1419 Linkside Dr roof permit fD'4 )�
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
30BINFORMATION:
Job ID: 16-ROOF-2816
Job Type: ROOF PERMIT
Description: re-roof FL-5444
Estimated value: $1,850.00
Issue Date: 12/16/2016
Expiration Date: 6/14/2017
PROPERTY ADDRESS:
Address: 1419 LINKSIDE DR
RE Number: 172374-5340
PROPERTY OWNER:
Name: FLINT, RUSSELL MARK & CRISTINA,
Address: 1419 LINKSIDE DR
GENERAL CONTRACTOR INFORMATION:
Name: TIER 1 CONSTRUCTION, INC.
BRENT PARRY PARRISH,CCC1329059
Address: 13245 ATLANTIC BLVD
Phone: 904-246-0090
FEES:
BUILDING PERMIT FEE $59.25
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $63.25
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
rill
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
Office (904)247-5826 • Fax: (904)247-5845
Job Address: 141 f t i s,` k /mac • Permit Number: I U -f-CVF-a?-
Legal Description RE#
Valuation of Work(Replacement Cost)$4ri(� eated/Cooled SF Non-Heated/Cooled
Class of Work(Circle one): New Addition a t Repair Move Demo Pool 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
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type f work to be performed:
Florida Product Approval# FG "���u for multiple protests use product approval form
Property Owner Information
NamAt
�� Address: l(F/Q law tr o -
City State�Zip 1/d3"S Phone —PL7(
[ew cn .��
OwnerorAgent (uAgmt,Powerofmm arAgeuyLetterRequirtd
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 NOTIC7E OF COMMENCEMENT.
Contractor Information:
ee,� L P ti
Name of Company: 2.t ..1 rhe -7 Qual
• ifying Agent: pr(,(a%
Address: (??4 .c & City Ifer.Edan-t/(e State Zip T1?Zr
Office Phone S -((b7 lob Site/Contact Number 8S 3 - 11r?
State Certificafion/Registrafion# i[(( tS0 F1fd E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Worker's Compensation Itlr ' /7
empt r insurer 7 1,case Employees xpnauon Date
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced
Nor to the issuance of permit and that all work will be pelo,,med to meet the standards ofall laws regulating construction in this jurisdiction.
Nor
permit becomes null and void if work is not commented within six(61 months, or if construction or work is suspended or abandoned for a
perio%six(6 months at any time after work is commenced. luederstandd thatseparatepermitsmwtbesecaredfor ! Work,Plumbing,
Signe, Wells,Pools,Furnaces,Boilers,Heaters,Tanks ar Y Conditioners,eta
Signature of Property Owner: Signature of Contractor:
Bef me
thisV Day of w.-..tir Before me this Day of
Notary Public
Ihereb r r/OfY4EaNddlf66i@ISamine thisa lication an wthe ""nr> �R �' ns ojlaws and
ordinane n � 4�dm4niseynN�6FditN5Qvi1! eco plied with whether sped TOAD •gR+� ermif does not
Presume grr&xp7resDaehmbet7 hnc [heprovisions of any otherfe dixft wmwoe-oM lruction or the
petforma urwramnm s...,�srm• ransao.0 rr•ra.
Rev.3/14/16