1228 Linkside Dr RERF21-0225 ShingleOWNER:ADDRESS:CITY:STATE:ZIP:
BERGMAN GWEN M 2829 TIMMONS LN #218 HOUSTON TX 77027
COMPANY:ADDRESS:CITY:STATE:ZIP:
DUBO ROOFING CO P O BOX 10252 FLEMING ISLAND FL 32006
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172374 5050 SELVA LINKSIDE UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1228 LINKSIDE DR REROOF SHINGLE Shingle: FL5444,
Underlayment: FL15215-R5 $10911.00
FEES
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 BUILDING ROOF IN-PROGRESS INSPECTION REQUIRED INFORMATIONAL
Notes:
a. The roof sheathing for all new construction must remain uncovered until the Roof Sheathing Inspection is approved.
b. All roofing projects require an In-Progress Inspection.
c. Sheathing installation and replacement guidelines per APA.
d. Underlayment must conform to FBC-R Table 905.1.1
e. Shingles must conform to ASTM D3161 G or H, or ASTM D7158 F
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.
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.
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.
1 of 2Issued Date: 9/20/2021
PERMIT NUMBER
RERF21-0225
ISSUED: 9/20/2021
EXPIRES: 3/19/2022
REROOF SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $105.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $109.00
2 of 2Issued Date: 9/20/2021
PERMIT NUMBER
RERF21-0225
ISSUED: 9/20/2021
EXPIRES: 3/19/2022
REROOF SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $109.00
RERF21-0225 Address: 1228 LINKSIDE DR APN: 172374 5050 $109.00
BUILDING $105.00
BUILDING PERMIT 455-0000-322-1000 0 $105.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R17205 $109.00
Printed: Monday, September 20, 2021 11:18 AM
Date Paid: Monday, September 20, 2021
Paid By: DUBO ROOFING CO
Pay Method: CREDIT CARD 514729848
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R17205
Gl lip Pf -/*/ qg /ct j t
RERF21-0225
Page 1 of 4 Updated 06/21/21
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA (*REQUIRED)
*Project Address: _________________________________________________________________________ Permit #: ___________________________
*Owner/Project Name: _______________________________________________________________________________________________________
As required by Florida Statute 553.842 and Florida Administrative Code Rule 61G20-3, please provide the information and product approval number(s)
for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact
your product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide
product approval may be obtained at: www.floridabuilding.org.
Category/Subcategory Manufacturer Product Description Limitation of Use State # Local #
A. EXTERIOR DOORS
1. Swinging
2. Sliding
3. Sectional
4. Garage Roll-Up
5. Automatic
6. Other
B. WINDOWS
1. Single hung
2. Horizontal slider
3. Casement
4. Double hung
5. Fixed
6. Awning
7. Pass-through
8. Projected
9. Mullion
10. Wind breaker
11. Dual action
12. Other
1228 Linkside Drive, Atlantic Beach, FL 32233
Gwen Bergman
Page 2 of 4 Updated 06/21/21
Category/Subcategory Manufacturer Product Description Limitation of Use State # Local #
C. PANEL WALL
1. Siding
2. Soffits
3. EIFS
4. Storefronts
5. Curtain walls
6. Wall louvers
7. Glass block
8. Membrane
9. Greenhouse
10. Synthetic stucco
11. Other
D. ROOFING PRODUCTS
1. Asphalt shingles
2. Underlayments
3. Roofing fasteners
4. Nonstructural metal
roof
5. Built-up roofing
6. Modified bitumen
7. Single ply roofing
8. Roofing tiles
9. Roofing insulation
10. Waterproofing
11. Wood shingles/shakes
12. Roofing slate
13. Liquid applied roofing
14. Cement-adhesive
coats
15. Roof tile adhesive
16. Spray applied
polyurethane roof
17. Other
CertainTeed Fiberglass shingles 130mph FL5444
ABC Pro Guard Synthetic underlayment Approved use outside HVHC FL 15216-R5
Page 3 of 4 Updated 06/21/21
Category/Subcategory Manufacturer Product Description Limitation of Use State # Local #
E. SHUTTERS
1. Accordion
2. Bahama
3. Storm panels
4. Colonial
5. Roll-up
6. Equipment
7. Other
F. STRUCTURAL
COMPONENTS
1. Wood
connector/anchor
2. Truss plates
3. Engineered lumber
4. Railing
5. Coolers-freezers
6. Concrete admixtures
7. Material
8. Insulation forms
9. Plastics
10. Deck-roof
11. Wall
12. Sheds
13. Other
G. SKYLIGHTS
1. Skylight
2. Other
H. NEW EXTERIOR
ENVELOPE PRODUCTS
1.
2.
Page 4 of 4 Updated 06/21/21
In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, the
Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and installation
instructions along with this Product Approval Sheet.
I certify that this product approval list is true and correct to the best of my knowledge. I further certify that use of different components other than the
ones listed in this document must be approved by the Building Official.
*Contractor Name (Print Name):_________________________________ *Contractor Signature: ___________________________________________
*Company Name: __________________________________________________________________________________________________________
*Mailing Address: __________________________________________________________________________________________________________
*City: _______________________________________________ *State: ______________________ *Zip Code: _______________________________
*Telephone Number: ___________________________________ *E-mail Address: _______________________________________________________
Cell Phone Number: _____________________________________ Fax Number: _________________________________________________________
Otis A. Duncan, Jr
DUBO Roofing Co
830 Kingsley Avenue
Orange Park Florida 32073
904-396-1889 duborooing@dubo.net