1495 LINKSIDE DR - ROOF i `1Je' H
_ : ,se CITY OF ATLANTIC BEAC
J - . tib 800 SEMINOLE ROAD
I. "` 1k ^ ATLANTIC BEACH, FL 32233
�J " INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
17-ROOF-3570
Job ID:
Job Type: ROOF PERMIT
Description: RE ROOF -SHINGLES
Estimated Value: $7,840.00
Issue Date: 3/24/2017
Expiration Date: _ 9/20/2017
PROPERTY ADDRESS: 1495 LINKSIDE DR
Address:
RE Number: 172374-6030 _—-- _–—
PROPERTY OWNER:
Name: MCGOYE, JENNIFER B & MICHAEL C,
--- —-
Address: 1495 LINKSIDE DR
GENERAL CONTRACTOR INF SHORE ROOFING COMPANY
Name:
Thomas L. Shore, CCC05481
1
Address: 914 7TH AVENUE S QA THOMAS LOUIS SHORE
Phone: - -
FEES:
BUILDING PERMIT FEE $89.20
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $93.20
PERMIT IS APPROVED ONLY IN ACCORDANCE wrrn ALL CITY OF ATLANTIC BEACH ORDINANCES AND 771E FLORIDA
BUILDING CODES.
II1
romilmilmmi-
11,AsTri, BUILDING PERMIT APPLICATION DATE
,
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1 .
CITY OF ATLANTIC BEACH
�!rirt19 800 Seminole Road,Atlantic Beach FL 32233
Office:(904)247-5826 • Fax:(904)247-5845 1'7 --Roo F . 3S 70
lad(nk s'iu t, Dg-. Permit Number:
Job Address: � �J� v � �f SG �# %�! -���
Legal Description -H S i7. . = S v
•'7 <. Heated/Cooled SF Non-Heated/Cooled
Valuation of Work(Replacement Cost)$ y 6.
• Class of Work(Circle one): New Addition Alteration 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?(Cirecle moved orne): es Nvit of No Tree Removal
•
Submit a Tree Removal Permit Application if any trees are to
be
Describe in detail the type of work to bre performed: •
)/
_for multiple products use product approval form
Florida Product Approval# l q���� �' �"
Pro erty Owner Information
C Address: / �.t`t✓k S'��c"
City i+ 1---W m MIt ' State Fl Zip 31233 Phone 7%U--SS
City i
E-Mail
Owner or Agent (If Agent,Power of Attomey or Agency Letter Required
WARNING TO OWNER: YOUR FAILURE TO RECiiERDDS TO NOTICE OF COM COMMENCEMENT
YOU T MAY
YOUR
RESULTD
OIN YOUR PAYING TWICE FOR IM
PROVEMENTS
TO OBTAIN FINANCING, CONSULT WI UR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
Contractor information: tNam �� r L
p 6 ��F� Qualifying Agent: 3�G d
Address:.
of Company: City S"T / Lt yr I vii State Zi.
Address:_ �`
Office Phone EN Ai. Job Site/Contact Number ,_ - S
�I (
State Certification/Registration# d C U 1___ E-Mail
Architect
E-MailArchitect Name &Phone#
Engineer's Name&Phone #
Worker's Compensation �ratron 0atc
.xempt Insurer case mp oyees "tp
Application is hereby made to obtain a pe mit t rko14 rYt be pe formed to lat iot the stnndarted of att tawys rat no or k or installation has commenced
or to the 'ss.:n e • a •ermit and that . ��'
p ced within six(6) months, or if construction o va. /•9 �' 'I r, 3
mar-,
period
p��� ,mme •d. 1 understands that separate permits must be ''c ret
ut any tr t, .,nditioners,etc. %°,1:,--q,-::= EXPIRES:October 6,2019
yip ng
period ofs• 6 ;;ilii , nks itPuac Unde writers
Sig nW • i ye f, 5�nded Thru 4�c:ay
Signs, ell 0..pcgs,aryPub' • '�1 e of F Ida I _r,,,.,.• ��,,11 ���1' Signature of Contraeto' ,. BaSignatur: a•,-,,; Ui II*l�ti�!_ 71 i i Da odirk.1 • �O (�
Befor '1 I"'"'•• .- rigifill Before me this II Y
this
T.
Li
'#2Notary Public: • dada _III -
Notary Publi f/
m lied with whether specified herein or not. The granting a p rmction s the
I hereby certify that I have read and examinee this application and know the same to be true and correct. All provisions of laws and
ordinances not
eumetgoverningi s type la work P
presume to give authority to violate or cancel the provisions of any other federal, state, or local law regulating
performance of construction.
NOTICE OF COMMENCEMENT
State offr_____—
County of 00 t____21._---4-1
Tax Folio No. i_ -6U..3 O
To Whom It May Concern: in accordance with Section 713 of
information is stated in this NOTICE OF COMMENCEMENT. �G
The undersigned hereby informs youthatimprovements will be made to certain real property,S � UN`-t- .
the Florida Statutes,the following
roved: —„Legal Description of property g improved:
being improved: I 4(' i d ' r
Address of property -2 01--
General description of improvements: la
'y�� �'OV Address: /y` �--1�-�1 �ri I)I�/¢��1''v1�i.G �/Jr�c r�� V
Owner: ^"" ''^�'.' ' —�
Owner's interest in site of the improvement: Z
Fee Simple Titleholder(if other than owner): xoxxo
o z 0 a c N
Name: xi
Q-0o
z N O N I
Uru ►200rtnv _ 32��l1 w
Contractor: S� �� .n t A o t N 8
q
Address: t I VY ��� m^) - '
Fax No: d 0
Telepr\\ hone No.: Q; m
�o -.
Surety(if any) Amount of Bond$ c N
Address:
Fax No:
Telephone No:
rovements
Name and address of any person making a loan for the construction of the imp o
D
Name:
Address:
Fax No:
Phone No: on whom notices or other documents may be
Name of person within the State of Florida, other than himself, designated by owner upon
served: Name:
Address:
Telephone No: Fax No: of the Lienor's Notice as provided in Section
In addition to himself, owner designates the following person to receive a copy
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Fax No:
Telephone No: from the date of recording unless a different da i
•
Expiration date of Notice of Commencement (the expiration date is one(1)year
specified):
/
3- 2.2' )-7
THIS SPACE FOR RECORDER'S USE ONLY OWNER C Date:
Signed- •� day of 1 y 4, Z I in the County of Duval,State
Before me t ,s�--
,•.��'"'�, PAMELA JEAN SHORE Of Florida,has personallyappeared
or
�\�' Notary Public-State of Florida Personally Known: — 2 Z—
i• My Comm.Expires Dec 4.2017 Produced Identific• ion: 1 *War
•�,���
=a,, '.;,•; Commission#FF 074537 Notary Public: '�t�`%
�,����•
My commission expires: