Permit Roof 1953 Sevilla Blvd 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00001975 Date 1/10/13
Property Address . . . . . . 1953 W SEVILLA BLVD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 13000
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Application desc
reroof
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Owner Contractor
------------------------ ------------------------
WENCEL, MICHAEL G NELIGAN CONSTRUCTION (ROOFING)
1953 SEVILLA BLVD.W. PO BOX 49249
ATLANTIC BEACH FL 322334578 JACKSONVILLE BEACH FL 32240
(904) 247-3777
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 115 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 13000
Expiration Date . . 7/09/13
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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 115 . 00 115 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 119 . 00 119 . 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: 100; 5-e it'i � 0- S�VA . W Permit Number:
Legal Description
00z2 0 q(D7__
04R-aS -aS Parcel# ko
Vloor Area ot SO.Ft. Sq.Vt
Valuation of Work$1',3 4e)M. QC,� Proposed Work heated/cooled non-heated/cooled
=R Class of Work(circle one): New Addition Alteration e air�l Move Demolition pool/spa window/door
Use of existing/proposed structure(s) circle one): Commercial :R:e;si d el
es
If an existing structure,is a fire sprinMr system installed? (Circle one): es No QL/A�
Florida Product Approval# 1ZLI-5114 H % EL (0-79vz, I
For multiple products use product approval form
� R�, 0. -->
Describe in detail the type of work to be performed: tac(_
Property Owner Information: cvi I we-riLeA cv-
Name: Address: V:�5 3 ';,e y i 16'� vA .Vd
city-"\Qk�Imc WnAr\ State'vr-Lzil) 3Ua33Phone (�\D ko k(> - %-7(P`1
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: KeAjcgxo t46(i ot 'RnkM,��'ualifying Agent: FaV'�cki\ V\P_\�wxn
Address: V-0.CA- nY 4-0'a1+C1 Q' City -JqgU3 n,i 't��_, di Statbj tk zip :3G"aq6
OfficePhone Job Site/Contact Number Fax#
State Certification/Registration# CC-C 13-9-59) (6 1
Architect Name& Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
A a �,'8 he eb made' bain a e it to do the work and inst ca'laif�ns as i ntd,c or installation has commencedprior to the
n ffl Y d h al rk 11 b o m'd to_�,t� an a, a thisjurisdiction. Thispermit becomes null
P'ic 'io r i 00 P rm
v w i r s or t st 0 k i s fsix(6)months at any time after
i_ f h r t 0 r 0,
'r,
(6 nt u a period o
n n ep) 0 Ob,secured or Ele,
I sua c 0 ape, 'an a wo
and "d' work is not onun,"ed within
work is f me 'ed I understa d that separate pe,_i s m, t Wells,Pools, Furnaces,Boilers,Heaters,
0
Tan a jr Co tioen,ac
ks A n
WARNING TO OWNER: YOUR FAILURE TO RIECORD 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.
Ihere certify that I have read and examined thisia lication and know the same to be true and correct. All provisions of laws and ordinances governing this
ci
1�work will be complied with whether 'e fle herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions ofany otherfederal,state, or localsf,w regulating consAuction or the per(bmance of construction.
Signature of Owner Signature of Contractor
Print Name Print Name
.......... ..... . AC)L
1j
Swo t and subscribed before me Sworn to and subscribed before me
th i s TA'I 0 Day of c-t J�t jL.Q C 20 this .,Dayof 20 N:?,r
C MISSION*t D0973752
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amh�,2RIiVi s d
_E�IZA5,KN1_`4`Q ANG1669 NolirCLIZABF-im-
MY C
otaroPublic N(�' ommissION#D097,
= My CON�MlSSION 0 DD973752 3752
EXPIRES Mafch 22
ARROVi d 01.26.10
PIRES March 22,2014 244OVi
EX
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,(407 FloddagWdt
NOTICE OF COMMENCEMENT
State of nv�(A U Tax Folio No. 1I C09 i4 C11
County of 'D[A VC,�
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: 41�) --oo-7 o?, --,N c 5,-,vi, iv,,-GctxIIAe-(xs Ur, 2-
Address of property being improved: 10t5,75 5evLko- fskyA . AAk<-XJC &U& -31;R33—
General description of improvements: V an L,- ki 4�5-18
Owner:
01L�Aet(`Nj WQyj!Ze I Address: �Ck53 kA-1 bvdi. A+NTA. 3z-z3;?
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: CtAA -�CQJ6&,-
- 4CI
Address:A ri- iso X LA9 1 , ecck Vt 5�)( ,-,qo
Telephone No.: .3 ;. ('49 7 15 Fax No:
Surety(if any)
Address: Amount of Bond S
Telephone 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:
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
Signed: Date: 7-C) 13
Before me thfs day of in the County of Duval,State
Doc#2013008466,OR 6K i 62112 Page 470, Of Florida,has personally appeared
Number Pages�I Notary Public at Large,State of Florida,County of Duval.
Recorded 01/1012013 at 11�31 AM, My commission expires:
Ronnie FU$$eII CLERK CIRCUIT COURT DUVAL Personall *n
or
COUNTY Produce 1 -0
RECORDING$10 00
t MY COMMIS
EXPIRES March 22.2014
�'r/Servlco r2m