1159 W LINKSIDE CT-REROOFCITY OF ATLANTIC BEACH
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:
RERF18-0085
Description:
SHINGLE ROOF
Estimated Value:
9465
Issue Date:
4/11/2018
Expiration Date:
10/8/2018
PROPERTY ADDRESS:
Address:
1159 W LINKSIDE CT
RE Number:
172374 5160
PROPERTY OWNER:
Name:
DOODY SUSAN L
Address:
825 SAWYER RUN LN
PONTE VEDRA BEACH, FL 32082
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name:
JOHN GILMORE ROOFING, INC.
Address:
11647 GWYNFORD LN QA JOHN CHARLES GILMORE
JACKSONVILLE, FL 32223
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.
f
Job Address: 115-7 iNi.
! 1
Legal Description a I tya LinK5i'
Valuation of Work (Replacement Cost) $
Building Permit Application
City of Atlantic Beach
800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Fax: (904) 247-5845
Updated 12/8/17
RE# Z 22 )7 — 57/ (opV
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: k oV- (�
Per Mawckmr �CS Af Cly S
Florida Product Approval #
eptQce— LuDf7Y�
for multiple products use product approval form
Propertv Owner Information ()
Name: Addres u� r +'t(., n ln(f-�
City State TL Zip 5 -Phone
E -Mail
Owner or Agent (If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Compa2y: x. ' o K tiQualif Ing Agent: �e2hly nom'
Address �/ 9'uU • 9G40 , &61 cfi.S� B c Citw 3 r State Zip .,V 2 2 2 �
Office Phone qo !v —go 4(y _ Job Site/Contact Number712
State Certification/Registration # C4CQ Z(67 E -Mail W;,-Ja v1! / , 62;1V
Architect Name & Phone # _
Engineer's Name & Phone# 0hrn G� _"
Workers Compensation �'�$ S J:F
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. 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.
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 FIN.ANG- VG, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECOR G YOUR NOTICE OF COMMENCEMENT.
ignature of Owner or Agent) (Signature of Contractor
(including contractor)
Signed and sworn to (or affirmed) before me this L day of (r/ed and sworn to (or affirmed efore me this % Q day of
�or4,b �d !R / ZOi b
YI HAIVAN ••• colmmle"#
commilewo #GG124990HAW
Signature of Notary) o � W,,,14, gnature of Notary)
d� Expires Noaember 14, 2021 a moo, sa,d�d thn Dow rwrn�
�►E��pt`� ]�� [ ] Personally Known OR
Produced Identificationp Produced Identification '
Type of Identification: Dr. y2r S Lt << Se Type of Identification: ��� Je r 5 j t_t Cep
NOTICE OF COMMENCEMENT
State of sin o 1-49, Tax Folio No.
County of ,D U V a. k
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: � 3 / 7 S E
S e l va L; � is s►�-� L40- I Ufi 31
Address of property being improved: isiY `
General description of improvements: "
Po n k . I/� A rA FL .')? n- I)-<,,- Z- .
Owner: Q 1-)0)
Owner's interest in site of the
Fee Simple Titleholder (if other than owner):
Name:
Contractor:
Ad
Surety (if any)
Address:
Address:
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Telephone No.: (j �('t— 1f�j/ Fax No: �0 y W7���Q/
Telephone No:
Fax No:
Amount of Bond $
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 otl
served: Name:
Address:
Telephone No:
Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as
713.06(2)(b), Florida Statues. (Fill in at Owner's option)
Name:
Address:
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Telephone No: Fax No:
Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unle is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: Date: ! (�IF61 r�
�JkY oue HANAN SHAFiN Before me this l b 4-,- day of , l VC) I $ in the County of Duval, State
Of Florida, has personally appeared
Expires Nove
* C°mrr Hoye 4mbeerr 124990 14, 2021 Notary Public at Large, State of Florida, County of Duval.
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Bona�d7ku8udp�N�yrysrrbw My commission expires: l ( - j L/ ;L -a b
Personally Known: or
Produced Identification: