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1134 LINKSIDE CT - ROOF ' � CITY 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: RERF18-0231 Description: Estimated Value: 9000 Issue Date: 9/17/2018 Expiration Date: 3/16/2019 PROPERTY ADDRESS: Address: 1134 E LINKSIDE CT RE Number: 172374 5115 PROPERTY OWNER: Name: RUIZ ANDREW MICHAEL Address: 13614 STARRIDGE ST POWAY, CA 92064-3735 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: WHITE'S ROOFING COMPANY, INC Address: 14262 PLEASANT POINT LN QA TIMOTHY HOUSTON WHITE JACKSONVILLE, FL 32225 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$7,500. NOTICE OF COMMENCEMENT State of Florida Tax Folio No. County of Duval To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: 44-23 17-2S-29E Selva Linkside Unit 1 Lot 22 Address of property being improved: 1134 Linkside Court E. Atlantic Bch, Fl 32233 General description of improvements: Remove existing roof, install new roof Xc)M7Ozc moo m c c Andrew Ruiz 1134 Linkside Ct . E. "c z 8 B r- Owner: Address: o z z- a•t Aim(Dmalic Owner's interest in site of the improvement: Atlantic Bch, Fl . 32233 g c 0 l\ o C;(D ., Fee Simple Titleholder(if other than owner): o cn cn o,lc Name: o o 03 c White's RoofingCo. Inc. (Timothy White) M Contractor: Y 5.9 Address: 14262 Pleasant Point Ln . Jax.;,Fl 32225 x cn X _nD Telephone No.: 220-5546 Fax No: 0 IQ o Surety(if any) m 0 Address: Amount of Bond$ c m Telephone No: Fax No: a 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.O6(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 _y C� Signed: 4,14//,,< Date: [' - Before me this 7day of in the County of Dew+,State Subscribed and sworn to( r affirm d)before me e�,4 ."`bt'.1=#®r;da,has personally appeared d -E r' e u ; 2 ,.`r-n 1��2`1" On t�day of� 20.LL , Notary Public at Large,State of Florida,County of Duval. By y� pu,, -2._ My commission expires: j I- �,2p Name(s)of Signer(s) Personally Known: or Proved to me on the basis of satisfactory evidence to be Produced Identification: e"---}b i-- The person(s)who a•pea red before me. a- ER A., - .s"„a JANA DEE MILLER NotaryPublic-California Signature ' s ��!,(f7Q�� <«._ { .; Z SL•ture of Notary Public Z`r San Diego County Commission#2186633 My Comm.Expires Apr 11.2021 S .ii, Building Permit Application Updated 12/8/17 ,. J City of Atlantic Beach ij; 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 D Job Address: 1134 LINKS IDE Court E Permit Number: ^ R w---0z..3 Legal Description 44-23 17-2S-29E Selva Linkside Unit 1 Lot 22RE# 172374-5115 Valuation of Work(Replacement Cost)$ 9,000.00 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 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: Remove existing roof , install new roof Florida Product Approval Si FL18355 for multiple products use product approval form Property Owner Information Name:Andrew Ruiz Addres : 1134 Linkside Ct E. City Atlantic Bch State �1 Zip 12233 Phone E-Mail Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Name of Company:, White' s Roofing Co. Inc. qualifying Agent: Timothy White Address 14262 Pleasant Pt. Ln. City Jax State Fl Zip 32225 Office Phone 904-220-5546 Job Site/Contact Number 904-333-6663 State Certification/Registration it CC-C058017 E-Mail whitesroofing@att.com Architect Name&Phone# Engineer's Name&Phone it D Workers Compensation f/l.5.-/q 3-2F /-/- r?D/`1 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 maybe 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 RECORDI G YOU)1 NOTICE OF COMMENCEMENT. 7 (Signature of Owner or Agent) .` (Signature of Contractor) (Including contractor) Signed and sworn to(or affirmed before me t s 7 day of Signed and sworn to(or affirmed)before me this ( day of 45,474—_,,,26/ R-,by 3,..,, Z- $'p . , .20Ig ,by 'TIM c-Ihc1 t'iIt,Jr- I 'f'—iR) (j 'IP- ---- (Si ure of Notary] Gg (Sig ture of2 — i [ I Personally Known OR [vPersonally Known OR I lieft7`'ti CEBBIE.1 Rii!gi j pProduced Identification [ I Produced Identification t.; MY COMMISSION#L4134316 1,..e of Identification: i• ype of identification: I ';`' EXPIRES:December 12,2021 �,,.u,, JANADEEMILLER r r.r b ,;haaa;•r�oGuYR,Gl.fhxR9'+ritss f'11-2 ` NolaryPubliC-Californ�a z i` San Diego County 5 r- � Commission#2166633 My Comm.Expires Apr 11.2021