1600 LINKSIDE DR RERF21-0014 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
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: 1600 LINKSIDE DR.,ATLANTIC BEACH,FL 32233 Permit Number: R E_R. (4
Legal Description 47-85 17-2S-29E SELVA LINKSIDE UNIT 2 LOT 143 RE# 172374-6315
Valuation of Work(Replacement Cost)$10,320.00 Heated/Cooled SF 1622 Non-Heated/Cooled 455
• Class of Work: ❑New ❑Addition IIAlteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial 1Residential
• If an existing structure,is a fire sprinkler system installed?: ViYes ❑No
• Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) ViNo
Describe in detail the type of work to be performed:
Re-roof with Owens Corning Duration Architectural shinglesn
Florida Product Approval#FL10674-R15 (pj 0 'FIS iLj 21(n Q� for multiple products use product approval form
Property Owner Information
Name BEATRICE VELEZ Address 1600 LINKSIDE DRIVE
City ATLANTIC BEACH State FL Zip 32233 Phone 904-545-5006
E-Mail BPVELEZ@GMAIL.COM
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company SUNRISE ROOFING COMPANY Qualifying Agent TRAVIS BERKEY
Address 762 7TH AVE.S. City JACKSONVILLE BEACH State FL Zip 32250
Office Phone 904-495-1835 Job Site Contact Number 904-495-1835
State Certification/Registration# CCC1331328 E-Mail LESLEY@SUNRISEROOFS.COM
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer N/A OR Exempt m Expiration Date 3-31-2021
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
RE ORDI40.7fi• R N OF *M ENCEMENT. _ -
/ -
(Signature of Owner or Agent) (Signature of Contra.
II
Signed and sworn to(or affirmed)before me this 43 day of *sled and sworn to(or a ed)before me this - day of
c,nuvi , 2th2( eA •a , 2z Qt-N, ,Z• 5/ , L
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dor Notary Public State of Florida TONI GIN. RGER
Evin Wnghton S�pYP`
My Commission MH 023136 MY COMMIS• • GG 353178
[ ]Personally Known OR [ ]Personally Known OR =` imir '=
No,,,d� Expires 07/23/2024 ww..;o EXPIRES:October 6,2023
Produced Identificatio [ ]Produced Identificatio %e�FF off;
Bonded Thru Notary Public Underwriters
Type of IdentificationQ�r1V22 1 c<Y15P Type of Identification: — __ _ __ _
NOTICE OF COMMENCEMENT ( E(� F z l OU ( 4
State of FLORIDA Tax Folio No. 172374-6315
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 143
Address of property being improved: 1600 LINKSIDE DR.,ATLANTIC BEACH, FL 32233
General description of improvements: RE-ROOF
BEATRICE VELEZ 1600 LINKSIDE DR.,ATLANTIC BEACH,FL 32233 C7 0 c o
Owner: Address: m 0 0 0 c o
Oz < aFi
Owner's interest in site of the improvement: OWNER H -D NO
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O_ F 02-< 2 a v N
Fee Simple Titleholder(if other than owner): N/A o_O m
6, vii`O N $
Name: o C)o J o
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Contractor: SUNRISE ROOFING COMPANY xl — x
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Address: 762 7TH AVE.S.,JACKSONVILLE BEACH,FL 32250 o w
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Telephone No.: (904)495-1835 Fax No: _ N
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Surety(if any) N/A o 2
Address: Amount of Bond $ H o
0
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Telephone No: Fax No: D
r
Name and address of any person making a loan for the construction of the improvements
Name: N/A
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: N/A
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: N/A
Address:
Telephone 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):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
,e' / �; ,- ; 'O /
Signed: �� Date:
Before me d is ,. day of Z Z( i the County of Duv I,State
id` Notary Pubic State of Fbride
Evin Wrighton Of Florida,has personally appeared ['3R6 ✓l'e_-c_ \jd-c• Z
+� My Commission HH 023136 Notary Public at Large,State of Florida,County of Duval.
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Expires 07123Qo24 My commission expires: 09- ...2-r / 7 O2 -
Personally Known: or
Produced Identification: ('i✓{rS (,4c-e n 5
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Doc#2020290564,OR BK 19516 Page 805,
Number Pages 2
Recorded 12/30/2020 02.27 PM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
After RecordingReturnto: COUNTY
RECORDING $18 50
DEED DOC ST $0 70
Beatrice Velez
1010 Marvone Lane
Neptune Beach, Florida, 32266
Parcel ID# 172374-6315
QUITCLAIM DEED
MADE this 11 day of May, 2015 by and between Este! Perez and Daniel Ramos, her son, whose
address is: 4846 West Cortland Road,Chicago, Illinois, 60639, hereinafter called the Grantor and
Beatrice Velez, whose address is 1010 Marvone Lane,Neptune Beach, Florida 32266, as trustee of the
Velez Living Trust, hereinafter called the Grantee.
WITNESSETH,that said Grantor, for in consideration of TEN ($10.00) DOLLARS, and other
good and valuable considerations in hand paid by Grantee,the receipt whereof is herby acknowledged, do
hereby remise, release,and quitclaim unto the said Grantee forever, all the right,title, interest, claim and
demand which the said Grantor has in and to the following described lot, piece of parcel of land, situate,
lying and being in Duval County, State of Florida,to-wit:
LEGAL DESCRIPTION:
47-85 17-2S-29E SELVA LINKSIDE UNIT 02 LOT 143
Lot 143,Selva Linkside Unit Two,according to the plat thereof,as recorded in Plat Book 47, pages
85,85A and 85B,of the current public records of Duval County,Florida
PROPERTY ADDRESS: 1600 Linkside Drive,Atlantic Beach, Florida 32233
PARCEL# 172374-6315
TO HAVE AND TO HOLD the same together with all and singular the appurtenances thereunto
belonging or in anywise appertaining,and all the estate, right,title, interest, lien, equity and claim
whatsoever of the said Grantor, either in law or in equity, to the only proper use, benefit and behalf of
said Grantee forever.
IN WITNESS WHEREOF, Grantor has hereunto set her hand and seal the day and year written
above.
1
QUITCLAIM DEED
Parcel ID# 172374-6315
Signed,sealed,and delivered in our presence:
/ ,`1.
'cress Printed Name ?,-e-..
Printed Name Printed Name 7 p,K1 t�L- M . .-R PcMD
cI./it.91i1€d
A c\ Q-0 4-Q LQ r
Printed Name
STATE OF f-to r-h IL
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COUNTY OF Dv,V
The forgoing instrument was hereby ackno,'ledged before me this j(f day of = 20 I , by
S{-C` `a4 rEz and Da.,\ E k a_C�,-vt..-2. ; who are personally kno to me or who
have produced a..-L S-,>L._...; , as identification, who signed this instrument willingly.
r';' NICOLE RENTERIA
:.- Commission#FF 089637
Q Expires February 4,2018
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Notary Public
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My Commission Expires:
No title search was performed on the subject property by the preparer. The prepare of the deed makes no representation to the status of the title
nor property use or any zoning regulations concerning described property herein conveyed nor any matter except the validity of this instrument.
Information herein was provided to proper preparer by Grantor/Grantee and/or their agents,no boundary survey was made at the time of this
conveyance.
I,
2