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1464 Seminole Rd RERF21-0268 Shingle, Flat RoofOWNER:ADDRESS:CITY:STATE:ZIP: SCHAFER MAX EDWIN JR 1464 SEMINOLE RD ATLANTIC BEACH FL 32233-5510 COMPANY:ADDRESS:CITY:STATE:ZIP: TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 171954 0000 SELVA MARINA UNIT 02 JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 1464 SEMINOLE RD REROOF SHINGLE Shingle: FL18355-R6, : FL6785-R10 ADDED FLAT AREA $15000.00 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: 11/15/2021 PERMIT NUMBER RERF21-0268 ISSUED: 11/15/2021 EXPIRES: 5/17/2022 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 $130.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 WORK WITHOUT PERMIT 455-0000-322-1000 0 $110.00 TOTAL: $244.00 2 of 2Issued Date: 11/15/2021 PERMIT NUMBER RERF21-0268 ISSUED: 11/15/2021 EXPIRES: 5/17/2022 REROOF SHINGLE PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 r!REROOF SHINGLE PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH RERF21-0268 J v 800 SEMINOLE ROAD ISSUED: 11/15/2021 ATLANTIC BEACH. FL 32233 EXPIRES: 5/14/2022 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: Shingle: FL18355-R6, 1464 SEMINOLE RD REROOF SHINGLE 15000.00 Underlayment: FL6785-R10 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 171954 0000 SELVA MARINA UNIT 02 COMPANY: ADDRESS: CITY: STATE: ZIP: OWNER:ADDRESS: CITY: STATE: ZIP: SCHAFER MAX EDWIN JR 1464 SEMINOLE RD ATLANTIC BEACH FL 32233-5510 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. 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 DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT Issued Date: 11/15/2021 I oI z o'`itre„ REROOF SHINGLE PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH RERF21-0268 V 800 SEMINOLE ROAD ISSUED: 11/15/2021 j ATLANTIC BEACH. FL 32233 EXPIRES: 5/14/2022 BUILDING PERMIT 455-0000-322-1000 0 130.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 2.00 TOTAL:$134.00 Issued Date: 11/15/2021 2 of 2 f, , Building Permit Application Updated10/9/18 City of Atlantic Beach Building Department ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY e it')'' IS REQUIRED. Phone:` 3 904) 247-5826 Email: Building-Dept@coab.us Job Address: Mot// ery),, obi e k Permit Number: Legal Description Lo+ Li , 61 o .,-iy Set'CL 1" 1 Cr% V'0.- i tLnG-2- RE# 17JQ,5'f 0(..)OL) Valuation of Work(Replacement Cost)$ (6 QOO. m Heated/Cooled SF„ aCO Non-Heated/Cooled Class of Work: New Addition Alteration Vcepair Move Demo Pool DWindow/Door Use of existing/proposed structure(s): Commercial sidential If an existing structure,is a fire sprinkler system installed?: Yes C3No Will tree(s) be removed in association with proposed project? Yes(must submit separate Tree Removal Permit) Kilo Describe in detail the type of work to be performed: C ,- —fin. a1 (LQ k civ ' PPFloridaProductApproval# see lee-/- for multiple products use product approval form Property Owner Informatio 7 Name ,/ `JI,Li l J..cjh4"-f Address l loaf s'ri l ro%e k d City r / j /9 hL ii3each State FL- Zip ,3i.9,9 '. Phone 7.e)11 -? 7-6 790 E-Mail (d..//C 9 AW'CY0-i3[1/ 1d ivS .et)'1 Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company Lon Cif 4(1//der Qualifying Agent Address I# ('4 rf1. & ka. City ff: 15e4ch State FL Zip .32-23 Office Phone Job Site Contact Number State Certification/Registration# E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer OR Ex mpt 0 Expiration Date Application is hereby made to obtain a permit to do the work and installation s indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be p ormed to meet the standards of all the laws regulating construction in this jurisdiction. I understand that a separate