181 Magnolia St RERF20-0058 shingle re-roof permit REROOF SHINGLE PERMIT PERMIT NUMBER
r Vis, RERF20-0058
CITY OF ATLANTIC BEACH
V 800 SEMINOLE ROAD ISSUED: 3/23/2020
`'
` ';Jr ATLANTIC BEACH, FL 32233 EXPIRES: 9/19/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK • • ' TO THE CURRENT EDITION1 OF • '
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:
181 MAGNOLIA ST REROOF SHINGLE SHINGLE ROOF $10700.00
TYPE OF •
• • GROUP:
170623 0000 SALTAIR SEC 03
COMPANY: ADDRESS:
NELIGAN CONSTRUCTION 910 S 11th Ave JACKSONVILLE FL 32250
BEACH
• ADDRESS: '
FRITZ MEDINA F 181 MAGNOLIA ST ATLANTIC BEACH FL 32233-4005
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 $105.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00'
STATE DCA SURCHARGE 455-0000-208-0600 0 $2 00
TOTAL:$109.00
Issued Date: 3/23/2020 1 of 2
REROOF SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RERF20-0058
ISSUED: 3/23/2020
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233 EXPIRES: 9/19/2020
Issued Date: 3/23/2020 2 of 2
INSPECTIONS REQUIRED FOR BUILDING PERMITS
r To verify compliance with building codes,inspections of the work authorized are required at various points of the construction.
r The following inspections are typically required for residential projects:
Date: Initial: Date: Initial:
Power Pole Final Plumbing
Silt Fence Final Electrical
Piers/Stem Walls Final HVAC
Underground Plumbing CC Final
Underground Electric Final Building*
Foundation/Footing 'For new living space:When oil construction work including electrical,plumbing,
mechanical,exterior finish,grading,required paving and landscaping is complete
Slab** and the building is ready for occupancy,but before being occupied
**FORM BOARD ELEVATION CERTIFICATE MUST BEON-SITE FOR SLAB INSPECTION Swimming Pool Steel
Retaining Wall Footing Swimming Pool Safety
Driveway Electrical Grounding&Bonding
Sewer(Building Dept) Swimming Pool Final (Bldg)
Sewer Tap(Utilities Dept) Swimming Pool Final (PW)
Additional inspections may apply to your project if your project
Rough Electric* contains these elements:
Rough Plumbing/Top Out* Formed Columns/Beams*
Rough Mechanical* Masonry Cell Fill
•When all rough electric,plumbing,mechanical are complete but before any work is •When forms and reinforcing steel,anchor bolts,sleeves and inserts,and all
covered up. electrical,plumbing and mechanical work is in place,but before concrete is poured.
House Wrap Structural Steel*
Wall Sheathing `When all structural steel members are in place and all connections are complete,
but before such work is covered or concealed.
Roof Sheathing
OTHER:
Tie-down Framing Connections
OTHER:
Rough Framing
OTHER:
Roofing In Progress
OTHER:
Window/Door In-Progress
OTHER:
Insulation Ceiling
Insulation Wall Lq
Po
Exterior Lath
Permit Type
Stucco Scratch Coat �Exterior Siding In-Progress F R�^
L)
Brick Flashing&Ties R Permit No.
Early Power I ' V L I
Gas Rough Job Address
Gas Final*
When all gas piping is complete and wallboard is installed but before gas is •
attached to any appliance.All outlets must be capped and pipe pressurized at a
Contractor
minimum of 15 lbs.
POST THIS CARD WITH PERMITS AND PERMIT
Building Department Public Works/Utilities Fire Department DOCUMENTATION IN FRONT OF BUILDING
Phone:904-247-5826 Phone:904-247-5834 Phone:904-630-4789
Fax:904-247-5845 Fax:904-247-5843 Fax:904-630-4203 INSPECTION LINE: 904-247-5814
MUST CALL BY 4PM PREMOUS DAY FOR NEXT DAY INSPECTION
Construction Hours per City Code:7am-7pm Weekdays;9am-7pm Weekends
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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
Job Address: 181 Magnolia St. Permit Number:—R ER ZO bo g
Legal Description 10-16 16-2S-29E Sattair Sec Lot 655 RE# 170623-0000
Valuation of Work(Replacement Cost)$10,700.00 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 S'�,•-••• ���7.V�
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A ,•
r
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Re • al MAR 2 0 2020
Describe in detail the type of work to be performed:
Roof replacement. 18 sq, 5:12pitch BY,•
Florida Product Approval#FL 10674 shingle,undertayment FL 17420 for multiple products use product approval form
Property Owner Information
Name: Medina Fritz Address: 201 S Ocean Grande Dr.103
City Ponte Vedra Beach State FL Zip 32082 Phone 501-358-8946
E-Mail cpdena r@msn.com
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 653-5523 Job Site/Contact Number Nidrea•ncios`13-e47r
State Certification/Registration# CCC1325888 E-Mail neliganconstructionagmal.com
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Bridgefield Employers Insurance,0830-29147 exp 4/23/20
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.
(Signature of Own Agent) (Signature of Contractor)
(including contractor) /s
Signed and sworn to(or affirmed)before me thi dy of Signed a d sworn to(or affir d)before me this /u day of
"�by Z n by1-7
rx-12� ,
(Signblure of Notary)
°G Y• SHERR:GG
R
[ ]Personally Known OR �� Notary PubliFlorida Personally Known OR
Commissio546 . SHERRI L EMAHISER
[ ]Produced Identifiwti ? d My Comm.Ex1,2010 [ ]Produced Identification 1 Notary Public-State of Florida
Type of Identification: B notary Type of Identification: 'z' Commissl n 7 46
of�,:` My Comm.Expires May 31,2020
Y L �� Bonded through National Notary Assn,
PL �r
AG
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 170623-0000
State of rt 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 655
Address of property being improved: 181 Magnolia St.Atlantic Beach, FL 32233
General description of improvements: Roof replacement.
Owner Medina Fritz
Address 201 South Ocean Grande Dr.103 Ponte Vedra Beach,FL 32082
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
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 a
Signed: AT
Before me this day of In the
C fDuval tafunfflonda.has personalty appeared
DOC#2020065964,OR BK 19147 Page 1598, himsali/herself and affirms that all statements and rat4�j;' eln SHERRI L EMAHISER
Number Pages: 1 are true and accurate Notary Public•State of Florida
Recorded 03/20/2020 12:56 PM, ����q: Commission#GG 272546
RONNIE FUSSELL CLERK CIRCUIT COURT OUVAL i 'fowFfld�; My Comm.Expires May 31,2020
COUNTY Aj—P
1 ,/t n Bonded through National Notary Assn.
RECORDING $10.00 `f 9 t� `Nblic at La .State . Coun 4717-
0
My commission expires:
Personally Known or
Produced Idontif—tien ril _�
Cash Register ReceiptReceipt Numberl
City AM
of
DESCRIPTIONI ji
• QTY PAID
PermitTRAK $109.00
RERF20-0058 Address: 181 MAGNOLIA ST APN: 170623 0000 $109.00
BUILDING $105.00
BUILDING PERMIT 455-0000-322-1000 0 $105.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL : 1 •
1 11
Date Paid: Monday, March 23, 2020
Paid By: NELIGAN CONSTRUCTION
Cashier: CT
Pay Method: CREDIT CARD 3
Printed: Monday, March 23,2020 1:06 PM 1 of 1