1146 LINKSIDE CT E - ROOF �' ' s� CITY OF ATLANTIC BEACH
5 WI'" , • r 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: RERF18-0172
Description:
Estimated Value: 6000
Issue Date: 7/26/2018
Expiration Date: 1/22/2019
PROPERTY ADDRESS:
Address: 1146 E LINKSIDE CT
RE Number: 172374 5120
PROPERTY OWNER:
Name: HULIN BELINDA CECILE
Address: 1146 LINKSIDE CT E
ATLANTIC BEACH, FL 32233-4386
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Coastal Roofing, Inc.
Address: P.O. Box 56965
JACKSONVILLE, FL 32241
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$7,500.
P.
Sdt1E '`-PBuilding Permit Application
. City of Atlantic Beach
* ter"
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
Job Address: 14P L inKS jai_ C'k E:-•
Permit Number:
Legal Description 1-44' a
' 3 l-�' aS- a1E €\Ja Lir\�sicQ.l.�(1\t , LORE#3► -ia314.- Sia-O
Valuation of Work(Replacement Cost)$ (p,00 0 • 0 0 1-
Heated Cooled SF 7 3
/ 1 Non-Heated/Cooled Co Cr')--
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial i e�ient:
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of
f No Tree Removal
Describe in detail the type of work to be performed:
��. °4- l O C s�,,, �sI 1
Florida Product Approval# E- \01p-)4- I • h, I c,a I
1p for multiple products use product approval form
Property Owner Information
Name: ge.l ,hCla k- y---,
City n 0 C4%\r\.0. Address: 1 i 14A/ l;s r\VS i d'2. - t
pct C�, State {�, Zip 3 '-- 3S Phone cic3'-k - 9$-A - 9a SS
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: CoRS.}-e\\ 2OO )r\c \,t1c
Address v'L3 �v'x Slp q(.05s Qualifying Agent: �C OM Ci BY", L. E..n�.,1 k i r,
cityici c
Office Phone -1/31-k•33g.-7 SO IcS(Kw \\ State ft,, Zip 3 a`t(
Job Site/Contact Number Sarct2_ a- 904. 3yq. O1O
State Certification/Registration#CCC.1 )-e9 j']b E-Mail -Ve vo-e. Ca. C 6vrmC cy5-4-.(\,_-1--
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation LA ct s-e., E.:i-NNo1 0,.�.c.-5 - VA1 cmc`C-4=01-,Le, F',u ;rv.,c, >e-v J (LS - s)(e. 0 i +o.I-ap tri
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.
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.
4a12.. .u4k., _..OL J
(Signature of Owner or Agent including Contractor) (Signature of Contractor)
Signed and sworn to(or affirmed)before me this 25 day of Signed and sworn to(or affirmed)before me thisoo 5-clay of
1tJ /is.� ,by . . _
?� / J U 4� 1 by nde n l _..n t?-r-C,rc
�e . ►. . 4,,•111 '
(Signature of Notary)
(Signature f Notary)
' `f
fN j.Y 44,44
( Personally Known OR NICOLE L.GLANVILLE / ,�..ri": UNDA IC t�i70u
MY COMMISSION N 006125 ersonally Known OR i4{ MY COMMISSION Y FF 945559
( )Produced Identification � march 2021 I,,.. +.= EXPIRES:January 29,2020
[ 1 Produced Identification t' .
Type of Identification: n222snded ihru No�r�Public Underwriters
Type of Identification:
NOTICE OF COMMENCEMENT
State of F'OrrdG Tax Folio No. N-1 1 " S 1 a c?
County of b Ll \
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: Li-i}- a 3 1 1 - as - -D-`At 5-e.\'JA
tr04.5 \ 1 Dk a3
Address of property being improved: t114-10 L c' C •E. Akt.ck cton.'Ft. 3a�33
General description of improvements: ea. Q 004--
Owner: 1-2(,`r1doq Nei kv1 Address: kR 4/ L_;(k54e._ CA-. Pc\ ar\V; iJLC,h C.
Owner's interest in site of the improvement: D.).33
Fee Simple Titleholder(if other than owner):
Name:
Contractor: COGS A a\ 0 0"-.-1 n \YAC -
Address: PO 6ox Slol6 a 3 c Ck-scnv , Tt, 32r -Li-t
Telephone No.!W\' 339' 1503 Fax No: `W-t''130' 33a°I
Surety(if any)
Address: Amount of Bond$
Telephone 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:
Telephone 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 Statues. (Fill in at Owner's option)
Name:
Address:
Telephone 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 OWNER
cigned: Date* .712-- /'
le
Doc#2018176464,OR BK 18471 Page 54, :fore me this 2 day of (, in the County of Duval,State
Number Pages:1 f Florida,has personally appeared R,Q1ACtA a la l t r
Recorded 07/26/2018 02:19 PM, Maly Public at Large,State of Florida,County of Duval.
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL y commission expires: O �� b C 1
COUNTY :rsonally Known: �/' or
RECORDING $10.00 .oduced Identification:
"—u NICOLE L.GLANVILLE
V 96125
--460;16 MY COMMISSION q GO
,,,. EXPIRES:March 22,2021