208 Seminole Rd roof 2014 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
Application Number . . . . . 14-00001253 Date 8/06/14
Property Address . . . . . . 208 SEMINOLE RD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5800
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Application desc
FL 14724
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Owner Contractor
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TANG, KENNETH I NELIGAN CONSTRUCTION (ROOFING)
208 SEMINOLE ROAD PO BOX 49249
ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32240
(904) 247-3777
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 80 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 5800
Expiration Date . . 2/02/15
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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 80 . 00 80 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 84 . 00 84 . 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)P7-
247-5826 Fax(904)247-5845
Job Address: aloe 6:dwlwa, Permit Number:
Legal Description I C 11 -_d9t ,TN Parcel# 1705 4- ONO
K
Floor Area 509Xoff'- so-Ft.. 'q F't
Valuation of Work$ Si - Proposed Work heated/cooled non-heated cooled
Class of Work(circle one): New Addition lteratio Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial I
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes N/A
Florida Product Approval# 1;1 14TA —
For multiple products use product Vn approval form
Describe in detail the type of work to be performed: �oF
Property Owner Informati :
aGemName: C Address:
City ' State Zip 37931 _It%
E-Mail or Fax#(Optional) i V A.r W t1VC
Contractor Information: / "�
N MP4A rin7
Company Name: rCS f !." i t r Qual� Agent: ,
Address: 1 City u►` State �1- Zip ^o2SO
Office Phone - ;503 Job Site/Contact} ber (0 70C Fax# '7051- S7a- I V —
State Certification/Registration# C e C
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 permtt and that all work wall be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void f work is not commenced within six(6)months, or if c'bet
nstruction or work is suspended or abandoned for a period of sur 16)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Rork,Plumbing,Signs, Wells,Pools,t urnaces,Boilers,Heaters,
Tanks and Air Conditioners,ete-
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 here 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 sppeed. ed 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 law regulating construction or the performance of construction.
' 491JAI
Signature of Owner " • � .. Signature of Contractor
Print Name <..........
/IJ ..O.yLif '.1
Print Name
....................................................................... I.... ...........................................
............
........
Sworn to and subscribAd before me Sworn to and subscribed be f e me l�
this_S__Day of V &F 20 this �Day of AV �S
• '. 31trr r-J" -••off. �P�B,� SHERRI L.STEPP
�: NotaryPublic-State of Florida
N Publi "` Pu -•. My Comm.Expires May 31,2016
2. ,�. Notary Public-State of Florida ="s' o;: Commission#EE 203994
My Comm.Expires May 31.2016dQdro'*AD=[Notary Assn.
` Commission#EE 203994 t r,
o,.
''%°F ��p-, Bonded Through National Notary Assn.
NOTICE OF COMMENCEMENT
IPREPaP2 IN ouPucATE>
Tax Folio No. ��C5/9 —0010Permit No. County of Dural
State of FL
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 propertyei �?—
being im roved: d
le , 4-71 SAI Me—
Address of property being improved: 208 Seminole Rd. Atlantic Beach,FL 32233
Roof replacement,GACO
General description of improvements:
Owner Kenneth Tang
Address 208 Seminole Rd.Atlantic Beach,FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Agan ConsUudion and Roofing,LLC.
"1 Address 91011th Ave.South lacl mWille Beach,FL 32250
Phone No.90446"m Fax No. 904 72'1211
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 own upon whom notices or other
documents may be served:. `
Name
Address
Phone No. Fax No. r
In addition to himself,owner designates the following person to receive a copy of the Lienors 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 RECORDE7h1ftr591VtMSW9ffaWarfln.
WNER,
signed:
o ma� day of a tiANAb
or has PW$ a by SHERRI L.STEPP
is chatefistatarrierNs and „", No'ary Public-State of Florida
Doc#201417 8935,OR 8K 16868 Page 90, am true and accurate 3 Mj Comm.Expires May 31.2016
Number Pages:1 %� Commission#EE 203994
8�0
Recorded p612014 at 09:00 AM. ji-erf► =' s.Q:• ybrough Nalieorai Natafy Assn.
Ronnie Fussell CLERK CIRCUIT COURT DUVAL Sorbed
COUNTY
RECORDING$10.90 NotiboPut8c at Of
Produced ide� tin 1