1122 Linkside Ct E 2014 RoofCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ROOF PERMIT INSPECTION PHONE LINE 247-5814
L BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID:
14 -ROOF -249
Job Type:
ROOF PERMIT
Description:
REROOF FL10674-R7
Estimated Value:
$8,597.00
Issue Date:
10/16/2014
Expiration Date:
4/14/2015
PROPERTY ADDRESS:
Address:
1122 E LINKSIDE CT
RE Number:
172374-5110
PROPERTY OWNER:
Name: BROWN, JACOB S
Address: 1122 E LINKSIDE CT
GENERAL CONTRACTOR INFORMATION:
Name: PRIME ROOF CONTRACTING LLC
Address:
Phone: - -
FEES:
BUILDING PERMIT FEE $92.99
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $96.99
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Job Address: 1122 Linkside Ct E
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Permit Number:
Legal Description 44-23 17 -2S -29E SELVA LINKSIDE UNIT 1 Parcel #
Floor Area of S. Ft. S.Pt
Valuation of Work $ 8597 Proposed Work heated/cooled 1714 non-heated/cooled 2114
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercialsident�
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No 7A ,
Florida Product Approval # FL10674-R7
For multiple products use product approval form
Describe in detail the type of work to be performed: Single Family Home Re -root
Property Owner Information:
Name: Jacob Brown Address: 1122 Linkside Ct E
City Atlantic Beach State FL Zip 32233 Phone (904) 571-8486
E -Mail or Fax # (Ontional)
Contractor Information:
Company Name: Prime Root Contracting Qualifying Agent:
Address: 372 Royal Palms Dr City Atlantic Beach State FL Zip
Office Phone (om) 4524" Job Site/ Contact Number (904) 625-1446 Fax #
State Certification/Registration # CCC1329505
Architect Name & Phone #
Engineer's Name & Phone #
Fee Simple Title Holder Name and A
Bonding Company Name and Addre:
Mortgage Lender Name and Address
32233
Application is hereby made to obtain a permit to do the work and installations as indicated. l certify that no work or installation has commenced prior to the
issuance of a permit and that a0 work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
E
void,f work is not commenced within six (6) months, or if construction or work is sus ended or abandoned fora period of six 6j months at any time after
work is commenced. l understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Arnaces, Boilers, Hearers,
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 FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
hereb certify that l have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether speci ted herein or not. The granting of a permit does not presume to grve authority to violate or cancel the
Provisions of any other federal, state, or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contrac
Print Name __1�e_A ___ �i� 1�•-n _ Print Name
Sworn to and subsc e b fore me Sworn fq and subscri ed of re me
this � Day of 20 If this J�ay of r, 6 or 20 i
ell A A/
�,t,�Pb Noffixy PuBlic
oii+" ° O•
SMARYN L. CONWAY
Notary Public - State of Florida
My Comm. Expires Sep 10, 2016
''%�oFr�d •'
Commission #t FF 146192
Revised 01.26.10
�..¢� Andrew D. Davis
COMMISSION 0 FF160849
rc EXPIRES: Sept 17, 2018
WWW,AARONNOTARY.COM
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of Florida County of Duval
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: 44-23 17 -2S -29E
SELVA LINKSIDE UNIT 1
Address of property being improved: 1122 LinkSide Ct E Atlantic Beach, FL 32233
General description of improvements: Re—roof
Owner Jacob Brown
Address 1122 Linkside Ct E Atlantic Beach, FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder (if other than owner)
Name
Address _
Contractor
Address _
Phone No.
Surety (if any)
Address _
Phone No.
Prime Roof Contracting, INC.
PO Box 50247 Jacksonville Beach, FL 32240
904-452-8440
Fax No.
Fax No.
of bond
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
Phone No.
Fax
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
Address
Phone 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):
Doc # 2014235649, OR BK 16947 Page 174,
Number Pages: 1
Recorded 10/16/2014 at 01:59 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00
S USE ONLY OWNER
Signed: DATE
Before me this day of in the
County f D val. ate of FI ida, has personally appeared
W Irl herein by
himself/ herself and affirms that all statements and declarations herein
are true and accurate
N ryPublic at Lar tate of Coun of
My commission exp es
Personally Known fr or
Produced Identification
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