1525 Linkside Dr - ReRoof ,� �"� J ` s, CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
j : : : N ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
\�FSI�
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16- ROOF -88
Job Type: ROOF PERMIT
Description: reroof
Estimated Value: $11,200.00
Issue Date: 1/12/2016
Expiration Date: 7/10/2016
PROPERTY ADDRESS:
Address: 1525 LINKSIDE DR
RE Number: 172374 -6050
PROPERTY OWNER:
Name: NOONAN, JAMES B. AND MARIE L., *
Address: 1525 LINKSIDE DR
GENERAL CONTRACTOR INFORMATION:
Name: BOHEMIA ROOFING INC
Address: 3950 E ST ISABEL DR QA IVANA HODULOVA
Phone: - -
FEES:
BUILDING PERMIT FEE $106.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $110.00
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
C Job Address: 1525 LINKSIDE DR, ATLANTIC BEACH FL 32233 Parcel# 172374 - 6050
Legal Description 47 -85 17- 2S- 29E.154 SELVA LINKSIDE UNIT 2 LOT 90(EX S 11 FT OF W 37FT),S 11 FT OF W 37FT LOT 91)
Floor Area of Sq.Ft. Sq.1 -t
Valuation of Work $ il otOO Proposed Work heated /cooled non - heated /cooled
Class of Work (circle one): New Addition Alteration Repj Move Demolition pool /spa window /door
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 # FL- 10 a Y ' /
For multiple products use product approva orm
Describe in detail the type of work to be performed: SI1 t,ir Qe aook'•
Property Owner Information:
Name: NOONAN JAMES B & MARIE L Address: 1525 LINKSIDE DR
City ATLANTIC BEACH , State ELZip 32233 Phone 904 - 304 - 2338
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: BOHEMIA ROOFING CO., INC. Qualifying Agent: IVANA HODULOVA
Address: 13245 ATLANTIC BLVD STE 4 -399 City JACKSONVILLE State FL Zip 32225
Office Phone 904 - 859 -3539 Job Site/ Contact Number 904 - 982 -2114 Fax # 904 - 353 -2700
State Certification/Registration # CCC1328464
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. 1 certify that no work or installation has commenced prior to the
issuance of permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
(IF and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for aperiod 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, F urnaces, Bo 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 W , H
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOT E 6 r
COMMENCEMENT.
I hereb certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and o ' ina verning this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority o vi 't fir cancel the
provisions of any other federal, state, or local law regulating construction or the performance of construction.
rn
Signature of Owner ' ( (RlV A_ Signature of Contrac r /`
Print Name . .._(►'!.. f. S.. ......... 1 , 0.0..k./i Print Name / /Q //f r:i .... Swom to .1 suI e m AL RATH De ore Swom to and subsc ', . • ire me
this
i - c - - r on , . o ra this /i Day of i ; r 21
: • Commission # F 4
Notary Pub et .fl�S.. My Comm. Expire Sep 14, 2019 Notary Public
1 '04 OF " t " (`�• ;= : ' I‘. • . Nat'bnai Notary Assn. Revised 01.26.10
04, 1 AM, AM._ 1\11, "4
;;r°4:'' IVANA HODULOVA
'� 1 = Notary ublic - State of Florida
I. Vi',: j = •? Commi ion 0 FF 899911
� '- My Comm. Expkes Nov 3.2019
Bonded through National Notary Aan.
0 $ 0.01 ,• k4 , , ,, , PAVEL RATHOUSKY 1
4 ' i Notary Public - State of Florida I
• Commission # FF 245334
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4 Bonded through National Notary Assn.
Doc # 2016005876, OR BK 17423 Page 2309, Number Pages: 1, Recorded
01/11/2016 at 12:30 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
Permit No.
Tax Folio No.
SHE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section
713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
1.Description of property (legal description): 47 -85 17- 2S -29E .154 SELVA LINKSIDE UNIT 2 LOT 90(EX S 11 FT OF W 37FT),S 1 IFT OF W 37FT LOT 91)
a) Street (job) Address: 1525 LINKSIDE DR, ATLANTIC BEACH, FL 32233
2.General description of improvements: COMPLETE RE -ROOF, REPLACEMENT WITH SHINGLE
3.Owner Information
a) Name and address: NOONAN JAMES B & MARIE L, 1525 LINKSIDE DR, ATLANTIC BEACH, FL 32233
b) Name and address of fee simple titleholder (if other than owner)
c) Interest in property OWNER (S)
4.Contractor Information
a) Name and address: BOHEMIA ROOFING CO., INC. 3245 ATLANTIC BLVD, STE 4 -399 , JACKSONVILLE, FL 32225 CCC1328464
b) Telephone No.: 904-859-3539 Fax No. (Opt.) 904- 353 -2700
5. Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.: Fax No. (Opt.)
6.Lender
a) Name and address:
Phone No.
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes:
/^"`, a) Name and address:
b) Telephone No.: Fax No. (Opt.)
9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date
is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR 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 YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA �
COUNTY OF PINELLAS 10. - L5 61.TAC --
Sign ure of Owner or Owner's AuthoriAed Officer/Director/Partner/Manager
4aON c�� r. � voia 4
Print Name
The foregoing instru • - • • • • • • - • - - - - 41 - day of t t /,! U , 20 / , by J4II f S' NO0 /(R,4
.• " " "'•, PA L ATHOUSKY
a gotary : u, t • Stale of Florida PO G2 (type of authority, e.g. officer, trustee,
T 0 Si on # 45334
A3 My C. m. Expires Sep 14.201
attorney in fact) fo %3ar.Q;•� (name of party on behalf of whom instrument was executed).
Personally Known OR Prod e• Identification s Notary Signature
Type of Identification Produce d� / 1 /5 s - 6 — 9 4 1 42 i 42 - `/ ame (print) Rif-7/o St-c-7 THE-
HE
OR
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief.
FORMS/NOC,rvsd20 I0
Signature of Natural Person Signing (in line # 10.) Above