1907 SHERRY DR N - ROOF 0. CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
# 0;3ir0 INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0013
Description:
Estimated Value: 15380
Issue Date: 1/11/2018
Expiration Date: 7/10/2018
PROPERTY ADDRESS:
Address: 1907 N SHERRY DR
RE Number: 172020 0818
PROPERTY OWNER:
Name: GABRYNOWICZ MARK P CDR
Address: 1907 SHERRY DR N
ATLANTIC BEACH, FL 32233
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$7,500.
tilt# Building Permit Application
VW-
A * City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
Phone: (904) 247-5826 Fax: (904)247-5845
Job Address: 1907 Sherry Drive North Permit Number: K E M— 6c 3
Legal Description Lot#8, Unit#10-C, Selva Marina RE# 172020-0818
Valuation of Work(Replacement Cost)$ 15,380.00 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:
new asphalt shingled roof(re-roof) Shingles FL10124.1 Underlayment FL10626.1
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: Mark&Jeanne Gabrynowicz Address: 1907 Sherry Drive North
City Atlantic Beach State FL. Zip 32233 Phone 1-904-504-7880
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@yahoo.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 YO R NOTICE OF COMMENCEMENT.
phi A .11
(Sig ature of n '�t. :ent i ik ding ContraGtnr) r ('ignature of Contractor)
Signed and s rn to(or a! ""ed) .-7• e me thi4v4 day of Signed an. ; , to(.r affirmed)before me this Q day of
2018 ,by la _,.1" I l 3 , 20 : by 4 uin J. Ha•e
wir
'r41ll _it if s�/�.
4_ Tr_
,., Ni,
Quin J.Hagerty I!/
t. a of Notary) (Signature of Notary)
NOTARY PUBL
IF. STATE OF FLORIDA I�� ":•Z4
JAKE MILLENDERo o
V-
2Comm#GG119052 , ,? * MY COMMISSION*FF 940637
�s�NCF[11w,.iPer Iff li0 i§021 [)d Personally Known ORi EXPIRES:December 2,2019
[x]Produced Identification [ ]Produced Identification ''jeoc'LcJF`O Bonded Tin Budge)F'" y Se+tirc
Type of Identification: Florida Drivers License Type of Identification:
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 172020-0818
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#8, Unit#10-C,Selva Marina
Address of property being improved: 1907 Sherry Drive North,Atlantic Beach, Florida, 32233
General description of improvements: new asphalt shingled roof(re-roof)
Owner Mark&Jeanne Gabrynowicz
Address 1907 Sherry Drive North,Atlantic Beach,Florida,32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Hagerty Construction&Roofing,Inc.
Address 12850 Winthrop Cove Drive,Jacksonville,Florida,32224
Phone No. 904992-9960 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): Q
V EZ Ln o
THIS SPACE FOR RECORDER'S USE ONLY r OWN O 8 N
Signed. m-1..UP. DATE I A tt N
Before me.his + •- of witlE'J►il♦ra.c. Iv the 4' u 0 co
County of Duval, •ta,-of•orid v a 9•e•sonally appeared
V
Doc#2018007950,OR BK 18248 Page 249, MarkGabrynowia nerein by Q t y
himself/herself an• rms that all s''ements anc declarations herein • f- Q a
Number Pages: 1 O h <
Recorded 01/11/2018 09:32 AM, are true and accurate d z rn V w
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL I o.,10104,•
COUNTY 1111
RECORDING $10.00 r1 =
Notary Puolic at Large,Sta.- '1 F-oa.DA , County of DUVAL y '
My comm ssion expires: 1'0!80 4•
Personally Known or
Proeuced Identification FLORIDA ORTmiU --