1123 LINKSIDE W CT ROOFCITY 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:
15 -ROOF -1140
Job Type:
ROOF PERMIT
Description:
RE -ROOF FL 10124.1
Estimated Value:
$5,900.00
Issue Date:
5/14/2015
Expiration Date:
11/10/2015
PROPERTY ADDRESS:
Address:
1123 W LINKSIDE CT
RE Number:
172374-5175
PROPERTY OWNER:
Name: GOINS, MELINDA J
Address: 1123 LINKSIDE CT
GENERAL CONTRACTOR INFORMATION:
Name: DAVID MERRITT CONST. CO.(ROOF)
Address: 108 FLORIDA BLVD QA: MELISSA MICHELLE MERRITT
FEES:
BUILDING PERMIT FEE $79.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $83.50
PERMIT IS APPROVED ONLY m ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
State of _V I County of Tax Folio No.
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 ofproperty being improved: �{ —'1'3 1-7-1 3 24 G
S QlJ4 `1 A\L_j \Q f1
Address ofproperty being improved: /�� 3 �-: n kS•aQ1E �i':-. WPSt ,�4n7:c�r/.. �L.
General description ofimprovements: IV n ".> rotye <l.....s r L
Owner: /'iii 6-0\," S Address: /%1? > �<'ajte c'7t: w AM 15C
Owner's interest in site of the improvement:
Fee Simple Titleholder (if other than owner):'
Name:
Contractor. M t' Q goC LC —1 t-
t.1,4p Address: 1 -10 V G. •-v . Q d
Telephone No.: ^OUs �.�jzS% Fax No:
Surety litany) N//A,
Address: Amount of Bond $
Telephone No: Fax No:
Name and address of anrtylperson making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within. ttBr��e State of Florid::, other than himself, designated by owner upon whom notices or other documents may be
served: Name: /Vllk
Address:
Telephone 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 $N/� ill in at Owner's option)
Name:
Address:
Telephone No: Fan 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):
THIS SPACE FOR RECORDER'S USE ONLY OWNER�yI. pj
Signed: "/lle.Q �%/rh Date: 29 zu/ Y
Before me this dsy of r� 4 n meCwJ�ty a('Duval, State
Of Florida, has personally appesred_� '��
or
a
Oa ter Pages1 2015110408. OR BK 17166 Page 23, produced Identification:
Personally Known: ification:
Numb: Notary Public: r
Recordedss/1 M2016at IRC IT M commrssui 1O1
Ronnie Fussell CLERK CIRCUIT COURT DUVAL y UB
COUNTY fF .1
RECORDING $10.00 = MY COMMISSION #FFiaenl3
UPIRESDecemlrer3.2018
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Karl aaa'ataa
BUILDING PERMTP APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address:`lNa� 3 lrrvlsoe D, , -i Prit Number.
Legal Description 4y-�3 I-25-�-�+li v"1,,e„)ir,l(,rtd<�i'aIrcel#
rewt roma ut �y.r r. ay.ri
Valuation of Work S590l) Proposed Work heated cooled sou-heated/cooled_
Class of Work (circle one): New Addition Alteration Repan Move Demolition pool/spa window/door
Use of existing/proposedstructure(s) circle one):Commercial R�tial
i
If an existing structure, s a fire spun
sprinkler system installed? (Circle one): Y No N/A
Florida ProductA proval # 1 ) O1 - a y . )
For multiple products use pr�c approve ora
Describe in detail the type of work to be
Property Owner Information:
OL
Contractor Information:
Company Name:et`y
Office
Agent:
i zo-3711
Architect Name & Phone #
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain operant to do the week and installations as indicated 7 certify that no work or irumllation has commenced prior to the
hesuawe o//a permit and that all work will be P(6 ( nrd to meet the standards ofall /aws regulatiagcomhuction in this jurisdiction This permit becomes null
and mid lw kis nil commenced within su (6J months, or ifcorunuetion or work is suspended or abandoned fora peri /6) months at any time after
work is commenced 7 understand that separate permits must he secured fw Elemiral Work, Phnsbh lb SYgnv, W Purtsam, Bohm, HMm,
Teich a ad An C.Moners, an
LENDER OR AN ATTORNEY BEFORE RE(
COMMENCEMENT.
7hercbbyy certjy thM)have read and examined Mu licatim and Mow the same to be true and correct Allprovieiau oflaws and ordinances sneer . thu
type _ jwork will be complied with whether 1.sppecird herein w not. The gran ing of a permit does not presume to give authority to vtdae or care( the
proevionu ofanv otherfederalstate ,wlocalla. regulating construction or theperfwmance ofcomtraction
Signature of Owner - Signature of Contractor'l� /N.IAy�W
Print Name ...1.:.. x.21 w &A Aja n...._..._............_....._...._...._....._. Print Name ..Ng)SSLc;,
Sworn to and subscribed before me Swo�0,to and subscr'bed before me
tlwi 3 Day of � . 20 this L Day of 20
gin”/Of—PkN JEFFERY SCOTT REYNOLDS 6y JEFFERY SCOTT R.OLDS
tory Public MY COMMISSION kFF160B13 O 1 C MYCOMMISSION 1�rleaul
qa EXPIRESOxetnEer3,2818 'ei ha E%`.P��IIRI/Ft,S,��nece11mbat 3, 2018
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