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955 Sailfish Dr 2014 Roof CITY OF ATLANTIC BEACH r, l 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000225 Date 2/18/14 Property Address . . . . . . 955 SAILFISH DR Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5300 ---------------------------------------------------------------------------- Application desc REROOF FL13857 . 4 , FL1956 . 1 ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- PALUSZYNSKI, ANTHONY T MONAHAN ROOFING 955 SAILFISH DRIVE 2050 KING CR S ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 568-4920 ----------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . 80 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 5300 Expiration Date . . 8/17/14 ----------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 --------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---- Permit Fee Total 80 . 00 80 . 00 . 00 . 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 OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of County of To whom it may concern: 67 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: Ro V4 4 11' 4 4,wt 11vr I'.,% 4 ff -z'3 4 Address of property being improved: y.5',5` Y4.1L.r[S'IV ✓r General description of improvements: L. >' Z-;RE5W G44S s 5­141,0,: 4C- dzrFf? PfE 4 /,-. d Si i ele do Sr V/// ? UST.55 S'S S!`F_F_.[ /v4 r4 Sc Owner Z9ti7"i40V/ PAW-5-2Y.Slgli Address cl S'S Sys+%�•/=iSf� J�c�jyr_" fa�'�taNT%� l��h/c.�,�IFL . 3-1 2 3 3 Owner's interest in site of the improvement 120 o/=1..j4hi✓j4.,-J IFJQ ti"G Fee Simple Titleholder(if other than owner) Name Address �p Contractor Ivi©A,;pl h141V Address 2 0,:5-o Phone No. 's' It v61 -7 Fax No. 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. BUILDING PERMIT APPLICATION �= CITY OF A'T'LANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office(904)247-5826 Fax(904) 247-5845 q �4N�!G eN " Permit Number: Job Address: �S �r4/���5"hl b/?• I2T 4 Legal Description R6Vi�4 Pro 4 i s 4,A,'4`71 L0TJS1L.,etr 6 Parcel# Floor Area of t. 't Valuation of Work$ 5oot Proposed Work heated/cooled oc• non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structures)(circle one): Commercial 'ResidentialJ If an existing structure,is a fire sprinkler system installed? (Circle ones !- es'No N/A Florida Product Approval# 'FL - LU.S7. 'I FL /RSG 1 For multiple products use product approval orm Describe in detail the type of work to be performed: /w s—w t 1- Y-,,Ctwi= Yfl-L? 3 e'K-j13 S;IVI�;6'1 C Property Owner Information: Name: /;N7,,weN/ P44ilrz Address: 54"S--)-_Lt1 /=isy PeP City 4r.1 KV 7%c ew StatelL Zip 3 2 z 33 Phone .y y4 c,r G E-Mail or Fax#(Optional) Contractor Information: Company Name: M 6 na kc. PO,;,(7i n,G b nk r ckc-+O .f Qualifying Agent: W/4 Address: Z o S o L,, , s Sc L o r City State F L Zip 32z z C Office Phone 221-oos`i Job Site/Contact Number Fax# State Certification/Registration# 12-c--0 0*4 1 24c-% 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 's hereby made to obtain a permit to do the work and installations as indicated I cert that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to mZt the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or construction or work is suspended or abandoned for a_period of six 6)months at env time after k iscon7menced. /understand that separate permits mt be secured for Electrical Work, Plumbing,Signs, Wells, Pools, Furnaces, Boileis,Healers, 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 INTENT) TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I herehv certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws a d ordinances governing this hype of work will be complied with whether speci red herein or not. The granting of a permit does not presumeWauto violateor cancel the provisions of any other federal,state, or local Inv regulating construction or the performance of construction. Signature of Owners / rte✓✓/w Signature of Contract Print Name �_ ' .. `_l �. ..Z y s/ ..�.'... ........ Print Name ........................_.............. Sworn to and subscribed before me Swocn t and subscribe before me this 3l Day of tea. o..-, 20 this Day�of 20 Ar . NM ,.'k, N Nota :.= Commission#EE 134507 Notary ubl ',,,,� Expires September 28 2015 ;�ti P'� ENID V.JOHNSON Expires SeF.inM...b.eoo 2015 •? Commission Wj01. 6.10 Expires June 15,2016 °�.,p�F°•`� Bonded r-Troy Fein koxanceW"85.7019