955 Sailfish Dr RES20-0275 Permit PacketOWNER:ADDRESS:CITY:STATE:ZIP:
FENNEL THERESA ANN 955 SAILFISH DR ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
SMC BUILDING
CORPORATION P.O.BOX 566 PONTE VEDRA FL 32004
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171257 0000 ROYAL PALMS UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
955 SAILFISH DR RESIDENTIAL ALTERATION
RESIDENTIAL
LEVEL 2 INTERIOR
MODIFICATION $30000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $205.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $102.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $4.61
STATE DCA SURCHARGE 455-0000-208-0600 0 $3.08
TOTAL: $315.19
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN
YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT
MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 2Issued Date: 10/12/2020
PERMIT NUMBER
RES20-0275
ISSUED: 10/12/2020
EXPIRES: 4/10/2021
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 10/12/2020
PERMIT NUMBER
RES20-0275
ISSUED: 10/12/2020
EXPIRES: 4/10/2021
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Building Permit Application Updated
City of Atlantic Beach Building Department ALL INFORMATION
s:.r / 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us
IS REQUIRE—
D7.
Job Address: i 55- c ;l s1,
11o.-
At +4_ , , 033 Permit Number:ES Z0'E O ! 5
Legal Description ;Za),wl °s,lr,i r>-i+ ! <of 36 61 k 4 RE# '- [?l a,S 7 -avaa
Valuation of Work(Replacement Cost)$3o. Heated/Cooled SF b?c a Non-Heated/Cooled
Class of Work: ONew Addition J$1Alteration Repair Move Demo Pool OWindow/Door
Use of existing/proposed structure(s): Commercial (Residential
If an existing structure,is a fire sprinkler system installed?: Yes XINo
Will tree(s) be removed in association with proposed project? Yes(must submit separate Tree Removal Permit) No
Describe in detail
hthe
type of work to beLperformed:
eve'. ) T?,,,-,y r 7270 c/
i70(-
4‘, ,.0 n -1
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name 1.-kc r".6.5 ti, A a`n f-t rte-) Address 134.5( f -ilar•c.e-1/4. .f>.
City„A6aYw i ge State Ft Zip 3,2072:c— Phones c-1J G 16.- Q i`ld
E-Mail ec alT°r. 1it LicS*<'),,,L11... Com
Owner or Agent(If Agent,'P'ower of Attorney or Agency Letter Required)
Contractor Information
l l
Name of Company j!)-)G ki.43 ,1 -,,,i c,.r- ! +;.6.y1 Qualifying Agent ;k,c,es re-- -t rN,
Address Pa $-6 4 City 4=,,,'}'^e.. %4 State F / Zip 3g od 1-
Office Phone(94=-4)85 - I 1 4 '1 Job Site Contact Number
State Certification/Registration#CAY= l d o G E-Mail Scxkl- Sot & /(r;vt .Cin.
Architect Name&Phone#
J
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt Expiration Date j/, c-/a SZek-/
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 the laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS,POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition to the requirements of this
permit,there may be additional restrictions applicable to this property that may be found in the public records of this county, and
there may be additional permits required from other governmental entities such as water management districts,state agencies,or
federal agencies.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
WARNING To OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN Yrs R PAYING TWICE F R IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAI . NANCING, CONS ITH YOUR LENDER o • AN ATTORNEY B RE
RE-0071: YOUR DICE O MMENCEMENT.
0'
Signature or toner Signat - • Contractor)
Signed and sworn to(or affirmed)before me this()-eyday of (Sined a • sworn to(or affi `:)be 're m- thi .qday of
5.-(12.1-1/A4-4,-,a-0 d.,o ,//by el; ////Ce n r\ P 2z;0 • ' l 4 'o
l O _ o.......... TCN zvji - `-..-.,Nal
Si:nature of Not. o i(
MY CCM • • rc 1.4
KEAUNDRAHAWKINS r.,`.P EXPIRES:Ocioher 6,2023
R y ._Commission it GO 352294 Bonded Thru Notary Public Underwriters
Personally Known OR
7"..a7' '
PoExpiresJuly7,2023
Produced Identification '••`.':•:.'' Bonded ltwTroy Fain Insurance 80038S-7019i l Produced Identification
Type of Identification:pe of Identification: U ,
NOTICE OF COMMENCEMENT
State of tk r .,cat c` Tax Folio No. R ' rli OZ 5-2- a a b e)
County of 1 ),,>Q_-t
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: p i t-.=L(w.yv s uL y,,,,t I I($÷3 6 k C
Address of property being improved: 16- 5- .c..-, (,-i,i5 i Dc At k,,4-; , .&4k f i , ` .A33
General description of improvements: Y+,r ;wr A (+e,r 4--i,an,.S
Owner: -rr Pc Ar,N Fe n n e / Address: 1S6,77-1 Price to/'` $ 1 - I
Owner's interest in site of the improvement:f-e Si'„v l e 32.2.2 s'
Fee Simple Titleholder(if other than owner):
Name:
L
Contractor: J CrTh I L ,. )ci, ny C(^Q f' / ,-f/v. e.--7.)---.\ • C54=?-...S.C1.Y'1
Address: P x S-6Z ar- V e C6 r - 'Een. )1- c 3.3av4
Telephone No.l'?)&a-. //Ye/
Fax No:
Surety(if any)
Address: Amount of Bond$
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
be served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to recel‘.. . ‘-^^" ^F •" -- "-.:__ __ • . . • -
713.06(2)(b), Florida Statues. (Fill in at Owner's option)
Nuc#
Numberr Pages 1ages
14,
OR BK 19389 Page 27,
Name: Recorded 09/29/2020 01:14 PM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
Address: COUNTY
RECORDING $10.00
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year trom the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
EC1/
Signed: • `/`,L A.,-,,AL. Date:CV bZ
Before me this day of ' o ahe County of Duval,State
0KEAUNDRAHAWKIN$Of Florida,has personally appeared "Ce A Fermw
f. ;;Commission Notary Public at Large,State of Florida,County of Duval.
Expires July 7,2023 My commission expires: / ul K ?, 9'0 3
f:.' InsuranceBondedThouTroy Personally Known: / or
Produced Identification: