1941 FRANCIS AVE RERF22-0256 COAB Permit Form with ConditionsFinal 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
SHINGLE ROOF
RERF22-0256
1941 FRANCIS AVE
MASSEY ROOFING
OWNER:ADDRESS:CITY:STATE:ZIP:
ARVM 5 LLC 5001 PLAZA ON THE LAKE 200 AUSTIN TX 78746
COMPANY:ADDRESS:CITY:STATE:ZIP:
Massey Roofing Services
LLC 3166 Highland Grove Drive Orange Park FL 32065
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172099 0000 DONNERS S/D PT LOT 2
17-
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1941 FRANCIS AVE REROOF SHINGLE SHINGLE ROOF $10000.00
FEES
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
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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: 12/29/2022
PERMIT NUMBER
RERF22-0256
ISSUED: 12/29/2022
EXPIRES: 6/27/2023
REROOF SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $109.00
RERF22-0256 Address: 1941 FRANCIS AVE APN: 172099 0000 $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: R21953 $109.00
Printed: Thursday, December 29, 2022 2:16 PM
Date Paid: Thursday, December 29, 2022
Paid By: Massey Roofing Services LLC
Pay Method: CREDIT CARD 778670325
1 of 1
Cashier: TG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R21953
RERF22-0256
BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts Publications Contact Us BCIS Site Map Links Search
Product Approval USER: Public User
Product Approval Menu > Product or Application Search > Application List > Application Detail
FL #FL6785-R11
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(800) 527-7092
robert.patton@carlisleccm.com
Authorized Signature Robert Patton
robert.patton@carlisleccm.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 theEvaluation Report Robert Nieminen
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_R11_COI_2022_01_COI_NIEMINEN.pdf
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 07/15/2022
Date Validated 07/17/2022
Date Pending FBC Approval 07/22/2022
Date Approved 10/11/2022
Summary of Products
FL #Model, Number or Name Description
6785.1 CCW Roof Underlayments Self-Adhering, modified bitumen roof underlayments
Limits of Use
Approved for use in HVHZ: No Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: +N/A/-45 Other: 1.) The DP in this application pertains to a specific
underlayment system for use in tile roof systems. See ER
Section 5.8.3. 2.) Refer to ER Section 5 for other Limits of Use.
Installation Instructions
FL6785_R11_II_2022_07_15_FINAL_ER_CCW_FL6785-R11.pdf
Verified By: Robert Nieminen 59166
Created by Independent Third Party: YesEvaluation Reports
FL6785_R11_AE_2022_07_15_FINAL_ER_CCW_FL6785-
R11.pdf Created by Independent Third Party: Yes
Back Next
Contact Us :: 2601 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 electronicmail 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 emailsprovided 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, pleaseprovide 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: