1677 N Linkside Ct RERF19-0058 Shingle REROOF SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RERF19-0058
800 SEMINOLE ROAD ISSUED:4/24/2019
ATLANTIC BEACH, Fl.32233 EXPIRES: 10/21/2019
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, IPIVIC, 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 applicableto 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:
1677 N LINKSIDE CT REROOF SHINGLE SHINGLE ROOF $8500.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
-CONSTRUCTION: NUMBER: GROUP:
1723746195 SELVA LINKSIDE UNIT02
COMPANY: ADDRESS: CITY: STATE: ZIP:
WHITE'S ROOFING 14262 PLEASANT P01NT LN JACKSONVILLE FL 32225
COMPANY, INC
OWNER: ADDRESS: CITY: STATE: ZIP:
FCHOLS HAROLD B 1677 LINKSIDE CT N ATLANTIC BEACH FL 32233-7316
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERN 1 $95,00
455 DOW 208-07M 0 $2.00
STATE DCA SURCHARGE 455 OOM-208 0600 0 $2.00
TOTAL;$99.00
Issued Date:4/24/2019 1 of 2
Building Permit Application Updoued1019118
City of Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-DePt@coab.us IS REQUIRED.
Job Address: 1677 Linkside Ct N Permit Number: 1!�J —o asa
Legal Description 47-85 17-2S-29E Selva Linkside Unit 2 Lot RE# 172374-6195
Valuation of Work(Replacement Cost)$ 8 5 0 0.0 0 Heated/Cooled SF- 119 Non-Heated/Cooled
• ClassofWork: ONew OAddition DAlteration DRepair []Mow DDerno DPool OWindow/Door
• Use ofexisting/proposed structure(s): DCommercial Wesidential
• If an existing structure,is a fire sprinkler system Installed?: OYes []No
• Will treefs) anion with or000sed DrOiect?OY s must submit senarate Tree Removal Permit) U(No
Describe in dealt the type of work to be performed: Q I (
Remove existing roof , install new roof .
Florida Product Approval It PTA 8�55 FL15216 (u/1) for multiple products use product approval form
Property Owner Information shingles
Name Diane Echols -Address 1677 Linkside Ct N.
city Atlantic Bch -State F I zip 32233 Phone 537-7865
E-MailDiechols@yahoo .com
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contract"Infollmation
NameofCompany White' s Roofing Co. Inc QuaillyingAgent Timnth)i Whitp
Address 14262 Pleasant Pt Ln citv_�'_ _T,� . State PI zip 32229
Office Phone 220-5546 Job Site Contact Number 133-6663
State Certification/Registration#CCC05 017 E-Mail whitexroofinz@att .net
Architect Name&Phone to
Engineer's Name&Phone#
Workers Compensation Insurer FRSA Self Insures Fund OR Exempt 0 Expiration Date 01 -01 /2020
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 regulating
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 YOU F COMMENCEMEN��.
(Signature of Owner or Agent) 'ISignature of Contractor)
1 1)before me thi to (or affirmedl before me thi-aL day of
spi-L_day of Signe an swom by ab
DEBBIE J.RITTER IL",zj 'a 1) 1 q AD .,;ip I q
E WFL&D...o., , 20
KPIRES;Deow..b.-2 20
lisignatureol[Notary) 1E11IE1 RITTER
M M"
'ISS
= ,6N#GG 134316
RES Decenoter 12,2021
[4�Pewr.fly Kno.�OR Personally Known OR U,&nnitxx
[ I Produced Identification Produ..I.........ation
Type of identification: Type of Identification
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:
47-85 17-2S-29E SELVA LINKSIDE UNIT 2 LOT 119
Address of property being improved: 1677 Linkside. CtAlAtlantic Beach, F1 32233
General description of Improvements:
Remove existing roof, install new roof.
Owner: Diane Echols Address: 1677 Linkside Ct. N. Atlantic Bch, F1
Ownees interest in site of the improvement: 32233
mommzc
Fee Simple Titleholder(if other than owner): M I F
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Name: 9
Contractor: White' s Roofing Co. Inc. (Timothy White) Z
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Address: 14262 Pleasant Point Lane Jax. FI. 32225 no
Telephone No.: 220-5546 0- c
Fax No: —2
rn
X�9
Surety(if any) 0-o
55 K
Address: Amount of Bond$
Telephone No: Fax No: 0
0
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
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiratlon date is one(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed- /I/1j 49� -- Date: $///9
Bef.r.methis day of g24au�.t apiq in the Cowgof Duval,State
Of Florida,has personally appeared ' �I ;1, L;- A i%% , —
EDR Notary Public at urge,State of Florida,County of Duval. V
0134316 My commission expires:_
12,2021 Personally Known: V� or
Produced Identification: