704 Cavalla Rd shingle re-roof permit \i Y
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
CII INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0187
Description: re-roof FL10674 & FL9777
Estimated Value: 4620
Issue Date: 11/20/2017
Expiration Date: 5/19/2018
PROPERTY ADDRESS:
Address: 704 CAVALLA RD
RE Number: 171365 0050
PROPERTY OWNER:
Name: LOPANIK SAMUEL
Address: 702 CAVALLA RD
ATLANTIC BEACH, FL 32233-3917
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$7,500.
Building Permit Application
City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
lcolt Phone: (904) 247-5826 Fax: (904)247-5845
Job Address: 704 CAVALLA RD Permit Number: R t,(L F I+-O I "
Legal Description 31-1 38-2S-29E ROYAL PALMS UNIT 2 A W 7.85FT LOT 3,E 8.55FT LOT 4 BLK 16 RE#
Valuation of Work(Replacement Cost)$ 4.620.00 Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool 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
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed: ROOF REPLACEMEMNTnt
Florida Product Approval# FL 10674 Under FL9777 for multiple products use product approval form
Property Owner Information
Name: SAMUEL LOPANIK Address: 702 CAVALLA RD
City Atlantic Beach State. FL Zip 32233 Phone 904-514-8761
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: Neligan Construction & Roofing LLC Qualifying Agent:
Address 910 11th AvP S City .lax Reach State FL Zip 32250
Office Phone 904-853-5523 Job Site/Contact Number 904-568-8700
State Certification/Registration# CCC1325888 E-Mail NeliganConsturction(Mgmail.com
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Rrid9efield Fmpinyerc OS30-29147 4/23/17 _
Exempt/Insurer/Lease Employees/Expiration Date
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 the laws regulationg
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
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 OBTA FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECO NG YOUR T OF COMMENCEMENT.
(Signature caner or Agent including Contractor) (Signature of Contractor)
Signed and swor o(or affirmed)before me this day of Signed and sworn to(or affirmed)before me thi 7day of
(yyy 2y(-1 ,�by ��//i S �� 061-7 ,by ' �
.:/— r 5 \ qA -
(Signature of Notary) ignatur of N tart')
ERRI L STEPP
Notary ublic State of Florida
[ j Personally Known OR [ ]Personally Known O N+ ;r' Commission # M 994782
p My Comm.Expires May 31,2020
[Produced Identification /1 [ ]Produced Identificati n of Bonded through National Notary Assn.
Type of Identification: Type of Identification:
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 1 7 1 365-0040
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:
31-1 38-2S-29E ROYAL PALMS UNIT 2A E 19AFT OF W 27.25FT LOT 3 BLK 16
Address of property being improved: 702 CAVALLA RD Atlantic Beach FL 32233
General description of improvements:Roof Replacement
Owner SAMUEL LOPANIK
Address 702 CAVALLA RD Atlantic Beach FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Prepared Contractor Neliaan Construction & Roofing LLC
by
Address 910 11 th Aven tP South Jacksonville Beach F 50
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 dat ecording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY eN�IR
Signed DATE 1(l Iqj 1-7
Before me this day of
County of Duval.State of Florida,Ka peW RIA T O R R E S
" AYQW'GG 45228
Doc#2017266987,OR BK 18193 Page 1375, himself/herself and affirms that all s Q cl io h r !
are true and accurate ; Pc' Y�or�il�ission Expires
Number Pages:1 %.,;�ain�.`
November 06, 2020
Recorded 11/20/201710:12 AM,
BONNIE FUSSELL CLERK CIRCUIT COURT DUVAL ^� �
COUNTY
RECORDING $10.00 Notary Public at Large,State of FL County of DUVAL
My commission expires:
Personally Known or
Produced Identification L ��