1227 LINKSIDE DR - ROOF f: /J ..,_
��' A 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
70B INFORMATION:
Job ID: 15-ROOF-1700
Job Type: ROOF PERMIT
Description: RE ROOF
Estimated Value: 515,000.00
Issue Date: 7/16/2015
Expiration Date: 1/12/2016
PROPERTY ADDRESS:
Address: 1227 LINKSIDE DR
RE Number: 172374-5400
PROPERTY OWNER:
Name: ABLE. RONALD AND SUE B, *
Address: 1227 LINKSIDE DR
GENERAL CONTRACTOR INFORMATION:
Name: THE FIDUS GROUP LLC
Address: 301 KINGSLEY LAKE DR QA JAMES FRANCIS SUPLEE
Phone: - -
FEES:
BUILDING PERMIT FEE $125.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $129.00
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
Office (904) 247-5826 Fax (904)247-5845 ' S- 12 Op F- 17 0 o
Job Address: / W•7? L nees,'dt toe. r4//4/rk! • CL Permit Number:
#e1a�Description -.1317 •I 5•A7E Sewn Li t Parcel
Floor Area of Sq. . Sq.Ft
V lu • n of Work S ,6,oe a Proposed Work heated/cooled /7 ■D non-heated/cooled
Class of Work(circle one): ition Alteration Repair Move Demolition pool/spa
window/door /QDO
Use of existing/proposed structure(s) (circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: 13ereioveci CXi._?-ky .s iegkS /. /(
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/acid CiArShin hion //D Tin '/
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Property Owner Informati on:
Name: I���d . A c. Address: /eV/ ./.ii1K,?/ G Dr.
City
Name:
Stater ip3.2.265Phone 4/ - 131
E-Mail or Fax#(Optional)_
Contractor Information:
Company Name: 9d � W^
iS Lf\ Qualifying Agent: J GlYYf See-e.
Address: 01 yleNe)1 La , S+C S-10 1 City St- Sf7AC
State t-L
Zip 3.3-09 a
Office Phone q D-SC4 8 Job Site/Contact Number Fax#
C1 D-4-agi?
State Certification/Registration#
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 a permit to do the work and installations as indicated. I cent 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 construction or work is suspended
or abandoned for a period of six(6)months at any time after work is commenced. I understand that separate permits must be secured for
Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters, 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.
/hereby 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 type of work will be complied with whether specified herein or not. The granting of a permit does not presume to
give authority to violate or cancel the provisions of any other federal, state, or local law regulating construction or the performance of
construction.
I
;4---------
Signature of Owner (7) ) /( Signature of Contractor
Print Name t>")42/0(b...) 196/c.... Print Name
tShw.sori a subscri bifore me
'Id
ntizA, , 20/5 Swo .10.0 subsgjbeci b- ore e
this ;0:ay of .. _, •
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No ary Public No .ry Pub ic
I
Revised 01.26.10
TAMMY K SMITH
.• :! i,(;', TAMMY K SMITH
: MY COMMISSION#EE835849
EXPIRES September 18,2016
MY COMMISSION#EE835849
1407)398 0153 FiondallotarySerwce corr .::.• •c■-..
..... at •._
.;*iit,,,,,,, EXPIRES September 18,2016
(407)398-0153 Florida NotarvService.ccrr