1323 Linkside Dr re-roof permit -S y1l�/n
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
JOB INFORMATION:
Job ID: 17-ROOF-3428
Job Type: ROOF PERMIT
Description: RE ROOF
Estimated Value: $12,765.00
Issue Date: 3/7/2017
Expiration Date: 9/3/2017
PROPERTY ADDRESS:
Address: 1323 LINKSIDE DR
RE Number: 172374-5370
PROPERTY OWNER:
Name: THOMAS II, ROBERT D
Address: 1323 LINKSIDE DR
GENERAL CONTRACTOR INFORMATION:
Name: BOHEMIA ROOFING INC
,CCC3328464
Address: 3950 E ST ISABEL DR QA IVANA HODULOVA
Phone: -
FEES:
BUILDING PERMIT FEE $113.83
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $117.83
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 `/-�' R oo�- - 3,,31 z-S
mss.
Job Address: 1323 LINKSIDE DR,ATLANTIC BEACH FL 32233 Parcel# 172374-5370 -
Legal Description 44-2317-2&29E SELVA LINKSIDE UNIT 1 LOT 73
,, qq' nor res o y. t. q. t
Valuation ofWorkS + Proposed Work heated/cookd non-heated/rooted
Class of Work(circle one):] New Addition Alteration roc ova Demolition pool/spa window/door
Use of existing/proposed structure(allcirek one): Cornmerciel esidenti
If an exkting straettare,is a fin apr r ayakm imtalkd?(Circle oo<): o N/A
Florida PmdomApprovat4
For multiple produetauanl actapra pprov.ori (� Q L
Describe in detail the pe of work tu beperformed: G.eplek A�
of Ti'Yu t li E4.'_ SPD s"
Prooerry net Information:
Nome:THOMAS ROBERT D II Address:1323 LINKSIDE DR
City ATLANTIC BEACH. State ELZip_32237—Phone 904-3337291
E-Mail or Fax#(Optional)
Contractor Information:
Company Name BOHEMIA ROOFING CO.,INC. Qus ifying AgevL IVANA HODULOVA
Address:13245 ATLANTIC BLVD,SUITE 4.399 City JACKSONVILLE Stere FL Zip 32225
Office Phone 904-859-3539 Job Sine/Contact Number 90/-982-2114 1.It 904-353-2700
Stall Ce ficmion/Regimauon#CCC1328484
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Tide Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
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pIUjw rk la ro(mmnrercedwlltinu(6Jmoruly,ar feon+IrvcllanwwarR lxaus r kaM dfo dooft. IumanN ny �/lzz
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TWxandA4CoMltlorerx.en'.
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.
IFereF �Ibl/time reoeIXmervmiscee lNs�ag��pleIXlon IXN blow lFE mnm ra be rive androrreel. A((FIm'4iow oJlawsaM esgave�rng(FIs
w�m'i°x�awn°jn'n or)w�j .eei,;r`r:,woFr`IxdxPawieguIII'.,"mba",rv`�r mWi°h""a7�o r irurornrm. emglw aurlwn a IIM
Signature Of Owner/ Signature ofContrecror
Print Nome 6tX Print Name /p_&A,
Swd starAcbine me sworn su
Way of / ay of
`
20
'4""
Malty tic maty Fi5ho
Revised 01.26.10
KAYLEEN STROTHER
Commission#FF 950832
Expires January 14,2020 •, PAVEL IIATHOUSKY
amwm„t,mr.e n.W..raam-rou a+° t;`. Notary Public-state of Florida
Commbslan A FF 245334
My Comm.Expires Sep 14.2C!"
' 9oIdeElkglpb National Notary Assn._
Doc Y 2017043977, OR BK 17888 Page 1963, Number Pages: 1, Recorded
02/23/2017 at 03:49 Pet, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
Permit No.
TIM UNDERSIGNED hereby gives nofire that impowerneres will be made to contain real property,and in acordanm with Sectio
713.13 of the Florida Stearn,the following infomation is fervided in this NOTICE OF COMMENCEMENT.
I.Desaiption ofproperty(legal description): 44-2317-2S-29E SELVA LINKSIDE UNIT LOT 73
a)Street(job)Address: teas uximice ds.a7tAunc strata.rtazzu
2.Oenemidazeriptionofiespravements: co^Psareee-mar.ae9wcewertwmnswate
3.Owear lnformaion
a)Name and address: THOMAS ROBERT D It.1323 LINKSIDE DR,ATLANTIC BEACH,FL 32233
b)Name and address of fee simple fidehOlder(if other than owner)
.)trains,in property OwuaR RI
4.12onhacbr Information
a)Name and address: BOHEMIA ROOFING CO.,INC.38611 ST.ISABEL OR E,JACKSONVILLE,FL 32277 CCC1328464
b)Telephone No.: as esss In No.(Opt.) ansnaron
S.Smary hifon amen
a)Name and address:
I)Amount of Bond:
c)Telephone No.: Fax No.(OpL)
6.Lerdm
a)Name and address:
Phone No,
7.Identify of person within the Santa ofPlmida designated by owns upon whom notices orolher doctrines may be served:
a)Name and address:
M Telephone No.: Fez No.(Opt.)
8Tn addition in himself,owner designatas the following penon to receive atopy of the Lienm's Notice a provided In Section
P.se 713.13(])(6),Florida Season
1 1 a)Neme and address:
b)Telephone No.: Paz No.(OpQ
9.Exphatio data ofNodn of Co name cement(the ezpintlon date Is one year from the data of renrding unless a different date
bspeeifivell
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. IFYOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
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The foregoing immmnt wn wknowledgW befom me this#day off�7rnf 20/1 by
.�'�>'•-/-�r-" II as ha-Fo.ry (type of authority,Cit.officer,areata,
atmrnryiv pct)for RoeNf �,emas (vane of party on behalf ofwhom ivpat�ry®ant w/as ex«meed).
Personally Known_ORProduredldnfificalion Notsry Sigomare
P.
KAYLEEN SMOMM
Type ofldevtlhcetion ProdueM NU,./A t (.✓a! thione(print) s /c e.v pg
ar+.l�OR .,y t i� &p'am Januay 14,20th20
Veri6ation pursuntin Seaton 92.525,Florida Statutes.Under pnelties of perPnry,I declare
the forts stated in it are troem the best of my knowledge and belief.
iipm,veatNYrvel Pemm Si8mn8(in llrc 10)e1Mve