1586 LINKSIDE DR - EXTERIOR REPAIRS : . .:
7
y CITY OF ATLANTIC:BEACH
800 SEMINOLE:ROAD
ATLANTIC BEACH FL 32233 :. . .
INSPENJAIONI VIIDATE4L1NE+2'_4r74S8.14. •
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION: •
PERMIT NO
: RES17-0209
Description:::: : : remove chimney, install soffit,-fascia, stucco,&shingles
Estimated Valuer .:8599
Issue Date:.. .. 11/1/2017 ..
Expiration Date: •: : 4/30/2018
PROPERTY ADDRESS:
Address: 1.586 LINKSIDE DR
RE Number:::: : : 172374 6320
• PROPERTY OWNER:: .:
Name::. URBANSKI VERNA P :
• :Address: 1586 LINKSIDE DR
ATLANTIC BEACH, FL 32233-7307 :.:.
GENERAL CONTRACTOR INFORMATION: •
Name:.
• Address: .. . . . . . . . ... . • .. .
Phone: . . .
- • Name: • AFFORDABLE ROOFING _ -
Address:. 3859 PADDLEWHEEL DR QA VINCENT LAWRENCE MARINO
JACKSONVILLE, FL 32257:. .
Phone: .
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING-TO OWNER: YOUR FAILURE TO RECORD Al 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.
-CONSULT: ::FINANCING,: - R ATTORNEY
R :EY
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$7,500.
5,0 4 , City of Atlantic Beach APPLICATION NUMBER
in ' . Building Department (To be assigned by the Building Department.)
it -: 800 Seminole Road () `�^ 0 Dci
11C.;-:;:'-"7:--,4-.y.,,,,,,- --i v Atlantic Beach, Florida 32233-5445 �l
Phone(904)247-5826 • Fax(904)247-5845
ri l E-mail: building-dept@coab.us Date routed: ID ` (3 111-
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
( " nt review requiredes o
I,Building
Property Address: �S�( U n �L �L 13� � __
( : Y
. V
Applicant: Aida b -P__ �(.(14 Planning—8,Zoning
I,� 1 I Tree Administrator
Project: cU�(O LL" ..cJ►ty t Ns-va 1i_S&t� `.eS Public Works
So-F� t Pcc.S cmc ct JS' C (0 Skt\ a / Public Utilities
1 1 Public Safety
Fire Services -
Review feeT7,--- Dept Signature_ . - 1
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. ['Denied. ❑Not applicable
(Circle one.) Comments:
C—BUILDING
PLANNING &ZONING
Reviewed by: ifrNt Date:,p 'CIO Vo,
TREE ADMIN. Second Review: ['Approved as revised. ['Denied. Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
Building ,c,r1 E, j p
Permit Application lu 1 pp �
FICC COPY City of Atlantic Beach
LA% 0Ct 1 3 20/70.1
G li I" 1800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax: (904)247-5845
Job Address: 1586 Linkside Drive Atlantic Beach,FL 32233 Permit Number:
Legal Description 47-85 17-2S-29E SELVA LINKSIDE UNIT 2 LOT 144 RE# 172374-6320
Valuation of Work(Replacement Cost)$ 8,599.00 Heated/Cooled SF n/a Non-Heated/Cooled n/a
• 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:
remove roof cricket,remove chimney chase to 5'above finish floor,install shingles where cricket was removed,install matching
soffit,fascia,stucco and gutters where chimney chase was removed,redirect propane fireplace flue.
Florida Product Approval# shingles FL13857.4 underlayment FL13857.4 for multiple products use product approval form
Property Owner Information
Name: Ms.Verna Urbanski Address: 1586 Linkside Drive
City Atlantic Beach State FL Zip 32233 Phone 904-246-3631
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) n/a
Contractor Information
Name of Company: Affordable Roofing Qualifying Agent: _ _Vincent Marino
Address 1348 Clements Woods Lane City Jacksonville State FL Zip 32211
Office Phone 904-260-7663 Job Site/Contact Number 904-449-6339
State Certification/Registration# CGC059465 CCC057697 E-Mail vmarino2009@gmail.com
Architect Name&Phone# n/a
Engineer's Name&Phone# Vincent Barbera 904-219-7664
Workers Compensation WC exempt(expiration 8/22/19)and Leased Employees
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.
-11:9.4ok \\\ \40./0\Ai
( inatur,e;,o:Q weer (Signature of Contractor)
Signed and sworn to(or affirmed)before me this \eV\day of Signed and sworn to(or affirmed)before me this 11 day of
OCV)\0ZV , 2017 ,by ILV1A-2L Lk/ Oans J 1 O , 2017 ,by
-
(Signature of StDfdflThlallo)/ _ . . '
Notary Public `INoi s.�i ' • 1r
State of Florida irk Notary Public-State of Florida
121%\My Commission Expires 04/1212021 b Commission N FF 946535
[ ]Personally Known OR commission No.GG 93756 I ]Personally Known O '; !, ,. My Comm.Expires Dec 26.2019
4 Produced Identification [ roduced Identificati.
Type of Identification: �L 1�. Y 1-1 C.' • Type of Identification: 011e,
NOTICE OF COMMENCEMENT OFFICE CO Y
(� (PREPARE IN DUPLICATE)
Permit No. et S/7 r C�20 / Tax Folio No. 172374-6320
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: 47-85 17-2S-29E
SELVA LINKSIDE UNIT 2 LOT 144
Address of property being improved: 1586 LINKSIDE DR
Atlantic Beach FL 32233
General description of improvements: remove chimney chase,repair roof
•
Owner URBANSKI, VERNA P
Address 1586 LINKSIDE DR ATLANTIC BEACH,FL 32233-7307
Owner's interest in site of the improvement 100%
Fee Simple Titleholder(if other than owner) N/A
Name
Address
Contractor VINCENT MARINO CCC057697 CGC059465 AFFORDABLE ROOFING
Address 1348 CLEMENTS WOODS LANE JACKSONVILLE,FL 32211
Phone No. 904-260-7663 Fax No.
Surety(if any) N/A
Address Amount of bond$
Phone No. - Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name N/A
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 expiration date is one(1)year from the date of recording unless a
different date is specified): 180 DAYS FROM THE DAY OF RECORDING
THIS SPACE FOR RECORDER'S USE ONLY _ ��4(1 INNER)
,{.
Signed: +AA 4&R WAM3 nay v\( DATE ID I(.°
Before me is t-e 4,day of Ci(-A- 1 in the
County of D{rval,State of Florida,has personally appeared
V�v l�V bW1151L. herein by
himself/herself and affirms that all statements and declarations herein
Doc#2017235271,OR BK 18151 Page 444, are true and accurate , r o r4
Number Pages:1 co g
Recorded 10/13/2017 10:05 AM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL o
COUNTY ``~ —�' �i
RECORDING $10.00 Notary Public at Large,State of 1"-=•t-- , County of D tAv rxkES
My commission expires: 'i 1 1'2- 17.5)'1
Personally Known or
Produced Identification 'F L 7 V . Lt G •