1539 Linkside Dr 2014 Roof CITY OF ATLANTIC BEACH
r f
800 SEMINOLE ROAD
r� ATLANTIC BEACH,FL 32233
J v INSPECTION PHONE LINE 247-5814
14-00000478 Date 5/12/14
Application Number . 1539 LINKSIDE DR
Property Address . . • •
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . 9000
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Application desc
reroof
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Contractor
Owner
JUSTIN LARSEN CONSTRUCTION INC
SHEPHERD, CHARLOTTE H
PO BOX 1942
1539 LINKSIDE DR
ATLANTIC BEACH FL 32233 4784 CATTAIL ST
MIDDLEBURG FL 32068
(904) 241-0320
----- ----
Permit • ROOF PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee . . . . 95 . 00 9000
Valuation .
Issue Date • • ' . 11/08/14
Expiration Date
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-----------------------------------
STATE DCA SURCHARGE-------
2 . 00
Other Fees
_ 2 , 00
STATE DBPR SURCHARGE
---------------------------------------Paid------Credited
Due
Fee summary Charged
--------- ---------- . 00
00
Permit Fee Total 95 . 00 95 . 00 00 . 00
Plan Check Total • 00 ' 00 . 00
4 . 00
4 . 00 . 00
Other Fee Total 99 . 00 . 00 . 00
Grand Total 99 . 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 �� 8 0��
Office (904) 247-5826 Fax (904) 247-5845
Job Address: IJAIXYR Permit Number: _
Legal Description - - SaW U Ks Parcel #
Valuation
Floor Area o q. t. q t
V aluation of Work $ //` Proposed Work heated/cooled non-heated/cooled
-Class of Work (circle one): New Addition Alteration epair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial esiden
If an existing structure, is a fire sprinklerystem ' stalle ? (Circle one /A
Florida Product Approval # - �
For multiple products use product approva orm
Describe in detail the type of work to be performed: -
ILeda—
Property Owner Information:
Nam*orFax
Address: s!
City State p Phone
E-M # (Optional)
Contractor Information:
Company Name: Qualifyin A
Address: Ty
City State Zip
Office Phone _ — Job Site/Contact Number�f�!{4 _[�3// Fax #
State Certification/Registration #
77
Architect Name & Phone #
Engineer's Name & Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
1pplication is hereby made to obtain a permit to do the work and installations as indicated. I 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 all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if consiriiction or work is suspended or abandoned for aperiod of six(6)months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters,
Tanks and Air Conditioners, e1c.
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 Hereby cg1ify that/have read and examined this a plicati nd know the same to be true and correct. All provisions of laws and ordinances governing this
tipe of work i compli wit whether s eci red her i or not. The gr ing of a permit does not presume to give a 1hori violate or cancel ilre
provisions o anv o1 ler jede L s e, or oca regula nstruction or the erformance of cons ction.
ST11,1W of Oer Signature of Contractor
Print Name 14r
... ...RI. ..... .._ ,f9kf f✓l�.p Print Name .
Sworn to and scribed ore rite Sworn to an subscrib
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�B� IA PIMIENTA ? t Public-State of Florida
Jotary ubl i ?r.' Notar PubTil!-State of Florida - ss r o Aires Jan 26,2015
Notar i t tc :,F Commission#EE 59080
My Comm.Expires Jan 26,2015 ,,OFA ,,.
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F,SOP• Commission#f EE 59080 I i