Permit Roof 871 Sherry 2011 ' \`f
� ` ‘ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002397
Property Address Date 7/26/11
SHERRY
Application type description ROOFPERMITDR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 7400
Application desc
reroof
Owner Contractor
PALMER -CHUNG NELIGAN CONSTRUCTION (ROOFING)
871 SHERRY DRIVE PO BOX 49249
ATLANTIC BEACH FL 32233 JAX BEACH
FL 32240
(904) 247 -3777
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 90.00 Plan Check Fee
Issue Date 00
Valuation 7400
Expiration Date . . 1/22/12
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 90.00 90.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 94.00 94.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT Doc # 2011162009, OR BK 15666 Page 207,
Number Pages: 1
Recorded 07/26/2011 at 09:50 AM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
Permit No. RECORDING $10.00
Tax Folio No. b se g 2 _ O O c�
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section
713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
1. Description of property (legal description): f)-6c1 \ b - . S - a t
a) Street (job) Address: op, \ �� P c r f - 1 r (}-4 \ce n� Zr V
2.General description of improvements: ,,� e t i c c - r n-
3.Owner Information
a) Name and address: i-",J l i•.\ - ?( S)4q 11L, b A , M o4tJ i C & 9 -
b) Name and address of fee simple titleholder (if other than owner) '2:Z Z �,3
c) Interest in property
4.Contractor Information
13 a) Name and address: •
b) Telephone No.: (q X14 - �ri91 Fax No. (Opt.) (moo Sl'a
5.Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.: Fax No. t.
6.Lender (Opt.)
a) Name and address:
Phone
7. Identity of person within the State of Florida designated by owner upon whom notices o es or other documents may be served:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date
is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN 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 YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA _door
COUNTY OF g .� �•
. 0, SHANNON M. PARMENTER ,
Du-V°- Commission # EE 008654 1 U. i8naty> Owner or • s Authorized Officer/Director/Partner/Manager
Expires July 16, 2014 �/p^
. . • Bonded Thru Troy Fain Inaure 800385 7019 f �-� I Os'
Print Name
The foregoing instrument was acknowledged before me this 2{ day of , 20 1 , by v 1
t Gl`TY it t< t-tr as buc..;tel (type of authority, e.g, officer, trustee,
attorney in fact) for (name of party on of $hom • strument was executed).
Personally Known OR Produced Identification X Notary Signature
Type of Identification Produced Name (print) nr , b ,- Par-
OR
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief.
FORMSNOC,rvsd201
Signature of Natural Person Signing (in line # 10.) Above
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: 6 $ Y�� v�. Permit ermrt Number:
Legal Description 5/19 k (o - � - 4-9 e - * \covV:c:- e_cx parcel # 1(o ' 00
Valuation of Work S 11900 Floor Area of Sq.Ft. 5 .Ft
, Q „ Proposed Work heated/cooled on- heated/cooled
Class of Work (circle one): New Addition 4__ Repair Demolition pool/spa window /door
Use of existing/proposed structures) circle one): Commercial Residenti
If an existing structure, is a fire spr r system installed? (Circle one): es No (1:1
Florida Product Approval # I `1 �-} 4 For multiple pr use pro duct approval form �' n���Ym�n-f F - -�
�7�Z. . 1
Describe in detail the type of work to be performed: 1 ` 0.1F o RP L / c„��- ,.C",,,•c
Property Owner Information:
Name: KeV , h Ch uLAcy Address: °7 \ 5 rrY PC\ VP
City 4 \( C. Nec State Zip 3g..a3, Phone
E -Mail or Fax # (Optional)
Contractor Information: NaIGAN CONSTRUCT:I
Company Name: PO Sox 49249
J ltSOnvilia DCh, n. 3P
Qualifying Agent: 1 � t 1c�(l �J . N�' �� n
Office Phone 2 . \ 5c■ co Job Site/ Contact Num C bercj ( - W 7 Fax # State Zip -
State Certification/Registration # C C.0 1 ?"5 ¶ � 3 57
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 indicated 1 cernyy that no work or installation has commenced prior to the
issuance of a permit and that all work will be perfornted to meet the standards of all laws regulating construction in this
and void if work is not commenced within six (6) months, or tf construction or work is suspended or abandoned for. a od of (6) months at anbecomes me after
work is commenced I understand that separate permits must be secured for k;letritgl Work, pin', Strays, Wells', Pools, F
Tanks and Air Conditioners, etc Furnaces, Boners, Heaters,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVE :_;.,:
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT a j .
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE 1 g
COMMENCEMENT.
I hereby certify that I have read and examined this ,,.,, ication and know the same to be true and correct All provisions of laws and ordinances ; lett
type of work will be complied with whether spec - herein or not. The granting of a permit does not presume to give authority to violate ct '•'
provisions of any other federal w r state, or local laegulating construction or the performance of construction. s rA
x Signature of Owner f, LL
SIn8tUre of Contractor 2 U
Print Name �"4 i / J yr'
Print Name 4y: 2
Sworn to and subscribed before me . • `
Sworn t.. d subscribed before me Swo +
this 21 / b :y f , 20
this as Day of ,S ( w 1
df Y`• SHANNON M. PARMENTER o + 1...s +*1� { * `.., . �►,ywi� lralgt L I,' _ v .
Notary Public �"
�s ,
,: .: r om v . k 0 nn973752
; ', } t. I ExplresJuly16,2014 Commission # EE 008654 ..,f ,! �al�
off n Bonde Thin T roy F ain I nsurance 800. 385 -7019 >�. -:� , r:• i F r i;3f4 10 Vised 01.26.10
(40 399.0153 FloricleNoteryftrvizemorn