647 Amberjack Ln ROOF23-0015 App, NOC, Roof Specs Building Permit Application Updated 10/9/18
f City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
--us 9r IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: t I7 AY►'I herJcc./( L cute Permit Number: R OL)I r
N. Legal Descrifition30.60 17-25-9--9W go}e Rao$ am, 1- / RE# /7 1 I JUOod
1 Valuation of Work(Replacement Cost)$ q/000l Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition ❑Alteration ❑Repair EMove ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial ❑Residential
• 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 Removal Permit) ❑No
Describe in detail the type of work to be performed: gC
C'4 O
X Florida Product Approval# , b . 32 68 for multiple products use product approval form
Property Owner Information
Name Ke-)1r f/ 3eorye Address 6y7 cl.mhdr -bac(4 LCA iI
City A—I Cu't T C- r;eCtCh ) State et Zip 32-2-33 Phone /72 - y 3 So
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of o pan R . J. 3'%'\ QualifyingAgent
Address ,9e lrc�Gf'1 S'` City -1( State eg Zip 3.2Z
ly
Office Phone 5 S Zr-7,g77 Job Site Contact� Number y�9v�/ y// 3/'8
Py
State Certification/Registration# E-Mail '�Jh/12 jG/3e//Soc-S1. .f7�7�__
Architect Name&Phone#
Engineer's Name&Phone#
x Workers Compensation Insurer OR Exempt Expiration Date
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 NOTI - OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS Tfi R PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LEND ° 0J • '' ORNEY BEFORE
R CORDING YOVR NOTICE OF COMMENCEMENT OP' Af
t ? t2_ I.
(Signature of Owner r Agent) (Signature of Contractor)
Signed and sworn to(or affirmed)before me this 2Z day of SI , • nndd sworn to(or of -• before met is /a/ Rf
... . , — ' . KQlln2�h _ 7PrTr rJ , � • Qb P i' Y 10 tfa
`i
VANESSA ANGERS �
ial MY COMMISSION#HH 244118 ( Cature of Notary) {!na ure o Q �j
oP EXPIRES:March 23,2026 ••
<�AY.Py TONIGINDLESPER ��
•ersonally Known OR [ ]Personally Known OR
*: .�. MY COMMISSION#GG 34:1113:710
53178
[-4 Produced Identification • [ 1
Produced Identificatio ,.�^Z.�,` EXPIRES:October 6,2023
Type of Identification: )'1.- tx. G(Zo -50Z-Lit-I-Gtr-0 Type of Identification: Thnihintaly_p_ubacijadappAtem
Wn Cp d
+ter
Notice of Commencement
I PREPARE IN DUPLICATE)
To whom it may concern,
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with section 713.13 of the
Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT
Lot 3,Block 5,ROYAL PALMS,Unit 1,
according to plat thereof as recorded in Plat Book 30,pages 60&60A,
Description of property of the current public records of Duval County,Florida.
Having an address of:647 Amberjack Lane,Atlantic Beach,FL 32233
General description of improvements
Owner Kenneth&Maxine George
Address 647 Ambetjack Lane,Atlantic Beach,FL 32233
Owners interest in site of the improvement Fee Simple
Fee Simple Title holder(if other than owner) N A
Name N A
Address N A
Contractor R.J.M.Contractor,Inc.
Address 8223 Garden Street,Jacksonville,FL 322(19)
Surety(if any) NIA
Address NtA Amount of bond S N A
Name and address of any person making a loan for the construction of the improvements.
Name City of Jacksonville Neighborhoods Department -Housing and Community Development Division
Address 214 N.Hogan Street,Jacksonville,FL 32202 7th Floor
Name of person within the State of Florida.other than himself,designated by owner upon whom notices or other documents may be served:
Name N A
Address N A
In addition to himself,owner designates the following person to receive a copy of the Ltenor's Notice as provided in Scetion 713 Oh[21 lb],Florida
Statutes. (Fill in at Owner's option).
Name City of Jacksonville Neighborhoods Department -Housing and Community Development Division,
c/o Alex Chambers
Address 214 N.Hogan Street,Jacksonville,FL 32202 7th Floor
THIS SPACE FOR RECORDER 5 t'St ONLY
Sworn to and subsi..rr1�hhed before me,by means of I physical presence or I 1 online notanzaton.ii,,•
d3 dayo( teb,-1ar) zo�J
Notary Public,SWe of Florida__
Print Name:
Commission No.