permi ust be secured for ELECTRICAL WORK, PLUMBING,SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and Al NDITIONERS,etc. NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable tot s 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 1L ; Signature of Owner o Agent)Signature of Contrac .r) Signed and sworn to(or affirmed)before me this 1Z- day of Signed and sworn to(or affirmed .efore me this day of N01 , 2-021 ,by J .llL 1-1, ',1,(h `t t r— by 47pv, .2V--c-Li Signature of Notary) Signature of Notary) Personally Known OR CHRISTIAN GILE1ersona K awn OR roduced Identification ti li..1 MY COMMISSION#Iiliti1YCg Ce: aentification Type of Identification:F-1,-j.L- y C: EXPIRSS_April 13T 25o Ide'tification: of i.,°.• Bonded Thru Notary Public underwriters t ''''t City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 W Phone: (904) 247-5826 Email: PERMIT#: I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. I II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. . III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO.455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA"CONTRACTORS CERTIFICATE"TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904- 247-5826 OR IF IN DOUBT. V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. Job Address: I / toil ?ri-)/holei21o 4-/cui 'tic a e'c CA 3, .33 Owner Name: JLt-/6 9 & Phone Number: l o 00 7-o7 ) Mailing Address: 17'(DLf Sem; ho/e i - ' Ci : 1-6 hz 15.i) State: 1-1-- Zip: 3, 3: lj Notarized Signature ofOwner - - v 4 1&,9 1 The foregoing instrument was acknowledged before me this i 2 day of /(O V- , 20 2 \ in the State of Florida, County of piVPI— Signature of Notary Public an/fi 7// — 9g6- n;;••. CHRISTIAN GILES Personally Known OR [ Produced Identification iii?COMMISSION It HH 117153 tXPIR6S:ApriI13,2o25 I_ITypeofIdentification: F _ _ . L_ - of F,;'.:' P. onded Thna Notary Public Underwriters Updated 10/24/18 f , r Za..1;) lrelAti C4 t I tor!*Pi 1la%1Mrvlo::'. f---,n) PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA (*REQUIRED) Project Address: / L/ L/Seiij'nô/e K D a% Ia,?1;Y, f? ea, PL 3 E Permit#: Owner/Project Name: ( Ce_//-, cf0.04 {Y 4007 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: 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 Page 1 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 nn,,,1.Asphalt shingles Q rr t.h• i ham Sirup_ F1_ 2(1(3355. 2. Underlayments anise. eoai 4Ulaitrpafi! Se-aahearLtnd Ft.,- 085-e 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 Page 2 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 3 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 2Signature:Name (Print Name): / l9 -1 Contractor Company Name: O Genii Mailing Address: l/ 7y7 i)-10% City: ii-fiCtn AL Ln,c-il State: F'L_ Zip Code: 32233 Telephone Number:V0174--Ygj 7 -67 9 C) E-mail Address: CU/s?Galf'occ1/4_,b1..cilcifsvS.cd 4-7J Cell Phone Number: Fax Number: Page 4 of 4 Updated 06/21/21 h? "PLOAIOq OBPgATMONT OF it:. Business & Professio A..L.lv.f uL1:.1,:d.lc::.I:.u::,a SCIS Home Log In User Registration Hot Topics Submit Surcharge Stats&Facts Pubikations Contact Us BCIS Site Map Links Search di1!If!,I ti Y iih Product Approval I usER:Public user JProduct All pproval Menu>Product or Appllcapon Search>ApplIcation List>Application Detail OFFICE OF THE FL# FL6785-R10 SECRETARY Application Type Revision Code Version 2020 Application Status Approved Comments Archived Product Manufacturer Carlisle Coatings&Waterproofing Address/Phone/Email 900 Hensley Lane Wylie,TX 75098 717)245-7000 Ext 7456 wert@syntec.carlisle.com Authorized Signature Chad Wert wert@syntec.carlisle.com Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Roofing