Permit Roof 1212 Linkside 2011 ~f CITY OF ATLANTIC BE
ACH
r) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002938 Date 11/23/11
Property Address . . . . . . 1212 LINKSIDE DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 9000
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Application desc
REROOF
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Owner Contractor
------------------------ ------------------------
DALE, CLIFFORD NELIGAN CONSTRUCTION (BLDG)
PO BOX 49249
ATLANTIC BEACH FL 32233 JAX BEACH FL 32240
(904) 270-0067
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 95 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 9000
Expiration Date . . 5/21/12
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 95 . 00 95 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 99 . 00 99 . 00 . 00 . 00
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: 1 a.\-2 "nKs; .�c 3-ZZ33 Permit Number:
Legal Description 44--k3 r7-;k5- r ,�, , �.�kk p\ Parcel# i'121 7 j6h'��
oor-area ofq. t. q. t
Valuation of Work$c(.0 cn. Cop Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New AdditionAlteration Repair Move Demolition pool/spa window/door
�Residential
Use of existing/pro osed structures)(circle one): Commercial If an existing structure,is a fire sprinkler system installed?(Circle one /A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: TZoo�=
Proverty Owner Information:
Name:• L C �k CA Address: 1I-MA l
City�}\wn State1Zip -Phone `HCl y O Z 1
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:
-�� ��t� •��� .n c ll~•l,C Qualifying Agent: `
Address:�•d 'bac City ' tk_ Q) State_ � Zip ?, 0
Office PhoneJob Site/Contact Number Fax# `1
State Certification/Registration# CCC,
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 inas 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 Jf work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, urnaces,Boilers,Heaters,
Tanks and Air Conditioners,eta
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 hereby certify that I have a and examined this.a p " ti ow the same to be true and correct. All provisions of laws and ordinances governing this
type, work will be comp "e with nether s eci Jed re n or n The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other fed al,stat r local e i constr tion or the performance of construction.
Signature of Owner Signature of Contractor
Print Name .L,\ L Print Name
ch..... ...................................................................
Sworn to and subscribed before me Sworn to and subscribed before me
this -�(3 Day of zi
f C)p 20 this Day of C�cck,ec- ,20 �l
4 • NE LM01LLE
Notaryublic :;• MY COMMl89ION#Opg73782
EXPIRES March 22,2014 •c MY COMMISSION#pp»73762
407 F EXPIRES March 22,201'ke sed 01.26.10
407 398-0 ` r''Fa„NnL�rv3ervia.oOJn
Doc#2011254965, OR 6K 15%715 Page 733.
Number Pages: 1
Recorded 11.23;2011 at 03:40 PM,
NOTICE OF COMMENCEMENT JIMCOUNTY FULLER CLERK CIRCUIT COURT Duval
RECORDING$10.00
Permit No.
Tax Folio No. 11 45
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section
713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT.
I.Description of property(legal description): A`}-'X3 :5ijc! 'U VIL"'y' Vla►a-ti
a)Street(job)Address: 11iZ L.ilnMtsi :4}�n�;c�Q� ,.c � 3"
2.General description of improvements: e `fir,�•C rn,� }
3.Owner Information
a)Name and address:'bc\e-(-',��i� .Y��_1 Z\-X r�j:� i�riu� 4�t�x i �j h . V( '-ILJX�3 3 -qS F'7
b)Name and address of fee simple ti,ktleholder(if other than owner)
c)Interest in property
4.Contractor Information
a)Name and address: c I-Lc- J ��
-- p �o, 3z2LAt
i b)Telephone No.: (q '22L- 1-5,CII , Fax No.(Opt.)Z_��'+
/ 5.Surety Information
a)Name and address:
b)Amount of Bond:
c)Telephone No.: Fax No.(Opt.)
6.Lender
a)Name and address:
Phone No.
7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a)Name and address:
b)Telephone No.: Fax No.(Opt.)
8.In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b),Florida Statutes:
a)Name and address:
b)Telephone No.: Fax No.(Opt.)
9.Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date
is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,
FLORIDA STATUTES,AND CAN RESULT IN YOUR PAPWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED OS D ON THE JOIjSITE ORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, NUL OUR LE E R TORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE O C CEMEN
STATE OF FLORIDA
COUNTY OF PINELLAS 10.
Signature of Owner or Owner thori ffi r/Director/Partner/Manager
Print Name
The foregoing instrument was acknowledged before me this 9H day of 20_4_,by
as (type of authority,e.g.officer,trustee, l
attorney in fact)for (name of party on behalf of whom instrument was executed).
Personally Known OR Produced Identification_ Notary Signature
Type of Identification Produced Name(print) �=l.7 I t 'off U-4 r
OR
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief.
FORMS/N0C,-.d2010 Q
Signature of Na h ;t irl IAN&A LANGILLE
•''r MY COMMISSION#DD973752
EXPIRES March 22,2014
A07 398-0161 F .Com