My Commission Expires: f Nolrr Pualtc SYr N Flypa
R«ic trva�.na Rtsyrtolda
w J NII 1n71 T!6
(Notary Seal) o-
Owner is personally known to me or produced
as identification
Doc#2023036116.OR RK 20591 Page 164,
Number Pages.1
Recorded 02/2312023 01 38 PM,
JODV PHILLIPS CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$1000
TOIBUILAT
www.tribuiltmg.com
TRI-BUILT® SA CAP
SELF ADHERING SBS MODIFIED BITUMEN CAP SHEET FOR SA ROOF SYSTEMS
PRODUCT USE:TRI-BUILT®SA Cap is designed for use as a cap membrane in multi-ply self-adhered systems.It is suitable for use in
the construction of various roof membrane assemblies over a variety of substrates.It is intended for use over TRI-BUILT®SA NailBase
or TRI-BUILT®SA PlyBase.
PRODUCT COMPOSITION AND FEATURES:TRI-BUILT®SA Cap is manufactured using a high performance,stress-resistant
polyester mat impregnated and coated with a superior grade of modified bitumen compound.It is surfaced on the bottom with a
removable release film and on the top with mineral granules.The combination mat provides excellent tear and puncture resistance.
Roll Dimensions: 393/8"x 32'11"
Nominal Coverage: One square
Approximate Weight: 95 lbs.
Top Surface: Mineral granules
Back Surface: Removable release film
Packaging: Individual cartons(20 rolls per pallet)
APPLICABLE STANDARDS:Meets ASTM D6164,Grade G,Type I,D7505,D1970 and CGSB 37 GP-56M Type la,Class A,Grade 1.
MODIFIED BITUMEN COATING:Non-oxidized(flux)asphalt,blended with elastomeric styrene-butadiene-styrene(SBS)polymer.
Support Mat:High performance,stress-resistant polyester mat.
Test Description Test Method Results`
Tensile Strength: ASTM D5147
@ 73.4+/-3.6°F MD/XD 80/55 lbs./in.
@ 0+/-3.6°F MD/XD 115/90 lbs./in.
Elongation: ASTM D5147
@ 73.4+/-3.6°F MD/XD 60%/65%
@ 0+/-3.6°F MD/XD 40%/40%
Dimensional Stability: ASTM D5147 0.5%
Low Temperature Flex: ASTM D5147 Pass @ 0°F
Thickness: ASTM D5147 4.0 mm(160 mils)
Tear Strength: @ 73.4+/-3.6°F MD/XD 110/80 lbs.
'NOTE:Published results are nominal production values confirmed by independent laboratory testing.
The following information is intended for general information only and is not all-inclusive.
INSTALLATION:Apply to TRI-BUILT®SA NailBase OR TRI-BUILT®SA PlyBase working with lengths of membrane appropriate for proper handling.Overlap side
laps 3"and end laps 6".Selvage edge with release strip is provided on TRI-BUILT®SA Cap;position roll with selvage edge at the high side of the roof.Once
the first cap sheet membrane length is in place,remove the top side lap to release film before overlapping the second length of TRI-BUILT®SA Cap.Stagger
side laps of TRI-BUILT®SA Cap a minimum of 18"from those of the underlying TRI-BUILT®SA PlyBase and be certain end laps also are staggered minimum
36".At end laps(or any overlap onto mineral surface),use trowel grade TRI-BUILT®modified bitumen adhesive uniformly in a 1/16"to Vs"layer wherever an
overlap exists to ensure an adequate bond.Cut opposing corners of end laps diagonally to avoid"T"seam joints.Use a heavy,weighted roller to smooth and
secure the membrane.
DECK PREPARATION:TRI-BUILT®recommends the use of TRI-BUILT®SA NailBase in conjunction with all self-adhering membrane roof installations on
nailable substrates.Non-nailable roof decks may receive direct application of TRI-BUILT®SA PlyBase followed by TRI-BUILT®SA Cap,provided the deck is
thoroughly primed using FlintPrime'SA.It should be noted that without the use of a nailable base sheet,the membrane may be difficult to remove if removal
is ever warranted and certain UL listings
for the product may not apply.
