1260 LINKSIDE DR - PERMIT RERF18-0107 �j rLy rlf
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
;1
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: RERF18-0107
Description: shingle re-roof- FL10124-R19 & FL17188
Estimated Value: 10000
Issue Date: 5/8/2018
Expiration Date: 11/4/2018
PROPERTY ADDRESS:
Address: 1260 LINKSIDE DR
RE Number: 172374 5060
PROPERTY OWNER:
Name: SUTTON DIANE
Address: 3948 3RD ST S#301
JACKSONVILLE BEACH, FL 32250
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: DIBBLE ROOFING COMPANY
Address: 3518 MORROW ST QA JOHN R. DIBBLE
JACKSONVILLE, FL 32217
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$7,500.
Building Permit Application Updated 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 . nn
Job Address: 1260 Linkside Drive Permit Number: (L ( � —O l o+
Legal Description ,44-23,17-2S-29E,-Selva Linkside Unit T, Lot 11 RE# . 172374-5060
Valuation of Work(Replacement Cost)$ 10,000.00 Heated/Cooled SIF Non-Heated/Cooled
Mass 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: .
ITear Off Existing Shingle Roof and Reapply New Shingle Roof I
Florida Product Approval# FL-10124-Rl9&FL 17188 for multiple-products use product approval form
Property Owner Information
Name: Diane Sutton Address: 1260 Linkside Or
City Atlantic Beach State FL Zip-32233 Phone 904-860-9701
E-Mail floridagirlo1@live,com
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: Dibble Roofing-Company Qualifying Agent: John Dibble
Address 3518 Morrow St City Jacksonville - State ..FL Zip 32217
Office Phone 904-731-2835 Job Site/Contact Number
State Certification/Registration# CCC-058169 E-Mail infoiMdibblerooflng.com
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation FRSA-SIF 870-000959/3EE6142-01/01/18-.01/01/19
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 ail 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 FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
REC11ORDING YOUR TICE OF COMMENCEMENT.
(Signature of Owner or Agent) (Signature of Contractor)
(including contractor)
Signed and sworn to(or affirmed)before me this day of Signed and sworn to(or affirmed)before me this day of
vini�'2crL hlcc(1te/ � aOl'by .nn;�er L vin6k,(ac_hfVe
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� My Commisslon GG 1 Expires 05/3//2021 u ignature fNotary)
,Wr'4� Notary Public State of Florida
( ]Personally Known OR [ Personally Known OR ;Q ^ Jennifer Lynn Schlachter
[ ]Produced Identification �/� r 7 [ ]Produced Identification
My Commission GG 109044
Type of Identification: . ?3r- 1 7L l �L3 o,r d� Expires 05131/2021
yp Type of Identification:
RIDOTICE OF -COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 172374-5060
State of rlonua County of
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 followina information Is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: 44-23 17-2S-29E
aeiva wnKStae unit I.
LUl 1 Uot l
Address of property being improved: 1260 L1111CS1de DT
Hriannc tseacn.PLj2233
General description of improvements: KeR0011ng
Owner Diane Sutton
Address 1260 Linkside Dr Atlantic Beach,FL 32233
Owner's interest in site of the improvement ReRooftng
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Dibble Roofing Company
�ll I Address 3518 Morrow St Jacksonville.FL 32217
Phone No.904-731-2835 Fax No. 904-733-2285
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): ani
THIS SPACE FOR RECORDER'S USE ONLY Nb
ER
Signed: I •C_w�( 1i 1 DATE b 1•lS X Cp
Before me this day of rV1C. in the v.n
Doc ft 2018108801,OR BK 18379 Page 245, County of Duval,State of Florida,has personally appeared c, o
Number Pages:1 herein by e
, 9
Recorded 05/08/2018 09:14 AM, himselft herself and affirms that all statements and declarations herein a 6-�c
are true and accurate = `;
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL on N
COUNTY
RECORDING $10.00 < J
Nota5tPublic at L tge.State of fry County of iwat a y
My commission Ores: VA 511M OR
Personally Known �- or
Produced Identification S i `J�X133 7