1578 LINKSIDE DR - ROOF j =x,`17,
jel
61 ", ..rt‘ CITY OF ATLANTIC BEACH
;-._ 0 800 SEMINOLE ROAD
zATLANTIC BEACH, FL 32233
'''WI >. INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0144
Description: SHINGLE ROOF
Estimated Value: 8000
Issue Date: 10/17/2017
Expiration Date: 4/15/2018
PROPERTY ADDRESS:
Address: 1578 LINKSIDE DR
RE Number: 172374 6325
PROPERTY OWNER:
Name: STONER CHARLES T ET AL
Address: 1578 LINKSIDE DR
ATLANTIC BEACH, FL 32233-7307
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: A CROWN ROOFING INC
Address: 6504 Beach BLVD
JACKSONVILLE, FL 32216
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$7,500.
* Building Permit Application
,
44 r.+
"' City of Atlantic Beach
ski
� 800 Seminole Road,Atlantic Beach,FL 32233
'£ / Phone:(904)247-5826 Fax:(904)247-5845
�� )& L" k A41_(3L3' 33 RERRI7- 0 (44
Job Address: it 5� b4,•-t. a Permit Number:
Legal Description Y? 8.5-/7 '().-c--.).,e-- Sel.--L.'.+ isle t2 4 Ds 14 /`/-i RE# 1723711-632r-
valuation of Work(Replacement Cost)$ t(0PC, Heated/Cooled SF I,L(d 3- Non-Heated/Cooled t(3 Lf
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): CommercialResidentia
• 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: A� ci j
L C 0 -0 a /Q�m eA_( _
- -g _.)1,, _-Nc-1 I € , L,L /994 8 `
Florida Product Approval# r/... 1 `�`3 s-s-. -- for multiple products use product approval form
Property Owner inform tion II��
Name: 3(WV\ k tLf, Address: IP I L ,K St -
City A-t-(c..ei tG (3 ea.c/. State . .( Zip 3?7 3 7 Phone 41'411- tt;-2- PaZ i(
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: A C go rA d ko#FIAAI. Qualifying Agent: �i L4-1El14 1Or4,✓
Address 6Sbt( I,F,Ae&l $40> City i4eKSe#Jv►L-L.(c State F L- Zip $221(,
Office Phone 011 oil) 6 i 4- 8 710 Job Site/Contact Number b ebP Y ,Row / 237- 7q 2&I
State Certification/Registration# Cee 13.2 t5 2J E-Mail Trkfi 6Fibt.5 @ ACA6hitntOOFI,Ii.Cq,K
Architect Name&Phone# A/4
Engineer's Name&Phone# ,..1/A
Workers Compensation /,Q4rt k- C/2441 , /0..2- /—/7
Exempt/insurer/ ase Employe 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
R' 'DING Y R NOTICE OF COMMENCEMENT.
(signature of Owner or Agent including Contractor) ature of Contractor)
Sig d and sworn to(or affirmed)before me this 1 1 day of S' ne 'and sworn to(or affirmed)before me this/ day of
t' ,, , abl`Z ,by 't /t ,bY_A)' i : ' • L._
c ,141.........1....„‘....%.14.1),-,S. � ,�(%
4,0.4%,%, Karen With (Signature of
„ tatg Notary) / "Signature of Notary)
rt Commission#GG0$4400
..41 * Expires: March 16, 2021 r . _
°;7/te ':�`°� Bonded t1N Aaron Notary ;. . DON M.WATERS JR.
Personally Known OR ( Personall Known OR ;,; ,.�
Y MY COMMISSION#FF 905875
knul
roduced Identification i 1 Produced Identification '•..-��-fid,: EXPIRES:August 3,2019
ype of identification: . & ..Y� j V.t-+. •= Type of Identification: Olt„h• Bonded Thru Notary Pubic Under•riters
Doc # 2017237343, OR BK 18154 Page 155, Number Pages: 1,
Recorded 10/17/2017 08:35 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
// NOTICE OF COMMENCEMENT
State of 1C1�t 6,a • Tax Folio No. 1 7 3 T t - 45 ZS
County of Q++v►-- -- —
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: y)-,7_,)--- )7- 4,,,
1 l -1� ,(
i-rte
Address of property being improved: 1S-2_6 1-611u-s;c1c C C . A t��.,, �1. , A a 3_
General description of improvements: (c -( "e2 � -
(45. 3'��; dArU� l )„1 iC•Address: I J� •�,N.' ;-'Ji ��r '—
Owner's interest in site of the improve curd t: SELF `- 2.
Fee Simple Titleholder(if other than owner):
Name: .. • — --
Contractor A Crown Rong, Inc.
Address:_acaRJacksonville, FL 32216
Telephone No.: (904)619-8790 Fax No: 1904)646-1125
Surety(if any)
Address: Amount of Bond S
Telephone No: ,._..... Fox No:_ —^
Name and address of any person making a loan for the construction of the impmverncnts
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: A Crown Roofflnii, wit...
Address: ---Same -- — -- — —Telephone No: Same Fax No: .+ante
In addition to himseI 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:
1'cicphone No: -- Fax No:
Expiration date of Notice of Commencement(the expiration date is one(I)year from the date of recording unless a different date is
specified):— ,s,
THIS SPACE FOR RECORDER'S USE ONLY /1 �_
Sigered (,(� Date:S..nZt, -)
Before me this -<L.. day of ter. in the County of Duval,State
bf Florida.ha!personally appeared ;)V �
.. .� ,
,_,,.._ t.•,::�t._ t�,,
v'i Karan Wigs
+Al'i•••� Notaai'tnic at Law,State of Florida,County of Duval.
3 I•.,a% ':;. Commission I 6G06440u My conunissiun expires: 'a.-IN•< -1
rr _. Expires' March 16.Z021 Personally Known:— ......-�_.. 41r._
r+ nwr+ Bonded flu Aaron Notary' Prcduccvl Identification:__fir;— l u ,
—— or