1586 Linkside Dr roof 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
11�11,��\'............
'N�iO INSPECTION PHONE LINE 247-5814
/ fit
Application Number . . . . . 12-60000944 Date 7/24/12
Property Address . . . . . . 158� LINKSIDE DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1 8075
--------------------------------------- ------------------------------------
Application desc
reroof
--------------------------------------- ------------------------------------
Owner contractor
------------------------ ------------------------
URBANSKI, VERNA AFFORDABLE ROOFING
1586 LINKSIDE DR 3859 PADDLEWHEEL DR
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257
(904) 251-4326
--------------------------------------- -------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc
Permit Fee . . . . 95 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 8075
Expiration Date 1/20/13
- --- ---------
----- ---- - - - - - -
-----Other-Fees STA�E-DCA-SURCHARGE------------2 . 00-----
STA E DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged p, aid 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 TLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANT:ic BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904)247-5826 Fax(904) 247-5845
Job Address: 1586 Linkside Dr. Atlantic Beach, FL 32233 Permit Number:
Legal Description 47-85 17-2S-29E SELVA LINKSIDE UNIT 02 Parcel# 172374-6320
Floor Area of Sq. Ft�. Sq.Ft
Valuation of Work$8,075.00 Proposed Work heated/,cooled 1609 non-heated/cooled 498
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial 1, Residential
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
Florida Product Approval#; TAMKO Shingles FLI 956 Peel and Stick underlayment # FL2077
For multiple products use product approval form
Describe in detail the type of work to be performed: remove exisi,ing shingle roof down to deck install new shingle roof.
Property Owner Information:
Name: Ms. Verna Urbanski Address: 1586 Linkside Dr.
City Atlantic Beach State FL Zip 32233 Phone 246-3631
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Affordable Roofing Qualifying Agent: Vincent Marino
Address: 3859 Paddlewheel Drive City Jacksonville State�: FL Zip 32257
Office Phone 260-7663 Job Site/Contact Number 449-6339 Fax#260-7663
State Certification/Registration 4 CCC057697 (roofing) CGC059465(GC)
Architect Name&Phone# N/A
Engineer's Name&Phone 4 N/A
Fee Simple Title Holder Name and Address N/A
Bonding Company Name and Address N/A
Mortgage Lender Name and Address N/A
4pplication is hereby made to obtain a permit to do the work and installations as I d4cated 1 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 alin ws regulating construction in this jurisdiction. nis permit becomes null
and void If work is not commenced within six(6)months,or if construction or work i suspended or ahandonedfor 0 eriod ofsixP5)months at any time after
work is commenced I understand that separate permits must be securedfor Elect�ical Work, Pluinhing, Sikns, Wpells, Pdols, urnaces, Boileis, Heaters,
Tanks andAir Conditioners,etc.
WARNING TO OWNER: YOUR FAILU E TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PA ING TWICE FOR IMPROVEMENTS TO
YOUR PROPERTY. IF YOU INTEND TO OBTA N FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE ECORDING YOUR NOTICE OF
COMMENCE ENT.
I
I here certify that I have read and exam. ed th's ap lication and know the same.to be true and correct. Allprov ions of laws and ordinances governing this
IVI'Vork will he com lied with whetNer reciifie§herein or not. The granting p/a permi.t does not presu to give authority to - late or cancel the
provisions ral,state,or local peo'Im ance of construction.
Signature of Owner al LA&�,(-cwvsa,� Signature of Contractor M1 vv,,,w
of any otherfel aw regulating construction or the
Print Name 1p-(V P, 110-6 A-kA S Print Name Vincent Marino
Sworn to and subscribed before me this Sworn to and subscribed before me this
I
n Day 2012 Z Day 2012
dh
Notar P DAVID C MCALLISTER
My Comm.Expires Mar 25,2016 Notary Public-State of Rorlda
Cc-State o rida Notar
P
Commission#EE 182681 My Comm.Expires Nov 15,2015
Bonded Through Nationol Notary Assn. Commission#EE 146585
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 172374-6320
State of Florida County of Duval
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real prop",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: 47-8 6 17-2S-29E
SELVA LINKSIDE UNIT 02
Address of property being improved: 158�LINKSIDE DR
Atlantic Beach FL 32233
General description of improvements: re-ro Of
Owner URBANSK�VERNA P
Address 1586 4INK&DE OR ATLANTIC BEACH,FIL 32233-7307
Owner's interest in site of the improvement i 00T.
Fee Simple Titleholder(if other than owner)
Name N/A
Address
Contractor VincentMarino CCC057697 CGg�59465
Address 3859 Paddlewheel Dr. Jacksonville,FIL 32257
Phone No. 449-6339 Fag No.
Surety(if any) N/A
Address Amount of bond
Phone No. Fax i No.
Name and address of any person making a loan for the construction of the improvements.
Name N/A
Address
Phone No. Fax No.
Name of person within the State of Florida,other than himself,�idesignated by owner upon whom notices or other
documents may be served:
Name N/A
Address
Phone 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 Statutes.(Fill in at Owner's option).
Name N/A
Address
Phone No. Fax No,',
Expiration date of Notice of Commencement(the expiration dat i e is one(1)year from the date of recording unless a 40
different date is specified): expires ninety(90)days fLo�recording date.
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed, —40—v—& �11�q CVYL DATE;r//7 so W Uj
Beforemethis� 1'7 dayof —1�v in the LU
Co�Q�Duv ,State of FI,rra,hamrsibnal appeared
Y
r e 14 h rein by
himself/herself and affirms that alr statements and declarations herein
Doc#201 I'll 55298,OR SK 16010 Page 994, are true and ac i curate
Number Pages: I
Recorded 07/24/2012 at 10:37 AM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY Public at Large,State bf, W r!
RECORDING$10.00 My commission expires: L A:S�::z
Personally KnoWn or
Produced Iden0fication IF lkJ,