712 Cavalla RERF18-0245 35?f 1•=�`J,
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: RERF1e-0245
Description: shingle re-roof-FL10674 FL10497 FL9777
Estimated Value: 5000
Issue Date: 10/4/2018
Expiration Date: 4/2/2019
PROPERTY ADDRESS:
Address: 712 CAVALLA RD
RE Number: 171365 0090,
PROPERTY OWNER:
Name: LOPANIKSAMUEL
Address: 702 CAVALLA RD
JACKSONVILLE, FL 32233-3917
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$7,500.
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Building Permit Application czNAp VJ Updated 12/8/17
City of Atlantic Beach 1 1_t �ON91
800 Seminole Road,Atlantic Beach,FL 32233 01UI a_w,& -
Phone:(904)247-5826 Fax:(904)247-5845 or6ar1ki my FA1"1-1
Job Address: 712 Cavalla Rd. Atlantic Beach, FL 32233 Permit Number: 2h�C.FIR-01Y�
Legal Description 31-1 38-2S-29E .035 Royal Palms Unit 2A E 16.4ft of W 22.9ft Lot 4 RE# 1713650090
Valuation of Work(Replacement Cost)$ 5, 000,021— 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)(Clack one): Commercial Residential
• If an existing structure,is afire 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 reRlacerrl nt main and porch roof
CLkh l 18-a ach roa�, dti l led l lee {/i1da Irl2 /
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: Samual Lopanik Address: 702 Cavalla Rd.
City Atlantic Beach State FL Zip 32233 Phone 904-
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: Bran D Neligan
Address 910 11th Ave.South City Lax Beach State FL Zip 32233
Office Phone a 523 lob Site/Contact Number NIU enarrcAo61sa71
State Certification/Registration# CCCv2sessicacosasaw E-Mail neagaintxnaaucann®9mall.mm
Architect Name&Phone It
Engineer's Name&Phone#
Workers Compensation Bridgefiekl Employers Insurance,0830-29147 exp 323/2019
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 regulations
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 retards 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
RECO DING YOUR OF COMMENCEMENT.
ea
( tins re of Owner or Agent) (Signature of Contractor)
( chiding contractor)
Sig d nd sworn to affil pil before me this day of Signed and swornto(o ffrrmed) efqre me this Q day of
eKi b � 1 ( !/�IC]by fl
,,// , yBHERRIL EPP
o oM E RI L BTEPP
ISy Permnalty Known ?. Notal Public-State of Florida Personally Known OR Notary Commission
-State of Florida
( ]Produced Iderrdfi :c•' Commission M FF 999782 - Commission F FF 991,2
I ]Produced Identfflwdon is "� My Comm.Expires May 31,2020
Type of IdeMfication: a My Comm.Expires May 31,2020 Type of Identification: °"`'�o
ary Ws
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No.
Tax Folio No. 171365-0000
L
v State of PCounty of .+ 0"`r
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 MIs NOTICE OF
COMMENCEMENT.
Legal descripbon of property being improved:31-1 38-25-29E.035
Royal Palms Unit 2A E 16.4ft of W 22.98 Lot Blk 16
Address of property being improved:712 Cavallo Rd.Atlantic Beach,FL 32233
General description of Improvements: Roof feplBCeRtent
Owner Safnual Lopanik
Address 702 cavalla Rd. Atlantic Beach,FL 32233
Owner's interest in site of the improvement
Fee Simple Tmeholder(if other man owner)
Name
1 �
Address
Contractor Neligan Consbudion arltl RoofrQ,LLC.
Address 91011m Ave Soumlaclaonville Beach FL 32250
Phone No.�3-s`a23 Fax No.
904-572-1211
Surety(R 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 server
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 Owners option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(me expiration date is one(1)year from th aro of rewn ing unless a
different dote is specified):
TRIS SPACE FOR RECORDER'S USE ONLY E
Signa.
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Doc b 2018238785,OR SK 18%2 Page 1814, In^y SHERRIblicL STEPP
NumberPagesIGOt n anbanana ammn mm ai sbbm.nu em aec aq� H Notary Pu011c-State of Florid
Recorded USSEL CLERKAM, eb eue aria ac<u^b ^ Commission B FF 994782
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL -
COUNTY "s°� 'd My Comm.Expires May 3L 20'.
RECORDING $1o.0U f °;,,cog Swerdihmugk National Notary As.
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