523 Clippership Ln Roof 2014 ?i!�•rL`J j�j
CITY OF ATLANTIC BEACH
r y 800 SEMINOLE ROAD
r� ATLANTIC BEACH,FL 32233
J INSPECTION PHONE LINE 247-5814
��F5r,1S31��
Application Number . . . . . 14-00000671 Date 4/29/14
Property Address . . . . . . 523 CLIPPERSHIP LN
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 10200
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Application desc
reroof
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Owner Contractor
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_ _______
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BROWN,NORMAN R NELIGAN CONSTRUCTION (ROOFING
523 CLIPPER SHIP LAN PO BOX 49249
ATLANTIC BEACH FL 32233 (904) 024V7-3777 ACH FL 32240
ILLE
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Permit . . . . . . ROOF PERMIT
Additional desc . . plan Check Fee . 00
Permit Fee . . . . 105 . 00 10200
Issue Date Valuation
Expiration Date . . 10/26/14
---------------------------------- 2 . 00
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Other Fees . . . . . . . . . STATE DCA SURCHARGE
STATE DBPR SURCHARGE 2 . 00
_ ________ -----
Fee summary Charged
Paid Credited ----Due---
_ _ ---------
----------
----------
- - . 00
Permit Fee Total 105 . 00 105 . 00 00 . 00
Plan Check Total • 00 . 00
Other Fee Total 4 . 00 4 . 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. 170703-0222
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: 65-64 1 7-2S-29E Seaspray Lot 11 Block 1
Address of property being improved: 523 Clipper Ship Lane Atlantic Beach,FL 32233
General description of improvements: roof replacement
Owner Norman R Brown
Address 523 Clipper Ship Lane Atlantic Beach,FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
'XO �� V�� Contractor Neligan Construction and Roofing,LLC.
( l
Address 91011 th 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 WNER
y 1 j/Y
Signed: DATE
Before me this 6wqday or Ahurl In the
County of al.State of Floridis pqmpnally ppeared�—
Doc#-1014093512,OR BK 16763 Page 349, 1 herein by
Number Pages:'I himself]horsed dni statemen
Recorded 04%28/2014 at 03:30 PM, are true and accurate Ra
ic State of Florida
Ronnie Fussell CLERK CIRCUIT COURT DUVAL binCOUNTY sion EE 827431
RECORDING$10.00 3/2018otary Public at Large, to of
My commission expires: ,
Personally Known ror
Produced Identification b4
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 523 Clipper Ship Lane Permit Number
Legal Description 35-64 17-2S-29E Seaspray, Lot 11 Block 1 Floor Area of Sq.Ft.
Valuation of Work$ b� ,26o Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition egratD Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial
ze
If an existing structure,is a fire sprinkler system installed? (Circle one): es No N/A
Florida Product Approval —�QG��• 5h.NgI�eS e�nN �✓�r "r�E�/�kw1�
For multiple products use product approval form
Describe in detail the type of work to be performed: Roof replacement
Property Owner Information:
Name: Norman R Brown Address: 523 Clipper Ship Lane
City Atlantic Beach StateFL_Zip 32233 Phone 904-249-7522
E-Mail or Fax#(Optional) brow4457@bellsouth.net
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# CCC1325888
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. 1 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 this jurisdiction. This permit becomes null
and er
work Disc ommenced.of Icommenced within six understand that separate permits mumonths, or st be conssecured for Elediicction or work is ual Work, or Plumbing,Signs,or aperiod Wells,Pools i ur aces,Boilersix months at ys time Heaters,
Tanks and Air Conditioners,eta
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 BE
OR ENTE RECORDING YOUR NOTICE OF
COMMEI hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type of ork will be complied with whether specified 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 Owner 1?�
Signature of Contractor
Print Nam —Attl—
e NOR._N..9.^/......... _� B 126CoA_J Print Name Brian Neligan.. ........................................................................... ...................
............................................................................. Sworn to and subseri�ed l2efore me
S om and subscribe efore me this ay of 20
thi D 4drll L
1C SHERRI L.STEPP
Public ��*� Notary Public State of Florida Notary Public-State of Florida
Dawn Busbin :• My Comm.Expires May 31[i d 01.26.10
c ,per My Commission EE 827a3t Commission Ar EE 203994
oFptl� Expires 09/03/2018 �•.,,�oi
Bonded
Through National Notary Assn.