252 POINSETTIA ST - ROOF : ' \`S, CITY OF ATLANTIC BEACH
lJlli800 SEMINOLE ROAD
J 1 ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
'''' S_ '
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-1672
Job Type: ROOF PERMIT
Description: remove existing roof, install new roof
Estimated Value: $5,900.00
Issue Date: 7/25/2016
Expiration Date: 1/21/2017
PROPERTY ADDRESS:
Address: 252 POINSETTIA ST
RE Number: 170570-0100
PROPERTY OWNER:
Name: SAPIA TRUST. JOAN I
Address: 1655 SELVA MARINA DR
GENERAL CONTRACTOR INFORMATION:
Name: WHITE'S ROOFING COMPANY, INC
Address: 14262 PLEASANT POINT LN QA TIMOTHY HOUSTON
WHITE
Phone: - -
FEES:
BUILDING PERMIT FEE $79.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $83.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 252 Poinsettia St Permit Number: NO- 'x-00 F- lb"tc-
Legal Description 10-16 1 6-2S-29E Saltair SEC 3 Lot 544parcel# 1 7p 7n-n1 nn
Floor Area of Sq.Ft. q. t
Valuation of Work$ 5, 900. 00 Proposed 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 Residenti.
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes OF N/A
Florida Product Approval # F11956. 3 U/L FL 1 5 21 6
For multiple products use product approval form
Describe in detail the type of work to be performed:
Remove existing roof, install new roof
Property Owner Information:
Name: Peter Sapia Address: 1655 Selva Marina Dr
City Atlantic Bch StateFlZip 322.33 Phone 304-6080
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS: whi f-AGrnnfi ng4ai-i- _ nAt
Company Name:White' s Roofing Co. Inc. Qualifying Agent: Timothy White
Address: 14262 Pleasant Point Ln City Jax. State Fl Zip32225
Office Phone 2209 5 46 Job Site/Contact Number Fax#
State Certification/Registration# CC-C05801 7
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 if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for 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, 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 herebycertify 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 ofworkwill be co • red with whether s.eci i• herein or not. The grantin_ o a .• mit does not presume to give authority to violate or cancel the
provisions of any other f.•. .1,state, or 1. Vilft•tingg constructi•• • • •'r ormance of construction.
Signature of Owner 1%11fr. Signature of Contractor �Ili1R7.7s.�_
Print Name Peter Sapia Print Name ' im• - �te
Before meJ� `t i a I �O B— — Before me
thisc3 Day of DEBBIE J.PIT-1,M ' thiscsk,, Dayof o�OI DEBBIE J.RITTEl 0
acv��;t, .k'1�y <<� ,
� 4 k + _ NotaryPublic-State of Florida � ;=o � , Notary Public-Slate of Florida
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Nota eublic
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NOTICE OF COMMENCEMENT
State of Florida Tax Folio No.
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:
10-16 16-2S-29E Saltair SEC 3 Lot 544
Address of property being improved: 252 Poinsettia St Atlantic Rch, Fl_ 32233
General description of improvements:
Remove existing roof, install new roof.
Owner: Peter Sapia Address: 1 655 Selva Marina Dr 23c X 7Jz a
Atlantic Bch, Fl. 32233 m°5 0 58
Owner's interest in site of the improvement: o z to a A
Fee Simple Titleholder(if other than owner): Z"(o o o
VC) N CO
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filli) Contractor:Name: White' s Roofing Co. Inc. (Timothy White) 0 0) 0
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Address: 14262 Pleasant Point Ln Jax. Fl. 32225 o r,)
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Telephone No.: 220-5546 Fax No:
Surety(if any) 013
Address: Amount of Bond$ p
o co
Telephone No: Fax No: c
Name and address of any person making a loan for the construction of the improvements r
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:
Telephone 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 Statues. (Fill in at Owner's option)
Name:
Address:
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
L specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNE
Signed: ` , Date: ri-a(Q-1 le
Before me is ,„.1(,) day of 4 \? Cl(o in the County of Duval,Stat
i4,l „oe
Of Florida,has personally appeared . R P4pq
,,,���,,�„ DEBBIE J.RITTER Notary Public at Large,State of Florida,County of Duval.
`0��,0.Y'V4,C'
„`�, Notary Public-State of Florida My corn))fission expires: j - I a -
'
,., ,•� .•:My Comm.Expires Dec 12,2017ersonally Known or
III • .
p Commission # FF 058465 Pro.u •• • ) )cation:
°, ;” Bonded Through National Notary Assn.