810 sailfish Dr 2014 Roof CITY OF ATLANTIC BEACH
r 800 SEMINOLE ROAD
J Ax y ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00001317 Date 8/15/14
Property Address . . . . . . 810 SAILFISH DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4950
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Application desc
reroof
Owner Contractor
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TAFURI, CASEY EQUITY BUILDERS OF FL LLC
2650 2 ROSSELLE ST 1925 SOUTHHAMPTON RD
JACKSONVILLE FL 32204 JACKSONVILLE FL 32207
(904) 677-6182
182
-- -------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . . 00
Permit Fee 75 . 00 Plan Check Fee .
Valuation . . . . 4950
Issue Date . . . •
Expiration Date 2/11/15
-----------
. 00--------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2
STATE DBPR SURCHARGE 2 . 00
Fee summary Charged Paid Credited Due
----------------- ----------
Permit Fee Total 75 . 00 75 . 00 00
. 00
Plan Check Total . 00 . 00 . 00 . 00
00 . 00
Other Fee Total 4 . 00 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: g/y Pati Z Permit Number:
Legal Description X30 — G o 38— ar — o2 9 E /l•, l /.vDarcel#^
Floor Area of Sq.Yt. Sq.Pt
Valuation of Work$ Proposed Work heated/cooled loo� non-heated/cooled
Class of Work(circle one): New Addition Alteration e air Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial esidentia
If an existing structure, is a fire sprinkler system installed? (Circle one): es `tO N/A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed:le,�d�,� 1:4L) -//---12 U'li�.� VDd 14
Property Owner Information:
Name: c Address: /�C � 1/9?,Z -g)r dP
City State ip3tone yQ`
E-Mai or Fax# (Optional) �J
Contractor Information:
Company Name: 7,V, /df--r o - Qualifying Agent: �, /o
Address: �-�T f �� r City , /( tate C- Zip Y
Office Phone 2v -03 9 g"���SG Job Site/Contact Number $ - 7�G , c ,�(� Fax#
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
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 void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six 6)months at any time after
work is commenced. I understand that separate permits must be secured for 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 of work will be complied with whether sped ied 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.
Signature of Owner t Signature of Contractor
Print Name Cast �t os
Print Name
-- - ..........................__...............------....----------......-_.._.................................-. ............ ._l�_......__....................................... ..__
Sworn o and subscribed before me r r Sworn t and subscri d be ore rpS� 20 N
this Day of \ . 2014 this Day of � CJ
Nota ublic V ablic
t Nota Public g Stanton Hudmon
Stanton Hudmon
My Commission EE153510 My Comr�isaion EE ¢1
OFF poi Expires 03116/2016 or n Expires otft�l2dt 1•L6.1
08/15/14 11:03AN Pine Street/RPS, LLC 904-396-2545 p.01
NOTICE OF COMMENCEMENT
State of, w Tax Folio No.�.�- •. �_____ � ..,,... ____
County of
To Whom It May Concerti:
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: _ Vie._:..,/ c�...,. =c S �_ ;. � .s—�'` �• '��=-.•,.—
Address of property being unproved: w ... ,� .��:,L....,. ,' ..f_� ...._,,.,........_._ ._. __.^..... _..........._.__....._,.•..,.. ..___.r_--,.
General description of improvetnents:_.......,�D�.�a cL_... sir R ..__... �!fir r� . _aa L.ay_�" .tea,};✓ ..._.,�..... ���._...
-.�E_,tI_..y��tx:G�Cw��'�'.1:..rt..,;t.7',,.,t;�._......r..:�fz.,A ��-~ ,.�.•,,.........._._.__.____._._.,.._....__._._...�.,�,.___.�....-_________._-, -
()Wner: �s�� t{, '.�f��.,-...,.,_...._,.._._____....-.--....__............._ Addre55"_G .......:r.:!ir��;'.�.f:_ r�►...,.�..._.._......_�..,,...,. - ----
Owner's interest 1n site of the improvement: �a.. _. �•�-•. _ , ._..___ Doc 4 tat ell 84066,OR SK 16879 Paye 2160,
Fee Simple Titleholder(if other than owner): Number rag"-: 1
y Recorded 08115,12014 at 1d;0S AM,
� J Name: Donnie Fussell CLERK CiRCUIT COURT pUVAL
UNTY
,.Contractor: r aE�CUr~C�lNc3$1t7.Q�3
G _/_...
res. : L1Y„W c , �- f. _,__ .�..•W_ �_..._...._.. ................. ..... ....... ..........
Add s �--�•----
�N' 'Telephone No.: Pax... Fax No:
Surety(if any) h(�f,.,.,... __....__ .. _ __.__..-...,,.,...._.._ _ _._......... . __�_...__ ,.,.. __..._............_.......:,W � __..._.......__... __.....
Address: Amount of Fond
Telephone No: ... Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
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 he
served: Name: -------
Address:
_---.Address: °!� __ __.... .W�_......_
Telephone No:_._.......... _ _ Fax
in addition to himself, owner•designates the following person to receive a copy of the Lionor's Notice as provided in Section
71:3.06(2)(b), Florida Statues. (Fill in at Owns-'!,option)
Address” _ ___.,.,,•W�
Telephone 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):_ y ....._........._..__..,..,:.,,,�...........___ _
THIS SPACE FOR RECORDER'S USE ONLY OWNER
j"""'- n the Count of i)►vai,Elate
'e�1''^'"••
LORI LYNN WC14B cIN Beforc me this _ day of. .. ii
Of Florida ltatr'pc:rso ally appe crud w .. _ ti..-• 5 •� L
MY COMMISSION# l"847677 Notary Public a1.i.argc,St c al'1'lorida.it'nunty
F-xPIACS November 17,12014 My cotnmissian expires:���U 2�� r" � L�r � w � _.._.___._„
4fl1 .� 153 N 6eN 't Ycr-onally Known: __ W _..-- r
_.
Produwd Identification:_ ,t ,� C2 C_1�1!S'�.. ....•! •l.° ._.
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