Permit 1611 roofCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 10-00000963 Date 8/03/10
Property Address 1611 ATLANTIC BLVD
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation 3000
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Application desc
reroof fl 5444
Owner
------------------------
FIRST COAST CATHOLIC COMM.,INC
P.O.BOX 51585
JAX BEACH FL 32240
Contractor
------------------------
NELIGAN CONSTRUCTION (ROOFING)
PO BOX 49249
JAX BEACH FL 32240
(904) 247-3777
-----------------------
Permit ---------------
ROOF PERMIT ----------------- ---------------------
Additional desc .
Permit Fee 65.00 Plan Check Fee .00
Issue Date Valuation 3000
Expiration Date
----
- 1/30/11
-
-----------------
Fee summary
----------------- ---------------
Charged
--- -----------------
Paid Credit ---------------------
ed Due
Permit Fee Total ------- --
65.00 -------- -------
65.00 --- ----------
.00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 65.00 65.00 .00 .00
PERMIT [S APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
to-3a5-o~~~a
BUILDIlVG PEI2NIIT APPLICATION o~F`cc~~ 1~ecoc~ 43txkl ~ac~~
CITY OF ATLANTIC BEACI3 ~ .Z S~ ~~r~,
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 ~ ' ~ Z- ~ ~ ~~-~
Job Address: i (~ 11 ~ ~-~.~~~~ c:. ~~ U ~ ~ Permit Number.
Legal Description r °I - ~ S - a~ C ~ ~ c~5 lAx~SikS' V~~~ ~~~P~r~9ce1 # ~ ~ ~ ~~q -
CcXS ~''toor Area of sq.rt. Sq.r-t
Valuation of Work $ ~~ Proposed Work heated/cooled non-heatedlcooied
l~lo Chc~..c~e. ~
Class of Work (circle one): New Addition Alteration Repair
Use of eaisting/pro~ straetnre(s~ ~eircle one): mmercial
If an ezisting strn re, is a fire sprinkklleer system i one):
Florida Product A}proval # ~1-
For multiple products ase act approve orm
Describe in detail the type of work to be
Move Demolition pooUspa windowJdoor
Residential
Yes No N A
Property Owner Information: ( ~n
Name: t1 ~ ~~ i \ ~ ~'~'i 1- 1C7~Ad ~. (c 4 ~ A ~ ~C~ V ~~-- ~ ~ -
City ~\ ~~; ~ ~c~ State Fi- Zip 3 ~a.~hone ~ 'a~ ~- 331 ~
E-Mail or Fax # (Optional) '
Contractor Information:
Company Name:_1~ ~n~~ ~,t~~~FC~o'h ~ ~ x~~'t Cl~+ Qualifying Agent: _ ~~~ctv1 ~~~~~
Address: ~~, ~ City ~)~~C~~~c;~ \ ~rBcL~ State -1=t- Zip 3 ot~.yd
Ui-t7ce Phone ~{~ ~ - 3`17 Job Site) Contact Number 5 to ~ -~,-1 ~o Fax # ~ 85- oZ t y-3
State Certificatio egistration # C LC ~ 3~~ X88
Architect Name & Phone #
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work aced installations as indicated I certify that no work or installation furs commenced prior to the
issuance of a permit and that all work will be pe~ormed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void f work is not commenced within sac (b months, ar if construction or work is sus nded or abandoned for a_ period of sur (6) months at arty time after
work is commenced I understand that separate permits must be secured for Eiledeisaal~Work, ~S, Sigers, Wells, ppols, Furnaces, Boilers, Healers,
Tanks and Air Contlltiontrs, da
WARNlQ1TG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IlVIl''ROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTOP:NEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I here certify that I have read and examined this ication and know the same to be true amt correct. All provisions of'laws erns ordinances governing this
type o~work will be complied with whether s~ci ed IAerein or not. The granting of a permit does not preswne to give authority to violate or cancel the
provisions of any other federal state, or local law regulating construction or the performance of construction.
Signature of Owner ~i~~ ~, ~,(~/?/r.%h~a,i Signature of Contractor
Print Name ---~d ~'>?.A `~...... ~'. _ 1 -~°l..~Q.~........._..____..._ _.__ -
Sworn to and subscribed before me
this.~,_ Daly of 1~~ac~~~a~~- 20 t
Notary Pu lic
Print Name ._~L_~~`'~--._~:..-5~~~~~_ C~.,~......---- ..........................
Sworn to and subscribed before me
this Z Da~y~of ~c~ ~~`~ .20 i-a
No tic -~
Revised 01.26.10
NOTICE OF COlUIMI:NCEI~ItENT
(PREPARE tN DUPLICATE)
Permit No. Tax Folio No.
State of (~' i_ G County of __ ~ \K1
To whom i< 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 Stntutes, the following information is stated in this NOTtCE OF
COMMEIMCEIMENT.
Legal description of property being inkroved: 1"1 -' d\ J '
Address of property being improved:
33
~"y~',
Owner's interest in site of the improvement
Fee Simple Titleholder ('rf other than avirner)
Name
Address
Contractor
Addres
Phone
Surety C+f any)
Andress Amount of bond S
Phone No. Fax No.
Name and address of any person maidng a loan for the oonsftut~ion of the improvements.
Name
Address
Phone No. Fax No.
Name of person within the State of Fbrida, other than himself, designated by owner upon whom notices or other
documents may be served:
Name
Phone No. Fax No.
Address
In addition to hift~etf, owner designates the fogowing person to receive a copy of the Lienot's Notice as provided in
SecSon 713.()6 (2) {b), Florida Statutes. (Fill in at Ownel's option).
Name
Address
Phone No. Fax No.
f~xpiration date of Notice of Commencement (the expiration date is one (t) year tram the date of recording unless a
different date is specified):
Uoc ~ G0101 19714, Gt2 tai( id324 Page 1fs&l,
Number Pages: 1
Recorded 08!03;2010 at 10:58 AM,
JfM FULLER CLERK CIRCUIT COURT OUVAL
COUNTY
RECORDING $10.00
OWNER
signed: , ~.v~-- L ' ~ DaTE ~' 220
Before me aria day of to the
County of Duval, State of F has pe ally appeared
rein by
himself! herself and, dedaratioru herein
are True and acwrat ~ ~
?~
~ ~"'~""`~~..
~~ >~+IIM~i ~AtVafLLE
.
' ' MY QpMMl~lIOIV f~ pD8737
l 62
i ~ Maroh 22, 201a
Notary Public at L , ,
tlAy commission e~bes:
Petsonagy Krwvm i.f or
Produced identification
0
General description of improvements: ~O C`? T' ~~..~ 1~C`C~ M~ Y_\_~