716 Ocean Blvd 2014 Roof CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
�J!tit
Application Number . . . . . 14-00001319 Date 8/15/14
Property Address . . . . . . 716 OCEAN BLVD
Application type description ROOF PERMIT
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 8500
---------------------------------
Application desc
REROOF
--------------------------------
Owner Contractor
------------------------ --------------
----------CITY OF ATLANTIC BEACH NELIGAN CONSTRUCTION (ROOFING
800 SEMINOLE RD PO BOX 49249
ATLANTIC BEACH FL 32233 (904)0247I,LE BEACH FL 32240
377
-------------------------------
Permit ROOF PERMIT
Additional desc Plan Check Fee . 00
Permit Fee . . . . 95 . 00 8500
Issue Date Valuation
Expiration Date . . 2/11/15
-----------
-----------------------------------------
2 . 00
Other Fees . . . . . . . . . STATE DCA SURCHARGE
STATE DBPR SURCHARGE 2 . 00
_ ________ -----
Fee summary Charged
Paid Credited
----------------- ----------
------ . --
95 . 00 . 00
Permit Fee Total 95 . 00 00 00 . 00
Plan Check Total . 00 00 . 00 4 . . 00
Other Fee Total 4 . 00 00 . 00
Grand Total 99 . 00 99 . 00
�I
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. 170235-0000
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 bei-: Improved:5-69 16-2S-29E01.356 Atlantic Beach
PT Hotel reservation lying Wes:of Ocean Blvd.
Address of property being imp.-��:716 Ocean Blvd. Atlantic Beach,FL 32233
General description of improvem>nts: Roof replacement using 2 ply modified bitumen roof system.
Owner City of Atlantic Bead
Address 716 Ocean Blvd.r.'antic Beach,FL 32233
Owner's interest in site of the i, ovement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Neligan Construction and Roofing,LLC.
Address 91011th Ave.South Jacksonville Beach,FL 32250
Phone No.904-853-5529 Fax No,904572-1211
Surety(if any) _
Address Amount of bond$
Phone No. Fax No.
Name and address of any peisoi Making a loan for the construction of the improvements.
Name
Address
Phone No. Fax No.
Name of person within the Stat= _,f 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 deslanates 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
a
different date is specified):_
THIS SPACE FOR RECORF ' 'JSE ONLY OWNER
Signed: v DATE
Before me this • day b in
Doc#20141832--a 1.OR BK 16878 Page 1954, or I. d Florida.has onally appeared
herein by
Number Pages:1 erseM and alrirms that all statements and declarations herein
Recorded 08/14/2014 at 11.:44 AM, are true and a«urate
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00 Z
of blit at Large.S.of W
Mymission explow
------ Pe nally Knc+m
—. cod Identification • t314NIt 1f�
*, MY or
if EE 184383
•r y EXPIRES:July 29,2016
?p: f• Banded Thru Notary Pubk Undenrrders
BUILDING eERMIT APPLICATION
CITY of,ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: 716 Ocean Blvd. Permit Number
Legal Description5-6916-2S+29E 1.356 Floor Area of Sq.Ft.
Valuation of Work 8,500 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
Florida Product Approval FL 2533.3 Base FL 2533.1 Cap
For multiple products use product approval form
Roof replacement;2 ply modified bitumen roof system. Flat area;replace rotten plywood with new decking.
Property Owner Information:
Name: City of Atlantic Beach Address: 716 i)cean Bvd.Adele Grage Community Center
City Atlantic Beach StateFL_Zip 32233 Phone 904-249-5826
E-Mail or Fax#(Optional) brow4457@bellsouth.net
Contractor Information:
Company Name:Neligan Construction and Roofing,LL(: Qualifying Agent:Brian Nelisan
Address:910 11th Ave.South City Jacksonville Beach Slate FL Zip 32250
Office Phone 853-5523 Job Site/Contact Number-3494913 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. 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 this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,
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 ATTORI V_Y BEFORE RECORDING YOUR NOTICE OF
COM%IENCEMENT.
I hereb certify that I have read and examined this plication and!,,,r the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether speci ed herein or not 'Ire 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 conn :mn or the performance of construction.
Signature of Own8f- 1 �— — Signature of Contractor
tractor
Print Name I/� dam_....,.. / Print Name Brian Neligan
1".... ... .... /!N...Fi.�.eY.. .................... Sworn to and siibkiibede..me✓...........................................................................
Sworn to d subscribgd before me this ►' ay of AlFU�1 20
this /Q" ay of tf 20
Notary le
N Revised 01.26.10
E M.CA VERLEY {c
M C MISSION M EE 1843:: i;
PIKES:July 29,201G {G �,,v��'o" SHERRI L.STD
ed Thru Notary Public UotlerwrAea. ;P fiP�� ; Notary Public•Stat"=` F•, ' �,My Comm.Expires M
Commission#EEBonded Through Nationa