1570 Linkside Dr roof 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
-0jf
Application Number . . . . . 13-00002838 Date 6/10/13
Property Address . . . . . . 1570 LINKSIDE DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 8815
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Application desc
REROOF
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Owner Contractor
------------------------
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DEAL, HENRY MICHAEL & MARY A SCHULTZ ROOFING COMPANY INC
1570 LINKSIDE DR 216 N. 20TH STREET FL 32250
ATLANTIC BEACH FL 322337307 JACKSONVILLE BEACH
(904) 246-231S
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 95 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 881S
Expiration Date . . 12/07/13
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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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: 0 L 1^ vi 's I C1 e- _b -Permit Number:
Legal Description_Lj 9 �42 6 ZaL Parcel# 0
Floor Area ot Sq.P't' Sq.Ft
Valuation of Work 0)5.00 _Propose'd Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration 4opftir 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# &2� 7.1/, / ZL U 7�7":�
For multiple products use-product approval form
Describe in detail the type of work to be perfonned: S k�n,i:�
Property Owner Information:
Name: ft e-nrsi 0-\,o'.. % 6e-,, —Address:
City pt�\an-wc_ 6ec-cjk Stater-!Zi Z233 Phone
p_3Z 3
E-Mail or Fax#(Optional
Contractor Information:
Company Name: u 7- Rho C�o- 1� In C_ - Qual��ng Agent: AaIQS
Address: 9L I --City State 'F j Zip � 22SV
Office Phone�)os -.,)Lg ia -a i s- Job Site/Contact Number -7 '59 Fax# !3c) 1,4 Qq-) - 'iSOR
State Certification/Registration C,C, 3(e q S!I
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Addres
Mortgage Lender Name and Address
A I cat i he eb ad b a n a e in �do work and insta rtify that no work or installation has commenced prior to the
,c r it 0 tZ to mZ t� a ng construction in thisjurisdiction. This permit becomes null
be pe f six months at any time after
y rk P rm t st M� Heaters,
wo s t eriod o
�', or, c c or abandonedfor a
ed h (6 on ts u 1 0 e - w
s cu
p i io s r i t e t al la Plumbing,Signs, eas, Pools, I urnaces, Boilem
P t
s
a e a rm t a
c.
w is
,k menced I understand t t SPara e per b e
Tanks and Air Condfitioners,eta
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.
I here certify that I have read and examined th' plication and know the same to be true and correct. All provisions of laws and ordinances governing.this
' n's
1�work will be complied with whethe sEcifled herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provist.ons of any otherfederal,state, or local aw regulating construction or the p&formance ofconstruction.
Signature of Owner Signature of Contractor
Print Name Print Name P�Uvi.s sow.14-Z.......................................................................
Sworn to and subscribe fore me Sworn to and subsc4_bed before me
t is Day of this /�VDayof 6'2*-r,62.g..d_ 2013
ROSALIND CLARk
OMMISSION#EE 001736
t 25,2014
tic
Notary Public Bonded Thru Notary Public- MY COMMISSION#EE 001736
EXPIRES:August 25,2014
-:p400 3�)3 q 7 463 0 Bonded Thru Notary Public Undewiterry ised 0 1.26.10
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Tax Folio No
Perm County of
State
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and In
accordance with Section 7`13 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT.
Leg description of erty being improved:
Address of property being improved:
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General description of improvements:
Owner
Address
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor r,—.Inc A SchultzJSchultz Roofing Co.,Inc.
—m Ki,)n*k-Qt jankqonville Beach FL 32250
Address 904-246-2315 Fax No. QAA2247-3808
Phone No.
Surety(if any) Amount of bond
Address- Fax NO.
Phone No.
Name and address of any person making a loan for the construction of the improvements.
Name
Address Fax No.
Phone No. himself,designated by owner Upon whom notices or other
Name of person within the State of Florida,other than
documents may be served:
Name
Address Fax No
Phone No. in
In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided
section 713.06(2)(b),Florida Statutes.(Fill in at Ownees option).
Name
Address Fax No.
Phone No.
iration date is one(1)year from the date of recording unless a
Expiration date of Notice of Commencement(the exp
different date is specified): OWNER
—;F R RECORDER'S USE ONLY. rE
H� -L�9�
Signed: in fle
Before MO day of
ty Of of".has rm IVY 7-h=M by
e 0 _
If/he a afftmis that all sm1eme"m m-
ere Mn and amuraft
Pubik S county Of
Large
Ic at
my cornntasion expires: or
Personally Known
Pa I us 0"
my MAN"#it OWN
E=XPIFU18,, f
Mkied Thm
Doc#2013146546,OR BK 16403 Page 2214,
Number Pages:i
Recorded 06/10/2013 at 01:58 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00