1516 Linkside Dr RERF18-0249 REROOF SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RERF18-0249
ISSUED: 10/1S/2018
800 SEMINOLE ROAD EXPIRES:4/13/2019
ATLANTIC BEACH. Fl.32233
MUST CALL INSPECTION PHONE LINE [904) 247-5814 BY 4 PIVI 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 resirictions applicable tE this property
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tt
that may be found in the public records of this county,and there may be additional permits required from other
federal agencies.
g.u,
g F overnmental entities such as water management districts,state agencies,or
1516 LINKSIDE DR REROOF SHINGLE $10700.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1723746365 SELVA LINKSIDE UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
SHORE ROOFING JACKSONVILLE FL 32250
COMPANY 914 7TH AVENUE S BEACH
CITY: STATE: ZIP:
OWNER: ADDRESS: —
DIXON NEIL E 1516 LINKSIDE DR ATLANTIC BEACH FL 32233-7305
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 ORAN
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.
I — — — —
FEES
DESCRIPTIOW— ACCOUNT QUANIIIT I..D AMOUNT
BUILDING PERMIT 455 DE00 322 1000
STATE DER SURCHARGE 45S EEEXI $2.00
$2.00
STATE DCA SURCHARGE 455-00DO-208 Ubou TOTAL:$109.00
issued Date: 10/15/2018 1 of 2
REROOF SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RERF18-0249
ISSUED: 10/15/2018
800 SEMINOLE ROAD EXPIRES: 4/13/2019
ATLANTIC BEACH. FL 32233
1,,u,d Date. 10/15/2018 2 of 2
NOTICE OF comMENCEMENT
State of Tax Folio No.
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 stateaLm th_V5110E.0y COMN_WNCEMENT I
ID�Cr of property being improved: f"n 14'A'ks"dr, &M JE
Address of property being improved: 5 Z-,'-,k57i',1y 13 ve
General description of Improvements: t n
Owner: 4/e.'I a �' <Q r�
0,off,s interest in site of the improvement:
Fee Simple Titleholder(if other than owr,�):
Name:
Contractor: r izoa R-� Ce
Address: '5--VIA-73-
Telephone No.: Fax No:
Swety(if any) Amount of Bond S
Address:
Telephone No: Fn No:
Name and address of my person making a loan for the construction Of the improvements
Name:
Address:
Phone No: in Fast No: waff up tire ort th cum tsmYtae
Name of person within the State of Florida,other than h uself,designated by 0 on whom no s o er do en a
served: Name:
Address:
Telephone No: Fax No:
in addition to hiumsel� owner designates the following person to nsceive a copy of the Meant's Notice w provided in Section
713.06(2)(b),Florida Statues. (Fill in arrowroot's option)
Name:
Address:
Telephone No: Farat No:
Expiration date of Notice of Comoneacentent(the expiration date is one(1)yew from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDEWS USE ONLY OWNER
of Duval,State
- - - - - - - - da f
Signed
:L
me
Of Florida,has personally
C
keN W.." -1. Its ofDuval.
1 T ;) -
- 91 Notary Public a Large,Sjjrori a,
My0a bNanDs,42111 My commission expires: or
111W PersatallyKnown:
D� 2018245217,OR BK ltaA5,1 PIC.72 Produced Identification:
Numbs,Pages I
Recorded 1 0015=18 02:11 PM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY
Building Permit Application updated 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,Fl.32233
Phone:(904)247-5826 Fax:(�)247-5845
Job Add rem: (51� UAOt V"_Permit Number: tZ-(3Z'q9
- - 4 'A RE# 1-72-3
Legal.Description :MS E"�dt'ALA kvd-L q_63KS
Valuation of Work(Replacement Cost)$ 10 fjQQ ,#�fl 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,15 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 pe rated: -toy, jjj_5
ar)An+A- Usly), ,, hian—4-
Florida Product Approval#R 14U�� E 17MIZO for multiple lfroducts use product approval form
Property Owner Information
Name *4�'�o Address: LN6 LV-lk�A'4�� 01�
ij -FoL-f 11
.!YN��
city HtIAM� J!%I' . 5eLf " state H rip 'j X1 Phone
E-Mail
Owner or Agent(if Agent,Power of Attorney or Agency Letter Required)
Contractor Information L
Name fCompa : _�uallfiiinl;Agent: -7477)-
Address city state Zip
St —f�y
OfficePhorie 91 &4 Sf�� Job Site/connuact Nijrm�br4_
Itin 4 E-Mail It
z If
State Cerfificattion/Registirration#
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation 1 3 Exampti insureri ease ti-inpluy—i xpinition 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 judscliction.I understand that a separate permit must be secured for E LECrRICAL WORK,PLUM BING,SIGNS,
WELLS,POOLS, FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.NOTICE:In addition to the requirements of this
permit,them 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
RECORDIN YOUR N E COMMENCEMENT.
jSignature of Contractor)
1�n ludi it
Flarist
Si d nd jim thi Led.y�of Signed and sworn to(or affirmed)before me this day of
by
(Signature otary) (signature of Notary)
( ]P�nonally Known OR I Personally Known OR
I Produced Identification
Produced Identifica jTL Type of Identification:
Type of Identification: