1911 Hickory Ln re-roof permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
U
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
lob ID: 16-ROOF-2474
Sob Type: ROOF PERMIT
Description: RE ROOF SHINGLES
Estimated Value: $2,200.00
Issue Date: 11/4/2016
Expiration Date: 5/3/2017
PROPERTY ADDRESS:
Address: 1911 HICKORY LN
RE Number: 172020-1318
PROPERTY OWNER:
Name: BAYS, JUDITH
Address: 1911 HICKORY LN
GENERAL CONTRACTOR INFORMATION:
Name: NELIGAN CONSTRUCTION (ROOFING)
,CCC1325888
Address: PO BOX 49249 QA BRIAN D NELIGAN
Phone: 904-853-5523
FEES:
BUILDING PERMIT FEE $61.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $65.00
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 Z4 I g
Job Address: 1911 Hickory Lane Permit Number
Legal Description 36-76 09-2S-29E 359 Selva Marina Unit 12-B Lot 8
Valuation of Work $2,200 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one) Residential Re-roof,Owens Coming Weatherlock Mat Fl 10497
And Owens Coming Shingles. FL 10674 4 squares,6:12,portion of right side of roof only.
Use of existing/proused structure(s)((circle one):
If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No N/A
Property Owner Information:
Name:Judith K Bays Address: 1911 Hickory Lane
City Atlantic Beach State FL_Zip 32233 Phone 710-1225
E-Mail or Fax#(Optional) kimbays@bellsouth.net
Contractor Information:
Company Name: Neligan Construction and Roofing,LLC_Qualifying Agent:Brian Neliean
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# CCC 1325888
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 inial/ation has commencedprior to the
issuance%(a permit and that all work wBl be performed to meet the standards ofal/laws regulating construction in thisjurisdietion This permit becomes nal/
and void tJ'w«k ts not commenced within six(6 months.celjconsnucfian w work u sus sled or abandanedfor a nod ofsix//6J months at any time ag�er
work is commenced I understand that sepiam permits must be securedfor Electricu Work PhnislAng,signs, F�db,Pods,Famaees,Boliem,Neateea,
raise andAlr Conitlonm,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.
Thereby certify that f have read and examirred this plication and know the same to be true and correct. AI(prov&low oflaws and ordinances governing this
type of work will be coss{olied with whether spec!ted herein or not The graraing oja permit does not presume to give authority to vitiate or cancel the
prwmans ofarry other jederd.stile.or 1«a!law regdating ronstruction ar fke performance ofcauuvction.
sg•..'?I 7HEaa L
$1g11atnR of Ownef - n• Notary Pu911e^Sate al fbrNls
e• c rammiUla •Ff 991712
Print Name 11 qty {/p� gyri ay Comm.Esplret aq 71.2920
...._...._11�L�._ ......�...L.�......._...._................ rYLT• lonEM lMou�NegnY Nary btn.
Sworn to and subscribe before ne 111
this Day of 20
Notary Fbblie
V OaENNII 9tEPP
Signature of Cmlhaetor s e Hatay Pu911r Bts1a 9t floral
ga j Commission I FF 991702
Print Name Brian Ne_li an }j r ayCata, p ftsmal Navy As,
salN 71,2929
Sworq to and suliscn(� rt:me
this JL Day of /� ...- --- .20 ��e