706 CAVALLA RD - ROOF LOW SLOPE '# ‘ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
:1=t-:,) " 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
JOB INFORMATION:
Job ID: 16-ROOF-1983
Job Type: ROOF PERMIT
Description: RE-ROOF PORCH , LOW SLOPE
Estimated Value: $1,166.00
Issue Date: 9/12/2016
Expiration Date: 3/11/2017
PROPERTY ADDRESS:
Address: 706 CAVALLA RD
RE Number: 171365-0060
PROPERTY OWNER:
Name: LOPANIK TRUSTEE, DAVID
Address: 791 ASSISSI LN APT 906 791 ASSISSI LN APT 906
GENERAL CONTRACTOR INFORMATION:
Name: NELIGAN CONSTRUCTION (ROOFING)
, CCC1325888
Address: PO BOX 49249 QA BRIAN D NELIGAN
Phone: 904-853-5523
FEES:
BUILDING PERMIT FEE $55.83
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00 V"
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Total Payments: $59.83 pP
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PERMIT 1S APPROVED ONL1 IN ACCORDANCE WITII ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
;11•nvr,4, City of Atlantic Beach APPLICATION NUMBER
if:" Al'' Building Department (To be assigned by the Building Department.)
K...,...- 1` 800 Seminole Road ��jj
Atlantic Beach, Florida 32233-54451 `�Q�)P- (��
Phone(904)247-5826 • Fax(904)247-5845 P� ( /'
7171111r; E-mail: building-dept@coab.us Date routed: �j L/
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: .706 CA V R LcA De artment review required Ye No
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Building—)
v
Applicant: I ELI C R� e.0,{ . g&Zoning
Tree Administrator
Project: R _R on P Poza4 Public Works
Public Utilities
Lo ciO S( ) Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: roved. ['Denied.
(Circle one.) Comments:
QUILDIN
PLANNING&ZONING 779 .-
,6
Reviewed by: Date:
TREE ADMIN. Second Review:
❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
BUILDING PERMIT APPLICATION I v�OO F_ 1.9 g
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233 /
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 706 Cavalla Rd. Permit Number I ?'' 0660
Legal Description 31-1 38 2S-29E Royal Palms Unit 2 A W 16.4ft of E 24.95ft Lot 5 Block 16
Valuation oflVork $1166.00 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one) Residential, Multi-family, Re-roof low slope back porch roof only, FL 10497 R5
Renal'decking to code,install Mule-hide two ply roof system.
Use of existing/proposed structure(s)(circle one):
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Property Owner Information:
Name:Sammuel Lopanik Address: 702 Cavalla Rd.
City Atlantic Beach State FL Zip 32233 Phone 514-8761
E-Mail or Fax # (Optional)
Contractor Information:
Company Name: Neligan Construction and Roofing, LLC_Qualifying Agent: Brian Neligan
Address:910 11th 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 fora period of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for ElectricalpWork, 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 exa fined thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with w •ther specified herein or not. The ranting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,stat•, .r local law regulating co tie ' performance of construction.
Signature of Owner /' SHERRI L STEPP
�,% Notary Public•Stale of Florida
Print Name /� t1 •► � •= Commlasion aM Ff 994782
Assn�.� My Comm.Exptr
Swo r o and subscri'ed before a Bonds through National Notary Ass
this . Day of ,,�a��U ,20!(C)
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No 'u' is
gn 49k—'
.`ttv, ,,, SHERRI L STEPP
Si ature of Contractor �t,% Notary Public•State of Florida
t. Commission F FF 994782
Print Name Brian Neli an r-.-•= My Comm.Expires May 31.2020
a
Sworn to and subscri a��fore 1ne Bonded MO*National NOM Assn.
this 1 Day of la's�•�l , 20 1
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