75 Forrestal Cir 2014 Roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
ROOF PERMIT INSPECTION PHONE LINE 247-5814
CALL BY 4PM FOR NE)(T DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-ROOF-261
Job Type: ROOF PERMIT
Description: reroof
Estimated Value: $5,250.00
Issue Date: 10/20/2014
Expiration Date: 4/18/2015
PROPERTY ADDRESS:
Address: 75 FORRESTAL CIR
RE Number: 171732-0000
PROPERTY OWNER:
Name: DAYE, LEIF A & SARAH,
Address: 75 S FORRESTAL CIR
GENERAL CONTRACTOR INFORMATION:
Name: NELIGAN CONSTRUCTION (ROOFING)
Address:
Phone:
FEES:
BUILDING PERMIT FEE $76.25
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $80.25
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
(PREPARE IN DUPUCATE)
Permit No. Tax Folio No. 171732-000
State of FL County of Duval
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain I real property,and In
accordance with Section 713 of the Florida Statutes,the following Information Is stated in this NOTICE"OF
COMMENCEMENT. 30-56 38-25-29E Atlantic Beach Villa Unit 1
Legal description of property being improved:--
Lot 4 Blk 1
Address of property being improved: 75 Forrestal Circle S Atlantic Beach,FL 32233
General description of improvements: Roof replacement
Owner Leif Andy Daye
Address 75 Forrestal Circle S Atlantic Beach,FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Neligan Construction and Roofing,LLC.
A 1-0 a Contractor
Address 910 1 1th 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
.4i,
different date is specified): 100
THIS SPACE FOR RECORDER'S US -7 OWNER
T
Sigrwd: Inft
Before me oft dday of
qoun�of Du!.WI !We of Florida. as
herein by :3 3
vial all statements and cieciaratiom herein
Doc#2014237164,OR BK i 6949 Page 257. hiffiself!h9fsely 8na 8 rms
irue and accurat
Number Pages:1
Recorded 1 0j20j2014 at 09:05 AM, T DUVAL
Ronnie Fussell CLERK CIRCUIT COUR MW W M
COUNTY 00 0)
RECORDING$10-00 Public a e. tate of of kA .1-
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BuILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904) 247-5826 Fax(904) 247-5845
Job Address:75 Forrestal Circle S Permit Number
Legal Description: 30-56 38-2S-29E Atlantic Beach Villa Unit I Floor Area of Sq-Ft.
Valuation of Work 5250.00 Proposed Work heated/ led non-�eated/cooled
lzoe� Aa a
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) circle one): Commercial (!i Ee;;s jid jen iti i�
If an existing structure,is a fire sprin=system installed?(Circle one): es 0 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, Certainteed, for low pitch 16 squares
Property Owner Information:
Name: Leif Andy Dgye Address: 75 Forrestal Cir S
City Atlantic Beach StateFL—Zip 32233 Phone 904-629-9300
E-Mail or Fax#(Optional) dayl42@netzero.com
Contractor Information:
Company Name: Neligan Construction and Roofing, LLC_Qualifying Agent: Brian Neligan
Address:9 10 11 th Ave. South City Jacksonville Beach-State FL Zip 32250
Office Phone 853-5523 Job Site/Contact Number 568-8700 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
A 'cat' s he eb made b an a erint to do the work andinsia"ations as i nd'c or installation has commencedprior to the
0 OmZtt � s
P anc and h to 0 t rk p be e edt he tan rd a aw thisjurisdiction. 7his permit becomes null
w in 0
0 k Iss a enod ofsix�o)months at any time after
or
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f d de tand ha e a ate e be ed E e e Porols, urnaces,Boileiv,Healers,
'rk s co in"ce
Tanks andAir Conihnoner"et,
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.
Ihere cerofy that I have read and examined this application and know the same to be true and correct. Allprovisions oflaws and ordinances governing this
1�work will be co�nplied with whether sf,ecifled herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions ofany otherfederal,state,or local w regulating construction or the peiformance ofconstruction.
-opsipature,of Owner
ALBERT MORENO
Notary Public
Print Narne State of Florida
................................................................ My Comm.Expires May 26,201
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