475 Whiting Ln - ReRoof FL 10497.R4 . f' ; J am''`
0 � '` �S \ CITY OF ATLANTIC BEACH
s.r f si 800 SEMINOLE ROAD
j V "' �- Z ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
0,31 >
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16- ROOF -211
Job Type: ROOF PERMIT
Description: REROOF FL 10497.R4
Estimated Value: $9,025.00
Issue Date: 2/1/2016
Expiration Date: 7/30/2016
PROPERTY ADDRESS:
Address: 475 WHITING LN
RE Number: 171434 -0000
PROPERTY OWNER:
Name: DAYE, DOUGLAS H
Address: 475 WHITING LN
FEES:
BUILDING PERMIT FEE $95.13
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $99.13
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: 475 Whiting Lane Permit Number:
Legal Description Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ 9025.00 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 # FL10497 -R4
For multiple products use product approval form
Describe in detail the type of work to be performed: Reroof using Mule - Hide 2 - ply Modified Bitumen Roof System
Property Owner Information:
Name: Katherine Dave Address: 475 Whiting Lane
City Atlantic Beach State FL Zip 32233 Phone 904 -247 -3777 E -Mail or Fax # (Optional)
Contractor Information:
Company Name:Neligan Construction & Roofing Qualifying Agent: Brian Neligan
Address: 910 11 Ave. S. City Jacksonville Beach State FL Zip 32250
Office Phone 904 -247 -3777 Job Site/ Contact Number Fax # _
State Certification/Registration #
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 cert 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 efworic is not commenced within sex (6) months, or i construction or work is suspended or abandoned for a period of six (6) months at any time
after work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, toilers,
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.
l hereby certify that 1 have read and examined this erplication 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 speci ted 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.
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(, .. ` / y Si ..: ure of Contractor YL --- --
Signature of Owner }(� L `� t c -C t ti
Print Name ' _ .1 � �� Prin Name _tti -12_ —.w.M_
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S to and su befoi me
Swo to 9.nd subscribes before me
this 2 Day of �A k , 20 KO this a Pay of - ri/� = 20
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Nota blic ' rT ' Y c -'-6 fr l i °
N blic
Revised 01.26.10
`` ;.It"� *„.. SHERRI 1.. STEPP `
<• « c ; Notary Public - Slate of Florida — — s
My comm. xpi res May ay .
„� • !I • r? 31, 2016 , CtiP0.f �6 ��..
SHERRI L. STEPP
-.,_ �� Commission # EE 203994 k , Ncta:y Public - State of Florida •
1c,
, .:," 8cnded Through National Notary Assn. 1 ? • : i ; . -I My Comm. Expires May 31, 2016 ,
4 = >9 .`?r Commission # EE 203994
1 'i.E; ' C.r." 1. .� ' J '''
Bonded Through National Notary Assn.
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NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No.
Tax Folio No 171434 -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: 31 -16 1 7- 2s -29E R/P of PT of Royal Palms
Unit 2A Lot 17 Block 11
Address of property being improved: ,
475 Whiting Lane, Atlantic Beach, FL 32233
General description of improvements:
Roof replacement
Owner Katherine Daye
Address 475 Whiting Lane Atlantic Beach, FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder (if other than owner)
Name
Address
iiilotilutaid Contractor Neligan Construction and Roofing, LLC.
Address 910 11th Ave. South Jacksonville Beach, FL 32250
4 72 -1211
Phone No 904- 853-5523 Fax No. g0 5
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 7 OWNER 1 ( / (�
Before oed� _� in the
Be met is '� day of . —
'{ uv,�i- tof Flor : - 1: sonally epos re
i
himself: herself and affirms that all statements and d�ar
�•Y SHERRI L. STEPP
Doe if �Oi6022625, OR BK i t<1�+5 Page i 65. are true and accurate I : 2 Notary Public - State of FloridE
Number Pages: 1 = • . "' : • My Comm. Expires May 31, 201
Recorded 0201,2016 at 12:05 PM, I ' I�a `
s,.�:. Commission # EE 203994
Ronnie Fussell CLERK CIRCUIT COURT DUVAL , SS I ' eO ° " ` goaded Through National Notary Ass
COUNTY / 1 y —
RECORDING $10.00 Notary Public at =rge. stgj Co urrt� " 1/ '. .
My commission expires Et Q
Personally Known or
Produced Identification p L 1