Subcategory Underlayments Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report-Hardcopy Received Florida Engineer or Architect Name who developed the Robert Nieminen Evaluation Report Florida License PE-59166 Quality Assurance Entity UL LLC Quality Assurance Contract Expiration Date 12/27/2023 Validated By John W. Knezevich, PE Validation Checklist-Hardcopy Received Certificate of Independence FL6785 RIO C01 2020 01 001 NIEMINEN.wcif Referenced Standard and Year(of Standard) Standard Year ASTM D1970 2015 ASTM D4798 2011 FRSA/TRI,Sixth Edition 2018 Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 08/13/2020 Date Validated 08/13/2020 Date Pending FBC Approval 08/20/2020 Date Approved 10/13/2020 Summary of Products_ FL# Model,Number or Name Description 111 6785.1 CCW Roof Underlayments Self-Adhering, modified bitumen roof underlayments Limits of Use Installation Instructions Approved for use in HVHZ:No FL6785 RIO II 2020 08 13 FINAL ER CCW FL6785-R9.a Approved for use outside HVHZ: Yes Verified By: Robert Nieminen 59166 Impact Resistant: N/A Created by Independent Third Party: Yes Design Pressure: +N/A/-45 Evaluation Reports Other: 1,)The DP in this application pertains to a specific FL6785 R10 AE 2020 08 13 FINAL ER CCW FL6785- underlayment system for use in tile roof systems. See ER RF rulf Section 5.8.3. 2.) Refer to ER Section 5 for other Limits of Use. Created by Independent Third Party: Yes I I Contact U$:: 2601 61a,Stone Road,Tallahassee Ft.3235h Phone:850487-1924 The State Of Florida Is en AA/EEO employer.QQyright 2007-2013 State Of Florida ::Eoee v Statement::Accessrbdnv Statement::Refund Statement Under Florida law,email addresses are public records.If you do not want your e-mail address released in response to a public-records request,do not send electronic mall to this entity.Instead,contact the office by phone or by traditional mall.If you have any questions,please contact 850.487.1395.`Pursuant to Section 455.275(1), Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address if they have one.The emails provided may be used for official communication with the licensee.However email addresses are public record.IF you do not wish to supply a personal address,please provide the Department with an email address which can be made available to the public.To determine If you are a licensee under Chapter 455,P.S.,please dick holt. Product Approval Accepts: M® leClrck Credit Card Safe security 1\11:7 RICs• n.omcA OC ARTMIUT OP rtG Business & Professional Re9 ulation v a. •, r r f/•Lf.idlll it L.cownitT DBPR BCIS Home Log In ! User Registration Hot Topics I Submit Surcharge Stats&Facts Publications Contact Us BCIS Site Map Links Search Florida prProduct Approval USER Public User Product Approval Menu>Product or Application Search>Application List>Application Detail OFFICE OF THE FL# FL18355-R6 SECRETARY Application Type Revision Code Version 2020 Application Status Approved Approved by DBPR.Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commission if necessary. Comments Archived Product Manufacturer TAMKO Building Products LLC Address/Phone/Email PO Box 97 Galena,KS 66739 417)624-6644 Ext 2305 kerri_eden@tamko.com Authorized Signature Kern Eden kerri_eden@tamko.com Technical Representative Kern Eden Address/Phone/Email PO Box 1404 Joplin, MO 64802 417)624-6644 Ext 2305 kerri_eden@tamko.com Quality Assurance Representative Address/Phone/Email Category Roofing Subcategory Asphalt Shingles Compliance Method Evaluation Report from a Product Evaluation Entity Evaluation Entity UL LLC Quality Assurance Entity UL LLC Quality Assurance Contract Expiration Date 11/18/2021 Validated By Robert Nieminen,PE,NEMO ETC,LLC J