59 S Saratoga Cir RERF19-0179 Shingle rS REROOF SHINGLE PERMIT PERMIT NUMBER
��''k .� RERF19-0179
��,- rye �, CITY OF ATLANTIC BEACH ISSUED: 12/12/2019
800 SEMINOLE ROAD
`�°��}or ATLANTIC BEACH. FL 32233 EXPIRES: 6/9/2020
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:
59 S SARATOGA CIR REROOF SHINGLE SHINGLE ROOF $7656.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171782 0000 ATLANTIC BEACH VILLA #
02
COMPANY: I ADDRESS: CITY: STATE: ZIP:
HANSON ROOFING INC 2765 Leon RD JACKSONVILLE FL 32246
OWNER: i ADDRESS: CITY: STATE: ZIP:
DAGHER ZIAD G 59 SARATOGA CIR S ATLANTIC BEACH FL 32233
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.
LIST OF CONDITIONS
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 $90.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $94.00
Issued Date: 12/12/2019 1 of 2
.sem' REROOF SHINGLE PERMIT PERMIT NUMBER
�..,,— ,. s, CITY OF ATLANTIC BEACH RERF19-0179
'r yr
800 SEMINOLE ROAD ISSUED: 12/12/2019
```wilrY' ATLANTIC BEACH. FL 32233 EXPIRES: 6/9/2020
Issued Date: 12/12/2019 2 of 2
Building Permit Application Updated 10/9/18
_ _ City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us (SIS REQUIR`E�D.
Job Address: 59 SoxDarCtl'. . rn\Qrlt tC bPn1Cr)r'FL 32233 Pe mit Number: Rri l ' I ` 9
Legal Description 31-13 38-25-29E IsfiAdntiCbectChvsk\o,unit2 10-1to Q\43 RE# 1111 ¶2.- 0000
Valuation of Work(Replacement Cost)$ 7/e.56.° Heated/Cooled SF ..2 1-/-yy Non-Heated/Cooled
• Class of Work: ❑New Addition ;r3'Alteration ❑Repair ❑Move ❑Demob❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial VResidential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No
• Will tree(s)be removed in association with proposed project?LlYes(must submit separate Tree Removal Permit) i
Describe in detail the type of work to be performed: Rc_co6.
FL . Z 5 C - R7 o L Laki./rig>>~� _S k i r, i
Florida Product Approval# F/ /(3(071(- Zi for multiple products use product approval form
Property Owner Information
Name )0,i rlev, 11Co(.1 G-I. Address bq .5Ctrr1 rc)Cc1 C\[ . S .
City RHrtx-Ic c. \G AVA State FL Zip 3 2Z 3 3 Phone
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company HQrS ifl Vfti5(19, \nt • Qualifying Agent Ji'ccre\ He \
p5C'
Address 2.7(v5 \-.e- 1 rd. City 3k
pt05c,Ylvk\IQ- state �-L Zip 312-((p
Office Phone G -333-q 0 Coy _- Job Site Contact Number
State Certification/Registration# CfC c.6-1% Cj E-Mail ,,e\ ejie-N cCGCif\(\Btf\C 63 RC1\5f_x \-,, ne*
Architect Name&Phone# _
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt)( 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 regulating
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 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATT RNEY BEFORE
RE_• ! it(►� c ...IA., ICE OF COMMENCEMENT. /,`,
(Si ature of Owner or Agent) (Signature of Contractor)
t41
Signed and sworn to(or affirmed)before me this,t day of Signed and sworn to(or affirmed)before me this (201 day of
NoV ennhC:•c, zr,t Gt ,by 2 i csci f , t- 2- 1�-tcnonk, 20i 9 by Je bier-- 13u-115C a
liW Lf/LcG '!/u'`c e , e,---�
(Signatur�bf Notary ✓✓/ (Signature of Notary)
[ )CPersonally Known OR [ 1 Personally Known OR
1 Fro ucecn nmricauo [- oduced Identification
s"AY O -4 )-(zj Type of Identification: �2"3-112Li"l.s�,�s11 i -1'
,.,4: `,„ CH T t1t'1� y I_ication: EL Z(_ �3(p!7 _G �1 -7 D 1 L LL
Commissi•on#GG 190226 n 1 e.. 2---i.q. ..44l4l. NAJEE PERRY
;;��P`,•` Expires May 31,2022 : *s Commission#GG 366354
'-tp,rtO•' Bonded Thru Troy Fain Insurance 800-385-7019 u ,•gi Expires August 15,2023
•`•!.°r,!?"' Bonded Thru Troy Fein Insurance 800-385.7019
NOTICE OF COMMENCEMENT
State of to 5Z t i>4 Tax Folio No.
County of D Vt.'Jo
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: 31-13 38-2S-29E ATLANTIC BEACH VILLA UNIT 2 LOT 16 BLK 3
Address of property being improved: 59 S SARATOGA CIRAtlantic Beach FL 32233
General description of improvements: Re-roof
Owner: Dagher,Ziad Address: 59 S SARATOGA CIRAtlantic Beach FL 32233
Owner's interest in site of the improvement: Residential
Fee Simple Titleholder(if other than owner):
«s �
Name: �� p
• U
Contractor: Hanson Roofing,Inc. n
Address: 2765 Leon Rd.Jacksonville, FL.32246
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Telephone No.: (904)333-9064 Fax No: (904)641-6328rx
• eNi
Surety(if any) C> U o
(�J,Nw O
Address: Amount of Bond$ a co 63
Telephone No: Fax No: o a E z_
U W
Name and address of any person making a loan for the construction of the improvements
C;45
o Z
u E vo0W
Name: n• zQOQ
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:
Telephone 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 Statues. (Fill in at Owner's option)
Name:
Address:
Telephone 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):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
.Z'Sig•-•• : 4 //L/ A Date: ( ( S I c'/
B-for- t •.y o wororIW N-1csZb r n the County of Duval,State
Of Florida,has personally appeared _iGi G . ghe-R-
'� A �'� . • ••. a Large,State of Florida,County of Duval.
•1�PY�U�4,
CHRIS ' RIGN Y MX,,commission expires: 5-31- a
` ' ;.;.' ? Commission# G 1rlunally Knovin: or
Expires May 31,20
, p Y rodu d i kation: moi, l�� 4�`x-60' 7$7-(�i'oa(67--0
."Y 6P r°": bonded Thru Troy Fain Insurance ouv-3�•