PRECAUTIONS:TRI-BUILT®SA Cap must be applied as part of a self-adhered system.It is not intended for use with hot asphalt,cold adhesives or torch-
down applications.Roof decks must be structurally sound,dry and smooth,and meet or exceed minimum requirements of the deck manufacturer and local
code.Don't attempt application if ice,snow,moisture or dew is present.Surface to be bonded to must be clean,dry and free from any dust or deterrent to
adhesion.Ambient temperature must be 50°F or above.Don't attempt installation on roofs without adequate slope and drainage.
TRI-BUILT®SA rolls must be stored above ground indoors and protected from the elements.Rolls that are improperly stored or have been on hand for
prolonged periods of time may lose their tack.Do not attempt to install rolls that do not exhibit an adequate bond.
TRI-BUILT SA.Gm TBS21 I
05i15'19
MIAMI-DAME
MIAMI-DADE COUNTY
COUNTY PRODUCT CONTROL SECTION
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) 11805 SW 26 Street,Room 208
BOARD AND CODE ADMINISTRATION DIVISION Miami,Florida 33175-2474
T(786)315-2590 F(786)315-2599
NOTICE OF ACCEPTANCE (NOA) www.miamidade.gov/economv
Beacon Sales Acquisition,Inc.
505 Huntmar Park Dr
Herndon,VA 20170
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials.The
documentation submitted has been reviewed and accepted by Miami-Dade County RER-Product Control Section to be
used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ).
This NOA shall not be valid after the expiration date stated below.The Miami-Dade County Product Control Section
(In Miami Dade County)and/or the AHJ(in areas other than Miami Dade County)reserve the right to have this product
or material tested for quality assurance purposes.If this product or material fails to perform in the accepted manner,the
manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify,or suspend the use
of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance,if it is
determined by Miami-Dade County Product Control Section that this product or material fails to meet the requirements
of the applicable building code.
This product is approved as described herein,and has been designed to comply with the Florida Building Code
including the High Velocity Hurricane Zone of the Florida Building Code.
DESCRIPTION: Tri-Built Underlayment Systems
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and following
statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change
in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product,for
sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of
this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the
expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done
in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and
shall be available for inspection at the job site at the request of the Building Official.
This NOA consists of pages 1 through 7.
The submitted documentation was reviewed by Alex Tigera.
NOA No.:20-0414.13
MIAMIDADECOUNTY Expiration Date: 11/24/24
APPROVED Approval Date:06/11/20
Page 1 of 7
ROOFING COMPONENT APPROVAL
Category: Roofing
Sub-Catezorv: Underlayment
Material: SBS
SCOPE:
This approves Tri-Built Underlayment Systems,as described in this Notice of Acceptance;designed to comply with the
Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code.
TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT:
Product Dimensions Test Product
Specification Description
TRI-BUILT SAT Base 39 3/8"x 68' 7" ASTM D 1970 Granular surfaced modified,fiberglass reinforced,
Manufacturing Location rolls bituminous sheet material for use as an
#2 underlayment in sloped roof assemblies.
Designed as an ice&rain shield. Not for use as
an Anchor Sheet.Direct adhesion to wood deck
not permitted in the HVHZ.
TRI-BUILT Granulated 39 3/8"x 32' 10" ASTM D 6222 Granule surfaced APP Modified Bitumen
Torch rolls Grade G membrane with non-woven polyester mat
Manufacturing Location Type I reinforcement for torch application.
#1
TRI-BUILT SBS Cap 39-3/g"x 32'10" ASTM D 6164 Granule surfaced SBS Modified Bitumen
Manufacturing Location rolls Grade G membrane with non-woven polyester mat
#1 Type I reinforcement for mop application.
TRI-BUILT SA Cap 39 3/8"x 33'11" TAS 103 Polyester reinforced,self-adhering SBS modified
Manufacturing rolls bitumen cap sheet.
