/Manager Signatory's Printed Name&Titl Office
The foregoing 7
oin instrument was acknowledged before me this�____ day of
_ as for
by T e of Authority,i.e. Officer/Attorney) (Name of Party Instrument was Executed for)
(Name of Person) (Type
Doc#2013276325,OR BK 16576 Page 1922,
Number Pages:1
Recorded 10/2912013 at 03:07 PM, NOT P BLI , SAT O AFL-ORID,C—
Ronnie Fussell CLERK CIRCUIT COURT DUVAL Print Name: le
COUNTY
RECORDING$10.00 � MELISSA J.COOK
[I Personally Known YCOvfMISSION#DD963477
3, EXPIRES:February 21,2014
[Wentification/Type:
(Affix Notary Seal Above)
Revised 3/15/12