Validation Checklist-Hardcopy Received Certificate of Independence FL18355 R6 COI UL Standards of Business Conduct-Indeoendence.odf Referenced Standard and Year(of Standard) Standard Year ASTM D3161 2016 ASTM D3462 2010 ASTMD D7158 2019 Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Method 1 Option C Date Submitted 11/20/2020 Date Validated 11/23/2020 Date Pending FBC Approval Date Approved 11/24/2020 Summary of Products FL# Model,Number or Name Description 18355.1 TAMKO Asphalt Shingles ASTM D3462 asphalt shingles and hip and ridge shingles Limits of Use Installation Instructions Approved for use in HVHZ:No FL18355 R6 II 2020 11 18 TAMKO UL ER2919-01.odf Approved for use outside HVHZ:Yes Verified By: UL LLC Impact Resistant:N/A Created by Independent Third Party: Design Pressure:N/A Evaluation Reports Other:See evaluation report for limits of use.FL18355 R6 AE 2020 11 18 TAMKO UL ER2919-01.odf ME ME Contact Us::2601 Blair Stone Road.Tallahassee FL 32399 Phone:850-487-1824 The State of Florida is an AA/EEO employer.Coovriaht 2007-2013 State of Florida ::privacy Statement::Accessibility Statement::Refund Statement Under Florida law,email addresses are public records.If you do not want your e-mail address released in response to a public-records request,do not send electronic mall to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions,please contact 850.487.1395.*Pursuant to Section 455.275 1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address if they have one.The emails provided may be used for official communication with the licensee.However email addresses are public record.If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public.To determine if you are a licensee under Chapter 455,F.S.,please click hem. Product Approval Accepts: Ac71RE Credit Card Safe SCCUIItVMI-Tit ICS Date Submitted 11/20/2020 Date Validated 11/23/2020 Date Pending FBC Approval Date Approved 11/24/2020 Summary of Products FL# Model,Number or Name Description 18355.1 TAMKO Asphalt Shingles ASTM D3462 asphalt shingles and hip and ridge shingles Limits of Use Installation Instructions Approved for use in HVHZ: No FL18355 R6 II 2020 11 18 TAMKO UL ER2919-01.odf Approved for use outside HVHZ:Yes Verified By: UL LLC Impact Resistant:N/A Created by Independent Third Party:Design Pressure: N/A Evaluation Reports Other:See evaluation report for limits of use.FL18355 R6 AE 2020 11 18 TAMKO UL ER2919-01.pdf ME MBE Contact Us::2691 Blair Stone Road.Tallahassee FL 32399 Phone:850-487-1824 The State of Florida is an AA/EEO employer.Copyright 2007-2013 State of Florida ::Privacy Statement::Accessibility Statement::Refund Statement Under Florida law,email addresses are public records.If you do not want your e-mail address released In response to a public-records request,do not send electronic mail to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions,please contact 850.487.1395.`Pursuant to Section 455.275 1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address if they have one.Theemailsprovidedmaybeusedforofficialcommunicationwiththelicensee.However email addresses are public record.If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public.To determine if you are a licensee under Chapter 455,F.S.,please click here. Product Approval Accepts: lel kmq1121 Credit Card Safe SCC(IPitV IIL ELKS' Revision Request/Correction to Comments ALLINFORMATION HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. Mr 800 Seminole Rd, Atlantic Beach, FL 32233 oss''/ Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: c'7 al -6165 I I Revision to Issued Permit OR 12Corrections to Comments Date: // 1 O'" •#P Project Address: / 1-164/ Seri ; ote FL 3 Av3 Contractor/Contact Name: y67he eF'ev- Contact Phone: qb/ L-1 —763 3 Email: GfGiv'e S //i/lr 4 . Description of Proposed Revision/Corrections: tJ/'11L1n.raw l I/ 4-e-ec4d cud, S es . 