2100 S Fairway Villas RERF20-0034 Shingle ,, vi'% . REROOF SHINGLE PERMIT PERMIT NUMBER
. ' If� CITY OF ATLANTIC BEACH RERF20-0034
,v 800 SEMINOLE ROAD ISSUED: 2/18/2020
"%os_`'r ATLANTIC BEACH, FL 32233 EXPIRES: 8/16/2020
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:
2100 S FAIRWAY VILLAS LN REROOF SHINGLE SHINGLE ROOF $11200.00
TYPE OF 3 REAL ESTATE ZONING: ' BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169398 1032 FAIRWAY VILLAS
COMPANY: : ADDRESS: CITY: STATE: ZIP:
NELIGAN CONSTRUCTION 910 S 11th Ave JACKSONVILLE FL 32250
BEACH
OWNER: ADDRESS: I CITY: STATE: i ZIP:
HIRTZ KORREEN J ET AL 2100 FAIRWAY VILLAS LN S JACKSONVILLE FL 32233-4408
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.
, rz- .ly, ,,
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $110.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$114.00
Issued Date:2/18/2020 1 of 2
S`W.% REROOF SHINGLE PERMIT PERMIT NUMBER
.. v"; RERF20-0034
r, CITY OF ATLANTIC BEACH
r ISSUED: 2/18/2020
800 SEMINOLE ROAD
"- ATLANTIC BEACH. FL 32233 EXPIRES: 8/16/2020
Issued Date:2/18/2020 2 of 2
Building Permit Application Updated 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 �` (�
Job Address: 2100 South Fairway Villas Lane Atlantic Beach,FL 32233 Permit Number: \LK ` zo �' co 3 -1L
Legal Description 39-22 08-2S-29E Fairway Villas Lot 16 RE# 169398-1032
Valuation of Work(Replacement Cost)$ 11,200.00 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. 25 sq, 5:12 pitch
Florida Product Approval#FL 10674 shingle,underlayment FL 9777 for multiple products use product approval form
Property Owner Information
Name: Korreen Hirtz Address: 2100 South Fairway Villas Lane S
City Atlantic Beach State FL Zip 32233 Phone 904-866-7550
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 Nick Bilancio613-9471
State Certification/Registration# CCC1325888 E-Mail neliganconstruction@gmaitcom
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 NOTICE OF COMMENCEMENT.
-4/74A,e_4(1/4...)).—A(A.A--
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(Signaturef Ownr or Agent) (Signature of Contractor)
(including contractor) /� r,
Signed and swor to or affirm d before me this
'i) '� clay of Signed nd swor to(or affirme�before me this � day of
t ,by l r1 - ►� 0, `Z_" per , by 'r/ I�J't tC Yl
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U„` a ure SS E' AHISER °t '' •SHERRI L F.MAHISER
:/,• f:', Notary Public-State of Florida . 1 o� c
[ [Personally Known OR , 'a` ,'Q`; Commission It GO 272546 Fie]Personally Known OR Notary Fairlie•State of Florida
N.Produced Identification` `'nr1� ' My Cumin.Expires May 31,202u Produced Identification -!,4,10150.4V. Commission#GG 272546
Bonded thr ;;gh.National Notary Assn. [ ) ,.9r.n.-, My Comm.Expires May 31,2020
Type of Identification: Type of Identification: B.
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NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE!
Permit No. Tax Folio No. 169398-1032
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: 39-22 08-2S-29E Fairway Villas
Lot 16
Address of property being improved: 2100 South Fairway Villas Lane
Atlantic Beach,FL 32233
General description of improvements. Roof replacement.
Owner Korreen Hirtz
Address 2100 South Fairway Villas Lane,Atlantic Beach,FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Neligan Construction and Roofing,LLC.
ocww_N!` Contractor 9 9,
Address 910 11th Ave.South Jacksonville Beach,FL 32250
Phone No. 9o4-853-5523 Fax No. 904-572-1211
Surety(if any)
Address Amount of bond S
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 -•WNER .
U
Signed: 2L ' ✓ i.a1 / a •TE // i 1�-17
Before me this La day err W ' in the
CO my of Duva, tate of�lopda.has person aPPeared
Doc#2020036373,OR BK 19105 Page 1580, C' f fLP.i (�r/Z7 7_ r;1 herein by
Number Pages: 1 • himself'herself and affirms that all statements and declarati r�
Recorded 02/14/2020 02:53 PM, are true and accurate d ;tiyv'P� SHERRI L EMAHISER
RONNIE FUSSELL CLERK CIRCUIT COURT DUVALIA' � Notary Public-State of Florida
COUNTY Ir
_ 9 i a' o` Commission H GG 272546
RECORDING $10.00 1.9 4 .7.40,,o-07. My Comm.Expires lMay
31,2020
1� ,t. 0^,5.11.%0A .......Bonded through National Notary Assn.
Jary Public et Large."St�of _cCoynty of_dram1.A.
r�Fay commission expires: 1"yt j) '(jn vC'i l)c.
Personally Kno:nor
F.;
Produced Identification F ; j '