Location#1
MANUFACTURING LOCATION:
1. Little Rock,AR.
2. Shakopee,MN
NOA No.:20-0414.13
MIAMI RADE COUNTY Expiration Date: 11/24/24
APPROVED Approval Date:06/11/20
Page 2 of 7
EVIDENCE SUBMITTED:
Test Agency Test Identifier Test Name/Report Date
TrinitylERD 3530.12.05-1-R1 ASTM D1623 10/05/09
C32240.03.10 ASTM D4977 03/04/10
C3500.04.10 TAS 103 04/01/10
C31860.05.10 ASTM D1623 05/18/10
C32930.01.11-R2 ASTM D1623 01/20/14
C45240.01.14-2 TAS 103,TAS 110 01/24/14
CTR-SC11415.11.16 TAS 103 11/28/16
CTR-SC11505.12.16 ASTM D1623 12/22/16
PRI Construction Materials CTC-071-02-01 ASTM D6222 08/08/11
Technologies,LLC CTC-093-02-01 ASTM D6164,ASTM D4798 08/09/11
QAI Laboratories RJ3502-1 ASTM E108 09/29/14
NOA No.:20-0414.13
MIAMFDDECOUNTY
AExpiration Date: 11/24/24
APPROVED Approval Date:06/11/20
Page 3 of 7
APPROVED ASSEMBLIES:
Deck Type 1: Wood,Non-insulated
Deck Description: '9/32"or greater plywood or wood plank
System E(1): Anchor sheet mechanically fastened to deck,membrane adhered.
Anchor Sheet: One or more plies of ASTM D 226 Type II or ASTM D 2626 with a minimum 4"headlap and a
6"end lap mechanically fastened to deck with approved nails and tin caps 6"o.c.at the side lap
edge and in a grid pattern spaced 12"o.c.in the field of the roll.
Membrane: One or more plies of TRI-BUILT Granulated Torch,torch applied to anchor sheet or TRI-
BUILT SAT Base self-adhered to the anchor sheet with a minimum 3"headlap and 6"end lap.
Place the first course of membrane parallel to the eave,rolling the membrane to obtain
maximum contact.Remove the release membrane as the membrane is applied. Vertical
strapping of the membrane is acceptable.If membrane is strapped,then anchor sheet must also
be strapped.
Surfacing: Shall be acceptable for use in approved asphaltic shingles,wood shakes,&shingles,quarry
slate,and metal roof applications.Must Comply with applicable Roofmg Application Standards
and Building Codes
NOA No.:20-0414.13
MIAMI•DADECOUNTY Expiration Date: 11/24/24
APPROVED Approval Date:06/11/20
Page 4 of 7
Deck Type 1: Wood,Non-insulated
Deck Description: 19/32"or greater plywood or wood plank
System E(2): Anchor sheet mechanically fastened to deck,membrane adhered.
Anchor Sheet: One ply of ASTM D 226 Type II organic felt mechanically attached with a minimum 4"side lap
and a minimum 6"end lap.Anchor sheet shall be applied at a right angle(90°)to the slope of
the deck with approved annular ring shank nails and tin caps at a fastener spacing of 6"o.c.at
the side lap edge and in a grid pattern spaced 12"o.c. in the field of the roll of the base sheet.
Ply Sheet: (Optional)One or more plies of an ASTM D226 ply sheet adhered in a full mopping of
approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq.
Membrane: One ply of TRI-BUILT SBS Cap,adhered in a full mopping of Type IV asphalt applied within
the EVT range and at a rate of 20-40 lbs./sq.or TRI-BUILT Granulated Torch,torch applied to
the preceding sheet or TRI-BUILT SA Cap,self-adhering membranes adhered to the preceding
sheet with a minimum 4"side lap and 6"end lap.Place the first course of membrane parallel to
the eave,rolling the membrane to obtain maximum contact. Remove the release membrane as
the membrane is applied. Vertical strapping of the membrane is acceptable. If membrane is
strapped,then anchor sheet and ply sheet must also be strapped.
When used in Tile roof systems the cap sheet shall be back nailed to deck with approved annular
ring shank nails and tin caps at a maximum of 12"o.c.at the side laps and 6"o.c.at the end
laps. No nails or tin caps shall be exposed.
Surfacing: •TRI-BUILT SA Cap,TRI-BUILT Granulated Torch and TRI-BUILT SBS Cap may be used
with any approved roof tile system mechanically fastened as specified in their current NOA.
