1617 LINKSIDE DR ROOF 2017 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0034
Description: 5/12 SLOPE-SHINGLES
Estimated Value: 12507
Issue Date: 6/30/2017
Expiration Date: 12/27/2017
PROPERTY ADDRESS:
Address: 1617 LINKSIDE DR
RE Number: 172374 6120
PROPERTYOWNER:
Name: HOSTETTER LAURA
Address: 1617 LINKSIDE DR
ATLANTIC BEACH, FL 32233-7314
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: J & M ROOFING SERVICES INC
Address: 2021 ART MUSEUM DR STE 115 MICHAEL ANTHONY
LOEHLER
JACKSONVILLE, FL 32207
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work,a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
i
Building Permit Application
City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
Phone:(904)247-5626 Fax:(904)247-5845 I n F 4
Job address: 1617 Linkside Drive
Permit Number: -�"1- '� —��
Legal Description 47-8517-2S-29E,238 SELVA LINKSIDE UNIT 2 LOT 10/(EX PT RECD OIR 81995281 RE@ 1723746120
Valuation of Work(Replacement cost) sn>ae Nested Gaoled SF
Non-Heated/Cooled
����Cp spool Window/Door
: [lass of Work(Click one): New Addition Alteration Repalrl r
Use of existing/proPosed structure(s)(Circle one): Com ercl Residemlal
• If an existing structure,is a fire sprinkler system installed?(Circle o es 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:
R oof 33.27 squame W12 Pndl remove IMWII archllWUMI Shingles
Florida Product Approval p • ^ =3 for multiple products use product approval form
Property Owner Information
Name: Laura Hosletier Address: Dd
State _Zip "-'='"' Phone 1'298
Ory a ,M rn -
^'sa
E-Mail.
Owner or Agent(If Agent,Power of AttomeY or Agency Letter Required)
Contractor Information
Nameof Company: J&MRoofl SeMcea Inc Qualifying Agent:
Address - -
City i•w.•....enle State F, Zip M"?
OfflcePhone e _ Job Srte/Contact Number
State Certification/Registration4 CCC13155,13 E-Mail
Architect Name&Phone g
Engineer's Name&Phone d
Workers Compensation &empt/Inwm/Lease Emvbpees/t•Puatbn care
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 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.
L a �l
(Signature of Owne or Agent including Contrattorl
(Signature of Comra..r
Signed and sworn to(or affirmed)before me this day of Signed and sworn to of rrr! for�\�s�day of
I,MQ 2d� "by L!'1c.Lez HHoslijWC �_• L _
—' ( at— �- '_ f N t J (Signature of Notary)
�., MARCUS JAY AHLER6 +,✓,^,p,1 c MARCUS JAY AHLERS
'y NMrtY P. .SUIS o1 floddf
I ]Personally Known OR Cane x"ke N 00 026302 Personally Known OR tt Npnlf PUSIIc-SIMf of Flollda
J Produced IdentI tion -f Cornmllnon a 00026302
Produced Identitkation Q f Mf C°1nm.Expires Aug 31.21 ype of identlflcatlon: 6Nnm.Eapim Avg 31.2020
Ty Sof ldentiflcation
Doo Y 2017152564, OR NR 18036 Page 788, Number Pages: 1, Recorded 06/29/2017
at 10:53 AM, Ronnie Fueeell CLERK CIRCUIT COURT D,, L COCNTI RECORDING 810.00
NOTICE OF COMMENCEMENT
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