1484 LINKSIDE DR - WINDOWS RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RES18-0315
ISSUED: 10/5/2018
800 SEMINOLE ROAD
,r,%j);1 v ATLANTIC BEACH. FL 32233 EXPIRES: 4/3/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1484 LINKSIDE DR RESIDENTIAL ALTERATION WINDOWS $5200.00
RESIDENTIAL
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172374 6390 SELVA LINKSIDE UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
CROSS TIMBERS GREEN COVE
2770 EAGLE HAVEN DR FL 32043
CONSTRUCTION SPRINGS
OWNER: ADDRESS: CITY: STATE: ZIP:
WANDA MIRKIS LIVING 1484 LINKSIDE DR ATLANTIC BEACH FL 32233
TRUST
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
ri 1FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $80.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $40.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 10/5/2018 1 of 2
i"`''' RESIDENTIAL PERMIT PERMIT NUMBER
�3 ._ ', RES18-0315
�.��-, CITY OF ATLANTIC BEACH
�.5.41..
� 800 SEMINOLE ROAD ISSUED: 10/5/2018
Ji3 �� ATLANTIC BEACH, FL 32233 EXPIRES: 4/3/2019
ITOTAL:$124.00
Issued Date:10/5/2018 2 of 2
01,A.N;yCity of Atlantic Beach Ir, APPLICATION NUMBER
JsBuilding Department (To be assigned by the Building Department.)
r `� 800 Seminole Road �r /�^2
, Atlantic Beach, Florida 32233-5445 1 CJ c
� �,. Phone(904)247-5826 • Fax(904)247-5845 [� Ii
DinsP• V E-mail: building-dept@coab.us Date routed: _l
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 14 4 L(,)Ks(06 2Deartment review re No
uildiagD
Applicant: OSSAA !_ Planning &Zoning
Tree Administrator
Project: ) ,�lI QcA S Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLIC TION STATUS
Reviewing Department First Review: Approved. Denied. Not applicable
(Circle one.) Comments:
:UILDINe
PLANNING & ZONING 92 r�'! a4/r
Reviewed by: f
TREE ADMIN. (j
Second Review: Approved as revised. Denied. fNot applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date: •
FIRE SERVICES Third Review: ['Approved as revised. I 'Denied. ['Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
.Y; t Building Permit Application Updated 12/8t7,17-
:-
2/8i
" •r •'" City of Atlantic Beach y
O
;;,,r 800 Seminole Road,Atlantic Beach,FL 32233 ‘,..,,s,
/ Phone:(904)4) 247-5826 Fax:(904)247-5845 (�
Job Address: 14 _ z (./ z'�£ )L pv4 Permit Number: 12L / si--- 03684
Legal Description L QY I 6'IC S<e) w iv L.//,k=S 1 b �.� 1.4p i 4 a RE# LL-
5ZC� L.B.
Valuation of Work(Replacement Cost)$ � Heated/Cooled SF Non-Heated/Cooled \O
0.
• 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 w
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal 0
Describe in detail the type of work to be performed: ,� `� J Cl)
CL z �
2 LuO o liu
Florida Product Approval# FL 5107 1113.0 for multiple products use product ap:D-o{gal arlt F.
Property Owner Information i 0 V 2 U p
Name: Z}.4J 13 A in ( &1G I Address: l LI O 1 L , A., 142 / /i4- D2 Z < 0
City 44-i G. ,t1-+ , c. B+_A Uh State FL. Zip 3),A3 3 Phone 904,E 100E/-Kl,ger 0<
E-Mail IA)Z.rri i i^IC B A,V L,c:0 h-N
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) U W /(J c,C., O Q z
W
Contractor Information LL u" py 2
Name of Company:C oS. !jt6'tcQi CONS'i' - cTioN Qualifying Agent: AL-A-6.1 3 0 t eJ E.S g ei. cc pp
Address t'i 21 Cc,- '—ro.A,` City At�lcbu.2c State FL_ Zip 3 2. (eIs1 0 W
Office Phone tO p3s-- g/ S( Job Site/Contact Nu ber S,}rte w V w w y?
State Certification/Registration#cu.- t Z55°(2-3 E-Mail C1 c Li C, CoMCtt-E , rJet j cc w
Architect Name&Phone# "—'� X w
Engineer's Name&Phone#
Workers Compensation IE1(eJ-tp4 3 / -2_O .-
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 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
RECORDING YOUR NOTICE OF COMMENCEMENT. /
k) cakd d714 1/2./3 _
(Signat r of Owner or Agent) (Signature of Con - or
(including contractor) / 11
•. , .rn to or affirmed)before me this
.. ' l�
day of Si e. and sworn to(or affirm-: •eforg mpe�thi day of
air-p, , * .IF -,%.,, • .t „., �,. -� u I 1...JSi(r' Yj>( r 171 /v
,bY % .A J el'✓ T �r
ii, •., Notary Public,State. Florida , — ——
-11 CommissionN GSC•.:.: /- f
p=4 ♦ ' I(I: ARCIA
My comm.expires Jan ,2022 ►': ature of Notary) 1 `?: C; matt Arii Rlif4ry
is4tate of Florida
�' d• moo-' Commission#GG 231511
[ )Personally Known OR [ )Personally Known OR I '�ov r ` My Comm.Expires Jun 21,2022
Bonded through National Notary Assn.
KP, IdentificationProduced Identificati r _ ..
Type of Identification: f JQ C C Lt et- r'�.c-e_ Type of Identification:1 A �V7�71 0-1---7,1 7,1 7 `' 0-
f ,�� �rJ
NOTICE OF COMMENCEMENT
2 (PREPARE IN DUPLICATE) (r.
Permit No. �&5 I —O 3/5 Tax Folio No. v>?
State of F L.. County of C)U V/9 L s
•
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 t " •
COMMENCEMENT.
Legal description of property being improved: Lo -r ).'8 S icI v 4 L I hJ i 4 S i n l=
Address of property being improved: 1 J L fY) )� S J C L j r-
4-1,1byic iv� t-moo 1' 3
General description of improvements: W1'J 00 W r9"-t'
Owner IA) 111,1 1�(� rn 1l_ P-11, 1 S
Address i�} `4- L,,,�, k.S ; ca Le b rL Al p )4-ie. / FL. . j 33
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner) `^
Name
Addres Coontractor .P°S S't 1 ►-tL€cv (2 a sr 4 4 o a f tn+t U CL'-s Y I J t.;Od W f
Address ( I y_V-I. C��i�•i �;2 Pw\ i►t 1% b J L t 4 3 2k7(.8
l O
Phone No.�03 ( 5‘(
Fax No.
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 Lienors Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone No.` Fax No.
Y a. N
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a N .
different date Is specified): c)D.
O
THIS SPACE FOR RECORDER'S USE ONLY •WNER 7a ax v
CS` =
Signed: ♦ L, N /a DATE Z N m
Before me this day of infustm in the .'5 o x
County of Dw@l,State f Florida,has personally appeared Q °'
r C Ca �r n n NrA )' i 1 herein by W a E E
himself/herself and affirms that all statements end declarations herein LL itE E
Doc#2018220806,OR BK 18531 Page 538, are true and accurate z m o 8
Number Pages:1 z
Recorded 09/17/2018 03:55 PM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL o��c
COUNTY
Notary Public at Large,State of C County of Vc' 11 Eli(
RECORDING $10.00
My commission expires: .�rA r� 11 �h 0.0 s
Personally Known or ,Tion
Produced Identification 11!1 CS, 1_.,( ``n St .