14 FORRESTAL CIR - ROOF r `S f CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
`"" ATLANTIC BEACH, FL 32233
` INSPECTION PHONE LINE 247-5814
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ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
7OB INFORMATION:
Job ID: 15-ROOF-1929
Job Type: ROOF PERMIT
Description: FL 2533.1 FL2533.3
Estimated Value: $8,900.00
Issue Date: 8/12/2015
Expiration Date: 2/8/2016
PROPERTY ADDRESS:
Address: 14 FORRESTAL CIR
RE Number: 171762-0000
PROPERTY OWNER:
Name: SELBY. DENNIS & DELLA E. *
Address: 14 FORRESTAL CIR
GENERAL CONTRACTOR INFORMATION:
Name: NELIGAN CONSTRUCTION (ROOFING)
Address: PO BOX 49249 QA BRIAN D NELIGAN
Phone: - -
FEES:
BUILDING PERMIT FEE $94.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $98.50
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) 247-5826 Fax (904)247-5845
Job Address:14 Forrestal Circle N Permit Number
Legal Description 30-56 38-2S-29E Atlantic Beach Villa Unit 1 Lot 12 Blk 2
Valuation of Work 8900.00 Proposed Work heated/cooled non-heated/cooled_
Class of Work(circle one): roof replacement, residential. Existing home. 7117
��
Use of existing/proposed structure(s)(circle one): Residential t
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No .- N/A)
Roof replacement,2 ply self adhering modified bitumen. Certainteed, FL2533.1 and FL 2533.3, 14 square
Property Owner Information:
Name:Dennis Selby Address: 14 Forrestal Circle N
City Atlantic Beach StateFL_Zip 32233 Phone 333-2977
E-Mail or Fax#(Optional) none
Contractor Information:
Company Name: Neligan Construction and Roofing, LLC Qualifying Agent: Brian Neligan
Address:910 I lth 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
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 aperiod 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby certify that I 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 of work 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 law regulating construction or the performance of construction.
Signature of Owner 2_5 't- Ght- „! v •
:‘'.. :'c SHERRI L.STEPP `
Print Name a�, 1 S �..i., 5 �L • i, ` Notary Public•State of Florida
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• . •c My Comm.Expires May 31,2016 `
',.� =�' Commission#EE 203994
rn, O O,, Bonded Through National Notary Assn. 0
this o /to Da sof scribe before me ,20/S-- '
Y /Y l�
Public V"i Y-11°
Signature of Contractor W .............................................
,„,s,,v,;z, SHERRI L.STEPP I
Print Name Brian Neligan
41 = Notary Public-State of Florida 0
Sworn to and subscribed before me , `•: : My Comm.Expires May 31,2016
this / 1
2‘
Day of 0-6/4 ,20 /S r../0,-"1
,-:, F:0 Commission# EE 203994
I.„.,` Bonded Through National Notary Assn. 0
No u lic gfrff
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No Tax Folio No 171762-0000
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 being improved: 30-56 38-2S-29E Atlantic Beach Villa Unit 1
Lot 12 Block 2
Address of property being improved: 14 Forrestal Circle N Atlantic Beach, FL 32233
General description of improvements: Modified Bitumen Roof replacement
Owner Dennis Selby
Address 14 Forrestal Circle Atlantic Beach,FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
ilio_fruo, \ ,/ Contractor Neligan Construction and Roofing,LLC.
Address 910 11th Ave.South Jacksonville Beach,FL 32250
•
Phone No. 904-853-5523 Fax No. 904-572-1211
Surety(if any)
Address Amount of bond S
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
I
Phone No. Fax No. I
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 j OWNER �7 [/
•Signed: DAT v'�"
Before me this day of I.fjje'Z71a3 0/ in the
-- — Cou,�j,o,f Duval.State Flor h s personally appea -
kIt'✓1nI 5 �� ,'; !R!n by SHERRI L.STEPP
Doc#2015177994,OR BK 17256 Page 673, himself'herself and affirms that a' statements and decla t;Qf7p•t' .;''-
Number Pages: 1 are true and accurate 4 .''.�� Notary Public-State of Florida
Recorded 08/03/2015 at 02:41 PM, = • N • •=My Comm.Expires May 31,2011
�5• III ♦ v,
Rcnnie Fussell CLERK CIRCUIT COURT DUVAL F-r��•,= Commission # EE 203994
COUNTY Bonded Through National Notary Assr
RECORDING$10.00 - —~••••-
— — —
ry Public at La e.State• . Cou ty of f I f/ALL
My commission expires: -
Personally Kno,:n �L I or
Produced Identification,