713 Sailfish Dr 2014 roof ' z CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
r
Application Number . . . . . 14-00000810 Date 5/16/14
Property Address . . . . . . 713 SAILFISH DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5000
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Application desc
reroof
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Owner Contractor
-
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SOERGEL, D MATTHEW RON RUSSELL ROOFING INC
336 9TH STREET 4419 HUDNALL RD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 714-1907
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . 75 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 5000
Expiration Date . . 11/12/14
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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 75 . 00 75 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 79 . 00 79 . 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 14 - glb
Office(904)247-5826 Fax (904)247-5845
,lob Address: 71'�> ''SmA�i511 DC Permit Number:
Legal Description &V41 19al S (1 i�4-o-f 12 13 1K(_ Parcel#
Floor Area ol , q. t. Sq. t
Valuation of Work$�nDO.j2Q Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): Newjddition Alteration Mov molition pool./spa window/door
Use of existing/proposed structure(s) circle one): Commercial
if an existing structure,is a fire sprinkler system installed. (Circle one): Yes No N/A
Florida Product Approval #-0�
For multiple products use pro uct approvam
Describe in detail the type of work to be performed:ISP-roc)F P/i f'tt ho",c- w);tht V-&#,mo mfAs _
Property Owner Information:
Name: cC1101'cA ct So Address:
City �3 State�LZip S2213Phone—acs
E-Mail or Fax#(Optional)__
Contractor Information:
Company Name: .�j[S ° .� "`1t4 � _.---- Qualifying Agent: .�L�CY,� - � �'/(!' - --
,Address; 411��Ql!all_R�- - --- —_._..---- -Ci�-��4C�nv+1L�__—._State CL Zip 37an�
Office Phone 9QK-7iN-_f tot _Job Site/Contact Number Oy- _—_ Fax# 9011-roS+d✓ QpQ_
State Certification/Registration
Architect Name& Phone#
Engineer's Name& Phone#
Fee Simple Title Holder Name and Address_
Bonding Company Name and Address-
Mortgage Lender Name and Address
Appheation is hereby made to obtain a permit to do the work and installations as indicated. I certfi,that no work or innallation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards ofall laws regulating construction in this jurisdiction. Thins permit becomes null
and void rf work a not commenced within sir(6)months,or if construction or work is sus/tended or abandoned fw a p.eriad gfsix(6)months at onry time after
work is commenced. I understand that separate permas must be secured for Electricar Work, Plumbing,Signs, Wells,Pools, Furnaces, 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 hereby certiA-that I have read and examined this application and know the same to be true and correct :9I1 provisions of laws and ordinances governing this
type of vvork'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 oval law regulating construction or the performance of construction.
Signature of Owner Signature of Contractor.
Print NarneD1� _ �.�.(cq R.�. PrintName
Sworn to and subscribed before me OO Sworn and subsc �d before me
t 's a of 20 this S Day of
/ 201
ar'y4ublic Notary Pu is
Revised 01.26.10
KA7LYN iAOiITg01ERY TERRANCE SANTILLI
1AILMy C0AMM t FF 079791 NOTARY PUBLIC
* * EXPIRES:D@WAw 2%2011
d'4"OF i� li0�dlEilK1 www0mvim i STATE OF FLORIDA
. Comm#FF016455
E)ires 5/6/2017
NOTICE OF COMMENCEMENT
iPREPARE IN DUPLICATE)
Permit No. R-14- Tax Folio No.
State of Florida 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.
Legal description of property being improved: Royal Palms Unit 1, Lot 12, Blk 6
Address of property being improved: 713 Sailfish Dr.,Atlantic Beach, FL 32233
General description of improvements: Reroof
Owner Richard Nacca .- Vit, 4.
Address
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Ron Russell Roofing, Inc.
1 Address 4419 Hudnall Road,Jacksonville, FL 32207
Phone No. 904-714.1907 Fax No. 904-636-9909
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 N/A
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 Ron Russell Roofing,Inc.
Address 4419 Hudnall Road, Jacksonville, FL 32207
Phone No. 904-714-1907 Fax No.904-636-9909
In addition to himself,owner designates the following person to receive a copy of the Lienors Notice as provided in
Section 713.06(2)(b), Florida Statutes. (Fill in at Owners option).
Name N/A
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY C OW R
Signed: J DATE
Before m this day of
in the
County of Duval.State of Florida.h personally appeared
herein by
Doc if 201410950 1,OR 8K1 6783 Page 122:1, himself herself and affirms that all statements and declarations herein
Number Pages:1 are true and accurate
Recorded 0516/2014 at 01:04 PM.
Ronnie Fussell CLERK CIRCUIT COURT DUVAL r°`F Y'�� KATLYN MONTGOMERY
COUNTY (f * t MY COMMISSION 4 FF 07979
RECORDING$10.00 C EXPIRES:DeambN 29,201'
o ary Pub) at Large.State of County of �` �� Iwkd lhru Iull�elHoary Slnice
My commission expires: _ ____
Personally Kno,vn or
Produced Identification -