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1815 TIERRA VERDE DR - ROOF (--- lv,` l CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD v� ATLANTIC BEACH, FL 32233 '1.5v'.011 INSPECTION PHONE LINE 247-5814 REROOF SHINGLE - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RERF18-0029 Description: Re-roof shingle FL 10674 under 9777 Estimated Value: 13000 Issue Date: 1/25/2018 Expiration Date: 7/24/2018 PROPERTY ADDRESS: Address: 1815 TIERRA VERDE DR RE Number: 169542 5092 PROPERTY OWNER: Name: GRAHAM BETTY A TRUST Address: C/O BETTY A GRAHAM POSR1815 TIERRA VERDE DR ATLANTIC BEACH, FL 32233-4527 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$7,500. ~, .e,.. i,„ Building Permit Application .�s tip -r City of Atlantic Beach 'lir 800 Seminole Road,Atlantic Beach, FL 32233 `II Phone: (904) 247-5826 Fax: (904) 247-5845 Job Address: 1815 TIERRA VERDE DR Permit Number: R I I b - 00 ( Legal Description 38-28 09-2S-29E SELVA TIERRA LOT 46 RE# Valuation of Work(Replacement Cost)$ 413,910.00 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 REPLACEMENT Florida Product Approval# FL 10674 Under FL9777 for multiple products use product approval form Property Owner Information Name: BETTY GRAHAM Address: 1815 TIFRRA VFRDF DR City Atlantic Beach State FL Zip 32233 Phone 904-616-1107 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 Ave S City Jax Beach State FL Zip 32250 Office Phone 904-853-5523 Job Site/Contact Number 904-568-8700 State Certification/Registration# CCC1325888 E-Mail NeliganConsturctionCggmail.com Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Bridgefreld Fmpinyers 0830-29147 4/23/18 _ 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 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECO' •ING YO R NOTICE OF COMMENCEMENT. "" , (Sig .ture Owner or Agent including Contractor) (Signature of Contractor) Signed and sworn to(or affirme )before rpf this?o' day of Signed and sworn to .Qr affirmed)before me thi ag day of 0—‘141Q , 9OI ,by (7,‘ro ho '+ 0A rJ , a01t/O ,by �7(%ow, `7 i t.), C , , (Si: =re of N t ry) (Signature of Notary) d 'Y if SHERRI L STEPP ' Pay'4,,� SHERRI L STEPP e;10,µ V,�� 0 - UB ,� o °c�- � 2°„ „`c•;, Notary Public-State of Florida ``__'a„ �% Notary Public-State of Florida ' 1 ,..,-0 • *.E Commission # FF 994782 [ Personally Knowr . R; •. ; Commission #FF 994782 Personally Known OR '" - ) ti ( ;ter Ti, `o`= M Comm.Expires May 31,2020 Produced Identifital"--o41�o My Comm.Expires May 31,2020 ' [ ]Produced Identification' ,;?.4, off;' Bonded through National Notary Assn. Type of Identificatio4 !,tri: BondedJhrough National Notary Accn I Type of Identification: rt..,, v 'b 1.- NOTICE OF COMMENCEMENT PREPARE IN DUPLICATE) Permit No. Tax Folio No. 169542-5092 State of FLORIDA County of DLNAL 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: 38-28 09-2S-29E SELVA TIERRA LOT 46 Address of property being improved: 1815 TIERRA VERDE DR Atlantic Beach FL 32233 General description of improvements: ROOF REPLACEMEMNT Owner BETTY GRAHAM Address 1815 TIERRA VERDE DR 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 Address 910 11th Ave S Jax Beach FL 32250 Phone No. 904-853-5523 Fax No. 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 0 , ER Signed: !/, / I RATE P.29,4 Before me is irr.j day o - ,01 • in the Doc#2018019676,OR BK 18262 Page 2047, Count oEf Duval,State ofM Florida,has personally appeared TTY GRAHA Number Pages: 1 himself/herself and affirms that all statements and d ratiopW,hprein Recorded 01/25/2018 01:00 PM, are true and accurate o�Pav P�a�, SHERRI L STEPP RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL :• _*.�*�s Notary Public-State of Florida COUNTY `Ir• '�""� . Commission#FF 994782 RECORDING $10.00 ill My Comm.Expires May 31,2020 ' F 1.1V tuiu," Bonded through National NotaryAssn. Notary Public at L ge,St a- .f My commission expires: 11 .y>♦1,7 •,G;. Personally Known F r aJI/� ,n or Produced Identification pi_ /d