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1525 Linkside Dr RERF19-0184 Shingle %'S'�''''r REROOF SHINGLE PERMIT PERMIT NUMBER ,100': �' CITY OF ATLANTIC BEACH RERF19-0184 u 800 SEMINOLE ROAD ISSUED: 12/17/2019 ‘1,oli»% ATLANTIC BEACH. FL 32233 EXPIRES: 6/14/2020 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: 1524 LINKSIDE DR REROOF SHINGLE SHINGLE ROOF $11000.00 TYPE OF REAL ESTATE j ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 172374 6360 SELVA LINKSIDE UNIT 02 COMPANY: ADDRESS: CITY: STATE: ZIP: JACKSONVILLE PIMENTEL ROOFING INC 402 St. Augustine Blvd. BEACH FL 32250 OWNER: ADDRESS: CITY: STATE: ZIP: GRUNTHAL LEONARD H JR C/O GRUNTHAL DORIS B ATLANTIC BEACH FL 32233-7305 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. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $110.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $114.00 Issued Date: 12/17/2019 1 of 2 REROOF SHINGLE PERMIT PERMIT NUMBER iCITY OF ATLANTIC BEACH RERF19-0184 800 SEMINOLE ROAD ISSUED: 12/17/2019 Si 9r EXPIRES: 6/14/2020 ATLANTIC BEACH. FL 32233 Issued Date: 12/17/2019 2 of 2 • Building Permit Application Updated 10/9/18 City of Atlantic Beach Building Department **ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY J t}`fir IS REQUIRED. Phone: (904) 247-58261Email: Building-Dept@coab.us /� Job Address: /5d1-( Lfki lds 6)r 1'1n11tttv2 ak1F- Permit Number: RERF 9 - v 184 Legal Description q 7�s5 / 7-aS c E Selva LWesi 1 � 4- d—Lo f-15 RE# 17 a 374,.3( D Valuation of Work(Replacement Cost)$ (1)0(20 Heated/Cooled SF 3e-cc Non-Heated/Cooled • Class of Work: ❑New ❑Addition [Iteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑CommercialC residential • If an existing structure,is a fire sprinkler system installed?: ❑Yes leo • Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) ©No Describe in detail the type of work to be performed: 1 j • c ..v` rG_ G �h i.:c Ili. ►"� -b' a t' 3CI i r, - 't-4-t . �'.//--,�aVly t. 141",c71 - �f iv et;/444.,1-4 Florida Product Approval# / a/,2 (e / &kr F(.c'4 P14 . 41,4 for multiple!products use product approval form Property Owner Information n 1 Name TCS �TYLU^-`-kA-t Address ISaJ-( 1,4)114(0kl� 14(ec by 7'CU,it{-te--Ii/EL322_33 City A-(-laiNf ie- State rL Zip aa- 33 Phone E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company P•f1u,4,,(,1 '/�G( •NS Qualifying Agent L,)` /lje,�, r Address 4L&. 4 ri r -(4 s 1 I ueN, City j,4.4,6,1 Lhe1. State r( Zip 32.2.4Z Office Phone 5"- /-- 4E Job Site Contact NumberAp1-y — 6-9/— SWI State Certification/Registration# e6e/31C f E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer OR Exempt❑ 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 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, CO SULT WITH YOUR LENDER OR AN ATTORNE RE RECO G YOUR NOTICE O ` OMMENCEMENT (Signature of Owner or Agel1t)--- (Signature of Contractor) Si ned and sworn to(or affirmed)before me this(j day of Signed and sworn to(or affirmed)before me this d.y of - ' , t y I* S G 1,I. ( ceeatt�,r, `�}0I� , by . '. ►i. / u�. 4 e / i ._/•,. . /L.L - (Signature of Notary) ( (Signature of Notary) I DANIELLE M.MCINERNEY DANIELLE M.MCINERNEY Notary Public,State of Florida Notary Public,Stmt.of Flcrica [ ] onally Known OR My Comm.Expires 8/17/21 Personally Known OR My Comm.Expires 8/17/21 roduced Identification � mmiss 'n No.,�GI13 75 Produced Identification Commission No.GG135675 [ Type of Identification: t; iI(e c _��� Type of Identification: NOTICE OF COMMENCEMENT State of Noe 1 da Tax Folio No. 1 ( a 3 7 ^("3(0 County of p14 1✓a. 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. ,.. 1 X. Legal Description of property being improved: I--I 7 r O S ( 7 '��S - (361 E sE-V Pt I--(vi KSS 1a-e-, bolo- V N 1-0 -f- ISa— b Li -77 d- Sc'1V-r. Ltv,lStde um-n-Da--f _ Address of property being improved: /5 ({� I�S ode 1�r I f 1ravt lc 6 C h� FL g a-a-33 sGeneral description of improvements: Re -r 0 of v 6i-c iwc(, a r 1S Imo, / 1I I /' ,/� Y� Owner: Or n(ha I) Leon OYI�IC Gl f" !�' b(Sf� Address: (5 ra-"f / K c(fit e- Pr( ve 14,Pj r . Owner's interest in site of the improvement: 0 U)n e l— m z o Ozz, Fee Simple Titleholder(if other than owner):\10, o H m o G) aiN`' Name: i. m ch, Contractor: PI-01-1-e I �i7[[�� t���, �^^1 11 L- t t.4Q I r e�-r'e` �/ o Address: 1-10 �T . /`-vl �fF(tle_ 8�V6 `�G� x & (L 3 ad-50 o '-0 / m<o 73 i,j Telephone No.: I O`l - s`(' - 5 Li5 8 Fax No: o Surety(if any) o Address: Amount of Bond$ o c Telephone No: Fax No: x o Name and address of any person making a loan for the construction of the improvements D Name: r 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 expiration date is one (1)year fro he date of recording unless a different date is specified): — THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed:.y., /l P�''J l Date: 12 -13 ` I Before me this 1.3 day of D€CC • • r in the county of Duval,State DANIELLE M.MCINERNEY Of Florida,has personally appeared ThriS mot hit( Notary Public,State of Florida Notary Public at Large,State of Florida,County of Duval. My Comm.Expires 8/17/21 My commission expires: SjI l / or Personally Known: Commission No.GG135675 Produced Identification: ✓ F I- Dr LVA-r S 1.-LCe✓is\_( e III '