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Permit Roof 1171 W Linkside Ct 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 ........ INSPECTION PHONE LINE 247-5814 0A Application Number . . . . . 12-00001737 Date 11/27/12 Property Address . . . . . . 1171 W LINKSIDE CT Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 9000 ---------------------------------------------------------------------------- Application desc RE-ROOF FL-5444 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CROFT LUCY S & DANIEL P FLINT CONSTRUCTION SVCS (ROOF) 1171 LINKSIDE CT W 1419 LINKSIDE DR ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 994-9626 --- Structure Information 000 000 SFR ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . REROOF Permit Fee . . . . 95 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 9000 Expiration Date . . 5/26/13 ------------------------------------------------------------------------ Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- 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: 1171 tl'4�S,�4 Uleg74 Permit Number: Legal Description *10 74' Parcel# IF loor Area of Sq.Ft. Sq K Valuation of Work$ Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration <A�� Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Rg=�itial If an existing structure,is a fire sprinkler system installed? (Circle.one): Yes No N/A Florida Product Approval # R - 5-44(4 For multiple products use product approval form Describe in detail the type of work to be performed: Property Owner Information: Name: poll Address: It'941�,X C7'( city 'de.,4 State&.Zip 3d.733 Phone F-Y ft� E-Mail or Fax# (Optional) Contractor Information: 4 X"�6 CompanyName: 6'--f7 , "I... —Qualifying Agent: Address: twc/ 1,*,11&s"�4 1--k city State rL zip V,� ,? -e Fax Office Phone fiA& Job Site/Contact Number (-q State Certification/kegistration 0�e 70-7 4--1 Architect Name &Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address a n she e ade bana e the nd a a n nd, rtify that no work or installation has commencedprior to the a '"s " tio sas i 11a*cat ng construction in thisjurisdiction. This permit becomes null ws f A 'c "o i in 1 rm it to do work it t da ds 1 f sixP6)months at any time a ter The e ed to in het a'n, r 7 a -Y to 0 p orm s 0, c s Od-rk is or abandone�ljbr a pe iod o nd tha a I rk f h r ct 0 or r r t 'P nce o permit t I wo w P(6 Is i'p 'or s ot om c w.t f and id k en ed hi c 0 't, is onim, Z rt , t t"Par Mon Obe e ed r Ele ica Plumbing,Signs, We Pools, urnaces,Boilers,Heaters, rmi s m, k n ed. nd a d ha ate pe 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 FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Ihere certify that I have read and examined this application and know the same to be true and correct. All provisions qf laws and ordinances governing this wo, type.1V rk-will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any otherfederal,state, or local law regulating construction or the pe�fbrmance of construction. -7 Signature of Owner 1 (4 Signature of Contractor 01 Print Name Print Name 'E�........ e-71 ............................................ ...........................................I.................... ................................................................. Before Bef this 2LM4_k`Day of 20 9— 'It/i_ 20). this?TX- ay o L c -BROOJE MCGOYE Nc ta$.* 4lic J F Notary Pdblic RgOOA AkGOA MY COMMISSION#EEk3g3?k d 10.24.12 AY COMMISSION#EE137295 A EXPIRES November 04,2015 EXPIRES November 04,2015 A FlaMeNotaryService.com L407)398-0 153 FlOrldeNot;§ryservice.com DO NOT WRITE BELOW- OFFICE USE ONLY Applicable Codes: 2010 FLORIDA- BUILDIMG MD-F— Review Result (circle one): Approved Disapproved Approved w/ Conditions Review Initials/Date: Development Size Habitable Space Non-Habitable Impervious area Miscellaneous Information Occupancy Group Type of Construction Number of Stories Zoning District Max. Occupancy Load 'Fire Sprinklers Required Flood Zone Conditions/Comments: NOTICE OF COMMENCEMENT State of County of Tax Folio No. To Whom it May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF OMMENCEMENT. Legal Description of property being improved: /171 4$� (I L 7 Address of property being improved: kit /41 A 4 General description of improvements: Owner: 4;.1 Address: '4, Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: traictor: j Y,.; Address: Telephone No.: Fax No: Ir "y( i I Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: 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 I` day of JQ i�,jq in the County of Duval,State Doc#2012267170, OR BK 16157 Page 1868, Of Florida,has personal appeared "—A Number Page&1 Personally Known: :�� or Recorded 11,271!201,2 at 08�11 AM, Produced Identification- JIM FULLER CLERK CIRCUIT COURT DUVAL Notary Public: COUNTY My commission expires: RECORDING$10-00 J. BROOKE MCGOYE f;y COMMISSION#EE137295 �;,,,(PIRES November 04,2015