38 SARATOGA CIR N - ROOF � 1�
CITY OF ATLANTIC BEACH
t-,9 s 800 SEMINOLE ROAD
�- z ATLANTIC BEACH, FL 32233
'.?J;319% INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0221
Description:
Estimated Value: 7250
Issue Date: 9/5/2018
Expiration Date: 3/4/2019
PROPERTY ADDRESS:
Address: 38 N SARATOGA CIR
RE Number: 171809 0000
PROPERTY OWNER:
Name: HENDERSON ROBERT W
Address: 159 11TH ST
ATLANTIC BEACH, FL 32233-5751
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: STONEBRIDGE CONSTRUCTION
Address: 12550 AGATITE RD 6956 PHILLIPS PARKWAY DR N
JACKSONVILLE
JACKSONVILLE, FL 32258
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$7,500.
,.,.t.,4„, Building Permit Application Updated 12/8/17
4 City of Atlantic Beach
.con v% 800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 ,�l=l..c (p /`
Job Address: 38 Saratoga Circle North Permit Number:(`� g VZZi
Legal Description 31-13 38-2S-29E Atlantic Beach Villa Unit 2 Lot 13 Blk 4 RE# 171809-0000
Valuation of Work(Replacement Cost)$ 7,250.00 Heated/Cooled SF 1092 Non-Heated/Cooled 368
• 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 24 sq Architectural Shingles 3/12 Pitch
Florida Product Approval# FL10124 for multiple products use product approval form
Property Owner Information
Name: Robert& Lynn Henderson Address: 159 11th Street
City Atlantic Beach State FL Zip 32233 Phone 904-710-7665
E-Mail hendersonll@comcast.net
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: Stonebridge Construction Services LLC Qualifying Agent: Brian Vick
Address 6956 Phillips Parkway Dr N City Jacksonville State FL Zip 32256
Office Phone 904-262-6636 Job Site/Contact Number Same
State Certification/Registration# CCC-1328917 E-Mail lennifer(a�stonebridgebuilt.com
Architect Name& Phone#
Engineer's Name&Phone#
Workers Compensation Bridgefield Casualty Inc 196-21219 05/26/19
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 OBTAI INANC G, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDIN c Y•UR O OF COMMENCEMENT.
�,_ _
(")
(Signature of Owner or Agent) ( ignature of Contractor)
(including contractor)
Siped and sworn to(or affirmed) before me this 5 day of Signed and sworn to(or affirmed) before me this day of
'0- , o2f11Sj,„ by i
J SOL by
Lyit-
,,,„,.9
tirtti
, f ,ik_ 17. '1(1)Se' ttM"
Signature Notary) ignature oy)
[ ]Personally Known OR t , ltY P`", Notary Public State of F{o(t ers. ally Known OR v +"c, Notary Public State of Florida
t, Jennifer Lynn Schlacht r° 1"„ Jennifer Lynn Schlachter
[ [Produced Identification II M Commission GG to¢8#Qrod r ed Identification
Type of Identification: Driv-r'S 1 c Ex•ires 05/31/2021 "a c 'E My Commission 21 to9844
Type of J-ntification: ., 13v2o2t