4- I IF4il110 S /Li ;u V affirm the revision/correction to comments is inclusive of the pro_posed chan s. printed name) Will per °sed revision/corrections add additional square footage to original submittal? reEIV NOV 1 8 2021 L'`11V0 Yes (additional s.f.to be added: BY: Will promised revision/corrections add additional increase in building value to original submittal? o *Yes (additional increase in building value: $ Contractor must sign if increase in valuation) Signature of Contractor/Agent: Office Use Only) Approved Denied Not Applicable to Department Permit Fee Due$ Revision/Plan Review Comments Department Review Required: Building Planning&Zoning Reviewed By Tree Administrator Public Works Public Utilities Public Safety Date Fire Services Updated 10/17/18 NEMO I etc. TABLE 1G: WOOD DECKS—NEW CONSTRUCTION,REROOF(TEAR-OFF)OR RECOVER SYSTEM TYPE E-2: NON-INSULATED,MECHANICALLY ATTACHED BASE SHEET,BONDED ROOF COVER System Deck i Base Sheet Roof Cover(Note 15)MDP Primer No. Note 1) Base Fasteners Attach Base Ply Cap Ply (Psf) Glasbase Base Sheet,Flintlastic FlintFast#12 or#14 with FlintFast 3 in. Optional) Min.15/32-inch Base 20,Flintlastic Poly SMS Base Insulation Plate, OMG#14 HD with OMG 3 in. 6-inch o.c.at 4-inch lap and 6- BP-AA,SBS- SBS-AA,SBS- W-98 plywood,24-inch inch o.c.in four(4),equally None 127.5 span Sheet,Flintlastic Ultra Poly SMS Round Metal Plate or Trufast#12 DP or#14 spaced,staggered center rows AA,SBS-TA TA or APP-TA Base Sheet HD with Trufast 3"Metal Insulation Plate or APP-TA Min.15/32-inch OMG#14 HD with OMG 3 in.Round Metal 6-inch o.c.at 4-inch lap and 6- W-99 plywood,24-inch Flintlastic APP Base T Plates inch o.c.in four(4),equally None APP-TA APP-TA 127.5 span spaced,staggered center rows. COLD-APPLIED SYSTEMS: Glasbase Base Sheet,Flintlastic Min.15/32- inch Base 20,All Weather/Empire Base FlintFast#12 or#14 with FlintFast 3 in. 8-inch o.c.at 4-inch lap and 8- Optional) W-100 plywood,24-inch Sheet,Flintlastic Poly SMS Base Insulation Plate or Trufast#12 DP or#14 HD inch o.c.in three(3),equally None SBS-CA1 52.5 span Sheet,Flintlastic Ultra Poly SMS with Trufast 3"Metal Insulation Plate spaced,staggered center rows SBS-CAI Base Sheet TABLE 1H: WOOD DECKS—NEW CONSTRUCTION OR REROOF(TEAR-OFF) SYSTEM TYPE F:NON-INSULATED,BONDED ROOF COVER System Deck Primer Roof Cover(Note 15) MDP(psf) No. Note 1) Base Ply Ply Cap Ply APA rated,min.7/16 CAT,0.418 i .,Exposure 1,OSB FlintPrime QD,Karnak#108 Flintlastic SA Mid Ply,W-10190.0 sheathing,24-inch span or ASTM D41 primer self-adhering Optional)SBS-SA SBS-SA W-102 Min.15/32-inch plywood,24-inch span FlintPrime QD,Karnak#108 SBS-SA-H Optional)SBS-TA,APP-TA SBS-TA,APP-TA 112.5 or ASTM D41 primer W-103 Min.15/32-inch plywood,24-inch span FlintPrime QD,Karnak#108 SBS-SA Optional)SBS-SA SBS-SA 127.5 or ASTM D41 primer NEMO ETC,LLC Evaluation Report 3520.03.04-R27 for FL2533-R26 Certificate of Authorization#32455 7T"EDITION(2020)FBC NON-HVHZ EVALUATION Revision 27:07/ 20/2021 2019 NEMO ETC,LLC CertainTeed Flintlastic°Modified Bitumen Roof Systems,(610) 893-5400 Appendix 1,Page 18 of 75 NEMO(etc. TABLE 1F: WOOD DECKS—NEW CONSTRUCTION OR REROOF(TEAR-OFF) SYSTEM TYPE E-2: NON-INSULATED,MECHANICALLY ATTACHED BASE SHEET,BONDED ROOF COVER System Deck Base Sheet Roof Cover(Note 15) MDP No. Note 1) Primer Base Fasteners Attach Base Ply Cap Ply (psf) Glasbase ase Sheet,Flintlastic Base Optional)BP- 6-inch o.c.at 3-inch lap and 6-inch o.c.in Min.15/32-inch 20,All We they/Empire Base Sheet, Min.1-inch