1484 Linkside Dr 2015 ROOF ,j
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"I SS CITY OF ATLANTIC BEA
"
800 SEMINOLE ROfD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NE)(T DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROOF-383
Job Type: ROOF PERMIT
Description: reroof f11956.4
Estimated Value: $8,500.00
Issue Date: 2/23/2015
Expiration Date: 8/22/2015
PROPERTY ADDRESS:
AdOurs: 1484 LINKSIDE DR
REUffimber: 172374-6390
PROPERTY OWNER:
Name: LESUER, FRAKER WENDI L
Address: 1484 LINKSIDE DR
GENERAL CONTRACTOR INFORMATION:
Name: EMPIRE ROOFING SALES & SERVICE
Address: 2806 -1 GI GIBSON RD QA PEDRO R NUNEZ
Phone:
FEES:
BUILDING PERMIT FEE $92.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $96.50
PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITV 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: Ljj k-cidt -Or- Aflo.41L gexck 3a)Ni Permit Number:
Legal Description 117 _ff E 6cj 1j", (j,
_� - 17 -.2s__ �a � k Parcel #_
4g 0
yo I or Area of' S—q-F—t Sq.Ft
Valuation of Work S 0 -�roposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration IdK�D Move Demolition pool/spa window/door
Use of existing/proposed stru i cture(s) (circle one): Commercial ',esidential
re yrinkler system installed? (Circle one): es 0 N/A
If an existing structure,is a fi
Florida Product Approval 4
For multiple products use—prolhu'et Zppr�ova5`rm �
Describe in detail the type of work to be performed: 1:1-Ap 04- d014,n to deLt-_- Mail S-4-fe �y Co4e,
Drv-,A Avmc)v :F_nAif 81ya< 1-jr!A. SjV,,qg[e6
Propertv Owner Information:
Name: A ;6* , , < Address: 111411 L h
- I's wwaj A S -_ a
city Atl#AhL �A State Phone Cc�6e_ ;4
E-Mail or F ax#(Optional) -
Contractor Information: CONTRACTOR EMAIL ADDRESS:
..0.? A
ecka &I'l�
Company Name: Ite, ka"Im-Qualifying Agent: .. el 7
Address: —city qd=w I if State zip 3,z,;a 7
Office Phone -10,91 Job Site/Contact Number Fax# Al 7 7
State Certification/Registration# CCL 13�,6no:7
Architect Name&Phone#
Engineer's Name &Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
4pplication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commencedprior to the
issuanceo a ermit and that all work will be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
ff�p
and void ork is not commenced within six(6)months, or if construction or work is suspended or abandonedfor aWeriod of six�6)months at any time after
work is commenced. I understand that separate permits must be securedfor Electricar Work, Plumbing,Si�ns, ells,Pools, Pitrnaces, Boilers,Heaters,
Tanks andAir Conditioners,etc.
WARNING T 0 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.
Ihere certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
1jVvWork will be complied with whether specified herein or not. The granting of a permit does not prIesumeto giv authority to violate or cancel the
provisi.ons of any otherfederal,state, or local law regulating construction or the performance of construction.
t
Signature of Owner Signature of act
Print Name
Vtm.. .. W 1.7y. Print Name -e
............................................... ......................................................................................................................................
Before-me f
I E I I G 9 0% 20/f
d ja thi /e-
0
Not�ry 15 S. ry S*
# FF 086334 No late of Florida
commission 's M Corn -Expire
Bonded Through Natiooal Notary Assn. S. s Feb 21,2018
Commission #FF oftwit;e 1.26.10
ed Through Natio,ial Notary Assn.
NOTICE 0,p
COMNLIENCEMEN'r
(PREPARE IN�OUpLle;ATE)
Permit No.
State of— vax FolioNo.
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
COMMENCEMENT. is stated in this NOTICE OF
Legal description Of Property being improved:
4r,
--21'eLVA—LA-kil
Address of Property being improved:
A
�I L
General description of improvements: lze�IV e
Owner Qtm,-
Address-1�19j A-fliAr
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contracto
r
Address
-JLL 1? 11611..........................-
-J)
Phone No.--2-91-1loe "IL--Fax No. 7 (
Surety(if any)
Address
Phone No. Fax No- mount of bond�L�
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 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 Statutes.(Fill in at Owner's option).
Name
Address 8 C,
Phone No.
Fax No-
Expiration date of Notice Of Commencement(the expiration date is one(1)Year from the date of recording unless
different date is specified): r.
z;
1 111Q WAUtz-FOR RECORDER'S USE ONLY E� E
OWNER E
I E
Signed: M U C)
Before DATE =(S'�-, 1
of -M
Doe#20,15040530,OR BK-17073 Page 946, ION a. P all ared In the
Number Pages:1 rms that
-terein by i
Is te no a larations herein 14
Recorded O'�'2-3/2015 at 08.09 AM, are true and accurate
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10-00
Note Publi a rg-, Uoul "wz;(—
MY mission a ires: Kf
Personally Known
Produced Identific