232 S Oceanwalk Dr 2012 roof r7 �� CITY OF ATLANTIC BEACH
pix 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
,J
INSPECTION PHONE LINE 247-5814
12- 0001163 Date 9/05/12
Application Number . 232 S OCEANWALK DR
Property Address . . . . .
Application type description ROO PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 17000
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Application desc
reroof
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Owner Contractor
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HEGLAND, MICHAEL & LISA L NELIGAN CONSTRUCTION (ROOFING)
232 OCEANWALK DR. S . PO BOX 49249
ATLANTIC BEACH FL 32233 JAX BEACH FL 32240
(904) 247-3777
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Permit . . . . . . ROOF PERMIT
Additional desc . . 00
Permit Fee 135 . 00 Plan Check Fee 17000
Issue Date Valuation
Expiration Date 3/04/13
Other Fees
STATE DCA SURCHARGE 2 . 0
STATE DBPR SURCHARGE 2 . 03
_____ _ ______ --------
Fee summaryCharged Paid Credited Due
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Permit Fee Total 135 . 00 135 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 06 4 . 06 . 00 . 00
Grand Total 139 . 06 139 . 06 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY O 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 F (904) 247-5845
Job Address: 9,3'9N � ('�N`-' S_ R `c 1. Permit Number:
Legal Description 'kZ'` bf6 a`�F- 0 -Z -29 C_- Parcel# W q 4(o - 00
P'loor Area of Sq. t. q. t
Valuation of Work$ j 1000 ,_Proposed Work heatedi cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration ep it MoveDemolition pool/spa window/door
Use of existing/prooinstalled?
structure(s)(circle one): Commercial Reside
If an existing structure,is a fire sprinkler system (Circle me . es NoCN/A
Florida Product Approval # �1_. \06_1q 1 'Hi-- (01 9z, 1
For multiple products use product approval form
Describe in detail the type of work to be performed:
Property Owner Information:
Name:M i qo "- cC O..VA Address: �'CA ayN
City State_Zip 1>U3"3 Phone 'a 7 alp
E-Mail or Fax#(Optional)
Contractor Information:
Company Name ' V "LT_ Qual Eying Agent: '
Address: C' City i)6\le State L Zip C3
Office Phone (1tQL-1 `��p Job Site/Contact Number 1 Z4 Fax# q Z- �Z
State Certificatio eg�n# ac \
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 ind ated. 1 certify that no work or installation has commenced prior to the
issuartee of a permit and that all work wtll be performed to meet the standards of all 1 s regulating construction in this jurisdiction. This permit becomes null
and void tf work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six6)months at any time after
work is commenced. I understand that separate permits must be secured for Elect al Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters,
Tanks and Air Conditioners,eta
WARNING TO OWNER: YOUR FAILU 1E TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR P YING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO 003TAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFO RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereb certify that 1 have read and exami d this a plication a ow the same tole true and correct. All provisions of laws and ordinances governing this
type ofYwork will be complied with w r sped ted herein t. The granting f a permit does not presume to give aut ority to violate or cancel the
provisions of any other federal,state, my regulati on coon or the pe rf mance of construction.
Signature of Owner Signature of Contractor �\
Print Name M"4f_ 6, &�AL�7 -b c,k o'-" -0, `�1 - _Y
tfint Name ....................................................................................... ...........1...................................
Sworn to and subscribed before me 5 worn to and subscribed before me
this ay of 20 Z tis 4 Day of20
nrN
_5( (Z-
� 1tQ�
Notary bl L, ub iLc
r(40t
: : AaY COfVii�AtSSI # 73752 ►Zr'�H'TH ANNE LANGILLLeE,,EXPRES March 22,2014 ' = MY COMMISSION#DDg7a7� sed 01.26.10
8-01_, s,;ri ,�tota:yserwco. EXPIRES March 22,2014
_ ... . .._...,.. r sae-o��, r•,or.;t,���o�ryse�e,ovn,
NOTICE OF COMM NCEMENT
State of = Tax Folio No. 't tv 3 C �J
County of
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to ertain real property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE C F COMMENCEMENT.
Legal Description of property being improved: kA 2.. - 1 > `3 i - i
Address of property being improved:
General description of improvements: � f,1 ,
Owner: <-VI0 � �1< <��r. ,�, � Address:
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
4._.
Contractor: j\
Address: .i`+' FaX NO.
i
Telephone No.. . t .:. f, w
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of th improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida, other than himself, designat d by owner upon whom notices or other documents may be
served: Name:
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:
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 f t
Signed Date:
Before me this , day of �Y} x in the County of Duval,State
Of Florida,has perso ially appeared
Notary Public at Large,State of Florida,County of Duval.•
Doc#2012190664,OR BK 16057 Page 1585, My commission exp! es. 1',,` ,,L%i.z
Number Pages:1 Personally.Known: - -� or
Recorded 09105!2012 at 10:42 AM, Produced Identi c ~ + FTI4-'A§ 'aPNG '1'
JIM FULLER CLERK CIRCUIT COURT DUVAL MY COMMISSION#DD973752
COUNTYRECORDING$10.00 EXPIRES March 22,2014
,.
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