70 W 9TH ST - ROOF 61 ' � CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j
ATLANTIC BEACH, FL 32233
�•
.� INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0019
Description: shingle re-roof- FL10674 & FL9777
Estimated Value: 8910
Issue Date: 1/12/2018
Expiration Date: 7/11/2018
PROPERTY ADDRESS:
Address: 70 W 9TH ST
RE Number: 170813 9050
PROPERTY OWNER:
Name: SMITH EARL G
Address: 70 W 9TH ST
ATLANTIC BEACH, FL 32233-3465
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$7,500.
Building Permit Application
City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
`"yr Phone: (904)247-5826 Fax: (904)247-5845
Job Address: 70 W 9TH ST Permit Number: (2—L12-F I U 'OC]t 5
18-34 17-2S-29E.087 ATLANTIC BEACH SEC H W 8.7FT LOT 1,E 28.6FT LOT 2 BLK 68
Legal Description RE#
Valuation of Work(Replacement Cost)$ 8,910.00 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: EARL SMITH Address: 70 W 9TH ST
City Atlantic Beach State FL Zip 32233 Phone 904-651-4934
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 Jay Reach State FL Zip 32250
Office Phone 904-853-5523 Job Site/Contact Number 904-568-8700
State Certification/Registration# CCC1325888 E-Mail NeliganConsturction@gmail.com
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Bridgefield Fmployers 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
RECORDING YOUR N i� ICE OF COMMENCEMENT. /
I>/
(Signature of Owner or Agent including Contractor) (Signature of Contractor)
Signed and sworn to(or affirmed)before me this 2. day of Signed and sworn t(�,(or affirme')before me this day of
•1Aw.w.L , Zo IS ,by�ta„a ►Dress 1v rtlV l (J ,by Of IAA ' _a
DIZr'u Ml 1.11. Q'RES A 1� 0 N. a
: _,ii„ ;i Commission#GG 45228 a�Pa�P�e,,, ' SHERRI L STEPP
My Commission Expires = a`1k+;1,= Notary Public-State of Florida
,,,,, November 06, 2020 �
„ ,,,. = + +•= Commission # FF 994782
[ ]Personally Kno • ]Personally Known • • ;,Fo ��' My Comm.Expires May 31,2020
[�J Produced Identification
[ ]Produced Identifica.•1 '"""",,, Bonded through National Notary�_. 9 Assn.
Type of Identification: C 'TV Type of Identification:
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 170813-9050
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 17-2S-29E .087 ATLANTIC BEACH SEC H W 8.7FT LOT 1,E 28.6FT LOT 2 BLK 68
Address of property being improved: 70 W 9TH ST Atlantic Beach FL 32233
General description of improvements: ROOF REPLACEMEMNT
Owner EARL SMITH
Address 70 W 9TH ST Atlantic Beach FL 32233
Owner's interest in site of the'mprovement
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 bord$
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 v)
Address CC CC 00 H
N
Qt� •a 0
Phone No, Fax No O v x N
F-C7 W _
Q O 'O
In addition to himself,owner designates the following g 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). 2.y E E
Name ZE0
Address Q Z
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
a fferent date is specified):
THIS SPACE FOR RECORDER'S USE ONLYERu+/
Signed: J,','_''y�n/� 1NDATE
Before me�' is L day cf
County of Duvel.State of Florida,'.ea y€r• ePI �fNA M A R Ie, TO R R E S
Doc#2018005264,OR BK 18244 Page 1790, EARL SMITH/i\ms's h r�ir 6G 4522P
Number Pages: 1 himsel'7 herself and af`irms that al! c 6 a0 :>-��11_ deo a a io r1E�efn
are'rue and accurate =,�(II �o�? YCorrmissiOnExpirec:
Recorded 01/08/2018 03:57 PM, I �'., c,n?Pp November 06, 2020
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY ^ '
RECORDING $10.00 otarry �,+c at Lar
Notary ubliP cat Lerge,Stare o1 YL- . Cot.nty of druAkt,I
My comm'ssion expires:
Personally Known or
Produced IcentificatVon YL CD