189 Magnolia St RERF19-0091 Shingle REROOF SHINGLE PERMIT PERMIT NUMBER
r , CITY OF ATLANTIC BEACH RERF19-0091
v~ 800 SEMINOLE ROAD ISSUED: 7/2/2019
r
ATLANTIC BEACH. FL 32233 EXPIRES: 12/29/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL • 'K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' ! + BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC +CH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
189 MAGNOLIA ST REROOF SHINGLE SHINGLE ROOF $9750.00
TYPE OF
• • GROUP:
170624 0000 SALTAIR SEC 03
COMPANY: ADDRESS:
NELIGAN CONSTRUCTION 910 S 11th Ave JACKSONVILLE FL 32250
BEACH �A J�
• i� I
GUILMETTE FRED PETER 189 MAGNOLIA ST ATLANTIC BEACH I L 32233
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 CONDITIONS
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 PERMIT 45S-0000-322-1000 0 $100.00
STATE DBPR SURCHARGE 45S-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $104.00
Issued Date: 7/2/2019 1 of 2
Building Permit Application Updated 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826Fax:(904)247-5845
C
Job Address: 189 Magnolia St.Atlantic Beach,FL 32233 Permit Number: �I _(��I — U
Legal Description 10-16 16-2S-29E Saltair Sec 3 Lot 654 RE# 170624-0000
Valuation of Work(Replacement Cost)$9750.00 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) (Circle 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,
5:12 27 sq Owens corning self adhering underlayment,FL 9777
Florida Product Approval#10674.00 shignles r LG 7 77-7 for multiple products use product approval form
Property Owner Information
Name: Peter Guilmette Address: 189 Magnolia St.
City Atlantic Beach State FL Zip 32233 Phone 703-298-4232
E-Mail fpguilmette@att.net
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 ,luan Berracoles 588-2485
State Certification/Registration# CCC1325888 E-Mail neliganconstruction@gmail.com
Architect Name&Phone#
Engineer's Name& Phone#
Workers Compensation Bridgefield 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 NOT F COMMENCEMENT.
(Signature of Owner or Agent) (Signature of Contractor)
(including contractor)
Signednd sworn to(or affirmed)before thjs ay of Signe�d/and sworn to
Jor affirm d) efore me this day of
l �L� �, by { l�iLL_I , by )
C
p a ature
R L liTi R :1rF, �7CRltrifY AHISER
Notar Public-State of Florida � Notary Public-State of Florida tv
v �. .=:
[ Personally Known O �� a` Commission#GG 272546 Personally Known OR ,\` Commission#GG 272546
`{ Produced Identific0 . ri'Fort�° My Comm.Expires May 31,2020 'Porn°•' My Comm.Expires May 31,2020
g [ ]Produced Identification
Type of Identification: Bonded throw h National Notary Assn. Type of Identification: Bonded through National Notary Assn`,
rol
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 170624-0000
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: 10-16 16-2S-29E Saltair Sec 3 Lot 654
Address of property being improved: 189 Magnolia St.Atlantic Beach, FL 32233
General description of improvements: ROOF replacement
Owner Peter Guilmette
Address 189 Magnolia St.Atlantic Beach,FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
p Address
��,�p�/S,pC,•�lil. , Contractor Neligan Construction and Roofing,LLC.
Address 91011th Ave.South Jacksonville Beach,FL 32250
Phone No.904-653-5523 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
SignedATE
Before me this day of 1.Sta f Fd hnally appeared i-W- I) W
n fhe
herein by
Doc#2019154565,OR BK 18849 Page 1992, himself/herself and affirms that all st tements anjdeclar Number Pages:1 are true and accurate v n� SHERRI L EMAHISERRecorded 07/02/2019 01:43 PM, • Notary Public.State 7 FloridaRONNIE FUSSELL CLERK CIRCUIT COURT DUVAL a• 8` Commission k GG 2731,2. �,'sCOUNTY `., My Comm.Expires May a A nBonded through National Notary Assn.RECORDING $10.00 Not Public at rge.stat i n
My commission expires:
Personally Known or
Produced Identification