1998 Brista De Mar Cir RERF19-0151 Shingle REROOF SHINGLE PERMIT PERMIT NUMBER
' t
CITY OF ATLANTIC BEACH RERF19-0151
800 SEMINOLE ROAD ISSUED: 10/30/2019
olosfrATLANTIC BEACH, FL 32233 EXPIRES: 4/27/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
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:
1998 BRISTA DE MAR CIR REROOF SHINGLE shingle re roof FL10124.1 $18734.00
& FL10626.1
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169506 1684 SELVA NORTE UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
HAGERTY CONSTRUCTION 12850 WINTHROP COVE DR JACKSONVILLE FL 32224
AND ROOFING INC
OWNER: ADDRESS: CITY: STATE: ZIP:
STRAUS EDWARD F 1998 BRISTA DE MAR CIR ATLANTIC BEACH FL 32233-4524
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.
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 $145.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.18
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$149.18
Issued Date: 10/30/2019 1 of 2
r51-'-'4,- REROOF SHINGLE PERMIT PERMIT NUMBER
`r� RERF19-0151
`, zCITY OF ATLANTIC BEACH ISSUED: 10/30/2019
800 SEMINOLE ROAD
`-01;19`• ATLANTIC BEACH. FL 32233 EXPIRES: 4/27/2020
Issued Date: 10/30/2019 2 of 2
A Building Permit Application
City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
•1' Phone: (904) 247-5826 Fax: (904)247-5845 r
Job Address: 1998 Brista De Mar Circle Permit Number: ?"-6-12-C- t — O (S
Legal Description Lot#97, Unit#2, Selva Norte RE# 169506-1684
Valuation of Work(Replacement Cost)$ 18,734.00 Heated/Cooled SF N/A Non-Heated/Cooled N/A
• 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: Edward Straus Address: 1998 Brista De Mar Circle
City Atlantic Beach State FL. Zip 32233 Phone 1-904-249-0611
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 America Zurich 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.,
(Signature of Owner or Agent including Contractor) Signature of Contractor)
Signed and sworn to (or affirmed)bef•re me this.? day of Signed a d s orrtto •r affirmed)before me this 3D day of
0 \ , 2019 ,by G • , 19 by Quin J. Hagerty
•f Notary) igna ure f Notary)
.tlkRY. J.Hagerty Tiffany Sral
0 •TARY PUBLIC .
f _+STATE OF FLORIDA .` NOTARYPUBLIC
[)4 Personally Known OR '� ?Comm#GG119052 [)d Personally Known OR � � STATE OF FLORIDA
[ I Produced Identification ; Expires 6/26/2021 [ ] Produced Identification ---- ,�rrr CAM.60022s47
Type of Identification: Type of Identification: Ibpiniewii
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 169506 0684
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#97, Unit#2, Selva Norte
Address of property being improved: 1998 Brista De Mar Circle,Atlantic Beach, Florida, 32233
General description of improvements: new asphalt shingled roof(re-roof)
Owner Edward Straus
Address 1998 Brista De Mar Circle,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):
(V
44
THIS SPACE FOR RECORDER'S USE ONLY OWNER ?m p
CO
Signe : - DATE/,•3D A q LL c.
Before me this day of in the Z } p o rn
County of Duval.State of Florida.has persona y appeared ' CC'W
EDWARD STRAUS herein by !— Z= :.21
•
himself/herself and affirms all statements and declarations herein2 0
are true and accurate C3 Z el) (� ,�
Doc#201925 097,OR R a Pan 170 I oClPlro,
0_ K 18_85 _tee 7, \
Number Pages: 1 ' Vis'
Recorded 10/30/2019 10:56 AM, A/Bi �I a
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL �tilt ' •—
Notary-`rc at L. oRIDA • County of WVAL y tid,
COUNTY My commission ex
RECORDING $10.00 Personally Kno'.,m •• I_ or
Produced Identmcation -