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480 Aquatric Dr RERF23-0041 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: MINGO EDWIN G 480 AQUATIC DR ATLANTIC BEACH FL 32233-3836 COMPANY:ADDRESS:CITY:STATE:ZIP: Allegiance Roof Systems 9556 Historic Kings Rd S Ste 402 Jacksonville FL 32257 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 171818 5160 AQUATIC GARDENS JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 480 AQUATIC DR REROOF SHINGLE Re-Roof Shingle $7000.00 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT 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.\tThe roof sheathing for all new construction must remain uncovered until the Roof Sheathing Inspection is approved.\r\r b.\tAll roofing projects require an In-Progress Inspection.\r\r c.\tSheathing installation and replacement guidelines per APA.\r\r d.\tUnderlayment must conform to FBC-R Table 905.1.1\r\r e.\tShingles must conform to ASTM D3161 G or H, or ASTM D7158 F\r\r 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: 3/13/2023 PERMIT NUMBER RERF23-0041 ISSUED: 3/13/2023 EXPIRES: 9/9/2023 REROOF SHINGLE PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 BUILDING PERMIT 455-0000-322-1000 0 $90.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $94.00 2 of 2Issued Date: 3/13/2023 PERMIT NUMBER RERF23-0041 ISSUED: 3/13/2023 EXPIRES: 9/9/2023 REROOF SHINGLE PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 Building Permit Application Updated 10/9/1H 4.67:, ...- ,, Atlantic Beach BuildingDepartment ALL INFORMATIONCrtyofp TtrJ9 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED. Job Address: /MO Qcijtg4-(C. Pr. 4lart+c/40.4ICAN FL,• Permit Number: +'K_F -COL{ Legal Description 32)-71 11-45-a9 E Asugf c. 6taeds4-4 Lo+48-A RE# I` ia18-S1(a0 Valuation of Work(Replacement Cost)$ /1000 Heated/Cooled SF Non-Heated/Cooled Class of Work: ENew EAddition Alteration Repair Move Demo Pool Window/Door Use of existing/proposed structure(s): ECommercial ( 8esidential If an existing structure,is a fire sprinkler system installed?: Dies o Will tree(s)be removed in association with proposed project? EYes(must submit separate Tree Removal Permit) Describe in d tail the type of work to be performed: IReiZzo +e.c•cm3 04-S 01a 51v491es and plac..wj A6pkal+ 5tvivle6 Florida Product Approval# FL-5111414 for multiple products use product approval form Property Owner Information uun^ Name etotn fY\ino Address ` cc OAf Oit,. (, City Ps-c\4 c State Vi..- Zip 3aa 33 P one ID 4--141-149-15--- E-Mail 9'1a' 5EMailE., miOC.ni leci •Gore^ Owner or Agent (If rgent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company i Qualifying Agent 11bg..n G5 ,Qla¢(.}SQn Address 9545/z ;sK;nS I .$ ertf. ybr City hL Fl--av;) State Zip 34),J5-1 Office Phone 9O - 914C—.21-fit,Job Site Contact N ber State Certification/Registration# cLi.rl33cfri, E-Mail C::n G1WA"C4.roi,doe. CAD Architect Name&Phone# Engineer's Name&Phone Si Workers Compensation Insurer OR Exempt Expiration Date ,5-41--ay 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 FINANCING, CONSULT WITH YOUR LENDER OR ANA R EFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Signature of Owner or Agent) ( 8A Signature of Contractor) Signed and sworn to(or affirmed)before me this pAday of Signed and sworn to(or af'rmed)before me thi1 day of JVlych a3, ao , ;,Y, Fciwtt Min,0 INK v1 , 3Z , , I:1<.- z f S gnaturc d*1r"*—y? Sig ature of Notary) vYb4d, CINDY ANN ONORINI s Notary Public-State of Florida CINDY ANN ONORINI I77. _ Commission#HH 218610 o, F,° Notary Public-State nState of Florida ersonally Known ORii.! :' Personally Known OR Y My Commission Expires Commission#HH 218610 Produced Identification Januar 20,2 I Produced Identification u,i 1 Y 026 111,!.,x;; My Commission Expires Type of Identification: ype of Identification: t January 90,2026 4, j} tr • JM` PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA (*REQUIRED) Project Address:D ACLU CCH C- LJ(', NI- cn Permit#:F..2-3 -0041 Owner/Project Name: I QQ 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:www.floridabuilding.org. 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 1.Asphalt shingles 4; 7' 0,4a AstA31.S r©b-FAQ FL 544 2. Underlayments Cee*ci:n-rem Lrta.v,,M, . Me:4- mQJ i i 4114211 3. Roofing fasteners 7 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 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 Name (Print Name): Q6(' Q// *Contractor Signature: Company Name: PO\e,9%%arIc.,e. geoc S4ernS Mailing Address: Q55C_0 H540r(' t.013.5 . S 6-1-C )10'2 City: ---SC4( n V j Ilei State: PL Zip Code: 3aD-' Telephone Number: 9 oil-1-41-19 E-mail Address: e -4'y G al4'4ce- 006.CCm Cell Phone Number: Fax Number: Page 4 of 4 Updated 06/21/21 NOTICE OF COMMENCEMENT PREPARE IN DUPLICATE) Permit No. Tax Folio No. 171818-5160 State of Florida County of Duval 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 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: 38-71 17-2S-29E AQUATIC GARDENS LOT 8-B Address of property being improved: 480 AQUATIC DR Atlantic Beach FL 32233 General description of improvements: Re Roof Owner MINGO EDWIN G Address 480 AQUATIC DR ATLANTIC BEACH,FL 32233-3836 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Allegiance Roof Systems Address 9556 Historic Kings Rd S Jacksonville Fl 32257 Phone No. 904-449-2416 Fax No. Surety(if any) Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida,other than himself or herself,designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself or herself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). Name Address Phone No. Fax No. Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed:)—2 -- DATE 3 • _£3 Before me this j.1 day of f( . — In the C of Duval,State of Florida,has personally appearedDoc#2023049163,OR BK 20610 Page 259, Cts MiA4m h rein_bY__ Number Pages:1 himself/herself and affirm hat all statements and Recorded 03/13/2023 01:36 PM, are true and accurate 4„,,,;;; 44,„P4e,, CINDY ANN O N O R I N I JODY PHILLIPS CLERK CIRCUIT COURT DUVAL 0‘6%Notary Public State of Florida 1 Commission N HH 218670COUNTYaflto;>E My Commission ExpiresRECORDING $10.00 January 20,2026 Notary Pudica arge,State of et_ Co II,ui law My commission expires: P]\—Lp Personalty Known or Produced Identification