1951 BEACH AVE ROOF21-0093 roof permitFinal Plumbing
Final Electrical
Final HVAC
CC Final
Final Building*
Swimming Pool Steel
Swimming Pool Safety
Electrical Grounding & Bonding
Swimming Pool Final (Bldg)
Swimming Pool Final (PW)
Formed Columns/ Beams*
Masonry Cell Fill
Structural Steel*
OTHER:
OTHER:
OTHER:
OTHER:
OTHER:
Power Pole
Silt Fence
Piers/ Stem Walls
Underground Plumbing
Underground Electric
Foundation/ Footing
Slab**
Retaining Wall Footing
Driveway
Sewer (Building Dept)
Sewer Tap (Utilities Dept)
Rough Electric*
Rough Plumbing/ Top Out*
Rough Mechanical*
House Wrap
Wall Sheathing
Roof Sheathing
Tie-down Framing Connections
Rough Framing
Roofing In Progress
Window/Door In-Progress
Insulation Ceiling
Insulation Wall
Exterior Lath
Stucco Scratch Coat
Exterior Siding In-Progress
Brick Flashing & Ties
Early Power
Gas Rough
Gas Final*
* When all rough electric, plumbing, mechanical are complete but before any work is
covered up.
* When all gas piping is complete and wallboard is installed but before gas is
attached to any appliance. All outlets must be capped and pipe pressurized at a
minimum of 15 lbs.
* For new living space: When all construction work including electrical, plumbing,
mechanical, exterior finish, grading, required paving and landscaping is complete
and the building is ready for occupancy, but before being occupied
Additional inspections may apply to your project if your project
contains these elements:
INSPECTIONS REQUIRED FOR BUILDING PERMITS
To verify compliance with building codes, inspections of the work authorized are required at various points of the construction.
The following inspections are typically required for residential projects:
Date: Initial: Date: Initial:
_____________________________________________________
Permit Type
____________________________________________________
Permit No.
__________________________________________________________
Job Address
____________________________________________________
Contractor
POST THIS CARD WITH PERMITS AND PERMIT
DOCUMENTATION IN FRONT OF BUILDING
Construction Hours per City Code: 7am—7pm Weekdays; 9am—7pm Weekends
Building Department Public Works/Utilities Fire Department
Phone: 904-247-5826 Phone: 904-247-5834 Phone: 904-630-4789
Fax: 904-247-5845 Fax: 904-247-5843 Fax: 904-630-4203
* When forms and reinforcing steel, anchor bolts, sleeves and inserts, and all
electrical, plumbing and mechanical work is in place, but before concrete is poured.
* When all structural steel members are in place and all connections are complete,
but before such work is covered or concealed.
** FORM BOARD ELEVATION CERTIFICATE MUST BE ON-SITE FOR SLAB INSPECTION
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $238.32
ROOF21-0093 Address: 1951 BEACH AVE APN: 169695 0000 $238.32
BUILDING $155.00
BUILDING PERMIT 455-0000-322-1000 0 $155.00
BUILDING PLAN REVIEW $77.50
BUILDING PLAN CHECK 455-0000-322-1001 0 $77.50
STATE SURCHARGES $5.82
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.49
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.33
TOTAL FEES PAID BY RECEIPT: R18304 $238.32
Printed: Wednesday, December 15, 2021 12:48 PM
Date Paid: Wednesday, December 15, 2021
Paid By: AMERICAN ROOFING OF JACKSONVILLE
Pay Method: CREDIT CARD 560458690
1 of 1
Cashier: TG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R18304
r<' 'Building Pe tit Application Updated 10/9/18
s! City of Atlantic Beach Building Department ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
1.),,- IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
JOb Address: 1951 Beach Ave.Atlantic Beach,FL 32233 Permit Number:
Legal Description 15-57 09-2S-29E n Atlantic Beach Unit NO 2 Lot 57 RE# 169695-0000
Valuation of Work(Replacement Cost)$20,500.00 Heated/Cooled SF 3768 Non-Heated/Cooledc6383
Class of Work: New Addition Alteration •Repair Move ODemo Pool Wind r
Use of existing/proposed structure(s): Commercial •Residential NOV 3 0 2021
If an existing structure, is a fire sprinkler system installed?: Yes •No
Will tree(s) be removed in association with proposed project? Yes(must submit separate Tree RUIritrvarP l No
Describe in detail the type of work to be performed:
Modified Bitumen Roof Over existing Modified Bitumen Roof 30 sq.
