1965 BRISTA DE MAR CIR ,fro
ss.s CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0224
Description: shingle re-roof- FL10124.1 & FL13857.4
Estimated Value: 17520
Issue Date: 12/19/2017
Expiration Date: 6/17/2018
PROPERTY ADDRESS:
Address: 1965 BRISTA DE MAR CIR
RE Number: 169506 1668
PROPERTY OWNER:
Name: MCGUFFIN GERALD R
Address: 1965 BRISTA DE MAR CIR
ATLANTIC BEACH, FL 32233-4525
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: HAGERTY CONSTRUCTION AND ROOFING INC
Address: 12850 WINTHROP COVE DR QA QUIN J HAGERTY
JACKSONVILLE, FL 32224
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU 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.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
rik, Building Permit Application
471 City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
�� Phone: (904) 247-5826 Fax: (904)247-5845
Job Address: 1965 Btisas De Mar Circle Permit Number: I' Ie- F a _ b a c)(1.
Legal Description Lot#89, Unit#2, Selva Norte RE#
Valuation of Work(Replacement Cost)$ 17,520.00 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:
installation of a new asphalt shingled roof
Florida Product Approval# Shingles -FL.Product Approval#10124.1 for multiple products use product approval form
Property Owner Information °II^ R-':11 Ici -4 ''W51-pt
Name: Gerald McGuffin Address: 1965 Bij De Mar Circle
City Atlantic Beach State FL. Zip 32233 Phone 1-318-347-0193
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: Hagerty Construction&Roofing, Inc. Qualifying Agent: Quin J. Hagerty
Address 12850 Winthrop Cove Drive City Jacksonville State FL. Zip 32224
Office Phone 1-904-992-9960 Job Site/Contact Number 1-904-591-4354
State Certification/Registration# CGC 019551 E-Mail hagertyinc(dyahoo.com
Architect Name&Phone# N/A
Engineer's Name&Phone# N/A
Workers Compensation Bridgefield Employers Insurance Company
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.
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. ?
,P'Y—Z- -es' ,, .m_1/
(Signature of Owner or gent includit ontractor) (,: : at re o ontractor)
Signed and sworn to(or affirmed)before me this 18 day of Signed and swo n to(or aff med)before me this t day of
December , 2017 ,by Gerald McGuffin Decemb`r 2017 .f Quin J. H-•e
.)( (liziliV; '
(Signature of Notary) ; (Signature of Notary)
est:11N JAKE MILLENDER fpr Pum JAKE AMENDER
?;. * MY COMMISSION#FF 940637 �'."••. 940637
* * MY COMMISSION#FF
nig EXPIRES:December 2,2019 * EXPIRES:December 2,2019
[ ]Personally Known OR 1 dtidgetNotarySeniue [x]Personally Known OR % tsomNutlgetNohryserrr�ee
[xl Produced Identification [ ]Produced Identification ket'c'
Type of Identification: F.D.L. Type of Identification:
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 169506-1668
State of FLORIDA 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: Lot#89, Unit#2, Selva Norte
Address of property being improved: 1965 Brisas De Mar Circle,Atlantic Beach, Florida,32233
General description of improvements: new asphalt shingled roof(re-roof)
Owner Gerald McGuffin
Address 1965 Brisas De Mar Circle,Atlantic Beach,Florida,32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
`n I Address
rJ 4-' Contractor Hagerty Construction&Roofing, Inc.
I Address 12850 Winthrop Cove Drive,Jacksonville,Florida,32224
Phone No. soa ss2-ssso Fax No. 904-992-9961
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): Cst c7.1
THIS SPACE FOR RECORDER'S USE ONLY , ?iv
'- 0 0 '
Signe• /x_ 1i /1/ I e d DATE•41,-/T"'/YL 0.7 Before mis ll" day of PI'S%//L/ L' in the co
eLL 0 �p
County of Duval,State of Florida,has p's• ally appeared 2 >• 0 0 rn
Doc#2017290347,OR RK 18925 Pag 'p'Jn78GERALD MCGUFFIN herein by —j E
Number Pages:1 ' himself/herself and affirms t •t all statements and declarations herein .c QW
Recorded 12/19/2017 12:30 PM, are true and accurate C3 z .) W
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL • / �0c NflON•
e
COUNTY .r
RECORDING $10.00 eir
j
o
��
Notary Public at Large,. • , County of DuvAL +'Oy y2
My commission expire :
Personally Known 111� ! or
Produced Identification F•07 ADRIVE•Z:NSE