1531 Linkside RERF18-0207 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, Fl,32233
INSPECTION PHONE LINE 247-5814
RERCOF SHINGLE -
MUST CALL BY 4PM FOR NEXr DAY INSPECTION: 247-SS14
PERMIT INFORMATION:
PERMIT NO: RERF18-0207
Description: SHINGLE ROOF
Estimated Value: 10700
Issue Date: 8/17/2018
Expiration Date: 2/13/2019
PROPERTY ADDRESS:
Addreeni: 1531 LINKSIDE DR
RE Number. 1723746055
PROPERTY OWNER:
Name: WILLIAMS DAYNA
Address: 1531 LINKSIDE DR
ATLANTIC BEACH, FL 32233-7306
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: SHORE ROOFING COMPANY
Address: 914 7TH AVENUE S OA THOMAS LOUIS SHORE
JACKSONVILLE BEACH, FL 32250
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
04PROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COM?4ENCEMIENT XUST 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$7,500.
State of NOTICE OF COMMENCEMENT /7;1.3') 6O-3S
Countyof Tax Folio No..
To Whom It May Corrc�oa:
The Undersigned hereby informs you that improvements will be made to certain read property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated IC OF C? C I�FN
A7_V
T
Legal Description 017property being improved:
Lai 91 4
Address of�roppwty being improved:
General description offirprovememits
Owner. ut I I Address: k)2f
Owner's N)Wq �—!-.11 1,Ism,,
interest in site or the improvement:
Fee Simple Titleholder(if other than owner):
Name:
C or: a re— 0
Address� 12 f-A Ay-r S J�)�c iGA 4 E
Telephone No.: Fas:No:
Surety(ifany)
Address: Amount ofBond$
Telephone No: Fax No:
Name and address of my person making a loan for the construction of the improvements �#2t,18195080,ORBK18496 Pagei5n.
Name- Nurnber Pages.I
Recorded 0&1 7=1 8 02:116 PM,
Address: RONNIE FUSSELL CLERK CIRCUIT COURT DUVA
COUNTY
Phone No: Fasc No: RECORDING $10.OD
Name ofirerson within the State ofFlorda,other flum himself,designated byrismser upon whom notices or other documents may be
served: Name:
Address-
Telephone No: pro,No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice at; provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address-
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)yew from the date of recording unless a different date is
specified):
TIM SPACE FOR RECORDER'S USE ONLY OWNER
D
i.,t
S-g7 this day of b
- - - - - - - - - - - - - - Us, is me is Muni,Stme
0 '. be,pe
fFlorida,has personadly app
N.Lary Public at Large,1�1
My commission expires,
Fersonally Known: or
Produced Identificado
Building Permit Application Updated 12/8/17
City Of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5926 Fax:(904)247-5845 RGRpts - ozo"?
Job Address: L,'nk5-)'d# , 0v- —Permit Number: Pee 1Q
Legal Description_W��17AS-QqC- J5qg"Lj4Arjn;,
IC(A42 Id Tj RE4 11A3:29-COS.5'
Valuation of Work(Replacement Cost)$ /0
Heatd/Cwl,d SF.Non-Heated/COoled
• Class of Work(arcle one): New Addition Alteration Repair Maine 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 am to be removed or Affidavit of No Tree Removal
�:! �� :: � ;� ; ; �:;� U j 111iiix; �- ,
Florida Product Approval 4 for multiple products use product approval form
Property Owner Information
Na , a e�: Address: 153, Or
CJ;e: it"
E-Mail State-=Zip_M4Lj._Phone
Owner or Agent(if Agent,Power of Attorney or Agency Letter Required)
Contractor Infornha I.on
Name of Company: !M&e 12&3F'Al C0 —Qualifying Aqnt:
Address_tW city
Office Phone State zip
State Certification/Registration# Cj'Y% 15 C'q I I Job Site/Contact Number
Architect Name&Phone#
Engineer's Name&Phone
Workers Compensation
Exem /Insurer/LeinaErrip war ation Date
Application is hereby made to obtain a permit to do the work and installations as! . 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 jurlsd iction.I understand that a separate permit must be secured for E LECRICAL WORK,PLU MBI NG,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
them may be additional permits required from other gonnernmental 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 AT-FORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
X 'i" �__
(Signature of Owner or Agent)
(inclWing contractor) ture ofContractor)
S d cl —- - - - - day f sworn to(or affirmedi))before me this day of
y
(Signature of NGtyp I
Personally Known OR Mlperscmally Known OR TWI GINIMBPERGER
CMmr
Produced Identification I Produced Identification kfyXMMSSiON#FF9MI
EXP
Type of Identification: Type of Identification: EXPIRES:O=bix 6,W19
jo