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1435 LINKSIDE DR - ROOF CITY OF ATLANTIC BEACH os.► W \SJ 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: RERF18-0075 Description: shingle re-roof- FL10674-R12 & FL17420-R2 Estimated Value: 8865 Issue Date: 3/30/2018 Expiration Date: 9/26/2018 PROPERTY ADDRESS: Address: 1435 LINKSIDE DR RE Number: 172374 5335 PROPERTY OWNER: Name: KELLEY MICHELLE L Address: 1435 LINKSIDE DR ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: PRIME ROOF CONTRACTING LLC Address: 13792 HERONS LANDING WAY APT 9 QA MARK ANDREW YOUNG JACKSONVILLE, FL 32224 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. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. * 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$7,500. ,sk.. f Building Permit Application r City of Atlantic Beach 800 Seminole Road,Atlantic Beach, FL 32233 `r'';y9)". Phone: (904) 247-5826 Fax: (904) 247-5845 Job Address: 1435 LINKSIDE DR Permit Number: -�� Legal Description 44-23 17-2S-29E .159 SELVA LINKSIDE UNIT 1 LOT 66(EX SELY 3FT)RE# Valuation of Work(Replacement Cost)$ 8,865 Heated/Cooled SF 1988 Non-Heated/Cooled 454 • Class of Work(Circle one): New AdditionC�Iteration 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 el • 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: Replace asphalt shingle roof Florida Product Approval#FL10674-R12 (shingles) FL17420-R2 (felt) for multiple products use product approval form Property Owner Information Name: Michelle Kelley Address: 1435 LINKSIDE DR City ATLANTIC BEACH _State FL Zip 32233 Phone (904)234-4301 _ E-Mail michellekelley23@qmail.com Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Name of Company: Prime Roof Contracting, LLC Qualifying Agent: Mark Young Address 13725 Beach Blvd Suite 13 _ City Jacksonville State FL Zip 32224 Office Phone (904) 530-1446 Job Site/Contact Number (904) 860-0230 State Certification/Registration# CCC1329505 E-Mail office@primeroofingfl.com Architect Name&Phone# Engineer's Name&Phone# Workers Compensation FRSA Self Insurers Fund Inc. 1/1/18 870-040093/3EE6142 Exempt/Insurer/Lease Employees/Expiration Date R Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or installation has E 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 COM NCEMENT. . _ A1_ //1 A/%.!// (Signature of Owner or Agent includ T Contractor). (Signatur- f Contractor) ( Signed and V d sworrn�too,(or affirmed)before me t "s 2,CI day of Signed land sworn •+,(or affir ,ed) efore me this ZIST,day of %� / - t , rJO(C by . ` s " - a — JNck , 2 , by W k A.Yr.447,/411 r (Signarlre sf " r . (Sign ture of Notary) .i Pt „. MA-I. YOUNG Andrew D. Davis 'a' MY COMMISSION#GGO41728 j2' 'A' - s COMMISSION I FF160849 `:'>t::*.t: EXPIRES October 24,2020 =* � [ ]Personally Known OR [personally Known OR %,,..,��: EXPIRES: Sept. 17, 2018 Lroduced Identificatio [ ]Produced Identification ��'.,i pFFt�.��` WWW.AARONNOTARY.COM Type of Identification: DL. Type of Identification: NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. 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:44-23 17-2S-29E.159 SELVA LINKSIDE UNIT 1 LOT 66(EX SELY 3FT) Address of property being improved:1435 LINKSIDE DR Atlantic Beach FL 32233 General description of improvements:Re-roof Owner MICHELLE KELLEY Address 1435 LINKSIDE DR Atlantic Beach FL 32233 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name 4N,6 Address Contractor Prime Roof Contracting,LLC Address 13725 Beach Blvd Suite 13,Jacksonville,FL 32224 Phone No.(904)625-1446 Fax No. Surety(if any) Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. 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 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 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): THIS SPACE FOR RECORDER'S USE ONLY OWNS 3 3 Signed: DATE 6j (- ( Before me his 3-'4 day of_14/12-4-0-,61_ In the County• 'uval. t- -o FI• a •-s•ers• =y appeared MARK A YOUNG himself/herself and affirms that'all s ateme's and declar-io 3 Doc#2018074763,OR BK 18333 Page 1357, are true and accurate ,•: MY COMMISSION GG04172 Number Pages:1 ;•% .o!`t EXPIRES October 24.2020 Recorded 03/30/2018 02:52 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL 4%..4: Air /� COUNTY 'Notary Public at L-ge,S ate•fJ IA2,' ,- }7j�10.i927 RECORDING $10.00 My commission expires: �� i;I�GSi/L Personally Known 4�i� or Produced Identification