1132 LINKSIDE DR - WINDOWS & SIDING I
' rS, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j -- . - ;� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-RAAR-3595
Job Type: RESIDENTIAL ALTERATION
Description: replace windows and siding
Estimated Value: $4,500.00
Issue Date: 4/4/2017
Expiration Date: 10/1/2017
PROPERTY ADDRESS:
Address: 1132 LINKSIDE DR
RE Number: 172374-5020
PROPERTY OWNER:
Name: Armour, William
Address:
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $36.25
BUILDING PERMIT FEE $72.50
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $112.75
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
( iA
nCity of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
A+1 i 800 Seminole Road — ��p — VIS-
Date
j Atlantic Beach, Florida 32233-5445 ' 1=— v
:0„ - Phone(904)247-5826 • Fax(904)247-5845 D 31d
e s �? E-mail: building-dept@coab.us Date routed: 4--1(.4
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 0 3�-C,n_-S i 1,1( , Department review required Yes No
c'Euilding >
Applicant: CMNO-4Planning &Zoning
,, Tree Administrator
Project: 't L{AI.LL L W k.�ti-C-1,) —I-S�AIL(1,) Public Works
Public Utilities
Public Safety
Fire Services
Review fee $_ Dept Signature
Other Agency Review or Permit Required----
Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: 'pproved. ❑Denied.
(Circle one.) Comments:
BUILDING
t 7 —'tZ ie•is:r2— 3 4 0 1 -1--4--u—k 4_-c—c-e
PLANNING &ZONING Reviewed by: , ' Date: -lv 3 cl
TREE ADMIN. Second Review: ❑Approved as revised. ['Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
r
.,,t1.44r4., Building Permit Application
4 1°' City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
s:s' -Y Phone: (904)247-5826 Fax: (904) 247-5845
Job Address: /132...1- P,)KS I Da- b_R 11/E Permit Number: 11—Q Mkt— '`Se-t_S—
Legal Description 14 4 -aa1/0- P5 '! c7.q E RE# ! r�
Valuation of Work(Replacement Cost)$ �'S't�JID.
^t
"�O Heated/Cooled SF p OOP Non-Heated/Cooled 5
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool6indow/Door,
• Use of existing/proposed structure(s)(Circle one): Commercial Residentia
• 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 thao Layse t pe of work t e performed; VA Pole F�ARg!F/2 T fi .e tog g G'aO ~'3
woo
) 111:011.)&—�ic►�►Nw .- ta.Og43-- Ra. ftnEnt .� 11.e(oa7
C�
,"---Florida Product Approval# for multiple products use product approval form
Property Owner
Owner Information /I��
Name: W1L 4-t14M Alt14-AELAtarriOt Address: iLI3k),.OLS KS} 1. _ OR.1 f)t_
City A r/,..Welt/t 13E Atli State FL Zip 3 c 33 Phone 4by-lea 4a- 144,
E-Mail vv.% .1.0 _ n _ i/I
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
�� '
Contractor Informations � 5:_ j[
Name of Company: (.)1=L� 14 ,~'" l�
Address \ eV-- St. e O. Zip
Office Phone Job Site t.ritact Numbej' -7 20�1
State Certification/Registration# E-Mai)1 NI Qia GI ' J'
Architect Name&Phone# �
Engineer's Name&Phone#- I
Workers Compensation -
Exempt/insurer/Lease_Empleyeers 7Expiration 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 prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulationg
construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS,POOLS, FURNACES, BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
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
0 RECOR 11 .' G YO R NOTICE OF COMME ' NT.
TX�///."tali.-ice,
(Signature of 0 ner or Agent including Contractor) (Signature of Contractor) .
Signed and sworn to(or affirmed)before me thisAl. day of Signed and sworn to(or affirmed)before me this day of
AA nit 4-i ,.1'k by , by
,," Ps JENNIFER JOHNSTON '
it; ,•, 14,1 MY COMMISSION#GG 047ead
:; EXPIRES:October 27,2020 (. (Signatu e of tary) (Signature of Notary)
. `
r.c ;:j:.P. Bonded Thu Notary Public Underwriters
-..
[ ]Personally Known OR [ ]Personally Known OR
[)(Produced Identification [ ]Produced Identification
Type of Identification: Ct.f\J a `►Cti\Al Type of Identification:
•t yS1rJ•�.�n.