Florida Product Approval#FL1654 for multiple products use product approval form
Property Owner Information
Name Matthew Davis Fleming Address 1951 Beach Ave.
City Atlantic Beach State FL Zip 32233 Phone 904-631-5698
E-mail Dfleming@samscreen.com
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company American Roofing of Jacksonville,LLC Qualifying Agent Dan Kinkel
Address 2117 University Blvd South City Jacksonville State FL Zip 32216
Office Phone 904-3854375 Job Site Contact Number 904- 385-4375
State Certification/Registration# RC29027546 E-Mail admin@americanroofingjax.com
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer Builder's Mutual Insurance#WCP1052393 OR Exempt o Expiration Date 05/03/22
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 FINANCI , CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RDING YOUR NtI)TICE,OF COMMENCEMENT.
r.,
Signature o 6fwner or Agent)Signature o Contractor) 07.7,
6IY ••d and sworn to(or affirmed)before me this 1$) day of Signed and sworn to(or affirmed)before me this ,, , day of 6-.i o
W= F - . 9.01 ,bye N t0 ,Ahrcw by, Q®2 1 ,by 3
777 m
3•c;
i EE eC( CCLM" mss,ile=Me zm=.vm
w t Ii i s
Signature of Nota
0 n 3.Signature of Nota H
y r v S a C
s'b rsonally Known OR Personally Known OR c N 8 a
oduced Identification Produced Identification g : g
rO :s'`.'`ryp of Identification:Type of Identification:
ROOF21-0093
Doc # 2013240674 , OR BK 16531 Page 914, Number Pages: 2, Recorded 09/18/2013
at 10:46 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $18 . 50
DEED DOC ST $11165.00
Prepared by and return to:
Pat Logan
Ponte Vedra Title,LLC
50 AlA North,Suite 108
Ponte Vedra Beach,FL 32082
File Number: PVT130715
Space Above This line For Recording Data)
Warranty Deed
This Warranty Deed made this 6th day of September, 2013. between Dylan Thomas Morgan and Frances H.
Morgan, husband and wife whose post office address is 380 10th Street, Atlantic Beach, FL 32233, grantor, and
Matthew Davis Fleming, an unmarried man whose post office address is 1951 Beach Avenue, Atlantic Beach, FL
32233,grantee:
Whenever used herein the tris"grantor"and"grantee'include all the parties to this instrument and the heirs, legal representatives,and
assigns of individuals,and the successors and assigns ofcorporations,trusts and trustees)
Witnesseth, that said grantor, for and in consideration of the sum of TEN AND NO/100 DOLLARS ($10.00) and other
good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged,
has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land,
situate,lying and being in Duval County,Florida,to-wit:
Lot 57,North Atlantic Beach-Unit No.2 R-C-B-S Corporation,according to the map or plat thereof,as
recorded in Plat Book 15,Page(s)57,of the Public Records of Duval County,Florida.
Parcel Identification Number: 1696950000
Together with all the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining.
To Have and to Hold, the same in fee simple forever.
SUBJECT TO covenants,conditions,restrictions,easements of record and taxes for the current year.
And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the
grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said
land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all
encumbrances,except as specified herein.
Warranty Deed•Page 1
OR BK 16531 PAGE 915
In Witness Whereof,grantor has hereunto set grantor's hand and seal the day and year first above written.
