169 Poinsettia St RES19-0318 Siding Repair RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RES19-0318
10/23/2019/8
800 SEMINOLE ROAD ISSUED:
ATLANTIC BEACH. FL 32233 EXPIRES: 4/20/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH 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:
169 POINSETTIA ST RESIDENTIAL ALTERATION T1-11 SIDING REPAIR $5000.00
RESIDENTIAL
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170641 0060 SALTAIR SEC 03
COMPANY: ADDRESS: CITY: STATE: ZIP:
NELIGAN CONSTRUCTION 910 S 11th Ave JACKSONVILLE FL 32250
BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
TAYLOR DAVID G 169 POINSETTIA ST ATLANTIC BEACH FL 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 455-0000-322-1000 0 $80.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $40.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $124.00
Issued Date: 10/23/2019 1 of 2
i ---.:11-t'1.1",ifr RESIDENTIAL PERMIT PERMIT NUMBER 1
at
,,
CITY OF ATLANTIC BEACH RES19-0318
''i1 ISSUED: 10/23/2019
800 SEMINOLE ROAD
--1. lir ATLANTIC BEACH. FL 32233 EXPIRES: 4/20/2020
Issued Date: 10/23/2019 2 of 2
City of Atlantic Beach APPLICATION NUMBER
4Building Department (To be assigned by the Building Department.)
r s. f' 800 Seminole Road / ,
j. Atlantic Beach, Florida 32233-5445 1��S ( � l�3
\ Phone(904)247-5826 • Fax(904)247-5845 y /
-11;� �:• E-mail: building-dept@coab.us Date routed: I 0/I 6 /t cl
City web-site: http://www.coab.us `
APPLICATION REVIEW AND TRACKING FORM
(
Department review required Yes No
6,9Q I NS�—T( AProperty Address: I p q
uildin•g)
Applicant: I .) aLl k.) co.„- g &Zoning
GTree Administrator
Project: ( " S % 1 e PL ► Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept.of Transportation
‘K) '---K
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: 1 Approved. ❑Denied. I INot applicable
(Circle one.) Comments:
( BUlLDlr�
PLANNING &ZONING Reviewed by: /I/ Date:/ -a2-a-t 19
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
�`�'' Building Permit Applicatio 12/8/17
` , OFFICE COPY
;, City of Atlantic Beach
Si 980 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 r �"'� 0
Job Address: 169 Poinsettia St.Atlantic Beach,FL 32233 Permit Number: �ES I — `J3 I C] s).
Legal Description 10-16 21-2S-29E Saltair Sec 3 N1/2 Lot 695 RE# 170641-0060
rl
Valuation of Work(Replacement Cost) $5,000.00 Heated/Cooled SF Non-Heated/Cooled LLIU N
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door Z Cl) C`1
a = ...1z r
• Use of existing/proposed structure(s) (Circle one): Commercial Residential :.1- 012
a F..
• If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N/A rd W O w
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal O I0) o z a
Describe in detail the type of work to be performed: Remove and replace rotten T1-11 on left side at window. Rernpvga ]7
replace rotten T1-11 on front of home under windows. Remove and replace rotten 1x4 trim on front of home. 0 iC -y
aL /3aa3. _- o o N
Florida Product Approval#James Hardie13223 for multiple products use product apo fa'r'E
Property Owner Infof mation Lt. u. Lic s
Name: Deborah Rowe " Address: 169 Poinsettia St. O arc m
City Atlantic Beach State FL Zip 32233 Phone 904-999-8188 , u 5 W
E- Mail river560l hotmail.com
'
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) 5 cc ui
iu
Contractor Information Et cccc
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 Steve Harker 904-463-7127 E D
State Certification/Registration# cec059536
RFcE-Mail neliganconstruction@gmail.comArchitect Name&Phone# E.L'I
Engineer's Name&Phone#
Workers Compensation Bridgefield Employers Insurance,0830-29147 exp 3/23/2019 Q
Exempt/Insurer/Lease Employees/Expiration Date OCT 1 7 2019
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 regulation
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL(p[ ( ,lpl�ll A` p,,r4
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In aced+rtfe t I ria ibill
permit,there may be additional restrictions applicable to this property that may be found in the pulpit 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 YO R NOTICE OF COMMENCEMENT. 44_,
Signature of Owner or Agent) (Signature of Contractor)
(including contractor)
Signed and sworn to(or affirmed)before me this`ep day of Signed and sworn to(or affirmed)before
{mme t is /day of
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r - I - Vi •,p:ttSignatureo$Mf6BA4E)MAHISER
;'i a',' SHERRI L EMAHISER •_/. "�•''' Notary Public-State of Florida
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,-1,„,: Notary Public-State of Florida �! ` jil Commission#GG 272546
[ ]Personally Known OR ' :A,. a. Commission#GG 272546 IA Personally Known OR 01 ?or n My Comm.Expires May 31,2020
[ I Produced Identification! .t,r.i..0....• My Comm.Expires May 31,2020 [ ] Produced Identification $ Bonded through National Notary Assn.
Type of Identification: ( Bonded through National Notary Assn. Type of Identification: 'l
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NOTICE OF COMMENCEMENT OFFICE COPY
n Q (PREPARE IN DUPLICATE)
/G
Permit No. e S 1%-c 3/ Tax Folio No. 170641-0060
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: 1016 21-2S-29E
Saltair Sec 3 N1/2 Lot 695
Address of property being improved: 169 Poinsettia St.Atlantic Beach,FL 32233
General description of improvements: Siding repair and replace,trim repair and replace.
Owner Deborah Rowe
Address 169 Pointsettia St.Atlantic Beach,FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
IP n,,1/41(1,Vi Contractor Neligan Construction and Roofing,LLC.
Address 910 11th 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 O N ) _/
Signed: DATE /C (C—1
Before m day of C O n e
Doc#2019237809,OR BK 18968 Page 1446, Co t jn((,StatDuvale of Florid .hasa ally appeared
'[ , "
,.otiR 'h by SHERRI L EMAHISER
Number Pages:1 • himself!herself and affirms that all statements and declar n$ e 1 NotaryPublic.State of Florida
Recorded 10/15/2019 02:08 PM, are true and accurate i�' Ai Comission#GG 272546 )
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL .•-4brn. . My Comm.Expires May 31,2020 i
COUNTY Bonded through National Notary Assn. I
RECORDING 510.00 f /t �^ t
No Public t rire. t to of oyLnty
Cof
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My commission expires: /.1.- ,w0,2-,
Personally Known or
Produced Identification I