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940 Sailfish Dr 2013 roof I., CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003882 Date 12/30/13 Property Address . . . . . . 940 SAILFISH DR Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2700 ---------------------------------------------------------------------------- Application desc FL 10124 . 10 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ARCHIPELAGO IMMOBILIEN, LLC PICERNO CONSTRUCTION (ROOF) 1140 N 20TH ST 13820-113 ST AUGUSTINE RD JACKSONVILLE BEACH FL 32250 JACKSONVILLE FL 32258 (904) 874-4266 (904) 449-0208 ---------------------------------------------------------------------------- Permit ROOF PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 2700 Expiration Date . . 6/28/14 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 69 . 00 69 . 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: (?z/o Permit Number: Legal Description Parcel# Tod ��� Floor ea o q, t. t Valuation of Work$ m?, 766 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 Residential If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A Florida Product Approval#Fl— im/2 4/ i 0 For multiple products use product approva brm Describe in detail the type of work to be performed: ;P,6,0/`- Property Owner Information: Name: Address: City State_Zip Phone E-Mail or Fax#(Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: �/CE.,eNC, C%mow Qualifying Agent: C tCE,e.uD Address:_ 3/ (,EMC S Z -1(deJ City__-_TA-4<914 t/< State Zip 3 2Z.,35-- Office Phone Job Site/Contact Number Yo S�_4tfF�o2A g Fax#eqo�l�7,5'7-,sI{ State Certification/Registration# GCG a s7agl� 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. I 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 void f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod ofsix months at any time after work is commenced. I understand that separate permits must be secured or Electrical Work,Plumbing,Signs, Wells,Pools, urnaces,Boilers,Heaters, 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 BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereb 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 type ofYwork will be complied with whether speci ted h ein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of arty other federal,state or Z call re gu ing construction or the performance of construction. Signature of Owne Signature of Contractor Print Name yEG�S!1UT............................QZAC. {�E� Print Name ........................................................................................................................................ Before We this ay of 20 thi a of �C 20 TENSyty¢ Not Commis"Utdrypu 3 o 49709 I�PQI�Q9a60 My comm.expires Dec.16,2014 "+'"`� ' fuery 14,2014 c " 3und d TAru iW;ri eubllc Underwriters Revised 01.26.10 NOTICE OF COMMENCEMENT Permit No. -3 9Y 2- 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): I'An SAIZ-15S w 2. General Description of impr eents., 3. Owner Information: �E, AV v ST'• a)Name and Address:Ai!?ei//0E 1.4 8. 3 12-4-0 b)Interest in property: GV1 6.011 c)Name and address of simple titleholder(if other than owner): :� 7 k✓.¢G .9,-,01L 77 OA) 4. Contractor InformationG b , a)Name and Address:I/C Al D � AJ I;I—ZW C.j�v� Cao TR G/fs c'J Vt«E� �C. b)Phone Number: Oel-XIV IV"D Z©8 5. Surety Information: a)Name and Address: b)Phone Number: 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 of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. a)Name and Address: b)Phone Number of person or entity designated by owner: 9 Expiration date of Notice of Commencement(The expiration date is one(1)year from 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 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.IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. The foregoing instrument was acknowledged before me this —day of ,20j-�/ A O-,03 - PG`��/ SUSAN GISPANSKI -OTARY PUBLIC ST OF FLORIDA * MY COMMISSION k EE 648444 Print Name: 8' EXPIRES:November 1,2016 Bonded Thru Budget Nobry Services 19- ersonally Known O Identifrcation/Type: Verification pursuant to Section 92.525,Florida Statutes.Under penalties of pe9gry,I eclar t Ie read the foregoing and that the facts stated in it are true to the best of my knowle li Doc#2014009627,OR BK 16659 Page 1943, ASS;iaturekPropey Owner Number Pages:1 / Recorded 01/14/2014 at 10:24 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 Revised 10/1/2009