long,12 ga.Simplex Metal AA,SBS-AA, SBS-AA,SBS- W-71 plywood,24-inch span Flintlastic oly SMS Base Sheet,Cap Nails four(4),equally spaced,staggered None SBS-TA or TA or APP-TA 52.5 Flintlasticultra Poly SMS Base Sheet center rows APP-TA Glasbase B se Sheet,Flintlastic Base 8-inch o.c.at 4-inch lap and 8-inch o.c.in BP-AA,SBS- Min.19/ 32- inch 20,All We ther/Empire Base Sheet, 32 ga.,1-5/8-inch dia.tin caps with 11 SBS-AA,SBS- W-72 plywood,24-inch span Flintlastic oly SMS Base Sheet,ga.annular ring shank nails three(3),equally spaced,staggered None AA,SBS-TA or TA or APP-TA 52.5 Flintlastic Itra Poly SMS Base Sheet center rows APP-TA Glasbase B se Sheet,Flintlastic Base 9-inch o.c.at 2-inch lap and 12-inch o.c. Optional)BP- Min.15/32-inch AA,SBS-AA, SBS-AA,SBS- W-73 20,All We they/Empire Base Sheet, Simplex MAXX Cap in two(2),equally spaced,staggered None 52.5 plywood,24-inch span SBS-TA or TA or APP-TA Flintlastic Poly SMS Base Sheet center rows APP-TA 9-inch o.c.at 2-inch lap and 12-inch o.c. W 74 Min.15/32-inch Flintlastic APP Base T Simplex MAXX Cap in two(2),equally spaced,staggered None Optional) APP-TA 52.5 plywood,24-inch span APP-TA center rows Glasbase Base Sheet,Flintlastic Base 8-inch o.c.at 4-inch lap and 8-inch o.c.in BP-AA,SBS- Min.19/32-inch 20, All Weather/Empire Base Sheet, 32 ga.,1-5/ 8-inch dia.tin caps with 11 SBS-AA,SBS- W-75 plywood,24-inch span Flintlastic Foly SMS Base Sheet,ga.annular ring shank nails three(3),equally spaced,staggered None AA,SBS-TA or TA or APP-TA 60.0 Flintlastic L Itra Poly SMS Base Sheet center rows APP-TA Glasbase Base Sheet,Flintlastic Base Cap nails:1-inch diameter,0.032-inch 6-inch o.c.at 4-inch lap and 6-inch o.c. Optional)BP- Min.15/ 32-inch 20, All Weather/Empire Base Sheet, SBS-AA or W-76 plywood,24-inch span Flintlastic Poly SMS Base Sheet, thick metal cap with 0.120-inch shank at five(5)equally spaced,staggered None AA,SBS-AA or SBS-TA 67.5 Flintlastic Ultra Poly SMS Base Sheet diameter,annular ring shank nails. center rows SBS-TA Glasbase Base Sheet,Flintlastic Base 6-inch o.c.at 4-inch lap and 6-inch o.c.in BP-AA,SBS- Min.19/ 32-inch 20,All Weather/Empire Base Sheet, 32 ga.,1- 5/8-inch dia.tin caps with 11 SBS-AA,SBS- W-77 plywood,24-inch span Flintlastic Poly SMS Base Sheet,ga.annular ring shank nails four(4),equally spaced,staggered None AA,SBS-TA or TA or APP-TA - 82.5 Flintlastic Lltra Poly SMS Base Sheet center rows APP-TA Glasbase Base Sheet,Flintlastic Base 6-inch o.c.at 2-inch lap and 6-inch o.c.in Optional)BP- W 78 Min.15/32-inch 20,All Weather/Empire Base Sheet, Simplex MAXX Cap two(2),equally spaced,staggered None AA,SBS-AA, SBS-AA,SBS- W-78 BS- - 90.0 plywood,24-inch span Flintlastic Poly SMS Base Sheet center rows SBS-TA or TA or APP-TA APP-TA Min.15/32-inch 6-inch o.c.at 2-inch lap and 6-inch o.c.in Optional) W-79 plywood,24-inch span Flintlastic APP Base T Simplex MAXX Cap two(2),equally spaced,staggered None APP-TA APP-TA 90.0 center rows Glasbase Base Sheet,Flintlastic Base 4-inch o.c.at 3-inch lap and 4-inch o.c.in BP-AA,SBS- Min.19/32-inch 20,All Weather/Empire Base Sheet, 32 ga.,1-5/8-inch dia.tin caps with 11 SBS-AA,SBS- W-80 plywood,24-inch span Flintlastic Poly SMS Base Sheet,ga.annular ring shank nails four(4),equally spaced,staggered None AA,SBS-TA or TA or APP-TA 105.0 Flintlastic Ultra Poly SMS Base Sheet center rows APP TA NEMO ETC,LLC Evaluation Report 3520.03.04-R27 for FL2533-R26 Certificate of Authorization#32455 7T"EDITION(2020)FBC NON-HVHZ EVALUATION Revision 27:07/ 20/2021 2019 NEMO ETC,LLC CertainTeed Flintlastic®Modified Bitumen Roof Systems,(610)893-5400 Appendix 1,Page 15 of 75 0 NEMO I etc. TABLE 1F: WOOD DECKS—NEW CONSTRUCTION OR