1609 LINKSIDE DR - ROOF l- _ J,J
,
,_-)' : .. ''Ls-;- CITY OF ATLANTIC BEACH
z _ ``SJ1 800 SEMINOLE ROAD
J r; ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
''2.J;il9�
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-941
Job Type: ROOF PERMIT
Description: REROOF
Estimated Value: $8,945.00
Issue Date: 4/22/2016
Expiration Date: 10/19/2016
PROPERTY ADDRESS:
Address: 1609 LINKSIDE DR
RE Number: 172374-6110
PROPERTY OWNER:
Name: FLORENCE,RONALD ALLEN & LAURIE, *
Address: 103 VICTORIA DR
GENERAL CONTRACTOR INFORMATION:
Name: K & D ROOFING & CONSTRUCTION
Address: 2758 DAWN RD SUITE 1 NE QA ROBERT ANTHONY HILE
Phone: - -
FEES:
BUILDING PERMIT FEE $94.73
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $98.73
PERDU' IS APPROVED ONLY IN ACCORDANCE Wrrn ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
1,1,0,5.1`7 ,e-a,:.�� 10-
CITY OF ATLANTIC BEACH
/ ROOFING PERMIT APPLICATION
Date: �/ --,v /
Job Address: / /, /O C�(.44-S i�-,t Ai v( At
an--/-1 G I�re,11 6L 3;,7z 33
Owner of Property:.-kYIG Id �(O fe,1 c _ 4 Z' -4 z S7
Addre—. t /47 r,It /44 LI �?u% 0 220;-5- Telephone: 70g 74/-d(iZ-Z
Roof Contractor: JC t-U 16 d47 v£af bcte"--i State e License Number: eet/7.7 CT S a
Contractor's Address:27s'� 2 4k)4 -PI Ac3 i,,r /— 3a4_07
Telephone: (UV- /- 170 O Fax: 90 ii'3 6 9- ? q ( • Email: k+ ivpil ( i'`0- 44.4.1'
l� // Roofing Material',f ill lie ei J 1 i
Scope of Work: �� DO j"" g
FL Product Approval# F6--/0/2''1 - P 7 Valuation of Work: $ 5)1(4.5--( 30
Required Inspections: Sheathing/In Progress-Dry In /Final
If re-roof: Assessed Value of Structure: i<$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 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 WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT"
SIGNATURE OF OWNER: Date: ( P. ' / (f
�p0.Y PUB
AS TO OWNER: i,` +°:"'•.`� KONNIEANGELIQUEGORDON
�� 1 �p * , * MY COMMISSION i FF 164564
Sworn to and subscribed before me this day of 2
State of Florida,County of Duval r . ) a' °. EXPIRES:September 30,2018
/ a"Log- Boded Thru Budget Notary Services
Notary's Signature:
❑ Personally known
,, Produced identification /
Type of identification produced /1"(iK L U'6116
SIGNATURE OF CONTRACTOR: Date: / —/ S—
AS TO CONTRACTOR: / ‘i-P— v / g a R z
Sworn to and subscribed before me this / S day of - ,20 0 . o
State of Florida,County of Duval c o z.
Notary's Signature: e4.,--,---- t,
U Personally known m
76roduced identification / W `-'3
X
Type of identification produced )r-✓r✓( 1 1 (/k11 o} X f
'` W m
800 Seminole Road•Atlantic Beach,Florida 32233-5445 4'•u1•. ao
Telephone: (904)247-5800•Fax:(904)247-5845 v. ..11-" u
F:\roof permit applicaton 2010 0•/`" �..
Doc # 2016089964, OR BK 17534 Page 2486, Number Pages: 1, Recorded
04/21/2016 at 10:13 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
;PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 172374-6110
State of FLORIDA County of DUVAL
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT,
Legal description of property being improved: 04772 Selva Linkside Unit 02
Address of property being improved 1609 Linkside Drive Atlantic Beach FL 32233
General description of improvements: REROOF USING 50 YEAR SHINGLES
Owner Ronald Florence
Address 6107 Eagle Landing Road Burke VA 22015
Owner's interest in site of the improvement_Owner
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor K&D ROOFING 8 CONSTRUCTION COMPANY INC
Address 2758 DAWN ROAD SUITE 3 JACKSONVILLE,FL 32207
Phone No. 904-541-1700 Fax No. 904'369.3249
Surety(if any)
Address Amount of bond$ _
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 outer
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 I OWNER or AGENT
//Of Age r of Attorney or Agency Letter Required)
Slo __.__r-- Date: 7 —1/f
Before rna tntc ` day of 120%f i in the fit Y_
Cavity/ of n $Ule Fonda,has personalty appoorod
f ce vtCc,. ;wren by -1"j
nj If!herself and a u a9 statements- true and accurate.
eC
•Notary Pub:ir at l woe.Stat or4�04. Comfy of / 144/4 1 wm wa
My commission expires' _"✓0•
Personaty known_or Produced identir..cmion
„
ip,' * ale.