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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: