1657 N Linkside Ct RERF20-00035 Shingle rS"'7r'� REROOF SHINGLE PERMIT PERMIT NUMBER
RERF20-0035
; :, CITY OF ATLANTIC BEACH
J _ /j,,-,
~ 800 SEMINOLE ROAD l.
ISSUED: 2/24/2020
ow v ATLANTIC BEACH. FL 32233 EXPIRES: 8/22/2020
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:
1657 N LINKSIDE CT REROOF SHINGLE SHINGLE ROOF $12310.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172374 6170 SELVA LINKSIDE UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
Triton Roofing &
Restoration LLC 480 State Rd 13 Ste 106-348 St Johns FL 32259
OWNER: ADDRESS: CITY: STATE: ZIP:
SNELL OLIVIA M GOWAN 1657 LINKSIDE CT N ATLANTIC BEACH FL 32233
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.
I
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $115.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $119.00
Issued Date: 2/24/2020 1 of 2
'OAP
rr, REROOF SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RERF20-0035
ISSUED: 2/24/2020
s , 800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 8/22/2020
Issued Date:2/24/2020 2 of 2
41
Building Permit Application Updated 12/8/17
AAPCity of Atlantic Beach
`4t� 800 Seminole Road,Atlantic Beach,FL 32233
1 Phone:(904)247-5826 Fax:(904)247-5845 p ��
Job Address: 1(051 LtiAk6&c Gl- N Att��� , FL zagPermit Number: E11 �-0035
Legal Description 1-47-$5 ii-ZS- A 6G1VAA1.►tik4 ck IJKtFy L.04--11g4 RE# 17Z!7'1-Cot 70
Valuation of Work(Replacement Cost)$IZ3tO.7(' Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/'►o• %.�•-
• Use of existing/proposed structure(s) (Circle one): Commercia 'esidential
• If an existing structure, is a fire sprinkler system installed? (Circle one : es 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: ch;,nt).e.5 u, ,.(wyNc40-
D-2oc:SINZtl\e--%el) SIAZ, e-i 308 5/IL014CAN/1-0-wAC0 A✓ec1-t,•CPA FU&35Si FL.ti51(0-R5
Florida Product Approval# FL1€55/ pt.1521to'R3 for multiple products use product approval form
Property Owner Information
Name: OtWit& (701ANir1 Address: I U67 L►✓ lull Ck. u
City A}lowytic, ge_Ack State Zip 3 trz3 Phone 14124-735-751Z-
E-Mail
5t -
E-Mail 01 1/601.4.1&A01.C "
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company:")wort Ratki;sk geckom. ov1 Qualifying Agent: 12°614 .U46Ee tU
Address//SO 612.13/4./ 51E. 1010 'J City6k--OgANIA4 State Fly Zip&Sq
Office Phone (q01-) Co 1 q- Stir_ Job Site/Contact Number (goy 1073-St-5(o 4teet,-
State Certification/Registration#CCC- .6Mgaqq E-Mail Akw) :)T•i.1 vvtOcAc e-sart✓i Ile.con,'
Architect Name& Phone#
Engineer's Name&Phone#
Workers Compensation
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
RECO DI GY141 NOTICE OF COMMENCEMENT.
(Si ature of Owner or Agent) (Signature of Contractor)
(including contractor)
Si d nd sworn to or afffir b.).bef re m5eay of Si ned and swot to or affirmedi before me,his 9%/y/of
All s
UY-
1s8Y . • % %,71' , ,>�� . 1 �ted
'•: 11 MYCOMMISSION MGc ,leo ,.t:rY) :�F' As
( �1 -4.1017 y)
. • EXPIRES April 10,202, MY COMMISSION N GG I. •
[• ersonally Known OR �,,�'erso is ; '' n OR EXPIRES April 10,2021
roduced fdentiticat [ ]]Prodi ad Identification
Type of Identification: Type of Identification:
Owner Builder Affidavit **ALL INFORMATION
HIGHLIGHTED IN
4 City of Atlantic Beach Building Department GRAY IS REQUIRED.
r,
WW800 Seminole Rd, Atlantic Beach, FL 32233
"� Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES
OWNER/BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED
FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER
OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A
LICENSE.
YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF.
YOU MAY BUILD OR IMPROVE A ONE OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY
ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS.
THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE
CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH
IS IN VIOLATION OF THIS EXEMPTION.
YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS.
IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES
REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES.
II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,THE BUILDING DEPARTMENT
SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. .
III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING
TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES.OWNERS BEING SUBJECT
TO $5,000 PENALTY UNDER FLORIDA STATUTE NO.455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE
OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY" OR THE FLORIDA"CONTRACTORS
CERTIFICATE"TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904-
247-5826 OR BUILDING-DEPT@COAB.US) IF IN DOUBT.
V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I
COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT.
Job Address: I(o5/ L:ontCE,i O(C' C, . tJ aklaw.kiG g,NcieN FL 3ZZ33
Owner Name: aiV,p, 60w2A-•l Phone Number:
Mailing Address: 1067 Colics de- . IJ City: 46444-iG. ai\ State: FL Zip: 3rei3'S
014:j4."?codattr_.
