80 W 9th ROOF18-0069 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ROOF NON SHINGLE -
MUST CALL BY 4PNI FOR NEXT DAY INSPECTION: 247-5814
PERMIT NO: ROOF18-OD69
Description: Roof&Siding
Estimated Value: 9620
Issue Date: 6/28/2018
Expiration Date: 12/25/2018
Address: 80 W 9TH ST
RE Number. 1708140064
PROPERTY OWNER:
Name: HAYES BOBBY R III
Address: 80 W 9TH ST
ATLANTIC BEACH, Fl-32233
GENERAL CONTRACTOR INFORNATZON:
Name:
Address:
Phone:
Name: NELIGAN CONSTRUCTION
Address: 910 S I 1th Ave
JACKSONVILLE BEACH, FL 32250
Phone:
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 T11E 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$7,500.
City of Atlantic Beach
Building Department
800 Seminole Road
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845
4.�W, E-mail building-dept@coeb.us
CilYweb-site: hftp;/Av�wcob.,,
APPLICATION REVIEW AND TRACKING FORM
Property Address: So Vd. TLA De nt review re uired Ye 0
Applicant: e�( Pla nning &Zoning
I Tree Administrator
Project: ')K I h qc, 2ot)F- re S idt/I Public Works
L/ Public Utilities
Public Safety
Fire Services
RMReview or Receipt
Other Agency Review or Permit Required 7n
't of Permit Verffisd B Date
Florida Dept.of Environmental Protection
0
Florida Dept.of Transportation
t
St.Johns River Water Management Distnct
-t
rArmy Corps of Engineers
Division of Hotels and Restaurants
mg. L To
of
v
Division of Alcoholic Beverages and Tobacco
Other
APPLICATION STATUS
FReviewingDepartment First Review: HApproved. E]Denied. E]Not applicable
(Circle one.) Comments:
(B=UILD1;)
PLANNING &ZONING Reviewed by: Date:A-2�- Iw
TREEADMIN. SecondReview: E]Approvedas revised. []Denied.' FDN—otappli�ble
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date,_
FIRE SERVICES Third Review: DApproved as revised. ElDenied. E]Not applicable
Comments:
Reviewed by: Date:—
Revised 06119/2017
OFFICE COPv
AOL Building Permit Application JUN I �P��1218117
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5926 Fax:(904)247-SM5
Job Addr ..: 80 West 9th St.Atlantic Beach, FL 32233 Permit Number:
Legal Description 18-34 17-2S-29E .89 Atl Berach Sed;H W 37.ft of E 42ft Lot 4 Blk 68 RE# 170814-0064
Valuation of Work(Replacement Cost)$—R�20_00 Heated/Copled SP_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 struitture,is a fire sprinkler system installed?(arcle 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: Sidin repair and roof replacement. Replam siding around house with am
approximately 146'xl'tall(front of house not includeg. Install Z flashing at cut line.
Florida Product Approval# T1-1 1#13223fUndedaymnt#17420/Shin2les#10674 for multiple products use product approval form
Property Owner Information
Name: Bobby Hayes III —Address: 8OWest9thSt.
City AtlanticBeach �State FL Zip 32233 Phone 574-721-1754
E-Mail "370011mod-com
Owner or Agent(if Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: Neligan Construcificen St Roofing,LLC Qualifying Agent: Indian D Neligan
Address 910 11111 Ave.South CityJax_Beach State FL Zip 32233
Office Phone ano-e5car
Job Site/Contact Number
State Certification/Redzistration#—Ccclm�Kdd`95sp E-Mail rehganconspre,bcm4ltemilLoarn
Architect Name&Phone#
Engineer's Name&Phone It
Workers Compensation Bridgefield Emp
Exempt/inwmr/lease Emplo,aes I Expiration Code
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,
WE LLS,POOLS,FU RNACES,BOI LERS,H EATERS,TAN KS,and AIR CO N DITION ERS,etc.NO TICE:In addition W the requirements of this
permit them may bgadditional 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,
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with ail
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 AT-FORNEY BEFORE
RECqRQ1,NG YOUR NOTICE OF COMMENCEMENT.
ure of Owner or Agent) (Signature of-Contraaor)
(including contractor)
Signed and sworn to or affir d b fore te this it yof Signedandswo Wt (oraffir I eforemet day of
by
SHER STEPP
I Personally Know State ol Florida SHERRI L STEPP
Notary puld Personally Known OR State
Notary Public ol Florida
'rProduced Identifi t Co,miss n#Ff 994782
y,of Identificatio yComm.E iresMay31.2020 11 Produced Identification Commission #FF 994782
S
Type of identification:: My Comm,Expires Ma 31,2020
FL V11 Boomm unforign National alary Assn,
NOTICE OF COMMENCEMENT OFFICE COPY
(FRI!PME IN DUPI-CATE)
Pannit No. dW6 Tax Folio No. 170814-0064
State of FIL County of Diow
To whom It may concern:
The undersigned hereby Informs you that Improvements will be made to certain real proparty,and In
accordance with Section 713 of Me Florida frtadutas�the following Information Is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: 18-34 1 7-2s-29e.89 Atlantic Beach SEC H
W 3731FT of E 4ZFT Lot 4 Block 68
Address of property being Improved: 80 West 9th St. Atlantic Beach,FL 32233
General description of improvements: Roof replacement and siding repair
Oxvner Bobby Hayes III
Address 80 West 9th St.Atlantic Reach,FIL 32233
Oni int ..t in its of the improvement
Fee Simple Titleholder(if other then owner)
Name
Address
Con,,cW,Nelfgan construction and Roofing,LLG.
Address 910 1 Ith Ave.South Jacksonville lusich,FIL 32250
Phone No. 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 Brea of Florida,other than himself,designated by owner upon vvhorn notices or other
documents my be sewed:
No.
Add.
Phone No. Fax No.
In addition to himself.owner designates the following person 0 receive a copy of the Lances Notice as provided In
Secion 713.06(2)(b),Florida Stabut".(FIH In at Onmer's option).
Name
Address
Phone No. Fax No.
Expiration data of Notice of Commencement(the expiration date Is one(1)year from the data of recording urilm a
different data Is sprofflai
InflS SPACE FOR RECORDER'S USE ONLY OWNER
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Number Pages:I an"so
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ecorded DfV18C!018 04.29 PM, My Comm.Expires May 31,2020
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RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL my,
COUNTY BandadustighliatirraINOWYAnn.
CO a $1,
LRECORDIONG $10.00 -r73t7:�W=u