REROOF(TEAR-OFF) SYSTEM TYPE E-2: NON-INSULATED,MECHANICALLY ATTACHED BASE SHEET,BONDED ROOF COVER System Deck Base Sheet Roof Cover(Note 15) MDP Primer No. Note 1) Base Fasteners Attach Base Ply Cap Ply (psf) BP- Glasbase ase Sheet,Flintlastic Base 6-inch o.c.at 2-inch lap and 6-inch o.c.in Optional) Min.15/32- inch AA,SBS-AA, SBS-AA,SBS- W-81 20,All W ther/Empire Base Sheet, Simplex MAXX Cap three(3),equally spaced,staggered None 105.0 plywood,24-inch span SBS-TA or TA or APP-TA Flintlastic oly SMS Base Sheet center rows APP-TA 6-inch o.c.at 2-inch lap and 6-inch o.c.in W 82 Min.15/32- inch Flintlastic PP Base T Simplex MAXX Cap three(3),equally spaced,staggered None Optional) APP-TA 105.0 plywood,24-inch span APP-TA center rows TABLE 1G: WOOD DECKS—NEW CONSTRUCTION,REROOF(TEAR-OFF)OR RECOVER SYSTEM TYPE E-2: NON-INSULATED,MECHANICALLY ATTACHED BASE SHEET,BONDED ROOF COVER System Deck Base Sheet Roof Cover(Note 15)MDP No. Note 1) I Base I Fasteners I Attach Primer Base Ply Cap Ply (psf) SELF-ADHERING SYSTEMS: APA rated,min. Optional) 9-inch o.c.at min.3-inch lap and ASTM D41 7/16 CAT,0.418 in., Trufast Versa Fasteners&Plates,two(2) Flintlastic SA Exposure 1,OSB, Flintlastic SA NailBase screws per plate at 180°from each other* 12-inch o.c.in two(2),equally primer at Mid Ply,self- SBS-SA 60.0* W-83 24-inch span spaced,staggered center rows plates adhering Note: *For re-roof(tear-off)or recover applications,field withdrawal resistance testing(Note 11)shall yield minimum 109 lbf. Additional Versa-Fast Fasteners within each Versa-Fast Plate may be utilized to p roduce minimum withdrawal resistance. For recover installations,screws shall be of sufficient length for minimum 1"penetration through OSB sheathing. Min.19/32-inch 8-inch o.c.at min.3-inch lap and Prime stress ( Optional) W-84 plywood,24-inch Flintlastic SA NailBase Note 2 8-inch o.c.in two(2),equally plates with SBS-SA SBS-SA 82.5* span spaced,staggered center rows Karnak#108 FlintFast#12 or#14 with FlintFast 3 in. Min.15/32-inch 6-inch o.c.at min.2-inch lap and Prime stress Insulation Plate,OMG#14 HD with OMG 3 in.Optional) W-85 plywood,24-inch Flintlastic SA NailBase Round Metal Plate or Trufast#12 DP or#14 6-inch o.c.in three(3),equally plates with SBS-SA SBS-SA 97.5* spanHD with Trufast 3"Metal Insulation Plate spaced,staggered center rows Karnak#108 FlintFast#12 or#14 with FlintFast 3 in. Min.15/32-inch 6-inch o.c.at min.2-inch lap and Prime stress Insulation Plate,OMG#14 HD with OMG 3 in.Optional) W-86 plywood,24-inch Flintlastic SA NailBase Round Metal Plate or Trufast#12 DP or#14 6-inch o.c.in four(4),equally plates with SBS-SA SBS-SA 127.5* spanHD with Trufast 3"Metal Insulation Plate spaced,staggered center rows Karnak#108 HYBRID SYSTEMS: Min.15/32-inch Glasbase Base Sheet,Flintlastic FlintFast#12 or#14 with FlintFast 3 in. 6-inch o.c.at 4-inch lap and 6- Prime stress Base 20,Flint astic Poly SMS Base Insulation Plate,OMG#14 HD with OMG 3 in. SBS-AA,SBS- W-87 plywood,24-inch Sheet,Flintlastic Ultra Poly SMS Round Metal Plate or Trufast#12 DP or#14 inch o.c.in three(3),equally plates with SBS-SA-H TA or APP-TA - 97.5 span Base Sheet HD with Trufast 3"Metal Insulation Plate spaced,staggered center rows Karnak#108 NEMO ETC,LLC Evaluation Report 3520.03.04-R27 for FL2533- R26 Certificate of Authorization#32455 7TH EDITION(2020)FBC NON- HVHZ EVALUATION Revision 27: 07/ 20/2021 02019 NEMO ETC,LLC CertainTeed Flintlastic°Modified Bitumen Roof Systems,(610) 893-5400 Appendix 1,Page 16 of 75 I ) NEMO I etc. TABLE 1G: WOOD DECKS—NEW CONSTRUCTION,IEROOF(TEAR-OFF)OR RECOVER SYSTEM TYPE E-2: NON-INSULATED,MECHANICALLY ATTACHED BASE SHEET,BONDED ROOF COVER System Deck Base Sheet Roof