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710 MAIN ST - PERMIT RERF18-0124 Wj 1=�`I�JG4 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 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: RERF18-0124 Description: REROOF Estimated Value: 8320 Issue Date: 5/24/2018 Expiration Date: 11/20/2018 PROPERTY ADDRESS: Address: . 710 MAIN ST RE Number: 170915 0455 PROPERTY OWNER: Name: DEBORAH CONNELLY Address: ATLANTIC BEACH, FL 32233-2532 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: NELIGAN CONSTRUCTION Address: 910 S 11th Ave JACKSONVILLE BEACH, FL 32250 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. NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. * 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$7,500. Building Permit Application City of Atlantic Beach 800 Seminole Road,Atlantic Beach, FL 32233 Phone: (904)247-5826 Fax:(904)247-5845 Job Address: 710 Main St. Permit Number: C+� t�/� - O 12-Cf' Legal Description 18-34 38-2S-29E .093 Atlantic Beach Sec H RE# 170915-0455 Valuation of Work(Replacement Cost)$ 8320.00 Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Additio teratio Repair o Pool Window/Door • Use of exist!ng/pro posed structure(s)(Circle one . Commerci Residen I • If an existing structure,is afire sprinkler system installed?(Circle one): Yes No N/) • 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 1tj13 Florida Product Approval# shingle FL 10674 undedayment FL9777 for multiple products use product approval form Property Owner Information Name: Deborah Connelly Address: 710 Main St. City Atlantic Beach State FL Zip 32233 Phone 904-307-1449 E-Mail patcnnlly@aol.com Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Name of Company: Neligan Construction & Roofing, LLC. qualifying Agent: Brian D Neligan Address 910 11th Ave.South City Jax Beach State FL Zip 32250 Office Phone 853-5523 Job Site/Contact Number Nick Bilancio 613-9471 State Certification/Registration#CCC1325888/CBC059536 E-Mail neliganconstruction@gmail.com Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Summit/Bridgefleld 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 NOTICE OF COMMENCEMENT. (Signature of Owner gent including Contr ctor) (Signature of Contractor) Signed and sworn to or affir d fore me this da f Si need/and sworn to r affirme before me this a3 a of . D by ) ' � � by 14t^ •p 4rY4 (Sign re of No ) (_ ,,RY P�,,, IIIS EPP a„ „ SHERRI L STEPP ;o�P ai'•. ``SPRY pGO,, i„ ,n; Notary of FloridaNotary Public State of Florida a�; Com994782•_ Commission # FF 994782 r °o' My Comay 31,2020Personally Known_ [ Personally Known OR %,,eoF Fro[�Produced Identifi do�F oo- MY Comm.Expires May 31,2020 ��,,,,,,,"` Bonded tl Notary Assn. 4 1?Of F� , [ ]Produced Identification } „„„"" Bonded through National Notary Assn. Type of Identification___— � m Type of Identification: r-L 1L_ NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. 170915-0455 State of FL 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.093 Atlantic Beach Sec H S 1 Oft Lot 1,N 30ft Lot 2 Blick 132 Address of property being improved: 710 Main St.Atlantic Beach,FL 32233 General description of improvements: Roof replacement Owner Deborah Connelly Address 710 Main 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 and Roofing,LLC. Address 91011 th Ave.South Jacksonville Beach,FL 32250 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 OW ER signAV. ` ` E —Z3 \b Before me his day of in the Doc#2018?23755,OR BK 1833 C ty, f Du t o lon Ily appeared e Number Pages:1 8 Page 2083, himself) erselfand ffirmsthatall statements and dec ratiort�,hgjen SHERRI L STEPP Recorded 05/24/2018 08:57 Aly), are true and accurate ,•SPRY PUa RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL A. Notary Public-State of Floridz COUNTY •O Commission#FF 994762 RECORDING $10.00 My Comm.Expires May 31,202 �O ',' ded through National Notary Asst Notary Public at Large, ate f Co My commission expires: Of W MAX Personally Known or Produced Identification�_