1904 Selva Marina RERF18-0198CITY 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:
Description:
Estimated Value:
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address:
RE Number:
PROPERTY OWNER:
Name:
Address:
RERF18-0198
shingle re -roof FL10674 & FL17420
12240
8/7/2018
2/3/2019
1904 SELVA MARINA DR
169462 0120
CARROLL MARY ANN
1904 SELVA MARINA DR
ATLANTIC BEACH, FL 32233-4518
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 Updated 12/8/17
City of Atlantic Beach
800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Fax: (904) 247-5845 p
Job Address: 1904 Selva Marina Dr. Atlantic Beach, FL 32233 Permit Number:
Legal Description 45-6 08 -2S -29E Sevilla Gardens Unit 01 Lot 3 RE# 169462-0120
Valuation of Work (Replacement Cost) $ 12240.00 Heated/Cooled SF Non- Heated/Cooled
• Class of Work (Circle one): New Addition Atteratio Repair Mo, 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
• 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 # Undedayment#17420/Shingles#10674 for multiple products use product approval form
Property Owner Information
Name: Mary Ann Carroll Address: 1904 Selva Marina
City Atlantic Beach State FL Zip 32233 Phone 904-247-3816
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: Brian D Neligan
Address 910 11th Ave. South City Jax Beach State FL Zip 32233
Office Phone 853-5523 Job Site/Contact Number Ed Jens 955-8508
State Certification/Registration # CCC1325888/CBC059538 E -Mail netigartoonstruction@gmail.com
Architect Name & Phone #
Engineer's Name & Phone #
Workers Compensation Bridgelield Employers Insurance, 0830-29147 exp 3/23/2019
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. 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.
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.
4 /12. _J 0-adA _dl _J
(Signature of Owner or Agent)
(including contractor)
Signed
';16
d and sworni�or affirmed) before me this ay
Rof
by -r-4 !1 (0 -
Personally
d
Personally Known OR. j
[,J Produced Identificatio&-
Type of Identification:
,tgnat:uvg, WFW1tC' W P P
Notary Public . State of Florida
Commission # FF 994782
My Comm. Expires May 31, 2020
rL TU L'
AL
(Signature of Contractor)
Signed and sworn
NA Do
P4
Personally Known I
[ ) Produced Identific.
Type of Identification:
bgfore me this _W_, day of
iat ure %E'"PLYtT EPP
Notary Public - State of Florida
Commission # FF 994782
Viy Comm. Expires May 31. 2020
--.,,,a th. ,nh matinnal Notary Assn.
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 169462-0120
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: 45-6 08 -2S -29E Sevilla Gardens Unit 01 Lot 3
Address of property being improved: 1904 Selva Marina Dr. Atlantic Beach, FL 32233
General description of improvements: ROOF replacement
Owner Mary Ann Carroll
Address 1904 Selva Marina Dr. Atlantic Beach, FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder (if other than owner)
Name
Address
f ��Aj Contractor Neligan Construction and Roofing, LLC.
la Address 91011th 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 n ,-
OWNER J00
Signed: [�/ TE In the
Before me th a day of _-�*+�'U. .
uval S F as nallyeit".,;.
rein by SHERRI L STEPP
Doc # 2018184591, OR BK 18482 Page 313, h mself/ herself and affirms that all statements and d 4-A r h; Notary Public State of Florida
are true and accurate _ = Commission # FF 994782
Number Pages: 1
Recorded 0810712018 08:58 AM, ."9T p My Comm. Expires May 31, 2020
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL �"F°; ; °�Bonded through National Notary Assn.
COUNTY d
RECORDING $10.00 Not Public at L 5 of
My commission ex fres:
Personally Known or
Produced Iden cation