Permit Roof 2253 Beachcomber Tr 2010 s t Jar � CITY OF ATLANTIC BEACH
ti
SSl
' r 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00001293 Date 10/22/10
Property Address . . . . . . 2253 BEACHCOMBER TR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 16000
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Application desc
reroof fl 5444
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Owner Contractor
-
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GIBBS ROBERT & MELINDA NELIGAN CONSTRUCTION (ROOFING)
2253 BEACHCOMBER TRAIL PO BOX 49249
ATLANTIC BEACH FL 32233 JAX BEACH FL 32240
(904) 247-3777
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Permit . . . . . . ROOF PERMIT
Additional desc . . REROOF
Permit Fee . . . . 130 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 16000
Expiration Date . . 4/20/11
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 130 . 00 130 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 134 . 00 134 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: -Oa 3 b f gLA�of NMI Permit Number: ��� t
Legal Description 4L-1 08-alS-,^-S t-- Oa - 26 - a5 E Parcel#
Floor Area of Sq.Ft. (oc, �q F•t
Valuation of Works 1(o.W0_On Proposed Work heatedfcos``lled no n-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proppaa structure(s)(circle one):_ Commercial Residential
If an existing structure,is a fire sprinkler system rnstaEW?(Circle one(: o N/A
Florida Product Approval# 1�q-
For multiple products use p pp product aori r 1
Describe in detail the type of work to be performed: IQ&:6 r� u-e 1—'6�u, -
Property Owner Information:
Name:l"S� -Address: bCQ o
City \on C -be.o�.h __ State azip ; Phone `(
E-Mail or Fax#(Optional)
Contractor Information:
Company NamLam- Qualifying Agent: P)pi rcja i un I 1
Address: p•b. a City ,14e L=cb L=cState T-U Zip 3�a
Office Phone a,2L- 151(g Job Site!Contact Number t6'S- C3To0
State Certification/Registration# CCC. 1"3a5 8
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 and installations as indficated. 1 certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be peormed to meet the standards of all laws regulating construction in this jurisdiction This permit becomes null
and void f work is not commenced within six(6 months, or if construction or workr�d for a__ppeerinod of six((6)months at arry time a er
work is commenced I understand that separate permits must be secured for W ii'dL>y Pools Fwnaces,Boilers,H ,
Tanks and Air Condtionem etG
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 YOUR NOTICE OF
COMMENCEMENT.
I hereby certify that 1 read and examined this pl-cation and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be co lied with Whe[ c in or not The granting of a permit does not presume to give authority to violate or cancel the
provisions of a of e r stat or 1 1 regu ng co on or the performance of construction.
Signature of er '^ Signature of Contractor
Print Name ��) n d-A, ��� Print Name
.--..._........--------_..._...._ ---.-...._...__....... --------------- r._r,ri -,.-.t -...................................--.------------
Sworn to and subscribed before me Sworn to and subscribed before me
this A&9-Day of Oc-kv .20 10this Daof 0c obfv .20 10
Notary b i e• - No
MY COMMISSION#DWYN52 -•• *= MY COMMISSION#DD9
EXPIRES March 22,2014 EXPIRES March 22 01.26.10
407)398-0154 FbrldaNata �m
• '� 7 398-01fi3
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: 1�2 —a$- ag E oq --a s -a9
Address of property being improved:
General description of improvements: P1 t4a uerl
Owner r
Address --)a33
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
V Contractor ' k Via
Address �•O. b
Phone Nd Q�aaL- \Sc1(A Fax No.
Surety(if any)\
Address Amount of bond$
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,designated by owner upon whom notices or other
documents may be served:
Name
Address
Phone 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 Statutes.(Fill in at Owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expirati date is one(1)year from the date of recording union a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY E
DATE
Before a isday of the
County of uval,State of(bride, s personally appeared
himself/hareskhat a��drt r ( �
are true and a 1t
�': •:�
Number
er 11ti MY COMMISSION#DD973752
NPages: 1 iOtats'I i3,Ctt K 154rage�w i u. EXPIRES March 22,2014
Nu
Recorded 10:222010 at 02:29 PM, pfs� FtorMallole oom
JIM FULLER CLERK CIRCUIT COURT DUVAL Notary Public attar,Stated County of
COUNTY My commission expires:
RECORDING$10.00 Personally «
Produced Identification