800 Camelia Street RERF19-0061 Shingle REROOF SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RERF19-0061
800 SEMINOLE ROAD ISSUED:4/30/2019
ATLANTIC BEACH.FL 32233 EXPIRES: 10/27/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • • • • BUILDING
CODE, AND CITY OF • • OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE REA
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.
• • • • • • • • OF • •
800 CAMELIA ST REROOF SHINGLE shingle re-roof FL10674& $6930.00
FL9777
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
• • GROUP:
170932 0000 ATLANTIC BEACH SEC H
COMPANY: ADDRESS:
NELIGAN CONSTRUCTION 910S 11th Ave JACKSONVILLE FL 32250
BEACH
• ADDRESS:
HENDRY MARK A 800 CAMELIA ST ATLANTIC BEACH FL 32233-2522
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF . r
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PEflMIT 455000OdR-1000 0 $8500
STATE DBPR SURCHARGE 455-0000-208-0700 0 $1.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $1.00
TOTAL:$89.00
Issued Date:4/30/2019 1 of 2
® 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 Q q
Job Address: 800 Camelia St.Atlantic Beach,FL 32233 Permit Number: f-L e-Fi-/-coW&L
Legal Description 1834 38-2S-29E.17 Sec H Atlarde Beach Lot 3 Bit,148 RE# 170932-0000
Valuation of Work(Replacement Cost)$8990.00 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)(antie 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 ,FL 10674 Owens Coming Shingles,
rdI U J '19-
Owens coming self adhering undedayment,FL 9777
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: Mark Hendry Address: 800 Cannella SL
City Atlantic Beach State FL Zip 32233 Phone 904-5715340
E-Mail mardhendryttictnocastnet
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: Neligan Construction&Rooting.LLC Qualifying Agent: Brian D Neligan
Address 91011thAve.South Ciry Jax Beach State FL Zip 32233
Office Phone as3-w23 Job Site/Conlact Number pacl�eiwaao etaanl
State Certification/Registration# ceenco" E-Mail aslip n1A1°k"olo"fthrarm'"
Architect Name&Phone#
Engineers Name&Phone#
Workers Compensation B'dgef eld Employers Insurance,0830-29147 exp 3232019
Exempt/Inwmr/Lease Employees/Expiration me
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.
X �/N�f �l((UJ� Z
(Signature of d1wner or Agent) (Signature of Contractor)
(including contractor) IA
Signed fnd sworn to(or affirmed)before me this day of Si tied rid sworn to(or affirm )Before me this day of
l Zol al by l�Ae Jilt dbv�c �v t 1t
—`Ij�f' (Sign umof Notary)
.E.MYCO tlF@W4M6
Type
]Produced
IdentificationIONM G02
EXPIRES:Novemher 5,2011
Tapp ..........
Personally KOOWn OR gaaa SNERRILEMANISER
[ I Produced 'Y'ipma UMrmx 'P '•. Natar W
[ )Produced Identification Y alit�State o1 Florida
: Type of ldentiflcation: \ �/ Commissionpc4lR5a4
t0
BaMetl thraurh NaOwal Notary Amn.
NOTICE OF COMMENCEMENT
(PREPARE In DUPUCATE)
Permit No. Tax Falb No. 170932-0000
State of rL County of Dues!
To whom R 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 slated In this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: 18-34 38-2S-29E.11
Sec H Atlantic Beach Lot 3 Bik 148
Address of property,being improved:800 Camelia St.Atlantic Beach,FL 32233
General desadpdon of improvernarift Roof replacement
Owner Mark Hendry _
Address 800 Cannella SL Atlantic Beach,FL 32233
Owners 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.9O1� Fax No.904572-1211
Surety lit any)
Address Amount of bort$
Phone No. Fax No.
Name and address of any person making a ban for me construction of the improvements.
Name
Address
Phone No. Fax No.
Name of parson within Me 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 b himself,owner designates the following Person b receive a copy of the Lienors Notice as provided in
Section 713.06(2)(b).Florida Stables.(FII In at Owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Node of Comma rommat(the expiration dam is one(1)yearfrom the date of recording unless a
different dam is speed):
THUS SPACE FOR RECORDERS USE ONLY WNER
Doc#2019099171,OR BK 18774 Page 1223, em�e ay a onre y 19
Number Pages:1 cowrymow .
Recorded 0400/201902:/2 PM, - r --p� ISNgtV)K$e.,';^
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Bmaeln ne, a tiro siv ., '2
COUNTY sue ova ace IAl'COMM ION#G 235534
RECORDING $10.00
, i EXPIRES:November 5,2022
1lonatl ibu Ndan wdd umm+xen
P dic nge
e-
arn"