Permit Siding Repairs 1122 linkside Ct. 2011 0s y \* CITY OF ATLANTIC BEACH
y 800 SEMINOLE ROAD
�� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
�
Application Number 11- 00003016 Date 12/19/11
Property Address 1122 E LINKSIDE CT
Application type description RESIDENTIAL OTHER
Property Zoning TO BE UPDATED
Application valuation . . . 3000
Application desc
WDO REPAIRS SIDING FRAMING WIND TIES
Owner Contractor
NEEDHAM, JONETTE AR COLLEY CONSTRUCTION INC
1122 LINKSIDE CT.E. 512 18TH ST N
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 866 -1165
Permit RESIDENTIAL ALT /OTHER
Additional desc .
Permit Fee 65.00 Plan Check Fee . . 32.50
Issue Date . . . . Valuation . . . . 3000
Expiration Date . . 6/16/12
Special Notes and Comments
need noc 12/19/11
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 65.00 65.00 .00 .00
Plan Check Total 32.50 32.50 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 101.50 101.50 .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 323 - • _ c -,
/1 Z 7-• Office (904) 247 -5826 Fax (904) 247 -5: a
j ` DEC 16 2011 hermit Number:
Job Address:,inkside Court East
Legal Description Parce Idi,
Floor Area of Sq.Ft. N.l-1
Valuation of Work $ ' , 0 , -' 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 �Besidenti
If an existing structure, is a fire sprinkler system installed? (Circle one): es o N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: 2 4 2 7 Anti ist 5 m.J .rs hors — Rim PAST Th.rttu,t rge
,DAIAP4Mib ST1 -14.0 V+ rt ' to1/4) Fra-Atik;5 it f Dora A.)0 a ut 5 ip 11 c i P...A. ' i/La -- lary LAc Mc., A rtp4.4s E o
Pit- 4tWow6 W i *vt p Le-S gdur. ,Tvl V. -' A it, W iN - fak.a PF„ti / 1 4 41_ i s „L,, Lr — (4 t o C Z iJ 4e 6 Cmarbt 40 tobii,
Property Owner Information: /.kr44,66 111►- 9 ts.cI'V-0
Name: ittit ,Ttil -P-1 NFto i -1-Aw. Address: 1 l 2 Lt N cS ro g, C'.s -.4
City J§.11.4u4J`vtt, f3 s , Pi, State E Zip 3z-23 Phone
E -Mail or Fax # (Optional)
Contractor Information: 'Le Company Name: ig '�`o^/ Qualifying Agent: , _ .� . — 1
Address: T/• _ /3M_ 1 �' • / &1�h = City -- ' - ',9"% / 4., _ State ,r2-- • Zip -
Office Phone t e ( , • C SI) Job Site/ Contact Number 9041 g(o ,-// 4 — Fax # ‘=:A9((-20-76
State Certification/Registration # C, ( /5//86,&
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 a period of six f6) 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 hereby certify 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 of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or ,n •1 the
provisions of any other federal, state, or local law regulating const ction or the performance of construction. C-""`� �"-' Si ature o f Contractor / It1 A ze,
. Signature of Owner 0 —
EC3, 1�V Print Nam P. �� ...... .r I PrintName j �.� � � � '�1.��?�.- :1�� / �
11, C 40o90Y4 i 3 30
Sworn o and subscribed before me Sworn to and subscribed before me
this 1', Day of t L.IY1'b1C,12 , 20 11 t ' ''' Day of r ecc —. r , 20 Ii
V 4 Fi-GO I-
N all 1LFS 6 ^S o0 0 8"1uI+'' ' l - =. L._ i
Notary Public __� Yu �c CNRISTINEWATSON
2 .,, VANESSA L. JOYCE 1` Notary public, Stated Flo 'da
' ,,s Commission # EE 120438 ' �' S Commission#DD984t07 xec'�sed 01.26.10
My
- - Expires August 9, 2015 --�
a q a Banded Thu Troy Fain Miaaaiwe a00-385-7019
'�� Comm. expires Apr. 21, 2014
APPLICATION NUMBER
r �, y � City of Atlantic Beach (To b e assigned by the Building Department.)
`` '�� Building Department / J
r ' 800 Seminole Road
, _, Atlantic Beach, Florida 32233 -5445 2 ��
Phone (904) 247-5826 • Fax (904) 247-5845 Date routed:
.� E -mail: building- dept @coab.us
moo �� City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
L /7 An A De • artment review required Yes No
Property Address: !_ uildin• ) _ -
f 9 //- . • l - Planning & Zoning _-
Applicant � /_ - (� ! Tree Administrator _-
e S Public Works _-
Project: ,s Public Utilities atilafilumiii _-
Review fee $ Dept Signature
Review or Receipt Date
Other Agency Review or Permit Required of Permit Verified B
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers -
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APP ICATION STATUS
Reviewing Department First Review:
II/Approved. ❑Denied.
(Circle ne_)'"'� Comments:
' BUILDING ;)
• • , , ZONING Reviewed by:
Date: -
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
Reviewed by: Date:
PUBLIC SAFETY
FIRE SERVICES Third Review:
❑Approved as revised. ❑Denied.
Comments:
Reviewed by:
Date:
Revised 05/14/09
.7)erntir / /-_ 3o
NOTICE OF COMMENCEMENT / l
State of ''t"" 1: e.-1 t:0 Tax
Folio No. l ? 3 7 4- Cf c fi v
County of . ___v V IA— I --
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:
Address of property being improved: __1_1____2..., 1.-- �' I 3
General description of improvements: 9 _ iiiisPO4 Di-9-1-(A-6'e
u .
Owner: . 16 PZr2 I p✓,efd pH 4 we Address: ) ! 7 Z - L l -v` V.- S iD L'
Owner's interest in site of the improvement:
ee Simple Titleholder (if other than owner):
Name:
Contractor: A k '. le coo 0 _1 ,, Q ) 15-4 C '`
Address: . S 1 Z (.n
Telephone No( O (/ c f' G — SA-1 Fax No( .-1 ' 0 Zct 0
Surety (if any)
Address: Amount of Bond $
Telephone No: Fax No: Doc # 2011273130, OR BK 15801 Page 1862,
Name and address of any person making a loan for the construction of the im Number Pages 1
Recorded 12/20/2011 at 08:44 AM,
Name: JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
Address: RECORDING $10.00
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:
Id
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
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: III
,..��
,M You /to � ( t ) c,,...�� Date: -� l v�
/ C Before me this 1q day of [CfP R tai in the County of Duval, State
YY Of Florida, has personally appeared %t - v24-1 N X
I
+ �4'�"' "o VANESSA L. JOYCE Notary Public at Large, State of li lorida, County of Duval. vatt t ti d Q c
17-3, � , ,. .,:- Corrunission # EE 120438 M commission expires: cd i el 12 -f ► 5
�--,. = Expires August 9, 2015 Personally Known: or
r Bonded 1h uTray Faln Meuanael003 1S7019 C 0 4
Produced Identification: (= i-c°1 L N't,s"Q 4 ; l � S?) 30 i 1- } 11,