1563 LINKSIDE DR - ROOF -jr\J`1r,
Nss, CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
f J J 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-3676
Job Type: ROOF PERMIT
Description: re-roof FL1956.3 & FL17188
Estimated Value: $8,400.00
Issue Date: 4/5/2017
Expiration Date: 10/2/2017
PROPERTY ADDRESS:
Address: 1563 LINKSIDE DR
RE Number: 172374-6078
PROPERTY OWNER:
Name: NICHOLSON, TIMOTHY
Address: 1563 LINKSIDE DR
GENERAL CONTRACTOR INFORMATION:
Name: Brink Roofing LLC
Caleb Michael Bruce Cross, CCC1330236
Address: 9951 Atlantic BLVD #303
Phone: - -
FEES:
BUILDING PERMIT FEE $92.00
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $96.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
-s' •% Building Permit Application
City of Atlantic Beach
\ 800 Seminole Road, Atlantic Beach, FL 32233
9" y Phone: (904) 247-5826 Fax: (904)247-5845
Job Address: /37,S t J 4 & (���y A-1144f;c. 6 ec,ci-N ion') Perolit Number: 1 ►`-bv r —�`O1-b
IC re.1 &hek— - L/a5
Legal Description47--8-57 7-23 177- S e)ve,L;ntS:d c V h,I "ZYT s-jc RE# LI
Valuation of Work(Replacement Cost)$ (.LIDO Heated/Cooled SF (7 33 Non-Heated/Cooled /
• 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?(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 of work to be performed: J
•
K e - -S .41-c4;)tc,A-t4T1
tz R4t4
Florida Product Approval#Si`rvie- FL/tif63 u,,k_/y FL (1 toy for multiple products use product approval form
Property Owner Information
Name: 7rn i . TLhy 4/. C ko(.SQ /1-
I,r Address: i�`G 3 L1
City A f 1c�+ f, . �ectG State 6C_ Zip 3 Z e- 7 '3 Phone
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: y�,r7/� go 0(i' L L L Qualifying Agent: 6 C CPS./
Address aY5 7,' 3 -c2 S f30o-)1, cityicc�'SONu.))r R tcy State ,C L Zip
Office Phone(70(-7.) 7 U/- y3% Job Site/Contact Number rS;// - `1"-! C 3 -1 S/
State Certification/Registration# E-Mail
Architect Name& Phone#
Engineer's Name&Phone#
Workers Compensation _
Exempt/Insurer/Lease Employees/Expiration 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
RECORDING YOUR NOTICE OF COMMENCEMENT.
(Signature of wner or Agent including Contractor) (Signature of Contractor)
Signed and sworn to(or affirmed)before me this 3U day of Signed and sworn to(or affirmed)before me this day of
rr-Ga' ,�O)—7,by by
',44 n t re of Nota ) `�i
igis
VY. o7; Karen Willis ,ureCommisslon of NoRgoln WGGO84400
0 ; Commission t GG084400 =* *=
: _ .♦ . Expires: March 16, 2021
Expires: March 16, 2021 ` �R � Bonded thru Aaron Notary
)-}.Personal) Known OR ^ti Bonded thru Aaron Notary (Personally Known OR
y � �IiNP
[ ]Produced Identification [ ]Produced Identification
Type of Identification: Type of Identification:
Doc # 2017074080, OR BK 17929 Page 1149, Number Pages: 1, Recorded
03/31/2017 at 09:20 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of FLORIDA County of DUVAL
To whom It may concern:
The undersigned hereby Informs you that Improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information Is stated in this NOTICE OF
COMMENCEMENT. �/ ,!
Legal description of property being Improved: / 7� 7._ Z`j, . /
5 7L-
' I f 1c.. L rn k-�,c3 e (,i,,., t a 7i i.o ATS S.s'/ 9G �ccc. a/ J ft' -2/69
Address of prgperty being improved: /5-63 £ N kSi d€ Vt Ai-
j---6 3 1..1..%.3 3
General description of improvements' TOO c-
Owner /!/H C 1 h./ 'v • C 1 p I,SO fY
Address �-9 L`t�ks.tTer_ �t l�.�►e.h3t�j-� at, 3._ „a3
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Brink Roofing LLC
Address 2457A 3rd st South Jacksonville Beach FL 32250
Phone No.904 7019434 Fax No,666 547 4944
Surety(if any)
Address Amount of bond$
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 other
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 Lienors Notice as provided in
Section 713.0612)(b),Florida Statutes.(Fill in at Owners 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 y�
different date is specified): raa
THIS SPACE FOR RECORDER'S USE ONLY OWN Rr
SIgn00 DATE • r
Before me th clay of tr'A' _ in the E
County or Duvet.State of FI Arids.has personally appeared
herein by
hmsaift harsell and ern s hat a I statements and d►U►ratlons herein
are true end accurate
Notary Public at Large.State of County of 1:10-r..v
My commission axptres: 3'
Personalty Kno.n or
I id
Procuced Identi',catlon___.