1184 LINKSIDE CT W - ROOF y1i`l�i`' � CITY OF ATLANTIC BEACH
Sit
oil. 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
0,319%' INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0219
Description:
Estimated Value: 9000
Issue Date: 9/5/2018
Expiration Date: 3/4/2019
PROPERTY ADDRESS:
Address: 1184 W LINKSIDE CT
RE Number: 172374 5220
PROPERTY OWNER:
Name: WILLIAMS LORETTA S ET AL
Address: 2063 VELA NORTE CIR
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: GIFFORD ROOFING
Address: 11828 New Kings Rd Ste 113
Jacksonville, FL 32219
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.
`4i, ' Cash Register Receipt Receipt Number
City of Atlantic Beach R6222
DESCRIPTION ACCOUNT I QTY PAID
PermitTRAK $104.00
RERF18-0219 Address: 1184 W LINKSIDE CT APN: 172374 5220 $104.00
BUILDING $100.00
BUILDING PERMIT 455-0000-322-1000 0 $100.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R6222 $104.00
CITY OF ATLANTIC BEACH
800 SENINOLE RD
ATLANTIC BEAC,FL 32233
09;05,2018 15:08:44
CREDIT CARD
MC SALE
Card:, XXXXXXXXXXXX0812
SEQ 4: 9
Batch 4: 683
INVOICE 9
Approval Code: 002815
Entry Method: Manual
Mode: Onlne
Tax Amount: $0.00
Card Code: M
SALE AMOUNT $104.0)
CUSTOMER COPY
Date Paid: Wednesday, September 05, 2018
Paid By: GIFFORD ROOFING
Cashier: BA
Pay Method: CREDIT CARD 9
Printed:Wednesday,September 05,2018 3:09 PM 1 of 1 lr
TRT
Building Permit Application Updated 12/8/17
City of Atlantic Beach
BOO Seminole Road,AtlantIc Beach,FL 32233
t LPhone (904)247-5826 Fax (904)247.5845 0
Job Address: �W -t�kS\OQ. Ck V! Permit Number: keDF( g OZ I f
Legal Description I14 2. I1-25 -
Valuation of Work(Replacement Cost)S CI ( OW °CI Heated/Cooled SF 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 6tesidential5)
• 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:in r kroo
Florida Product Approval e IN 14. t for multiple products use product approval form
Prooerty Owner inf.rmatioq
Name: IIS,_ 'W C \ -W art Address:2.00! veto, �t t V4n-t (aY
City ' Q''-h( P-E Lt ,\ State f-t_ zip 7)7 2A 1r Phone Cl O'-i- 2t"i -OLth
E-Mail lCVyflrvtyw-r {-c - 0011.-• OVV1
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: ( '\ EQV(. �OOt(1 Y\(), i LLC Qualifying Agent:
Address _.VA 4city..10, U,SCW\V'\\() state R.-
Office Phone (/.{- }{lp - Sc344_ Job Site/Contact Number Q64- 70•2," quao
State Certification/Registration eff,,L(,11,4(o 2:1- 1 E-Mail Cyti wvCd cYY(Atl- ((JW
Architect Name&Phone a J
Engineer's Name&Phone tl
Workers Compensation P & •
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 OT1GEiIAt° dam! It ari a h r:"Zi . T,: ^'`
...(.• .restttciions ap ahieNti this property thin in"ay�, found n t e p blk re o
,`'zr—•--r-:._Y'y I{. .�u ,hiMio ..rrit+.f;_ IFf' a�A'�' .... ..
:eft I•_J .. _ • Alta_ _; yJi oyin p(1> r,gPvtemme2 tta en '. }ttchla{w�rerms terga r ten>xci" CLS;3 _ - tom•L�s•..
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 NOTIC 4 COM ' ENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS To OUR PROP RTY. IF YOU INTEND
TO OBTAIN FINANCI G, CONSULT WITH YOUR LENDE a R • N ATTO'r EY BEFORE
RECORDIN p N TICE OF COMMENCEMENT.
(Signature of Owner or Agent) 'I.`(Signature of Contractor)
!Including contractor)
Signed and sworn to(or affirmed)before me this Mu. day of Signed and sworn color affirmed) efore me this day of
, J01/35e1,by �y.i , l���,$n w'i't 96C1 ,by FZIC/Aar?" Ott 2C(
•�t•,,�rt- •�.L..
nature of Neta
yam' Noury Public Stated Florida
}Personalty Known•r+r Agip•Trahan :�;.�r� JANET L MCGEE
( 1 Produced Identlll • o+ic i My Cam+tadon FF 984312
i erittned Known OR
[ J Produced identification 'R Notary Public•State of Flonda
TYPe of Identlftcation. r n F oar2112Q2o ;t 1 Commission e GG 222 i 77
Type of identification: • d' •.0.. x•ires Au t7.2022
Bonded through National Notary Assf..
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No Tax Folio Nilovel
State of L County of
To whom It may concern:
The undersigned hereby Informs you that improvements will be made to certain real property,and In
accordance with Section 713 of the Florida Statutes,the following information is stated In this NOTICE OF
COMMENCEMENT. 411 -_
� /]
Legal description ftof property being improved: - 1- �3 �, - 2.S - 2-61 E
t La . IO. r a I.
Address of property being Improved: 1 I KA lit/ICS-de
FLS
S2-233- 14385
General description of improvements: S1Slr
Owner {cxt ,+tCk• 1.111 a V1
Address 20123 I/6 LA J1io/lg, A te44-r32L33
Owner's interest in site of the improvement
Fee Simple Titleholder(if ctner than owner)
Name
Address
Contractor (i'1 y c_ L.L.L.
I
Address a / . L. tt' a , F i
Phone No. a U 7 - '(O O- • L/Q Fax No.
Surety(if any)
Address Amount of bond$
Phone No Fax No.
Name and address of a •_rson making a foamier the construction of the improvements.
Name IJ
Address
Phone No. Fax No.
Name of person within the State of F• • ,other • himself,design, •by owner upon whom notices or other
documents may be served:
Name
Address
Phone No. Fax No.
In addition to himself,owner designat + e following person to receive a copy• the Lienor's Notice as provided In
Section 713.06(2)(b),Florida •• utes.(Fill in at Owner's option).
Name
Address
Phone Nb. Fax No.
Expiration date of Notice of Commencement(the expiration date Is one(1)year from the date of recordi • unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER 7/
Sipnaci:�` _ DATE 1 t
Before me this 7 da d, ) 11 the
�itf DuvalStats of 'of . y• '� • y appaarad
TTm.4 p•R.2._K 'I. r :' herein by
hFnsaW hones and affirms ..et statements end dacleraticos heroin
are true and accurate
Doc#2018208675,OR BK 18515 Page 283.
Number Pages:1 i►
Recorded 09/0512018 10:52 AM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
Notary Public at Cargo.State of
COUNTYyon �i•�1���t�t•
RECORDING $10.00 Personally expires, j~ - a. ����
Produced IdeM111rjgo„ • _- M Brown
ff My Commission OG 092459
a^d Expires 06/22/2021 J