Signed,sealed and delivered in our presence:
mess ignature y ' Thomas Mor_
Heather M.Reynolds
Witness l Printed Name V17seLA.----.--
cgtqlo C/)ew
Frances H.Morgan
Witness 2 Signature
Jolyn Clark
Witness 2 Printed Name
State of ,2
County b;\c_C)
v\O-9
The foregoing instrument was acknowledged before me this day of -C•ech"-L 20J by
Dylan Thomas Morgan and Frfukeois H.Morgan,husband and wife,who( )are personally known to me o have
produced tr ,1t ras identification.
hOipt.1"
Notary Public
Heather M. Reynoldso Yr
r.1 '
A
Printed Name:
c . My Commission Expires:
Warranty/)te4-Page 2
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No. 1 69695-0000
State of Florida,County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance
with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
1. Description ofproperty(legal description of property and address if available):
15-57 09-2S-29E N ATLANTIC BEACH UNIT NO 2 LOT 57
1951 BEACH AVE. ATLANTIC BEACH, FL 32233
2. General Description ofimprovements:
Complete Tear-Off and Re-Roof
3. Owner Information:
a)Name and Address: MATTHEW DAVIS FLEMING, 1951 BEACH AVE.ATLANTIC BEACH, FL 32233
b)Interest in 100%
c)Name and address of simple titleholder(if other than owner): Alo c-x Z o
m 0 0 T c gNAOZ-<o g
4. Contractor Information: Z -T a o,9
a)Name and Address: American Roofing of Jacksonville O N$ o
2117 University Blvd S, Jacksonville, FL 32216 Sm N o
o 53
b)Phone Number: (904) 385-4375
XN
nw x
5.313o0K8
5. Expiration date of Notice of Commencement(the expiration date may not be before the completion of constn N
and final payment to the contractor,but will be one(1)year from the date of recording unless a different date o -n
o
specified:c m
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION C
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, : D
SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICI
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDE
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINAL
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECO
YOUR NOTICE OF COMMENCEMENT.
Under penalty of $-rjury, I declare that I have read the foregoing notice of commencement and that the facts stated
therein are true to iiiAv..1 st of my knowledge and belief.
i( \`(-6th(0r/ ii{, MAel
Signature of Owner or • s•r's Authorized Officer/Director/Partner/Manager Signatory's Printed Name&Title/Office
The foregoing instrument was acknowledged before me by means of Q ysical presence or 0 online notarization,
this I` ) day of MO wit/Ike"—20k,by a{1: deo Iv
N. - of Person making stent)
iv Put EMKEASPI ULDING I eOF1NotaryPublic-State of FloridaNOTARY PUBLIC, STA FLORID
I; Commission M MM 051009 I
ori. ' My Comm.Expires Nov 1,2024 Print Name: &Mi IeCt gf f'/ j t
Bonded through National Notary Assn. I
0 Personally Known
dentificatior/Type: ;L1) LtAffixNotarySealAbove)
Revised 3/16/2020
ROOF21-0093
NEMO I etc.
TABLE 7A: RECOVER APPLICATIONS
SYSTEM TYPE A-1: BONDED INSULATION,BONDED ROOF COVER
Base Insulation Layer Top Insulation Layer Roof Cover(Note 15)
System Substrate MDP
No. (Notes 1&12) Type Attach Type
Attach Base Ply Ply Cap Ply Psf
Notes 6,7,8) Notes 6,7,8)
Existing Optional)Min.1-inch ENRGY 3,Polytherm H, Min.0.25-inch DensDeck Prime or SBS-CA1, SBS-CA1,SBS- -232.5R-60
asphaltic roof H-Shield,Multi-Max FA3
CR-20 SECUROCK Gypsum-Fiber Roof Board
CR-20 SBS-CA2 None CA2
TABLE 7s: RECOVER APPLICATIONS
SYSTEM TYPE F:NON-INSULATED, BONDED ROOF COVER
Substrate Roof Cover(Note 15) MDP(psf)System No.
