1304 ROSE ST - ROOF 'r•j \J
�S ` �� CITY OF ATLANTIC BEACH
L 1:v �S2
k',vv.7 �<; r 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
- 0lii9� INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0059
Description: shingle re-roof- FL10124.1 & FL10626.1
Estimated Value: 7620
Issue Date: 3/6/2018
Expiration Date: 9/2/2018
PROPERTY ADDRESS:
Address: 1304 ROSE ST
RE Number: 171064 0040
PROPERTY OWNER:
Name: TORRE JOSEPH L
Address: 1304 ROSE ST
ATLANTIC BEACH, FL 32233-2661
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.
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.
* 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$7,500.
eirff y Building Permit Application
!a, City of Atlantic Beach
ry
800 Seminole Road,Atlantic Beach, FL 32233
11`"� '" Phone: (904) 247-5826 Fax:(904)247-5845
1304 Rose Street LP-r I 0— 0L��cl
Job Address: Permit Number:
Legal Description Lot#6, Block#234, Atlantic Beach RE# 171064-0040
Valuation of Work(Replacement Cost)$ 7,620.00 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)
Florida Product Approval# Shingles FL10124.1 Underlayment FL10626.1 for multiple products use product approval form
Property Owner Information
Name: Leigh Anne Torre Address: 1304 Rose Street
City Atlantic Beach State FL. Zip 32233 Phone 904-463-0337
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# CCC 057779 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
RECORDIN YO in NOTICE • ' COMMENCEMENT.
• v /f %- i f
Vii/ .d.,
(Signature ' i - ,r Agen,i 7 o d' : r ontractor) (Signature of Contractor)
Signed and sworn • . me% s-f.r_ - his 5 day of Signed and sworn to(or affirmed)b- ore me this 5 day of
March , 20 s e L ill- •- , k.. , tic-tyl March , 2018 , by '11 ALA ;01:A:
0; JENNIFER JOHNST filM •�I f �_.1F A .
,., MY COMMISSION#GG 042984 1r:_ atu e o fro ary)r Si: . . • •ry)
`* ""� EXPIRES:October 27,2020
.••o:'o�r Banded Ttru Notary Public Undenvdt rs• Quin J.Hagerty
ani Ole/ r\► not‘ttili,> NOTARY PUBLIC
[)d Personally Known OR [ ]Personally Known ORoSTATE OF FLORIDA
� ta Comm#GG119052
T pProduced Identification Produced Identification ��-
e of Identification: Fl- a-( ,'J�..l S \. L P--11Q--, Type of Identification: 87NCE 1910 Expires 6/26/2021
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No 064-0040
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#6, Block#234,Atlantic Beach
Address of property being improved: 1304 Rose Street,Atlantic Beach, Florida,32233
General description of improvements: new asphalt shingled roof(re-roof)
Owner Leigh Anne Torre
Address 1 304 Rose Street,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. 904-992-9960 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): p
cNi U
E oT
THIS SPACE FOR RECORDER'S USE ONLY OWNER ›. o 8
Signed: ��� DATE u_ N
Before me this day of L.(`�{,c4 Z() 121in the = >-.0 CD y
County of Duval,S ate of Florida,has personally appeared t 2
Leigh Anne Torte nerein b C Q ~W
himself/herself and affirms tha .I statements and declarations herein y
Doc#2018051613,OR BK 18303 Page 1077, are true and ac ate Cf Z N U W
Number Pages:1
WATIOp.
Recorded 03/06/2018 08:07 AM, =.611O,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL 'AA
IS �=
COUNTY
RECORDING $10.00 Notary Publin>F'ge,St:. 12Egi , County of SAL kola•A •
My commission expires: =WIN
Personally Known WI/ or
Produced Identification FLORIDA DR RS LICENSE