337 Plaza 2013 ROOF CITY OF ATLANTIC BEACH
s1
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003483 Date 10/01/13
Property Address . . . . . . 337 PLAZA
Application type description ROOF PERMIT
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 9560
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Application desc
reroof
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Owner Contractor
------------------------
------------------------
PERRITT MALISSA NELIGAN CONSTRUCTION (ROOFING)
PO BOX 49249
337 PLAZA
LE
ATLANTIC BEACH FL 322335441 (904) 0247I,377BEACH FL 32240
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Permit . . . . . . ROOF PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee . . . . 100 . 00 9560
Issue Date Valuation
Expiration Date 3/30/14
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--------------------------------
----------- --
STATE DCA SURCHARGE 2 •
00
Other Fees . . . . . . . . 2 . 00
STATE DBPR SURCHARGE
Fee summaryCharged Paid Credited Due
_ ---------
--------- ----------
----------
- . 00
Permit Fee Total 100 . 00 100 . 0000 00 • 00
Plan Check Total • 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00
Grand Total
104 . 00 104 . 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: 331 Permit Number:
Legal Description Parcel# ?4 —'x'4°0
��-1l--,^� loot Area o q. t. Sq.Ft
Valuation of Work$_ 560 Proposed Work heated/cooled non-heated/cooled
r ooF ryjamA
c. —
Class of Work(circle one): New Addition Altera 'on Repair Move Demolition pool/spa window/door
Use of existing/pro osed structure(s) circle one):_ Commercial esidential
If an existing structure,is a fire s rimer system installed?(Circle one): es o N/A
Florida Product Approval# FL 1 -
For multiple products use product approval form
Describe in detail the type of work to be performed:
Property Owner Information: f I A�
Name: Address: 33� ('n
City A State rL Zip a`a3 Phone 4�
E-Mail or Fax#(Optional)
Contractor Information1
Company Name: ` ��n uali Agent: �t� ��
Address: I0 U ity �AtJ� �u� &r- State �'�- Zip OL
Office Phone - 5 - 23 Job Site/Contact Number 5y q j 4l 3 Fax# $To�
State Certification/Registration# CCC 13a58�
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. I certify 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 laws regulating construction in thiis jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended
or aba n o ed ns,or ape rid ols,X uinaces Boilermonths at ys timeafter
Heaters,
work is commenced. I understand that separate permits must be secured for Electrical g. S
Tanks and Air Conditioners,etc
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 hereb certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether speci ied herein or not. The graphing of a permit does not presume to give authority to violate or cancel the
provutons of any other federal,state, or local law regulating construction or the performance of construction.
1
Signature of Owner�f��.PP � Signature of Con ctor
Print Name Print Name .. ....r..l!!�n........ ..Q� ..................................................
.�,� ...................................................................................... u
Sworn to and subscribed before me Sworn to and subscribed before ip,
this Z-2 Day of 20/5 this 3G Day of 6 20 l3
SHERRI L.STEW
a• 'a
Notary Pu litory 11 onus
My C .Expim May 31,2016
:aoW"0 Notary Public State of Florida if n EE 203994
Mary Quinones
�� e� IIMuy bsn.
y,c , my commission EE051690
'?aipoe Expires 12127/2014
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATEI �1n/1 (�
Permit No. Tax Folio No. -7 0001
State of FL
County of Duval
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. q��CA�f�
Legal description of�pert�peing imp�p�ed: �' /.�
Address of property beinIg impro yyd. 3-37
General description of improvements.
Owner R64�,-77:8
Address LLAA C a
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Neligan Construction and Roofing,LLC.
Address 910 11th Ave South,Jacksonville Beach,FL 32250
Phone No.
904-853-5523 Fax No. 904-572-1211
Surety(if any)
Amount of bond$
Address
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 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_ DATE I3
Signed: in tit
Before meis i day of
County of Duval.State oFlorida,has personally appeared
Doc#2013252099,OR BK 16546 Page 1043, t-
Number Pages:
9 himself herse f and affirms a s t t t d e a ations herein
Recorded 10,10112013 at 12:39 PM, are true and accurate �*"r°ug Notary Pu i c State of Florida
Ronnie Fussell CLERK CIRCUIT COURT DUVAL :° Mary Quinones
Q My Commission EE0511690
COUNTDING$10.00 �'?oi".°I° Expires 12/27/20114
RECORP.ctary Public at Large.State cf Counry of [7 4Va
My commission expires: 2 i
Personally Kno,.n
Produced Idents cation