CITY OF ATLANTIC BEACH
914` 1 WNER / BUILDER AFFIDAVIT
I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION
CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED
CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT
LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS
YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST
SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE-OR
TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING
MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR
AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT
IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT
HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS
YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE
LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING
ORDINANCES.
II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,
THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE
PURCHASED.
III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO
OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY
EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY
CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO.
455-228(1). AN"OCCUPATIONAL LICENSE"IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY
SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE
BUILDING DEPARTMENT(247-5826)IF IN DOUBT.
V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER-BUILDER PERMIT.
/1301 .1/A41< /DE ,bkige goy-load-/G�
ADDRESSI / PHONE NUMBER
/di I ti, i �`i/Q//A � )loZmo
PRINT NAME
_ :4..0 . 5/0.24//7
SIGNATURE ram {may n� E
Before me this. 4 day of I-`6`-(C-' ,20«in the county of
Duval,State of Florida,has personally appeared herin by himself/herself and affirms that
all statements and declarations are true and accurate.
Notary Public at Large,State of County of "0"Ct-. 1
❑Personally Known ,�1 • ! n IFER JOHNS70N
Produced Identification- UC. \U¢.1 \ �-e-( S �;P+ttit ,,,— my C MON tf GG 0'1.2984
d,r.• 'r' EXPIRES:Octobef 27,2020 tern
?;;��'rc dedTtwNotarYPublicUnderwn
Notary Signature: L� :�oii°' Bow_-__.--
F/BLDG/Owner-Builder A 4„REVISED:4/16/2009
S rAl`f j,
,)' ' ''' Is, CITY OF ATLANTIC BEACH
,a'.- '� 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
:- INSPECTION PHONE LINE 247-5814
‘1- -(3.2ii
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-RAAR-3403
lob Type: RESIDENTIAL ALTERATION
Description: replace roof trusses & sheathing damaged by fire, re-roof,
new insulation & drywall, repair electrical & HVAC
Estimated Value: $64,963.00
Issue Date: 3/9/2017
Expiration Date: 9/5/2017
PROPERTY ADDRESS:
Address: 1132 LINKSIDE DR
RE Number: 172374-5020
PROPERTY OWNER:
Name: Armour, William
Address:
------ --------------- ----GENERAL CONTRACTOR INFORMATION:
Name: PAUL DAVIS RESTORATION OF
Michael Galligan Mumford, CBC1252752
Address: 5795 MINING TER QA MICHAEL G. MUMFORD
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $169.93
BUILDING PERMIT FEE $339.85
STATE DCA SURCHARGE $5.10
STATE DBPR SURCHARGE $5.10
Total Payments: $519.98
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
State of FL0R.1 Da County of 0 WAL.. - Tax Folio No. 4 4"493 Ur - " `!E
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of
the Florida Statutes,the following information is sta eclair'this NOTICE OF CO NCEME T.
Legal Description of property being improved:
Address of property being improved: IV_ ,! 'J E.
a - - -=
General description of improvements: ►� : . ► . - --^-
caner: Wih. 14 iC14 1— OR mete alb. Address: II 34i). i.I a k5 LISP Ø1L/E
ner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: E L F •
Address: 1131, )1,,,,))...
...1 0 K.'Si>a 60_1✓J-
Telephone No.: IP'I- h - iL.k.I Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone 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:
Telephone 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 Statues. (Fill in at Owner's option)
Name:
•
. Address:
Telephone No: . Fax No:
•
Expiration date of N tice of ommencement(the expiration date is one (1)year from the date of recording unless a different date is
specified): c a7 is
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: // /�1„..,-'•.......1 `3:- t 0
Before m t s 6Z'l day of C h in the Co• of val, tate
Of Florida,has personally appeared 4 Ecol, M .14 // ..v Gl'tl
Personally Known: or
Doc#2017077537,OR BK 17934 Page 1207, Produced Identification: dt .11. ` l i c,e-n '
Number Pages:1 Notary Public: \ ,.,.. 1._\ •.:.
Recorded 04/04/2017 at 03:47 PM, My commission ex:.ires:
Ronnie Fussell CLERK CIRCUIT COURT DUVAL ,•;;;,+';""•.,, JENNIFER JOHNSTON
COUNTY =: •.. ':,„= MY COMMISSION#GG 042964
RECORDING$10.00 W. , EXPIRES:October 27,2020
'''ov`aP Bonded Thru Notary Public Underwriters