1111 W Linkside Ct-Re-Roof shingle ,,,..,J.,„.,f,e,
,mss '. CITY OF ATLANTIC BEACH
'4"+r � s) 800 SEMINOLE ROAD
J v~ity
ATLANTIC BEACH, FL 32233
''a:1,011 9. INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0034
Description: SHINGLE ROOF
Estimated Value: 6600
Issue Date: 1/31/2018
Expiration Date: 7/30/2018
PROPERTY ADDRESS:
Address: 1111 W LINKSIDE CT
RE Number: 172374 5180
PROPERTY OWNER:
Name: JAMES CAUDILL
Address: 1111 LINKSIDE CT W
ATLANTIC BEACH, FL 32233-4390
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: A TO Z REMODELING & HOME
Address: 131 S WILDERNESS TR REPAIR INC.1131 S. WILDERNESS
TRAIL
PONTE VEDRA BEACH, FL 32082
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$7,500.
evilmirm, Building Permit Application Updated 5/5/17
a± i City of Atlantic Beach
VrArd Seminole Road, Atlantic Beach, FL 32233
no, Phone: (904) 247-5826 Fax: (904) 247-5845 !,
Job Address: ///i 4/444f/DE C- Lam, Permit Number: R Cgp 1,8 - 003 4
Legal Description RE# /7•.23.7!`--C2a-
Valuation of Work(Replacement Cost)$ 460 Heated/Cooled SF 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: S i ` coR
,p
Florida Product Approval# /9 5'L • 3 9 /5-9. 7 . R.,r for multiple products use product approval form
Property Owner Information
Name: Jo••ne 5 C. C--0►(. %7/ Address: //// XJ,Qts iQt Ci% . es.)•
city A T24...r, (.. IL// State f l Zip 3 Z 2- .7 ? Phone ?c' ti— 437 =712 7
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information ' ,,,-/e.".Name of Company:09-ft, .2. /21"4,DCL/i✓` '—l -aualify-ing Agent: ,se4Pd-0:4..) / • 1b `'/
Address 131 5. W' LD 6-72.4..) ..(- —17-C... L City I-O.-ors. Vccru State/-c_ Zip S2-' L
Office Phone •'c/— 5/3 —G r9 t- Job Site/Contact Number c>v t/ - Fly c -6Z-
State Certification/Registration# CCC/ 2.9 Z Zy E-Mail 1.74:C-01-°Det/A-31..,--A--rt,Z. a am L- G 0 iv%.
Architect Name& Phone#
Engineer's Name&Phone#
Workers Compensation -3,11-#.4-V2---
Exempt/ surer/Lease Employees/Expiration Date
Application is hereby made to obtain a permit t t e 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.
C
(Signature of Owner or Agent) (Signature of Contractor)
(including contractor)
Si ed and sworn to or affirrr-d)before e this day of Signed a d sworn to(or af' rmed before t ' day of
,2D1 by 1 A : rt.?, n h6Mp a O b . al . , l(
M411. 4. - AllIMM,
'+ A+ • '�•LESPERGER
ilf :ia, MY COMMISSION t FF 924951
• f EXPIRES:October 6,2019
P„----- Bonded'Nu Notary Pubic Underwriters
[ ]Personally Known OR [ ]Personally Known 0 .::ri%'••. TONI GINDLESPERGER
_ s.'? MY COMMISSION r Fr"924951
[ ]Produced Identification ^ 0_2:7 [ ]Produced Identificati ; Z
Z 4 J e of Identification: ��`c' EXPIRES:October 6,2019
Type of Identification: Yp 'ro1,R- nonded thni WaryPubic Underwriters