83 W 9TH ST - ROOF s
ms'eptils f CITY OF ATLANTIC BEACH
" 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
01119% INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0028
Description: re-roof- FL10674.R12 & FL9777.1
Estimated Value: 6975
Issue Date: 6/26/2017
Expiration Date: 12/23/2017
PROPERTY ADDRESS:
Address: 83 W 9TH ST
RE Number: 170813 0100
PROPERTY OWNER:
Name: BANKS DARYL S
Address: 83 9TH ST W
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: NELIGAN CONSTRUCTION (ROOFING)
Address: PO BOX 49249 QA BRIAN D NELIGAN
JACKSONVILLE BEACH, FL 32240
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
I
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: 83 W 9TH ST Permit Number: Iln_.6 n F(-4- -bDa I(
18-34 38-2S-29E.091 ATLANTIC BEACH SEC H W 18FT LOT 5,E 23FT LOT 8 BLK 67
Legal Description Parcel#
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$6.975.00 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# FL 10674.81
For multiple products use product approval form
Describe in detail the type of work to be performed: Roof replacement-Shingles
FL9777.1 UNDERLAYMENT
Property Owner Information:
Name: DARYL BANKS Address: 83 W 9TH ST
City Atlantic Beach StateFL Zip 32233 Phone 904-685-2800
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Neligan Construction&Roofing LLC Qualifying_Agent:
Address: 910 11th Ave S City Jax Beach State FI Zip 32250
Office Phone 904-853-5523 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. I certify that no work or installation has commenced prior to the
issuance o f 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 t work is not commenced within six(6)months,or if construction or work is suspended or abandoned for apenod of six(6)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 hereby certify that I have read and examined thisplication and know the same to be true and correct. AU provisions of laws and ordinances governing this
type of work will be complied with whether specified 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.
Signature of Owner �.'� 0/t"./\--"----- Signature of Contractor
Print Name DARYL BANK Print Name /1Z,,t2__ 0 .k..9...14_
Sworn to and subscribed before me Sworp,t•and subscribed be 1
this D iy of ,2011 this -.. Day of ASgilit or. �..ti - 20
oPP:
Notary- Public 6Lc r
Revised 01.26.10
sro:11Oju4a DIANA MARIA TORRES
��rre4
`, uup
�`�'" Commission#GG 45228 A
' ' :o�rn �a' SHERRI L STEPP
;�. My Commission Expires =:•..:41
� `�: Notar
\, ,S November 06, 2020
i.e..;
•: .1, Y Public-State o1 Florida
�. ���=�.`o;; Commission#FF 994782
"',,,oF�,o?,.� My Comm.Expires May 31,2020
Bonded through National Notary Assn.
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 170813-0100
State of Florida 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:
18-34 38-2S-29E .091 ATLANTIC BEACH SEC H W 16FT LOT 5.E 23FT LOT 6 BLK 67
Address of property being improved: 83 W 9TH ST Atlantic Beach FL 32233
General description of improvements:Roof Replacement
Owner DARYL BANKS
Address 83 W 9TH ST Atlantic Beach FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Neligan Construction & Roofing. LLC
''oP\ Address 910 11th Avenue South Jacksonville Beach Fl 32750
Phone No. 904-853-5523 Fax 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 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 OWN R 1 � '
Signedx {.cam DATE LO'/7 I( i,: ..
Before me this I a day of J (,/VI.t\ +7 r7( . In the § c
County of Duval.State of Florida,has personally appeared m-<
Doc#2017146274,OR BK 18027 Page 1495, DARYL BANKS herein by
himself/herself and affirms that all statements and declarations herein
Number Pages: 1 are true and accurate a m �'
Recorded 06/22/2017 at 09:48 AM, y�; !g
Ronnie Fussell CLERK CIRCUIT COURT DUVAL i-ci
COUNTY
svo`,
RECORDING$10.00 -�„t i
otary Public at Large.State qq11 , Count ofas
My commission expires: U '7 11.70 e w
Personally Known l or Id
Produced Identification P L [) L_