1810 Selva Grande 2014 Roof CITY OF ATLANTIC BEACH
g1
J 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
` INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 14-00000627 Date 4/22/14
Property Address . . . . . . 1810 SELVA GRANDE DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . PLANNED UNIT DEVELOPMENT
Application valuation . . . . 11000
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Application desc
reroof
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Owner Contractor
----------------
___ ------------------------
CARPER, RICKY L NELIGAN CONSTRUCTION (ROOFING)
1810 SELVA GRANDE DR. PO BOX 49249
ATLANTIC BEACH FL 322334526 (ACK ONVILLE7BEACH FL 32240
-- -------------------------------------------------------------------------
Permit ROOF PERMIT
Additional desc . 00
Permit Fee 105 . 00 Plan Check Fee 11000
Issue Date . . . Valuation
Expiration Date . . 10/19/14
_____ _ _ ----------
Other Fees
STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
Fee summary Charged Paid Credited Due
----------
Permit Fee Total 105 . 00 105 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 109 . 00 109 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 169542-5004
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.
Legal description of property being improved: 38-28 09-2S-29E Suva Tierra Lot 2
Address of property being improved: 1810 Suva Grande Dr.
Atlantic Beach,FL 32233-4526
General description of improvements: roof replacement
Owner JCarper
Address
1810 Selva Grande Dr.Atlantic Beach,FL 32233-4526
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
140'-/ Contractor Neligan Construction and Roofing,LLC.
Address 91011th Ave.South Jacksonville Beach,FL 32250
Phone No. 904-853-5523 Fax No. 904-572-1211
Surety(if any)
Address Amount of bond$
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 f}1WNER
Signed: L G /l E�, '!�— DATE
Before me Qds 17 It day of in the
_ Countyv tate f or a ha ersona ly appeared J
Doc o Lo i 408 t 36 �-''<L57� <t3 �'� +1�y��`� himself/horse n rms tha I ateme lea n h ren J
Number Pages 1 are true and accurate
L
►pr°kms Notary Public State of FloridaRecorded 0422!2014 at 09:'38 AM, Dawn BusbinRonnie Fussell CLERK.CiRCU1T Ium; •,dus - My Commission EE 827431
COUNTY *o Expires 09/03/2018
RECCRDINVC S1`I CO
Public attate o County of
My commission expires: 7
Personally Known or
Produced Identification
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: 1810 Selva Grande Dr. Permit Number:
Legal Description 38-28 09-2S-29E Selva Tierra Lot 2 Parcel# 169542-5004
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 11,000 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair �so
ition pool/spa window/door
Use of existing/proposed structure(s)(circle one): CommercialIf an existing structure,is a fire sprinkler system installed?(Circleone): N/A
Florida Product Approval#FL5444.1 Certainteed Shingles
For multiple products use product approval form
Describe in detail the type of work to be performed: Roof replacement
Property Owner Information:
Name: Joan CgWr Address: 1810 Selva Grande Dr.
City Atlantic Beach StateFL_Zip 32233 Phone 904-891-8543
E-Mail or Fax#(Optional)joan.carper@gmail.com
Contractor Information:
Company Name:Neligan Construction and Roofing,LLC Qualifying Agent:Brian Neligan
Address:910 11th Ave.South City Jacksonville Beach State FL Zip 32250
Office Phone 853-5523 Job Site/Contact Number_349-4913 Fax#904-572-1211
State Certification/Registration# CCC 1325888
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 os indicated. 1 certify that no work or installation has commenced prior to the
issuance ofa permit and that all work will be pe ormed ro meet the standards of all laws regulating construction in this jurisdiction. This permit at any
becomes null
and void rf work is not commenced within siz(6months,or tf construction or work is suspended or abandoned for a perro�f 16Jlm on�th Bolla�s the after
work is commenced. 1 understand that separate permits must be secured for Elatrtca!Work Pluttebtng,Signs, Wets, tt
Tonks and Ab ConMtiotters,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 EFORE RECORDING YMi NOTICE OF
I
I hereby certify that 1 have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type o work will be complied with whether specued herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state,or local Taw regulating construction or the performance of construction.
Signature of Owne �� Signature of Contractora:ktl 12
144
Print Name C_t"p2I� Print Name Brian Neligan ................_........_..---._..__..-...._._........._..._...................
__..._... 1X.�.-k----a----_...._._.._...------.._.�_----..._. Swo ttq and subscribed f re
orn to and sub 'bed before me 20 ' this o'L Day of ZOO"y"
l 7 D �t-e�rrt
0
Public Revised 01.26.10
4 ke Notary Public State of Florida
Dawn Busbin
Expires 09/03/2018 ommission EE 827431 ?�:;�"p`B',-, SHERRI L. STEPP
=?• .�- Notary Public-State of Florida
• My Comm.Expires May 31,2016
9.F oa Commission#EE 203994
Bonded Through National Notary Assn.