1124 W Linkside Ct 2012 roof Imo'1-1-
, a �4 CITY OF ATLANTIC BEACH
op)
r r) 800 SEMINOLE ROAD
j- ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number 12-00001797 Date 12/10/12
Property Address 1124 W LINKSIDE CT
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 8650
Application desc
reroof
Owner Contractor
NANSEN, BRETT CBI CONSTRUCTION (ROOFING)
5472 FIRST COAST HWY STE 6
ATLANTIC BEACH FL 32233 FERNANDINA BEACH FL 32034
(904) 302-8606
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 95 . 00 Plan Check Fee . . . 00
Issue Date . . . Valuation . . . . 8650
Expiration Date . 6/08/13
Special Notes and Comments
NEED NOC
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: 14 04 LI ks VLska- Lf L.42 E-6-1--- Permit Number:
Legal Description Parcel#
,fl a Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$S I Proposed Work heated/cooled _ non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one):. Commercial Residential
If an existing strucure ,is a fire sprinkler system installed?(Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approval form pp
Describe in detail the type of work to be performed: i`ee-oz))
LG
Property Owner Information:
. �/D
Name: SRCH" t\lo.&r.S / Address: I lay' L&ik<sa e-- LADC51--
City Ft.4-10,,,+-,c- I eGCA State FL Zip Phone
E-Mail or Fax#(Optional)
4 Contractor Information:
Company Name: Cg 'Qualifying Agent: tO 116611 I f 5) 6
Address:.5[-/7, cit-5-1- etc,.. -1.- . -e-e- City ' e„c ntex,.d,N - State 'Ft. Zip o3t4
Office Phone Q ' 3O2- '8 C0o to Joite/Contact j 1,
umber Fax# -
State Certification/Registration# C C� , 7 1---5///rchitect Name&Phone# 0
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
9 [icatio its hereb ma J to o tain ee.�rr t to p,the Work and r staSlltat ru s of a ted.rI ce ati ;that n trw tiko i 1 lAttel1iati7.h s °omienced tigreco t he
t aride v is wor ms n tt c a eaacednct lha rl rm e°prgm isrinusf be secure worWes a '"or�r, ,u tgtng lifgnk,e ei[s7NoY:►; Pun es,a t ers
,Iea rs, rs comrraed►Ce� ° u
I�eaters, auks an tr on tboners,etG
1
jI 1 A► M11 11► 1l►� ` �yf. 1 ► [I !
1 1 Il' ,ti$/ , `t .• 1� • • 1 l Y 11� 1 11;, ., • 1 '+1
TiS
1 1 1 1 I t' ■ i i .
I hereb cer i t/,ag I have ea atta m ned this. at[on and kn the samntein be a e amr cu eesc A[I prod pito gel autfio ty to varoatego°r ang t e
ty�e wor r b hove with rerlsfeer icing on construction o��ie p�fo mwe o�constru�n. /
/1, --.of 0 r Signature o __ L�,��s--
Signature o '
Print Name ��� Print Name_ --� .'� ._-- �
Brett w Sworn to and subs •bed befor• me
Swo o and subscribed before�pgo
this- Day of 0 o t �►.:i, e(�� �f Florida this 1 Day of S''• ?�
My Commission Expires 0711712016 �► __l
_ ,
s;�; Commission No.EE 217314 �-A '� `2' Wiv col I' ',' .< �
Notary Public Public UndeMl EXPIRES:June 14,2014
Not is
BontledThrU ary H` Thou Nam
?uPubic Undenw"°"-I
-- : .. V
NOTICE OF COMMENCEMENT
State of Tax Folio No.
County of
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: ii,�4 Li K'��dca 4-%'k (,,se-3 4- N.
General description of improvements: Re-R. F
rnp�c� 3 �
r� Ilo� q Li„i�!S►d� �f wts-f "z-n°
Owner: R N a'`�5 Address: x-i c a,N
fl-�ra.Do
Owner's interest in site of the improvement: Q x N
Fee Simple Titleholder(if other than owner): o z o m Oa
c� 7c N O
0 ill 2
Name:
,�.'J,,/i Co tractor: c-, s
/' A
Address: cif 707 `e4-<�� Cn,n+ (-14.330\ S-fG, ,Co c'.' .
Telephone No.�g�`/� v� �2�Oe ax No: �q0 y� "
c
m
Surety(if any) a U
Address: Amount of Bond$ y u'
r-
_ 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
Sil •- 11,74"----/ Date: wolf v)._
Brett Winney Before me . 1` day of Ve ct ,r in the County of Duval,State
war 114 of Florida Of Florida, as personally appeared 'greet CI,--,---1 N,.,ns,
i Ai, Notary Public at Large,State of Florida,County of Duval.
'9� 911 My COmmlSSi0rt Expires 07/1712016 My commission expires: �^i I l 7 ao� .
'?pt; Commission No.EE 217314 Personally Known: S=L i)1. N s9c-CA-1-�-i - 1`A.- " or
9Onded Thtu Notary Pubic Underwriters 1 W