630 Sailfish Dr re-roof permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
! t
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOBINFORMATION:
Job ID: 17-ROOF-3339
Job Type: ROOF PERMIT
Description: re-roof FL10124.1 & FL10626.R12
Estimated value: $6,500.00
Issue Date: 2/24/2017
Expiration Date: 8/23/2017
PROPERTY ADDRESS:
Address: 630 SAILFISH DR
RE Number: 171216-0000
PROPERTY OWNER:
Name: PERKINS, CATRINA C
Address: 630 E SAILFISH DR
GENERAL CONTRACTOR INFORMATION:
Name: GIFFORD ROOFING
,CCC1326277
Address:
Phone: -
FEES:
BUILDING PERMIT FEE $82.50
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $86.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH DATE
p 800 Seminole Road,Atlantic Beach FL 32233
Office:(904)247-5826 • Fax:(904)247-5645
Job Address: (,3a 54+ PeunitNumber: ri—Q-00F—Me?
Legal Description RE# 17 I Z 16,6, -OQ D O
Valuation of Work(Replacement Cost)$ C, SO0 Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration a a' Move Demo Pool Window/Door
• Use of existing/proposed structures)(Circle one): Commercialr enti
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed:
T4ILS�aR•� W.. c,,..j
QOO�
Florida Product Approval# FI I o 13 4 .I (y6 tr n IL nut $ S4.ck
for multiple produces use product approval form
Property Owner Information
Name: Cq�-PirW Qefkt- Address: G30 s44C(Slrs Df- E
City— FFkjtn{ai g3¢, t State! ( Zip Phone Dio4 `ll6 3613
E-Mail
Owner or Agent (If Agent.Poeer of Atmmer or Agency Letter Required)
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 NOTffE OF COMMENCEMENT.
Contractor Information:
Name of Company: &i 4 rr 0tj 1n0 D�•"� LL t. Qualifyingg Agent: Ktl(./✓-1 CrN4W1
Address: IOJL N.SW;n II vW` City lelt(4„J ar State Zip 3'4p'S
Office Phone F alt $6D 't7 h uJob S{�tte/Contact Number o — O %
State Certification/Registration# e-%c j2f'1fo67 E-Mail q n ronGvtJ D,�mea. cJrr
Architect Name &Phone#
Engineer's Name&Phone#
Worker's Compensation
Exempt usurer Expirafion Date
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work ori !lotion has commenced
pnor to the issuance ofa permit and that a!!work will be performed fa meet the starWards ofall laws regulating cans do is jun dicdan.
n
/'his permit becomes null and void if work is not commenced within six(61 months, or ijconshuction or work v s pe ora
Mu
for
%umbt ,
period o{{six(6 months of arty time after work is commenced. I uMersmndd that sepamfe permits must be securedf b'/ tical W rk, rcg,
Srgns, WGIs,Pools,Furnaces,Boilerr,Healers, Tanks rtnd��A��ir C��o��n�di�i��oners,etc
Signature of Property Owner���/��a�l(/"'^'r Signature afContrac
Before me e.t,�,
thisDay of Cwtf��a01�- Before me this Day of (7
Notary Public: ��No[ary Public
the _ (jldra0fW674Nrrrm/r rdlhis application and know the s � �� � ' ions of rs and
ardi •train �Ci v4oM49P5c7 be complied with whether sped g permu does not
pre I nr 7Y r ta�itd:202ar,m I the provisions of airy 0 e traction or the
pert r x'ona 7Y ��.p�ptx UNeM^t`r` - EI Tu :October 8,2019
V:•.•P,L..r '� Sg'
Handed rnm uan eAcumaRMv. /16
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of r-I O r. County of
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 ImphI 3c) —C O I-1 —d.S
L0{6 3( 51Or ,
Address oyeng Improved: CAF"—a D SAi l E D1 V_
RTa ,
QA&c,, (� n
General description of improvements: KCl[OOF
Owner GQ--FIM
Address_(61O 4SEL Mr
n LCL den<A.
Owners Interest In site of the Improvement OL✓.Sr..
Fee Simple Titleholder(if other than owner)
N e
Address
C ntrector �Oo
Address to 2L LAIe.(ar[ F�
holistic. �.0� — 1:6c Fax No.
Surety(If my)
Address Amount of bond$
Phone No. Fax No.
Neme and address of an>frson making a loan for the const rrofthe improvements.
Name
Add...
Plane N Fax No.
Name of person a State of Florida,other tmself,designated by owner upon whom notices or other
documents may ed:
Name
Address
Phone No. Fax No.
In addition to h R,owner designates the follow on to receive a copy of the Lienor's Notice as provided in
Section 713.06(2) Florida the in at Owner's option).
Name
Address
Phon Fax No.
Expiration date of Notice of Comm cement(the expiration date Is one(1)year from the date of recording unless a
different dates specified): x� e
a y
THIS SPACE FOR RECORDER'S USE ONLY
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Doc a 2017044710,OR SK 17M Page 1795, oro ave and.urate $ <>
Number Fussell CLERK
Recorded 09124@017 at 11:42 AM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
RECORCOUNTNoss,P I.,; toga.nerd cw4yar_ ;'y d
RECORDING 510.00 uy cancelq�Iae.prey `!i
PerwnellylKtld'.rn-3' or
Protlu<ed aficefron_