Permit Roof 1114 E Linkside Ct 2012 / OF ATLANTIC BEACH
` ' 0
±.� ,. -r 800 SEMINOLE ROAD
"' °' ATLANTIC BEACH, FL 32233
ac m e ,. ...: Y
y INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000461 Date 4
Property Address 1114 E LINKSIDE CT /20/12
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 6500
Application desc
reroof
Owner Contractor
LOPEZ, LUIS ET AL FLINT CONSTRUCTION SVCS (ROOF)
BOUFFARD SUZANNE M R/S 1419 LINKSIDE DR
1114 E LINKSIDE DR ATLANTIC BEACH FL 32233
ATLANTIC BEACH FL 32233 994 -9626
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 85.00 Plan Check Fee .00
Issue Date Valuation 6500
Expiration Date . . 10/17/12
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 85.00 85.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 89.00 89.00 .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: . •
Permit Number:
Legal Description
Parcel #
Valuation of Work $ 4 Coo, C � oor • ea o q. t. t
Proposed Work heated /cooled non-heated/cooled
n o
Class of Work (circle one): New Addition Al> Repair Move Demolition pool /spa window /door
Use of existing /proposed structure(s) (circle one): Commercial Residential
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval # L - $" Sc
For multiple products use product approva orm
Describe in detail the type of work to be performed: 1' — be/ _ -- /
Prop Own
rty er Information•
Name: /0 ✓, � L 6, c' Z _
City e,,� , e Address: M L C � f
E -Mail or Fax # (Optional) St ate`c Zip J ? phone _ fp ct cL? z fo
Contractor Information:
Company Name: r6.44 (OAS /6-2.10 S.44446 rS
Address: 44q 1.,• _ /) Quali ingAtent:
Office Phone _yq 9G� City �` cu =c / Pac- State is Zip V)13
State Certification/Registration # (t( /4°7 -74a Contact Number '¢(� 9 d Fax # T
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 certiji that no work or installation has
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 of six (6) months at env time after
work is commenced. I understand that separate permits must be secured for ElectricalpWork, Plumbing, Signs, Wells, Pools, F urnaces, Boilers, Hearers,
Tanks and Air Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEM ENTS
T() YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WIT
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF H
COMMENCEMENT.
1 hereby certify that I have read and a . ine •his application and know the same to be true and correct. All provisions of laws and ordinances overning this
type of work will be compiled w' :t er .eci egged herein or .t. The presume to give authority to violate or cancel the
provisions of any other federal, s,• - s for a1 e granting of a permit does not g ns
, ; stru or the performance of construction.
Signature of Owner " i�� ,.--, ^
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Signature of Contractor .1.6/1. /t!1 '
Print Name
Print Name ......vijL / � ��4 /
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th'. d ay o, ;fit *' 20 2— hwo o Da sobscri � me
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VO�:: �� I yt 'cam L GRAHAM I I!. 4_11! Inc
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a EXPIR @G, F ebruary 14, 2014 ,..,10M117 . +� . i 4 1 . • Nui y Public Underwriters . � MY COMMISSION :1 D 95 „ _ . .. . EXPIRES: February 14, 201! f
' 'E' o d `' Bonded Trutt Notary Public UOderwrit: 1 R e vt sad 01. 26. 10
/2.4 co I
NOTICE OF COMMENCEMENT
State of / r � � ' Tax Folio No.
County of Val _
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: j l 4 L L . A „ 1 4 . , ,4 f / f � < 4 , e<1 r ( s s
Address of property being improved: 0 14 £ ; . , F s , G CT % , �`I / /ir.� { c /fro 4 (C �� 3
General description of improvements: ti t i r / ` °
Owner: Z-c L '74' L Address: J f (( 6 r (s ;‘-'6 C / L / 1 4 <, r
Owner's interest in site of the improvement:
Fee Simple Titleholder (if other than owner):
Name:
Contractor: f (i -t 1 (c '' s 4e" 4 4) •, S c ti, , (r s t
Address: / 4 L,'.a / ;,6 / )k • ,41 /o.. t, c /f f 4, it. - ;, -1 . 1 j'
Telephone No.: 'Hy- V4) 6 Fax No: 17 ) 9(3/ / /
Surety (if any)
Address: Amount of Bond $
Telephone No: Fax No: Doc # 2012088121, OR BK 15921 Page 74,
Number Pages: 1
Name and address of any person making a loan for the construction of the impro Recorded 04/23/2012 at 12:17 PM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
Name: COUNTY
RECORDING $10.00
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 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:
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: Date:
Before me this day of in the County of Duval, State
' has personally appeared
er SHIRLEY L ORANAMtiry P is at ge, tate of Florida, County of Du al.
;. •, .: MY COMMISSION 4 " : • .sio expire
�'4Rf�Rk�, Bonded EXPIRES: February rPO t^ .• 'I _e . , 111"111=1101111, or
(A)