975 Sailfish Dr - Re-Roof ,< r J .
' � \i� CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
t. ' ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
./J.r319'r
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16- ROOF -119
Job Type: ROOF PERMIT
Description: REROOF
Estimated Value: $6,800.00
Issue Date: 1/15/2016
Expiration Date: 7/13/2016
PROPERTY ADDRESS:
Address: 975 SAILFISH DR
RE Number: 171259 -0000
PROPERTY OWNER:
Name: BONI, RITA
Address: 975 SAILFISH DR
GENERAL CONTRACTOR INFORMATION:
Name: HAMMER TIME ROOFING
Address: 627 AQUATIC DR ANTHONY BETANCOURT
Phone: - -
FEES:
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
BUILDING PERMIT FEE $84.00
Total Payments: $88.00
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. 171259 -0000
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: 30 -60 38-2s-29e
Royal Palms Unit 1
Address of property being improved: 975 Sailfish Dr. Atlantic Beach, Fl 32233
General description of improvements: Re -Roof
Owner Rita Boni
Address 975 Sailfish Dr. Atlantic Beach, F132233
Owner's interest in site of the improvement
Fee Simple Titleholder (if other than owner)
Name
Address
P lc)/ Contractor Hammer Time Roofing LLC
Address 13465 Soledad Ct. Jacksonville Fl, 32224
Phone No. (904)716 -9149
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.
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 be served:
Name
Address
Phone No. Fax No.
In addition to himself. owner designates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.06 (2) (b). Florida Statutes. (Fill in at Owner's option).
Name
Address
Phone No. Fax No.
to
Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a 2 g - N
different date is specified): a ; co
N
THIS SPACE FOR RECORDER'S USE ONLY OWNER w g w
signed: edit, �aC DATE / / / � v
Before a this c{ day of y14,,%, { ; s 9 ' t L in the "' " n o
CoyntyL Duval. Stag of Flortdg,nas personally appea
DOG ff 2016011611, OR BK 1 7430 Page 1 19, himself/ rrself and emirs that au statements and (federations herein herein by o E
Number Pages: 1 are true and accurate
Recorded 01/1512016 at 03:08 PM, { ° ��
z
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
OUNTY /` ,`
RECORDING $1Q•QC
��� :
J
Notary Public at Large. State of f-- ounty of -7_.)t--• -7_.)t--• (,' ` ` s * y ) '°
My commission expires: =; �, ti
Personally Known or
Produced Identification _��� .,
• BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: J — Fly; 5 ; a
Legal Description 80-(DO Permit Number: 46
Valuation of Work $ gpt) oor • ea o Parcel #
. t
Proposed Work h /cooled - 4
Class of Work (circle one): n heated /cooled
New Addition Alteration
Use of existing /proposed structure Commercial '
s) (circle one): esidenti Repair Move Demolition pool /spa window /door
Ilan existing structure, is a fire sprinklers stem installed. (
Florida Product Approval # F 05a C ircle • one): es
For multiple products use product approva orm N /A
Describe in detail the type of work to be performed: p I
� - 71ao� emo e old Si,,, le Q
1 +Gtl •
he ri:C • (Fed '
Owner Pro e n 1
r Information: •
Cit 4. Ian ■ h Address: 9 S a, 1 - -
Name: A Aa i
\ s
E -Mail or Fax # (Optional)__ State FZ Zip 3a Phone , < 4
Contractor Information:
CONTRACTOR E
_ pp �: MALL ADDRESS:
Company Name: i omme ( T !n, e it • h �
Address: 13 LA b 5 So , c� C Qualifying Agent: `,? �hcn
Office Phone r� - I y City k5t � 1 ` r $
State Ce rtification/Registration # ' C 13 Site/ Contact Number State C Zip 3 c/
Architect Name & Phone # Fax #
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 i
issuance ofa permit and that all work will be performed to m jurisdiction.
eet the standards of all laws regulating construction in this
and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned fora erio
work is ommenced. I understand that separate permits znzzst be secured for Electrical Worlt, Pltzn:bin g, e Slo ns, Well nstallation has commenced prior to the
wanks annd Air Conditioners, etc, p l s, Pools ol, This permit s, Hea t, becomes
ers F�iizaces h Boile s time
eaers
WARNING TO OWNER: YOUR FAILURE TO RECORD
C OMMENCEMENT MAY RESULT IN YOUR PAYING TWICE
TO YOUR PROPERTY. IF YOU INTEND TO OBT A NOTICE OF
YOUR LENDER OR AN ATTORNEY BEFORE OBTAIN FINANCING CONSULT IMPROVEMENTS
CO MMENCEMENTC O � ING Y 0 NOTICE OF H
hereby ert that I have read and examined this a plication and know the same to be true and correct. All provisions o ws and ordinances governing this
pe of work will be complied with whether specified herein or not. The granting ofa permit does no t
° ovisions of any other federal, state, or local law regulating construction or the performance of constructipresume to on.
- uthority to iolate or cancel the
.gnature of Owner t / / , •
Signature of Contractor �,
� O it) ... ....................... ............................... Print Name i
int Name ../ ?-4.
:fore ne...........
o � . ............. ............
S Bef..`
ay o .,o. - Imre
` ( th •4, 11. - c o j ' lorid
til� �* DAW HERLAND 20 ■ tary Public — • y► �.. u. �� nn,w!i!►�E
,� ,� .f Florida I y miss •
I I M • omm. Expires May 29, 2016 I xa're ` ortla
. :•�
o;; o; Commission # EE 202898 , i q ; ir pgR ` o�
4-
•
Revised 01.26.10