870 Sailfish Dr re-roof permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALLBY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-2651
Job Type: ROOF PERMIT
Description: RE-ROOF SHINGLES
Estimated Value: $5,345.00
Issue Date: 11/28/2016
Expiration Date: 5/27/2017 _
PROPERTY ADDRESS:
Address: 870 SAILFISH DR
RE Number: 171161-0000
GENERAL CONTRACTOR INFORMATION:
Name: MANNY'S UNIQUE REMODELING INC
,CCC1330752
Address: 8362 E CROSS TIMBERS DR
Phone: -
FEES:
BUILDING PERMIT FEE $76.73
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $80.73
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233 p
C /Office (904)247-5826 Fax (904)247-5845
S (o-I1dOF-z�rJ C
Job Address: e7O Oil &,A D2 A4Ina�r`r_ iezzc�Permit Number:
Legal Description Parcel#
Floor eao q. t. 1 q. t
Valuation of Work$ �3 LI 5 Proposed Work heated/cooled 4 g� 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
If an existing structure,is afire sprinkler system installed?(Circle ole): N/A
Florida Product Approval# FL- (OG 7 l -i - 1'L l tj 2!G m o
For multiple products use product appro�form
Describe in detail the type of work to be performed: TO 'I CtfK a Uti
SIn4,xcgfe.s
Property Owner Information:
Name: if t,`Loyt 5 Address: e7O 50,4 5a n>L
Staret'Z�jKgF3 Phone 910 — &66220
E-Mail or Fax#(Optional)
Contractor Information:
Company me: 6tn r.�lS t)r_tui (Lente /1'sra Qualifying Agent: yyj�,�,va( l- 2_
Address: (SZ 5 L oSS Cutt+r/d c- f City SA X50"u'' C.�Starts L Zip 3 a 2
Office Phone_ o — 2 95 5 Job Site/ omact Number Fax#
State Certification/Registration# C C C_ 1"3�0 7 5 2
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 inetallatiav ar indicated !cem fy tMt no work or imtdlation/ms commenced prior to the
aanee o(a permit mrd that all work will be performed to meet the standards ofdl laws regulating construction in this jurisdiction This permit becomes null
and void work u not commenced within sir(6/months,or ifcomtmelion or work is susyeriled or abandoned jot a period ofsix(6)month at any time after
work is commenced I understand that separate permits must be semred for ElMritol Work,Plumbing,Signs, Wd(s, Pools,Famacq 8oilem,Hmuni,
Tanks and Air Conditioners,ek,
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 FINANCINGCONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOeITR NOTICE OF
COMMENCEMENT.
S'
TONT GINGtESPEPGEN
t he by certejy IMNhave e d aril ezamined this cation aril brow the same to be true and correct All pravi ar6s aNg 'BP.It }
79e o)wwk will be complied with whether sped ted herein or oat The gronfing of a permit dcea oat presum gpt6cFrhHN69Q1Ht8 bt ,3Ac�el
wwisiom of any otherfedem(scare,or loco/law regu(atirtg cpm minion w the performance ojconetmcnon. ' pp„g4” aa�aaamr� ' -umemnres
iignatun:ofOwne�rp �� Signature of Contractor
is
iwom to and subscribe b o e S d su fo
is 2 Day of Ditrucle1. ay f V 0
Notatr Public-Snte d rlorida
q o
Public 'aplwr f e MY Comm.hPlrea Aug 7,2019 Notary Pu lie
Revised 01.26.10
NOTICE OF COMMENCEMENT
State of Tax Folio No.
County of
To Whom It May Concern:
no undersigned hereby informs you that improvements will be made to certain real properly,and in accordance with Section 713 of
the Florida Statutes,the following information is stated intho NOTICEF CO CE
Legal Description of property being improved: —00
d � L
Address of property being improved !97�0y Sal` ,� r h 32233
General description
�ofimprovements: ISG — -f00
Owner: �i P_I7a.GI C. 15"YL9 Address: S D i
Owner's interest in site of the iinprovemcp oc.&)lwy
Fee Simple Titleholder(if other than owner):
Name:
�q
Contractor: %Y/OYL� !lY! 2!{(t2
Address: 0235 �yassc��'nd r -rA.c.�sonv.//e rl 3229y
Telephone No.: 906x4'S Z- 1565 Fix No:
Surety(if mY)
Address: Amount of Bond S.
Telephone No: Fax No:
Name and address of my 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:
Telephone No: Fax No:
In addition to himself, owcer designates the following person to receive a copy oftheLienor's Notice as provided in Section
713.06(2)(6),Florida Simes. (FID in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year fiom the date of recording unless a diffma.date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER �p
Doc a 20162E9554,OR SK 17766 Paga 2011, 1signed: E � yl YO1 Dam:
Number Pages:I Before methie _(. day of ntOJlvw3n- in the tom .fDmsl,Site
Recorded 1112aQ016 at 09:57 AM, Of Florida,hes personally appwed�C. ONS
Ronnie Fussell CLERK CIRCUIT COURT DUVAL Notary public al LarM Stamp I
COUNTY My commission expires: G Til
RECORDING$10.00 personally Known: irypb"-staten or
Prodnoed Ideetifiretion: D s
•*'f �Id`', My Comm.Expires Aug 7,2019
it