Notarized Signature of Owner
The r aciWtrument was acknowledged before me this 1tday of C� , 2020in the State of Florida, County
of
Signature of NotaryPublic I / 11 IV 1.1"4e
,�''+� MISSY K JONES g �
•� ... 11 MV COMMISSION/GG092596
EXPIRESApri 10.2021 [ ] Personally Known ORl[4 roduced I.- icati
'.
Type of Identification:O//V/
Updated 10/24/18
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. %77 / ( (70
State of tlor:da. County of Po✓w t
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: 147 PSS 17-L5-Z9 6- 6e1✓o.. 1-+►'t i UK. 2.
LD k 110
Address of property being improved: 1057 tJ Conk-6z dG Com. Ak�w"` C. Be. -L' Ft--
General description of improvements: Re-Rttvk Iste- kh S1etZvwdG
Owner 5v g- (x,vie „ M 60.20-✓\
Address l(c&7 N L•vtk ole., CA-• Seac.A 1:126ZZ33
Owner's interest in site of the improvement pviWtc..Py 12e-5.
Fee Simple Titleholder(if other than owner)
Name
Address r—
Contractor Trtkern RPC 11. tv 'V✓ a- Cln
Address y510 64213k) STE- lUo (5.V.JokvtS Ft- & 59"
Phone No. COI- (o/4-Sof . 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 or herself,designated by owner upon whom
notices or other documents may be served:
Name
Address
Phone No. Fax No.
In addition to himself or herself,owner designates the following person to receive a copy of the Lienor's Notice as
kr
provided in Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone 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):
r, - 4111116
THIS SPACE FOR RECORDER'S USE ONLY • NER
_ U
Signed:A.\ �,!��� �� ■ATE — Z
Before me this off.'r!h ��rli _ in h-
County of D -
Doc#2020041423,OR BK 19112 Page 403, ww.Tilmoor (f!V f r ein by
himself/her--tf '•� -that al�-lrsfni�nls Mord c ara ions here
Number Pages: 1 are true and='t ur."�' ; ; MY COMMISSION#G0092590
Recorded 02/21/2020 02:12 PM, ','A^r; * EXPIRES April 10,2021
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00 />
Notary Public Large,State•f Qty or w
My Il,
My commissionn o expires: I
Personally Known
11 �G-G
Produced Identification '
s, Cash Register Receipt Receipt Number
:57 r
City of Atlantic Beach R11865
DESCRIPTION ACCOUNT QTY I PAID
PermitTRAK $55.00
RERF20-0035 Address: 1657 N LINKSIDE CT APN: 172374 6170 $55.00
ROOF DRY IN 02/27/2020 RBE $55.00
ROOF DRY IN 02/27/2020 RBE 455-0000-322-1002 0 $55.00
TOTAL FEES PAID BY RECEIPT: R11865 $55.00
Date Paid: Friday, February 28, 2020
Paid By:Triton Roofing & Restoration LLC
Cashier: LE
Pay Method: CREDIT CARD 3
Printed: Friday, February 28,2020 3:40 PM 1 of 1 1111
sr Permit Inspections
City of Atlantic Beach
,*7--Jii>f
Permit Number: RERF20-0035 Description:SHINGLE ROOF
Applied: 2/21/2020 Approved: 2/21/2020 Site Address: 1657 N LINKSIDE CT
Issued:2/24/2020 Finaled:3/2/2020 City,State Zip Code:Atlantic Beach, Fl 32233
Status: FINALED Applicant: <NONE>
Parent Permit: Owner:SNELL OLIVIA M GOWAN
Parent Project: Contractor: <NONE>
Details:
LIST OF INSPECTIONS
SEQ SCHEDULED DATE COMPLETED DATE TYPE INSPECTOR RESULT REMARKS
ID
ROOF DRY IN Mike Jones
Notes:
2/27/2020 2/27/2020 ROOF DRY IN Rick Bell FAILED WITH
FEE
Notes:
PM
540-9834 AUSTON
Underlayment not nailed or applied correctly(not under eves drip on gable or short
2/28/2020 2/28/2020 ROOF DRY IN Rick Bell PASSED
Notes:
Alex:673-8256
3/2/2020 3/2/2020 ROOF FINAL** Rick Bell PASSED
Notes:
Alex:673-8256
Printed:Tuesday, 10 March, 2020 1 of 1 j
(---
'fr. IA CITY OF ATLANTIC BEACH BUILDING DEPARTMENT
`
4f Jr 800 SEMINOLE ROAD
�
ATLANTIC BEACH, FL 32233
l
CERTIFICATE OF COMPLETION
RERF20-0035
REROOF SHINGLE
ISSUED: JOB ADDRESS: REAL ESTATE NUMBER: ZONING:
3/2/2020 1657 N LINKSIDE CT 172374 6170
DESCRIPTION OF WORK:
SHINGLE ROOF
OWNER: CONTRACTOR:
SNELL OLIVIA M GOWAN Triton Roofing & Restoration LLC
1657 LINKSIDE CT N 480 State Rd 13 Ste 106-348
ATLANTIC BEACH, FL 32233 St Johns, FL 32259
APPROVED: :47..1 %A6IirbA
CHIEF BUILDING OFFICIAL
VOID UNLESS SIGNED BY BUILDING OFFICIAL