1621 N LINKSIDE DR ROOF PERMIT I'I 'Vj- ,
4-l"
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-ROOF-667
Job Type: ROOF PERMIT
Description: reroof
Estimated Value: $11,000.00
Issue Date: 12/16/2014
Expiration Date: 6/14/2015
PROPERTY ADDRESS:
Address: 1621 N LINKSIDE DR
RE Number: 172374-6125
GENERAL CONTRACTOR INFORMATION:
Name: THE FIDUS GROUP LLC
Address: 301 KINGSLEY LAKE DR QA JAMES FRANCIS SUPLEE
Phone:
FEES:
BUILDING PERMIT FEE $105.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $109.00
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
900 Seminole Road,Atlantic Beach, FL 32233
Office(904) 247-5826 Fax(904)247-5845
Job Address: Al Lli &A Z'& Permit Number:
Legal Description J/7-95/7-.2-5 V96.ld5,9zlso 'Parcel
.:g Floor Area of ow Nq Pt
Valuation of Work S Proposed Work hent�dtcooled /5,/cP no'n-hented/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Useofc�xisting/pro osedstructure(s) circleone):. Commercial Residential
If an existing strucrure I fir -v tem installed?(Circle one): Yes No N/A
qR '
" ' v sprin er s
Florida Product Approval # 7
For multiple products use product approval ro—rm
Describe in detail the type of work to be performed: 13no I"-
_—A leae Q/� old
;4qll
ProperU Owner Information:
Name:60 1 Address: I&C21 lq- Xd,0��,i AP
City'4QM L Stato�H_zi��Pll-lie VZY/ 4W V
0
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Fidus Roof ing and Construction— Qualifying Agent:James Suplee
Address:301 Kin&sley Lake Dr City St.Augustine State FL Zip 32092
Office Phone 904-M-5548 Job Site/Contact Number —Fax# 904-230-5547
State Certification/Registration#CCC 1329903
Architect Name&Phone#
Engineer's Name&Plione
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
ion is hereby made to obtain a permit to do lite work and installations as indicated /certify Mal no work or installation has commencedprior to the
o)'apernfil and that all work still be per orined to ineet the standards of'all laws regidating consilyclion in thisjurisdicuon. This Nrmit b�conies nyll
and void ifivork is nor commenced within six'(6)months,or ifconsiruciion or work is suspended or abandonedfor a Period ofsix monthsat any time after
work is commenced. I understand that separate permits must be securedfor Eleddeal-Work, Plumbing,Sijins, Wells, PWols, )CIrnaces,Bolleis,Reaters,
Tanks and Air Condiffeners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENTMAY 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 herelb ceq6 that I have read an exansinedth''S' fi tion andknow the same to be true and correct, Allprovisionso ordinances governing this
I flows and
a ivork will be compliedwilh whether evile hereinarnot. The granting of apermit does nolpresunle to g4 te or cancel me
I fany otherftde local aw regulalin c n
provisions q I'stal struction at,the Peiforniance ofconsfruclion.
'rj aera"3a'
Signature of Owner nature of Contractor
Print Na
me tit Name
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y MMISSION#EE835649
T#MliY K SMITH
EXPIRES SKq*it%1t&M60ffi
MY
COMMISSION#EE835849
EXPIRES September 18,2016 (407)398-0153 Flondallotaryservice.com
�9-0153 RondallotaryService.com
Dr-c # 2014279237, OR EK 17003 Page 1482, Number Pages: 1, Recorded
12/12/20141 at 09:44 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAJ, COUNTY
RECORDING $10.00
NOME OF CONIMENCEMICNT
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