Cover(Note 15)MDP Primer No. Note 1) I Base Fasteners Attach Base Ply Cap Ply (Psi Glasbase Bae Sheet,Flintlastic 7-inch o.c.at 3-inch lap and 7-Min.19/32-inch Base 20,Flin lastic Poly SMS Base SBS-AA,SBS- W-88 plywood,24-inch Note 2 inch o.c.in three(3),equally None SBS-SA-H TA or APP-TA - 105.0 Sheet,Flint! stic Ultra Poly SMS spaced,staggered center rowsspan Base Sheet Glasbase Bae Sheet,Flintlastic FlintFast#12 or#14 with FlintFast 3 in. 6-inch o.c.at 4-inch lap and 6- Prime stressMin.15/32-inch Base 20,Flin lastic Poly SMS Base Insulation Plate,OMG#14 HD with OMG 3 in. SBS-AA,SBS- W-89 plywood,24-inch Sheet,Flintl stic Ultra Poly SMS Round Metal Plate or Trufast#12 DP or#14 inch o.c.in four(4),equally plates with SBS-SA-H TA or APP-TA - 127.5 span Sheet HD with Trufast 3"Metal Insulation Plate spaced,staggered center rows Karnak#108 CONVENTIONAL SYSTEMS: Min.23/32-inch Glasbase Ba•e Sheet,All 12-inch o.c.at 4-inch lap and 36- BP-AA,SBS- SBS-AA,SBS- W-90 plywood,24-inch Weather/Empire Base Sheet, Note 2 inch o.c.in two(2),equally None AA,SBS-TA TA or APP-TA - 30.0* span Flintlastic Ba.e 20 spaced,staggered center rows or APP-TA Min.23/32-inch Glasbase Ba-e Sheet,All 12-inch o.c.at 4-inch lap and 24- BP-AA,SBS- SBS AA,SBS- W-91 plywood,24-inch Weather/E pire Base Sheet, Note 2 inch o.c.in two(2),equally None AA,SBS-TA TA or APP-TA - 45.0* span Flintlastic Ba e 20 spaced,staggered center rows or APP-TA Min.23/32-inch Flintlastic Po y SMS Base Sheet, 12-inch o.c.at 4-inch lap and 36- BP-AA,SBS- SBS-AA,SBS- W-92 plywood,24-inch Flintlastic UI.ra Poly SMS Base Note 2 inch o.c.in two(2),equally None AA,SBS-TA TA or APP-TA - 45.0* span Sheet spaced,staggered center rows or APP-TA Glasbase Ba -Sheet,Flintlastic FlintFast#12 or#14 with FlintFast 3 in. Optional) Min.15/32-inchBase 20,Flin lastic Poly SMS Base Insulation Plate, OMG#14 HD with OMG 3 in. 6-inch o.c.at 4-inch lap and 6- BP-AA,SBS- SBS-AA,SBS- W-93 plywood,24-inch Sheet,Flintla.tic Ultra Poly SMS Round Metal Plate or Trufast#12 DP or#14 inch o.c.in three(3),equally None AA,SBS-TA TA or APP-TA - 97.5 span Base Sheet HD with Trufast 3"Metal Insulation Plate spacedstaggered center rows or APP-TA Min.15/32-inch6-inch o.c.at 4-inch lap and 6-OMG#14 HD with OMG 3 in.Round Metal inch o.c.in three(3),equally None APP-TA APP TA 97.5 W-94 plywood,24-inch Flintlastic AP' Base T Plates q span spaced,staggered center rows. Glasbase Base Sheet,Flintlastic Min.15/32-inch Base 20,All Weather/Empire Base FlintFast#14 with FlintFast 3 in.Insulation 8-inch o.c.at 4-inch lap and 8- Optional) SBS AA or W-95 plywood,24-inch Sheet,Flintlastic Poly SMS Base Plate or Trufast#14 HD with Trufast 3"Metal inch o.c.at three(3)equally None BP-AA,SBS- 97.5 SBS TA span Sheet,Flintlastic Ultra Poly SMS Insulation Plate spaced,staggered center rows AA or SBS-TA Base Sheet Glasbase Base Sheet,Flintlastic 7-inch o.c.at 3-inch lap and 7- BP-AA,SBSMin.19/32-inch Base 20,Flintlastic Poly SMS Base SBS-AA,SBS- W-96 plywood,24-inch Sheet,Flintlastic Ultra Poly SMS Note 2 inch o.c.in three(3),equally None AA,SBS-TA TA or APP-TA - 105.0 span spaced,staggered center rows or APP-TA Base Sheet Min.19/32-inch 7-inch o.c.at 3-inch lap and 7- Dekfast DF-#14-PH3 with PLT-H-2-7/8 or OMG inch o.c.in three(3),equally None APP-TA APP-TA 105.0 W-97 plywood,24-inch Flintlastic APP Base T 14 HD with OMG 3 in.Round Metal Plate q y span spaced,staggered center rows NEMO ETC,LLC Evaluation Report 3520.03.04-R27 for FL2533-R26 Certificate of Authorization#32455 7TH EDITION(2020)FBC NON-HVHZ EVALUATION Revision 27: 07/ 20/2021 2019 NEMO ETC,LLC CertainTeed Flintlastic®Modified Bitumen Roof Systems,(610)893-5400 Appendix 1,Page 17 of 75