1481 LINKSIDE DR - ROOF r'S r\i`�J
' 1-_ _,' CITY OF ATLANTIC BEACH
,tip . 12 800 SEMINOLE ROAD
j '" }:f" 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-2755
Job Type: ROOF PERMIT
Description: REROOF
Estimated Value: $9,237.00
Issue Date: 11/25/2015
Expiration Date: 5/23/2016
PROPERTY ADDRESS:
Address: 1481 LINKSIDE DR
RE Number: 172374-6015
GENERAL CONTRACTOR INFORMATION:
Name: K & D ROOFING & CONSTRUCTION
Address: 2758 DAWN RD SUITE 1 NE QA ROBERT ANTHONY HILE
Phone: - -
FEES:
BUILDING PERMIT FEE $96.19
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $100.19
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH AI,I. CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
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Date: /.� / / / / 1.._Job Address: / [s�l (�-lA,g-& e )%/4 ve A-/04-1/G�,'Ci(4.4 ( Y2:.(.420
Owner of Property: /744 J-749A 2s A,<f .
Address: /LI Q I LL f, 4-S I d e-- b., v( A(, i;2Z& 4' Telephone: q ((- 65 70 00
Roof Contractor: kt 4(- r4 1 ' / 7
alSlities/;04/tState License Number: CLC ,3oc 5-2SR
Contractor's Address:(22 7FS? .)�w1,, i a,,(j e-2 96.4-S0v[ `/t- FL. 12.16 7
Telephone: 8011-rg(_( 700 Fax: (D(1'..(O l -2)ys Email: 4 itd4iac( iewo
Scope of Work: 6-4pr i ' 1f' S
/`�' - Roofing Material Z /
FL Product Approval# it, 1 0 1 �`1 r, ( Valuation of Work: $ �,2 1 7.
Required Inspections: Sheathing/In Progress-Dry In /Final
If re-roof: Assessed Value of Structure:_<$300,000/_>$300,000;Roof-to-wall improvements required?
(Applies to single family structures only)
"WARNING TO OWNER: YOUR FAILURE TO RECORD NOTICE OF COMMENCEMENT MAY RESULT IN YOU!? PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED
ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE REC• •e ' G OUR NOTICE OF COMMENCEMENT"
SIGNATURE OF OWNER: ,itl Date: // /"` /"S'
AS TO OWNER: :••% KONNIE ANGELIQUE GORDON
Sworn to and subscribed before me this / day of/1,),W61- kJ�J(i 20 . ...)., * MY COMMISSION t FF 164564
State of Florida,County of Duval �,/ , EXPIRES S:September 30,2018
Notary's Signature:
06 22(. �` —t r n� Bonded Nu Budget Notary Services
0 Personally known
Produced identification
1 Type of identification producedc L
SIGNATURE OF CONTRACT`OOR1,)`6' , ,, L Date: ill& -n
AS TO CONTRACTOR: 11 � ... •.°p{-. KONNIE ANGELIQUE GORDON
/
Sworn to and subscribed before me this /�1 day of N0 Vei"er ,20 ,5—. ...-,_,,.' * MY COMMISSION it FF 164564
State of Florida,County of Duval l . ' o, EXPIRES:September 30,2018
Notary's Signature: 6-C-ZZ-{' _ % yU rn°� kidded Nu Budget Notary Serrices
)Pe sonally known
0 Produced identification
Type of identification produced
800 Seminole Road•Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 Fax:(904)247-5845
F:\roof permit applicaton 2010
---- • ---, .--• � .,,,., rosy= ,1J, Lvumoer rages: 1, Recorded 11/23/2015
at 11 :31 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
I :ICE OF COMMENCEMET
Permit No -a>.FO:';',":o. iii (y��13
State of r_oata; — Coua: c` oiiVAL `
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.
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General descr ,lion of improvements: REROOF U S W� 50 YEA R SHINS LES-
t�:�t,er , (bii�S 1..... L.C. r
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Fee Simple Titleholder of other man o'.rr.er
Name
Address
Contractor &D ROOFINE &CCNSTR:CTICN CC..INC
Address 2758 Dit;:N RD.St ITE 3 .AC:SONVILLE.FLORtn:r 3'1707
Pnone No. 541-1700 --- sr_Flo. 964-369-32 49
Surety lit any,
.Address Amount of Gond
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Name and address of any person t:yak:r.7 a leer ff::!:e constr-...oL"..'1 et:,:.,rarovements
Name
Address
?none No. Fax No
Name of person:.shin the S:ate of Fior•:;a other than`sr.lsetf.des^Hated b.o::ner ico- Thor,.notices or or-se:
documents na•,re ser:ee.
Name
Ad,:ress
Pnone Nc. Fax No.
In addition to himself.o.':ner•es:Flares tt:e foil:•:lag person to receive a ono of the L ienor s Notice as o'ovided T
Section 713.05 r2}rb;.Ftor,da S:au„es.tFl:ma:O'•:ter s col:or::.
Name
Address
Phone No. cex No.
EExpiration date of Not:ce of Commencement ;e e>p:rat:o.aa:e s one•:••year from the da:e el recordalg un-ess a
afferent date is specified is
THIS SPACE FOR RECORDER'S USE ONLY OWNER E R'
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