501 Vikings Ln re-roof permit �� to CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOBINFORMATION:
Job ID: 17-ROOF-3294
Job Type: ROOF PERMIT
Description: RE ROOF
Estimated Value: $10,880.00
Issue Date: 2/21/2017
Expiration Date: 8/20/2017
PROPERTY ADDRESS:
Address: 501 VIKINGS LN
RE Number: 170703-0260
PROPERTY OWNER:
Name: EMMERICH, JOSEPH L
Address: 3201 HILLSDALE DR
GENERAL CONTRACTOR INFORMATION:
Name: NELIGAN CONSTRUCTION (ROOFING)
,CCC1325888
Address: PO BOX 49249 QA BRIAN D NELIGAN
Phone: 904-853-5523
FEES:
BUILDING PERMIT FEE $104.40
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $108.40
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233 I_�j I /)
Office(904)247-5826 F.(904)247-5845 1�/ R��F 3Z94-` -
Job Address: 501 VIKINGS LN Permit Number:
Legal Description � 17aS-n arsxsranv tot no etx Parcel11
norrea of Sq
. q. t
Valuation of Work$ to cession Proposed Work heale[.d/cooled non-heatedicouled
Class of Work(circle one): New Addition Alienation Repair Move Demolition pool/spa window/door
Use of existing/prop aNr ed atmctare(s)(circle one): Commercial Residential
Um ealaUvg atrueNmm it a fire eprin rysterelostall ?(Circle one): Yes No N/A
Florida Product A pmval# 10674 FL X7'1-t•1
For example proSuds use promct approval to
Describe in derail the type of work to be performed: Roof replacement
Prooertv Owner Info rradjou:
N. JOSEPH EMMERICH Address: 501 VIKINGS LN
City Many Beach Stm El_Zip 32233_Phone 515-577-8636
E-Mail or Fu#(Optional)
Contractor Informal.,
Company Name: Neiiaan Construction&Roofing LLC Qua iflos8 Agent:
Address: Ain 11th Ame C City J beaW State FL Zip 32250
Office Phone 904-A53-5593 Job Site/Contact Number Fast
State Certification/Registration#
Architect Name&Phone 4
Engineer's Name&Pbone#
'ee soup.True homer Name and Address
Bonding Company No.and Address
mortgage kcnaer name arta Aaatess
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/airm,uawrwrmlwartwm trPedam�r mmen Meriwdaa/alt law:resmwias mmmeroain rn:.ie•meirm� >M1#Permn eecw.e.roti
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WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO VOUR PROPFRTY.IF YOU INTEND TO OBTAIN FINANCING.CONSULT WITH
bairn r-NMVD nP AM ATTQIRNFV RWWORF RIPCOR DING YOUR NOTICF OF
I;UMMCNLGMP:IV 1.
,hart emhrlw l lmmpurad and mercer stM1" Immmn andie meemmern ofinendeo sn Aapss,rew o(I owixnn,w viola eowminB�Au
ryry of wdl M mPlied atiM wM1erFr u M1 TM1e aranna8 l a pe ' doer rorro'ree ro R w aurM1oriry ra violae w ca�wel eN
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Signanae of Ours aPQSignatureof Contractor
Print Name EPH EN IERICH Print Name -[ r/.._--
_ 7
d
this Day of this I y f
No ublicry c
Revved 01.26.10
•y'i.Y'•vv 3NEflfll L STEPP SHHr HI L STEPP
•3' i NOlary Public-Stale of ilodda a iF w`°Oe; Netary Public gtala i l Florida
Commission a FF 991782
My Comm.Expires May 31,2020
Cammission N FF 994782
4ffb' Bonded lema9B Nmianal Notary Asm, 's,7��a�a. My Comm.Expires May 31,2020
'•�$a;a�"' Bmftdthroupi Nulonu NMMY Assn.
NOTICE OF COMMENCEMENT
(PREPMEINDUPLICATE)
Permit No. Tex Folio No. 170703-0260
Slateof. COuntyof ow
To wham N may concern:
The undersigned hereby Informs you that Improvements will he 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 hang improved.
35.$417-2S-29E SEASPRAY LOT 30 BILK i
Address of property being improved: 501 VIKINGS LN Atlantic Beaty FL 32233
General description of improvements:Roof Replacement
Owner JOSEPH EMMERICH
Address 3201 HILLSDALE DR URBANDALE, IA 50322
Owners interest in she of the improvement
Fee Simple Titleholder(If Other than owner)
Name
Address
Contractor Nelktan Construction 8 Roofina LLC
Address 910 11th Avenue South .lark tnity lip Reach FL 32250
Phone No. 904-853-5523 Fez No. 904-572-1211
Surety if any)
Address Amount of bond$
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 desgnaes the follo ng Person to receive a copy of the Lienors Notice as provided in
SediOn 71306(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone No, Fax No.
Expiration data of Notice of Commencemard(Me expimeon date is one(1)year from Me dale of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY • OWNER
a ery of NIM
wet Nly appveU
Dco#20170400.59,OR 3K 17883 Page 2404Ininraau haraavaaeanrme nal ail slalemenls sato iaral(ppq�Mr4la SHERRI L STEPP
Number Pages:1 are true era accmare ;+a"e ti Notary Public-State of Will 02/2112017 at 1028 AM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL /' COmmbalon #FF 9917!2
COUNTY (� -"=`s d.= My Comm.Expb4s May 31,202.
RECORDINGS10.00 � •'�rR��4" Sonded wreath National Notary Aarn
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