1135 LINKSIDE CT W - REOOF _j y\��
// 1
�-�' , CITY OF ATLANTIC BEACH
'' - _ 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
D.i I�'
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-627
Job Type: ROOF PERMIT
Description: RE ROOF
Estimated Value: $7,420.00
Issue Date: 3/15/2016
Expiration Date: 9/11/2016
PROPERTY ADDRESS:
Address: 1135 W LINKSIDE CT
RE Number: 172374-5170
PROPERTY OWNER:
Name: MANIS, STEPHEN V & LANE JETER, *
Address: 1448 W LIBERTY ST
GENERAL CONTRACTOR INFORMATION:
Name: LOCKE ROOFING LLC
Address: 24 E 4Th ST
Phone: 904-424-7618
FEES:
BUILDING PERMIT FEE $87.10
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $91.10
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of 1 r L� County of
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following Information Is stated in this NOTICE OF
COMMENCEMENT. �f j G
Legal description of property being improved: 1 1 l
Address of property being improved: 1 1 3 1-3
'i(�e C l� 3 ZZ 33
A.
General description of improvements: /�.C—f LOCI
Owner l l(�� A C(f�
Address 4' - . .ri I 111.41--:. - - 3
Owner's interest in site of the improvement I J
Fee Simple Titleholder(if other than owner)
Name
Address R" ‘
P4fill/
Contractor L Ut,�(c'� ;n - L1„
Address J 0 10 Cot,$ 'I'-.,S 5�•-
Phone No. wr -' Fax No.
Surety(if any)
Address Amount of bond$
Phone No. Fax No.
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
Phone No. Fax 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 /t(-41(1--- O ? R. ' //,,
Signed: 1/ Of
r "`' '' DATE 3 . 5- i�
Before me this (S+'day of 41011Y-1rTRWA , a in the
ountty of Duvai.- e of Florida •Wally appeared
Doc#2016057518,OR BK 17491 Page 2362, ��! .,.,-r •
Number Pages: 1 himself/herse -mm1s that,II stateme s an. • • s•7,• LAURA M.RIEBSAME
are true and a• ,_�+•'Yo;.y
Recorded 03/15/2016 at 12:23 PM, is-
..1.,::: Commission#EE 870455
Ronnie Fussell CLERK CIRCUIT COURT DUVAL I''7,,:;= Expires May 31,2017
COUNTY 3. •�..:t
,� , %F,�2 °. Bonded'Nu Troy Fain trounce 800-385-7019
RECORDING$10.00
Notary Public at Large.•tate of r' i( County of >f cam .
My commission expires: 5- i 1
Personally Known or
Produced Identification k-( 0t _
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
1(0 00F -66-7
Job Address: it' s W L:y,11LS,`je Cr *1o.n#;f. ��1, 1�1. 3 )X3 Permit Number:
Legal Description L 1-1- V1N - 5 -aq G Parcel #
Floor Area of Sq.Ft. Sq.Ft
ea
Valuation of Work S /y ,O() Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one Yes o N/A
Florida Product Approval # FL a5 F' /
V nn II � ,`. .s -`�� 66
For multiple products use product approval form t`1T S S
Describe in detail the type of work to be performed: l"ke.rooS
Property Owner Information:
Name: Address: 1441 N
City t
zciG 5, u__�11. State AZip Alan 6 Phone q&-l- r}aq- `1 0
E-Mail or hax#(Optional)
Contractor Information:
Company Name: 9)0eCy,.: L . Qualifying Agent:
Address: lo bo E 5c e_ a S City hoc$-&.*�v,1l� State pt.. Zip lcukoa
Office Phone gptt-').5 - "'Sa.dlS Job Site/Contact Number (1014-11),44-''}CS Fax#
State Certification/Registration # (4C, 11504, '
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. /certify 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. /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.
I hereby certify that/have read and examined thisplication 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.91 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.
Signature of Owner(MAX._ b ' /7/'11/0
/ Signature of Contractor
Print Name (-a{n& M4 Print Name 001,v e' Locke
Sworn to .nd subscribe oefore me(N„ Sworn to and subscribed before me
this 1 B. r i me Ai- 20 this IS Day of sC%OtC.V■ , 20llQ
LT I 11 V-4 I
Notary PubliW WWI' • ' ' Nota ' ; blic
Revised 01.26.10
"Y;.... LAURA M.RIEBSAME
g• %el Commission#EE 870455 MORBAN B.WOOIEY
;o Expires May 31,2017
p ,'' Bonded The Troy Fain Insurance 800385-7019 /,' 1 ��'s_ Notary Public-State of Florida
1. = Commission•FF 206900
Z.,,,, L' My Comm.Expires May 26,2019
•
Bonded through National Notary As!n.