•TRI-BUILT SA Cap,TRI-BUILT Granulated Torch and TRI-BUILT SBS Cap may be used
with any approved roof tile system adhered as specified in their current NOA using any foam
adhesive listed and having a current tile adhesive NOA approval.
Must comply with appropriate Roofmg Application Standard RAS 118,RAS 119,RAS 120 and
applicable Building Codes.
NOA No.:20-0414.13
MANMADE COUNTY Expiration Date: 11/24/24
APPROVED
Approval Date:06/11/20
Page 5 of 7
LABELING:
All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo,city,
state and the following statement: "Miami-Dade County Product Control Approved"or the Miami-Dade County
Product Control Seal as shown below.
CECOUNTY
APPROVED
BUILDING PERMIT REQUIREMENTS:
Application for building permit shall be accompanied by copies of the following:
1. This Notice of Acceptance.
2. Any other documents required by the Building Official or applicable building code in order to properly evaluate
the installation of this material.
LIMITATIONS:
1. Fire classification is not part of this acceptance.
2. Tri-Built underlayment roofing systems utilizing TRI-BUILT Granulated Torch or TRI-BUILT SAT Base as a cap
membrane shall be acceptable for use in asphaltic shingles, wood shakes, & shingles, quarry slate, and metal roof
applications.
3. Tri-Built underlayment roofing systems utilizing TRI-BUILT SA Cap,TM-BUILT Granulated Torch or TM-BUILT
SBS Cap as a cap membrane shall be acceptable for use in foam adhesive set and mechanically fastened roof tile
systems as specified in the surfacing option of the approved assemblies.
4. This acceptance is for prepared roofing applications. Minimum deck requirements shall be in compliance with
applicable building code. Tri-Built underlayment roofing systems shall be installed in strict compliance with
applicable Building Code.
5. Tri-Built underlayment roofmg systems membranes shall be applied to a smooth, clean and dry surface with deck
free of irregularities.
6. Tri-Built underlayment roofing systems membranes shall not be applied over an existing roof membrane as a recover
system but may be applied over an approved roofmg Base/Anchor sheet underlayment.
7. TRI-BUILT SAT Base,TM-BUILT SA Cap,TRI-BUILT SBS Cap,and TRI-BUILT Granulated Torch shall not be
left exposed as a temporary roof for longer than 180 days of application.
8. Tri-Built underlayment products may be used with any approved roof covering Notice of Acceptance listing Tri-Built
underlayment products as a component part of an assembly in the Notice of Acceptance. If Tri-Built underlayment
products are not listed, a request may be made to the Authority Having Jurisdiction (AHJ)or Miami-Dade County
Product Control for approval provided that appropriate documentation is provided to detail compatibility of the
products,wind uplift resistance,and fire testing results.
9. All nails in the deck shall be carefully checked for protruding heads. Re-fasten any loose decking panels. Sweep the
deck thoroughly to remove any dust and debris prior to application.
10. When applying the membrane in the valley, start at the low point and work to the high point,rolling the membrane
from the center outward in both directions.
11. Roll or broom the entire membrane surface so as to have 100%contact with the surface,giving special attention to
overlap areas.
12. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Control
Notice of Acceptance and applicable Building Code.
NOA No.:20-0414.13
MIAMIOADE COUNTY Expiration Date: 11/24/24
APPROVED Approval Date:06/11/20
Page 6 of 7
LIMITATIONS:
13. The maximum roof slope for use as roof tile underlayment in direct-to-deck tile assemblies shall be as follows. Use
of loading boards or batten strips is required on roof slopes greater than that reported in the Table below to prevent
slippage.
TILE SLIPPAGE LIMITATIONS FOR DIRECT-DECK TILE ASSEMBLIES
Underlayment Tile Profile Staging Method Maximum
Slope
TRI-BUILT SBS Cap Flat/Lugged Max. 10-tile stack 4:12
TRI-BUILT Granulated Torch Flat/Lugged Max. 10-tile stack 6:12
TRI-BUILT SA Cap Flat Max.6-tile stack(4 over 2) 6:12
Lugged Max. 6-tile stack(4 over 2) 5:12
END OF THIS ACCEPTANCE
NOA No.:20-0414.13
MIA 111E COUNTY Expiration Date: 11/24/24
APPROVED Approval Date:06/11/20
Page 7 of 7