Notes 1&12)
Primer Base Ply Ply Cap Ply
R-61 Existing asphaltic roof PG100 BP-AA(Optional if using asphalt applied Ply) (Optional if using asphalt applied Base)BP-AA,SBS-SBS-AA,SBS-TA,APP-TA 45.0
AA,SBS-TA or APP-TA
Existing fully-adhered,granule-R-62 None Polyflex,torch-applied Optional)Polyflex,torch-applied APP-TA 362.5
surfaced modified bitumen
Existing fully-adhered,granule-R-63 PG100 Polyflex,torch-applied Optional)Polyflex,torch-applied APP TA 445.0
surfaced modified bitumen
NEMO ETC,LLC Evaluation Report P9290.02.08-R26 for FL1654-R28
Certificate of Authorization#32455 715 EDITION(2020)FBC NON-HVHZ EVALUATION Revision 26:06/09/2021
02018 NEMO ETC,LLC Polyglass Modified Bitumen Roof Systems;(954) 233-1330 Appendix 1,Page 98 of 98
ROOF21-0093
NEMO I etc.
APPENDIX 1:ATTACHMENT REQUIREMENTS FOR WIND UPLIFT RESISTANCE
TABLE DECK APPLICATION TYPE DESCRIPTION PAGE
lA Wood New or Reroof(Tear-Off) A-1 Bonded Insulation,Bonded Roof Cover 6
1B Wood New or Reroof(Tear-Off) A-2 Mech.Attached Anchor Sheet,Bonded Insulation,Bonded Roof Cover 6-12
lc Wood New,Reroof(Tear-Off)or Recover A-2 Mech.Attached Anchor Sheet,Bonded Insulation,Bonded Roof Cover 13-14
to Wood New,Reroof(Tear-Off)or Recover B-1 Mech.Attached Base Insulation,Bonded Top Insulation,Bonded Roof Cover 15
lE Wood New,Reroof(Tear-Off)or Recover C-1 Mech.Attached Insulation,Bonded Roof Cover 16-19
1F Wood New,Reroof(Tear-Off)or Recover D-2 Insulated,Mech.Attached Base Sheet,Bonded Roof Cover 19-23
1G Wood New or Reroof(Tear-Off) E-2 Non-Insulated,Mech.Attached Base Sheet(nails),Bonded Roof Cover 23-28
1H Wood New,Reroof(Tear-Off)or Recover E-2 Non-Insulated,Mech.Attached Base Sheet(screws&plates),Bonded Roof Cover 29-36
li Wood New or Reroof(Tear-Off) F Non-Insulated,Bonded Roof Cover 36-37
2A Steel or Structural concrete New,Reroof( Tear-Off)or Recover B-1 Mech.Attached Base Insulation,Bonded Top Insulation,Bonded Roof Cover 38-43
2B Steel or Structural concrete New,Reroof( Tear-Off)or Recover C-1 Mech.Attached Insulation,Bonded Roof Cover 44-50
2c Steel or Structural concrete New,Reroof(Tear-Off)or Recover D-2 Insulated,Mech.Attached Base Sheet,Bonded Roof Cover 50-52
2D Steel or Structural concrete New,Reroof(Tear-Off)or Recover D-2 Insulated,Mech.Attached Velociflex,Bonded Roof Cover 53-54
3A Structural concrete New or Reroof( Tear-Off) A-1 Bonded Insulation,Bonded Roof Cover 55-69
3B Structural concrete New or Reroof( Tear-Off) F Non-Insulated,Bonded Roof Cover 69
4A Lightweight concrete New or Reroof( Tear-Off) A-1 Bonded Insulation,Bonded Roof Cover 70-74
4B Lightweight concrete New or Reroof( Tear-Off) A-2 Mech.Attached Anchor Sheet,Bonded Insulation,Bonded Roof Cover 74-76
4c Lightweight concrete New or Reroof( Tear-Off) E-2 Non-Insulated,Mech.Attached Base Sheet,Bonded Roof Cover 77-81
5A Cementitious wood fiber New or Reroof(Tear-Off) A-1 Bonded Insulation,Bonded Roof Cover 82-83
5B Cementitious wood fiber Reroof(Tear-Off)or Recover A-2 Mech.Attached Anchor Sheet,Bonded Insulation,Bonded Roof Cover 83-84
5c Cementitious wood fiber Reroof(Tear-Off)or Recover B-1 Mech.Attached Base Insulation,Bonded Top Insulation,Bonded Roof Cover 85
5D Cementitious wood fiber Reroof(Tear-Off)or Recover C-1 Mech.Attached Insulation,Bonded Roof Cover 85
SE Cementitious wood fiber Reroof(Tear-Off)or Recover E-2 Non-Insulated,Mech.Attached Base Sheet,Bonded Roof Cover 85
6A Existing gypsum Reroof(Tear-Off) A-1 Bonded Insulation,Bonded RoofCover 86-90
6B Existing gypsum Reroof(Tear-Off)or Recover A-2 Mech.Attached Anchor Sheet,Bonded Insulation,Bonded Roof Cover 91
6c Existing gypsum Reroof(Tear-Off)or Recover C-1 Mech.Attached Insulation,Bonded Roof Cover 91
6D Existing gypsum Reroof(Tear-Off)or Recover E-2 Non-Insulated,Mech.Attached Base Sheet,Bonded Roof Cover 91
7A Various Recover A-1 Bonded Insulation,Bonded RoofCover 92-98
7B Various Recover F Non-Insulated,Bonded Roof Cover
NEMO ETC,LLC Evaluation Report P9290.02.08-R26 for FL1654-R28
Certificate ofAuthorization#32455 7TM EDITION(2020)FBC NON-HVHZ EVALUATION Revision 26:06/09/2021
2018 NEMO ETC, LLC Polyglass Modified Bitumen Roof Systems;(954)233-1330 Appendix 1,Page 1 of 98 -
NEMoIetc.
5. 7.2 For mechanically attached components or partially-bonded insulation, the maximum design pressure for the
selected assembly shall meet or exceed at least the Zone 1 PRIME design pressure determined in accordance with
FBC Chapter 16. Elevated pressure zones shall employ an attachment density designed by a qualified design
professional to resist the elevated pressure criteria. Commonly used methods are ANSI/SPRI WD1, FM Loss
Prevention Data Sheet 1-29, Roofing Application Standard RAS 117 and Roofing Application Standard RAS 137.
Assemblies marked with an asterisk* carry the limitations set forth in Section 2. 2.10.1 of FM Loss Prevention Data
Sheet 1-29(February 2020)for Zone 2/ 3 enhancements.
5.7.3 For assemblies with all components fully bonded in place,the maximum design pressure for the selected assembly
shall meet or exceed critical design pressure determined in accordance with FBC Chapter 16. No rational analysis is
permitted for these systems.
5.8 All components in the roof assembly shall have quality assurance audit in accordance with F.A.C. Rule 61G20-3.
Refer to the Product Approval of the component manufacturer for components listed in Appendix 1 that are
produced by a Product Manufacturer other than the report holder on Page 1 of this Evaluation Report.
6. INSTALLATION:
Polyglass Modified Bitumen Roof Systems shall be installed in accordance with Polyglass USA, Inc. published
installation instructions,subject to the Limitations/Conditions of Use noted herein.
7. BUILDING PERMIT REQUIREMENTS:
As required by the Building Official or Authority Having Jurisdiction to properly evaluate the installation of this
product.
8. MANUFACTURING PLANTS:
Contact the named QA entity for manufacturing facilities covered by F.A.C. Rule 61G20-3 QA requirements. Refer
to Section 4 herein for products and production locations having met codified material standards.
9. QUALITY ASSURANCE ENTITY:
UL, LLC—QUA9625:(414)248-6409, karen.buchmann@ul.com
THE 98-PAGES THATFOLLOW FORM PART OF THIS EVALUATION REPORT-
NEMO ETC,LLC Evaluation Report P9290.02.08-R26
Certificate ofAuthorization#32455 7TH EDITION(2020)FBC NON-HVHZ EVALUATION FL1654-R28
Polyglass Modified Bitumen RoofSystems Revision 26: 06/ 09/ 2021
Page 5 of 5