1665 N Linkside Ct re-roof permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
0S INSPECTION PHONE LINE 247-5814
RERCOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0050
Description: SHINGLES
Estimated Value: 13500
Issue Date: 7/1812017
Expiration Date: 1/1412018
PROPERTY ADDRESS:
Address: 1665 N LINKSIDE CT
RENumber: 1723746180
PROPERTYOWNER:
Name: HULL JOHN D III
Address: '1665 LINKSIDE CT N
ATLANTIC BEACH, FL 32233-7316
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone;
Name: CARBON COPY CONST, INC. (ROOF)
Address: 12412 SAN JOSE BLVD APT 301 CIA LEONARD ABRAHAM
SCHONFELD
JACKSONVILLE, FL 32257
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$7,500.
Building Permit Application
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone: (904)247-5826 Fax: (904)24'7 1.5845 -7- 00Sib
iJobAddress: j"5 L;4Ysid, C-6 AJ A4&m41L 9&'(� Permit3rN"unn3lo3en RGKH
Legal Description 147-95 1-7 - 7S -Z9E Eia),/� L.At3jch U�,j 2 Lo4 116 RE#
Vatuatim of work(Replacement Cost)$ /3,50d"� Heated/Cooled Sic_Non-Heated/Cooled_
• Class of Work(Circle me): New Addition Alteration Repair Move Demo Pool Window/Door
• Use ofexisting/proposed structurew(arde 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 OfWOrk tobe performed:
Florida Product Approval If FL. 1D12_q.ii &I291') 7L15qZ1(' R? fo ;01lip'le products use product approval form
Property Owner Information
Name: TQk� AM —Address: 11,4,5 tiol(SkIL Ci. A/
ate FL Zip TZZ 33 Phone (qOq) q-7 13 9, Ll
E-Mail A/jA
Owner or Agent(if Agent,Power GfAttomey or Agency Letter Required)
Contractor Information
Name of Company: -y-t QualifyingAgent: 5L�J�(JV—'
Address city ItL State tl, Zip 'Q')')
Office Phone X90 —Job Site/Conta
State Certification/Registratio nf I r"Cfci�r.1Jf' E-Mail LWZ&�"� f
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensa on
Exampt/insurer/�Se Emplo,ees/Expiration cate
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,TAN KS,and AIR CONDITIONERS,etc.
OWN ER'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.,,
\o L � , ll4--t, LQ 6��
(signature of owner or Agent including Coot (signature ofCont Con)
and sworn to(or affirmed)before me thIsTday of Sig V. /
ned and In to(or affirmed)be e in this /5 da of
-1-ju� oltit 7 by (6
(signature of Nocani) (Si atureofNotary)
T�R Y."Z"'.= 97M
000
C'M"ssj
[0'�ersonally Known OR MyCom,,ssI1TN7.FFQ9736
V1 It.nally Kno%
ES�M%� 8 ainuxi,
I Produced Identification E�� EXP,19 I I Produced Idantific,lOn EXPIRE, 'a'1 25'
s. in.
Type of Identification Type of identification:
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State Of FIOZ, County of..
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: `17- 8S 17 - -75 Z q E 5dV&
Vn lk 7 LOIL I*
Address of property being improved: j(40 Lj�,jes,,cL C4— V 4H,-J, 6� ti FL
3'Z 7,3 3
General description of improvements: --P o0z
Owner -Jo\,, kA\
Address AVkoS L 3 7L Z-3-3
Owner's interest in site of the improvement Residence
Fee Simple Titleholder(if other than owner) NIA
Name
Address
4linic.intractor Carbon Copy Construction Inc./Leonard Schonfeld 11
Address 12412 San Jose Blvd Ste 301 Jacksonville, FIL 32223
Phone No. 880-2183 Fax No. 880-2185
Surety(if any) NIA
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
NameNIA
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 N/A
Address
Phone 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 Statutes. (Fill in at Owner's option).
Name N/A
Address
Phone No Fax No.
Expiration date of Notice of Commencement(the ate is one(1)year from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed' k 6 DATE
in the
County of D Toy"am oClit'd a.has personally appeared herein by
hilualff herself and affinrld,that all statennen�and declarations haveln
Coo#417167234,OR BK 180M Page 78, am true and amurate
=a0'771 Isit�17 ej,10 14 A M.
Ronnie Fused CLERK CIRCUIT COURT DUVAL
COUNTY LO
RECORDING$10-00
c at Large,State of�1� County of 'U'v—t
ml ion explies:
TYWC1.1--pl,
Personally Known X
Pnaucad Identification