704 CAVALLA RD - LOW SLOPE ROOF rL`1 i>J
f_11 1rf. �s\\ CITY OF ATLANTIC BEACHH- s-) 800 SEMINOLE ROAD
;;
: ATLANTIC BEACH, FL 32233
/ INSPECTION PHONE LINE 247-5814
///'
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-1982
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: 704 CAVALLA RD
RE Number: 171365-0050
PROPERTY OWNER:
Name: LOPANIK, SAMUEL
Address: 702 CAVALLA RD 702 CAVALLA RD
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
Total Payments: $59.83
PERMIT IS APPROVED ONLY IN ACCORD:%NCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
,J City of Atlantic Beach APPLICATION NUMBER
�( , Building Department (To be assigned by the Building Department.)
800 Seminole Road /�
!J
At Atlantic Beach, Florida 32233-5445 �C/ ` '4,r ��
Phone(904)247-5826 • Fax(904)247-5845
xl.�;tly� E-mail: building-dept@coab.us Date routed. F3 Mr _
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address:? " CIViALLA R l )
Department review required Yesf No
Building t/
Applicant: �l_l Gf�N arming &Zoning
J Tree Administrator
Project: R-Rco F P 0 __(1€7-( Public Works
Public Utilities
Lc) S (._C)Pc 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: t Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNI G &ZONING Reviewed by: /770
Date: q—/-16
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
CITY OF ATLANTIC BEACH 16-RpoF- L 9 E Z
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 1
Job Address: 704 Cavalla Rd. Permit Number 11 -'
Legal Description 31-1 38-2S-29E Royals Palms Unit 2A W 7.8ft Lot 3,E *.55ft Lot 4 Block 16
Valuation of Work $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
Renail decking to code,install Mule-hide two ply roof system.
Use of existing/proposed structure(s)(circle one):installed?an existing structure,is a fire sprinkler system (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 for a period of six f6)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 herebycertify that I have read and ex: fined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of ork will be complied with ether specified herein or not. .• :ranting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,stat'or local law regulatin• •.n 'ct o the performance of construction.
'
Signature of Owner ��� i.Lr ( AV)`"els. SHERRI L STEPP
5i
Notary Public-State Ot Florida
( e, . • Commission# FF 994782
Print Name /V3 1 � M Comm.ExP ires May 31,2020
'''%;,;ottZ, Bonded through National Notary Assn. V
Swop and subset.'.ed before e ,20 ��
this 1 Day of .,
No b lc
y 3�; 'r' „��� SHERRI L STEPP
Signature of Contractor 1I j, c. Notary Public-State of Florida
Commission#t FF 994782
Print Name Brian Neligan
���, My Comm.Expires May 31,2020
g Bonded through National Notary,214:0.Assn•
Sword to and subscribed beforeDe
this 7� Day of l��1�) ,20 CO!Alija}
- n i'