1989 W Sevilla Blvd roof 2012 CITU OF ATLANTIC BEACH
1 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 12- 0001149 Date 8/31/12
Property Address . . . . . . 198 W SEVILLA BLVD
Application type description ROO PERMIT
Property Zoning . . . . . . . TO 4E UPDATED
Application valuation . . . . € 13500
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Application desc
REROOF
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Owner Contractor
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CARTER, JOHN W. NELIGAN CONSTRUCTION (ROOFING)
1989 SEVILLA BLVD.W. PO BOX 49249
ATLANTIC BEACH FL 322334578 JAX BEACH FL 32240
(904) 247-3777
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Permit . . . . . . ROOF PERMIT
Additional desc . . REROOF
Permit Fee . . . . 120 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 13500
Expiration Date . . 2/27/13
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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 120 . 00 120 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 124 . 00 124 . 00 . 00 . 00
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PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF iTLANTIC 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: Je vV i Permit Number:
Legal Description -Od O'i� --�k5 --3�i C- :Se v�Wa GO Aec UA-F rcel# \loci LA(0-7-- 4385
Floor Area of Sq. Sq.Ft
Valuation of Work$ Brad.CC, Proposed Work heated ooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Rep it Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one):. Commercial Residenti
If an existing structure,is a fire sprinkler system installed?(Circle(one e No ' N/A
Florida Product Approval# �7-1--rDLAQi V'1_ �0 7 � , i ---�
For multiple products use pr uct approve form K
Describe in detail the type of work to be performed: �'��, e
Property Owner Information:
Name: r e-v- Address: SeV \\O- YS\�(A. \iV
City _StateJ�LZip 3 �Phone
E-Mail or Fax#(Optional) C-�g-V\ C'c,"s� t r�„-bs �t��) c�,�nc�,Li CCS Y
Contractor Information:
Company Name: c , i ,o 0AA Kj1 . ' uali ing Agent:
Address: City State Zip
Office Phone 42�5 3 -Q1 l5 Job Site/Contact Number V,1 tk Fax# 5 � - I Z i
State Certification/Registration# CCC 133 i,4 �r��
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 Indic ted. 1 cert 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 1 regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is s s nded or abandoned for aper:od of six 6)months at any time anrter
work is commenced. I understand that separate permits must be secured for Electric Work,Plumbing,Signs, Wells,Pools, urnaces,Boilers,Heaters,
Tanks and Air Conditioners,etc
WARNING TO OWNER: YOUR FAIL TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR P YING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO O TAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFO RECORDING YOUR NOTICE OF
COMMENCE ENT.
I here
b cert that I have read and examined this plication and know the same to be a and correct. All provisions of laws and ordinances governing this
type ojywork will be complied with whether speci ied herein or not. The granting of permit does not presume to give authority to violate or cancel the
provisions of arty other federal,state, or local law regulating construction or the perfo ance of construction.
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Signature of Owner �L_ z Sig nature of Contractor "ea'
Print Name J ............................................ Prij it Name c..
Sworn to and subscribed before me Sw 3rn to and subscribed before me .
this Day of 20 \Z' thi -AD y of 20 Z
No blic H ANNE LAMCifL�t
=• *= MY COWNISS ON# 9 752
EXPIRES March 22,2014 = MY COMMISSION g I?DQ'' �Revised 01.26.10
EXPIRES March 22,
'i f1rr;deNntaryServbe.aom 40r!-S'• �
3xn a FbrkfaNdar Ser"b°:;:
Permit Number Tax Folio Number %Lnt
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NOTICE OF COMMiNCEMENT
STATE OF FLORIDA
COUNTY OF DUVAL
THE UNDERSIGNED hereby gives notice that improve ent will be mad to certain real
property,and in accordance with Chapter 713,Florida S atutes,the following information is
provided in this Notice of Commencement.
1. Description of property.
2. General description of improvement: --
3. Owner information:
1. Name and Address:, 'i.A
2. Interest in property:
3. Name and address of fee simple title holde r(other than owner):
4. Contactor's name and address: _
a Phone number
y
-{ b. Fax number.
5. Surety Information:
a. Name and address:
b. Phone Number:
c. Fax Number:
d. Amount of Bond:
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6. Lender's name and address:
a. Name and address:
b. Phone Number:
7. Person within the State of Florida designated by own upon whom notices or other
documents maybe served as provided by 713.12( Florida Statutes.
a. Name and address:
b. Phone number:
c. Fax number:
8. In addition to himself/herself,owner designates of
to receive a+py of the Lienor's Notice as provided in
Section 713.12(l)(b),Florida Statutes.
1
9. Expiration date of Notice of Commencement(the expiration date is one(1)year from the date
of Recording unless a different date is specified) 66
Signature of Owner
Sworn to and subscribed before me this `. ! da
o '
Notary: y �f
Known personally/ID shown: t i�, �. _ ;+ V
My commission expires: '
Doc#2012182683,OR SK
16046 Page 1830, ELIZABETH ANNE LANCa1LLE
Number Pages: 1
Recorded 08/24/2012 at 02:49 PM, ��' = MY COMMISSION#DD973752
JIM FULLER CLERK CIRCUIT COURT DUVAL EXPIRES Momh 22,2011
COUNTY
401)3>�Wrl Reda .aom
RECORDING$10.00
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