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Permit ReRoof 1182 E Linkside Ct 2012 4 f CITY OF ATLANTIC BEACH > 800 SEMINOLE ROAD �a = ATLANTIC BEACH FL 32233 N ,ll� INSPECTION PHONE LINE 247-5814 Jia Application Number . . . . . 12-00001458 Date 10/05/12 Property Address . . . . . . 1182 E LINKSIDE CT Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10600 ---------------------------------------------------------------------------- Application desc reroof ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SHERMAN ANGELA CARBON COPY CONST, INC. (ROOF) 1182 LINKSIDE CT E 12412 SAN JOSE BLVD #301 ATLANTIC BEACH FL 322334386 JACKSONVILLE FL 32257 (904) 655-4186 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 105 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 10600 Expiration Date . . 4/03/13 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 109 . 00 109 . 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: l 1 $,z C C7 , tr , Permit Number: Legal Description 41-a3 17,a.5 5c=i-v A L t i, c s�,o(f Parcel# 1'7-)'3-7q ' oor a�—Sq Ft. q'.F�'� Valuation of Work$_( uc 7 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of eaisting/proposed structure(j)(circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A Florida Product Approval# f L loo c, _ For multiple products use product approval form Describe in detail the type of work to be performed: Property Owner Information: Name: Art C E LA 1,\6 a,-t-4r1 Address:_ i7 CityAzU„&c_�,�k�l_ State(--t- Zip 3a.j33 Phone 333 d `tW 1 E-Mail or Fax#(Optional) Contractor Information: Company Name: CAP-b jA (� (��h)Z,7-. .�L_ Qualifying Agent: L Fond,+rib !c�w^1 �c Address: I e��V l a 5..,.; ry s� 3��1) -P 3 o t City Y rt- State t=c Zip 3� Office Phone 9 P o - 41 9-3 Job Site/Contact Number Q% �e3(,6 - `7,1 C Fax# 8,9 n S State Certification/Registration# c-(- A. -(- , 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 wo� t ;ta and iallations as indicated. 1 certify that no work or inhas commenced prior to the issuance of a permit oral that all work will be performed to ethendardsofall laws regulating construction in thisjurisdiction This permit becomes null andvod f workisnot comncedwithin six(6)months, ococton or works saperiod of six ri)months at arty time after k iscommncd 1 understthatrate permits mustbeured for Electrical Rork,Pdtmbing,Signs, We ,Pools, urnacm Boilers,Healers, Tanks and Air Conditioners,d 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. 1 here b certify that 1 have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this type o1 certify will be complied with whether speci eg herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state, or loc flaw regulating construction or the performance of construction. Signature of Owner i Print Name Sworn to and subsribe ore me this y of © t .20 MARK gR�Sta88 0 f of Florida .•.� e. Notary Public s Noy 29.2p1S Notary ubl C 1= Com Expfre 119109 ° w. MY mission EE �arY Assn. f: Co SM b National N a . Signature of Contractor Rotice of "Mmencement (rR[rARZ IN DUPLICATE) To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of property _-- - -----------!---- =I �-�4 �l_------ _ ----------------------------- -----------------------------------------,------------•----- - General description of improvements -------------- ---------------- ----------------------------------------------------- Owner f� ---•�=zL�S�t:,�`..�-----�.��L=ft��Y?'_�---------------------------------------------------------------- Address __ �11f- _ _ �tr1,C-S/C� -=-- =------------------------------------------------------- -------------------- Owner's interest in site of the improvement ---As-=---------------------------------------------------- Fee Simple Title holder (if other than owner) __ _ _ -- - --------------------------------------- Name --------------------------------------------------- -----------------------------------------------. Address _ -- I( ---_-----I-----------'----------------------------------------------------- -------- >�l � � `--- - _- -`_ - ...__ --I------- Contractor __ Address _Lr�_7_C�__ 1 Surety (if any) --- --- -- - --------------------------------------------------------------- Address ------------- - - -----------------------------------Amount of bond a-------------- Name and address of any perso//pan for the construction of the improvements. Name --------------- - ----------------- ------------------------------------------------ Address - - -------- --------------------------------------- Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name ---------------- --- --- ��---------------------------l------------------------------------- Address -------- - - --------L-.•I-------------------------------- 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------------------------------------------------------------------------------------------------------ A AA— ---------------------------- --------------------- 4-----------rte---------------------- -----------