796 MAIN ST ROOF23-0026 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
METAL ROOF
PATRIOT ROOFING SERVICES
796 MAIN ST
ROOF23-0026
OWNER:ADDRESS:CITY:STATE:ZIP:
SAPIA JOAN I TRUST C/O JOAN I & PETER C SAPIA ATLANTIC BEACH FL 32233-5615
COMPANY:ADDRESS:CITY:STATE:ZIP:
PATRIOT ROOFING
SERVICES, INC.1695 Hereford RD MIDDLEBURG FL 32068
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170942 0050 ATLANTIC BEACH SEC H
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
796 MAIN ST ROOF NON SHINGLE Re-Roof Metal $9877.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 PUBLIC WORKS 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: 4/11/2023
PERMIT NUMBER
ROOF23-0026
ISSUED: 4/11/2023
EXPIRES: 10/8/2023
ROOF NON SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $100.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $50.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.25
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $154.25
2 BUILDING NOTICE OF COMMENCEMENT INFORMATIONAL
Notes:
No inspections may be scheduled until a copy a recorded Notice of Commencement has been submitted to the Building Department
3 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
2 of 2Issued Date: 4/11/2023
PERMIT NUMBER
ROOF23-0026
ISSUED: 4/11/2023
EXPIRES: 10/8/2023
ROOF NON SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
4, Building Permit Application44' `
s-,City of Atlantic Beach
tApv 800 Seminole Road,Atlantic Beach, FL 32233
f Phone: (904) 247-5826 Fax: (904)247-5845
Job Address: 796 Main Street,Atlantic Beach,FL 32233 Permit Number:
Legal Description 18-34 38-2S-29E.17 Sec H Atlantic Beach Lot 4 S 1/2 Lot 6 Blk 150 RE#170942-0050
Valuation of Work (Replacement Cost)$9,877.00 Heated/Cooled SF Non-Heated/Cooled
Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
Use of existing/proposed structure(s)(Circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed:
Re-roof
Florida Product Approval# Wip Grip FL6785 R10 Metal FL24397 R2 for multiple products use product approval form
Property Owner Information
Name: Peter Sapia Family Trust Address: 800 Main Street
city Atlantic Beach State ZipFL 32233
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: Patriot Roofing Services, Inc. Qualifying Agent: Joshua Pennington
Address PO Box 519 City Middleburg State FL Zip 32068
Office Phone 904-413-7725 Job Site/Contact Number 904-982-4052
State Certification/Registration# CCC1330098 E-Mail loshp(c patriotrsc.com
Architect Name& Phone# N/A
Engineer's Name&Phone# N/A
Workers Compensation
Exempt/Insurer/Lease Employees/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 regulationg
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.
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 AN A RNEY BEFORE
RECO ING YOUR NOTICE OF COMMENCEMENT.
Signature of Owner or Ag clu g Contracto ) Signature of Contractor)
Signed an sworn to(or affirmed)before e this day of Sig d and sworn to(or affirmed)before me this -3 day of
b 2023 ,by
1%144
r A Si-
WILLIE
f
ICHARDSON
Notary)
CHERYL A.GARCIA
Notary Public•State of Florida Notary Public
y`" Commission=GG 97205t State of Florida
oar` My Comm.Expires Mar 31, 1024 ,ORM&
COmmii HH252633PersonallyKnownORBondedthroughNationalNotaryAssn. N4'rersonally Known 0•s4190ProducedIdentificationIProducedIdentification Expires 8/12/2026
Type of Identification: Type of Identification:
ROOF23-0026
Bridgefield Employers Ins. Co. Expires 5/15/2023
By Mike Jones at 5:24 pm, Apr 06, 2023
REVIEWED FOR CODE COMPLIANCE
NOTICE OF COMMENCEMENT
PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 170942- 0050
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: 18-34 38-2S-29E.17 Sec H Atlantic Beach S 1/2 Lot 5,Lot 6 Block 150
Address of property being improved:_ 796 Main Street, Atlantic Beach, FL 32233
General description of improvements:_Re-roof
Owner Peter Sapia Family Trust
Address_2307 Fleet Landing Blvd,Atlantic Beach, FL 32233
Owner's interest in site of the Improvement 100%
Fee Simple Titleholder(if other than owner)
Name N/A
up/
ki Address
contractor Patriot Roofing Services, Inc.
V Address_PO Box 519, Middleburg, FL 32068r-i
Phone No. 904-413-7725 Fax No. 1-844- 272-1819
Surety(if any) N/A
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name N/A
Address
Phone No. Fax No.
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
Phone No. Fax No.
In addition to himself,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 N/A
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):
rule eel nro er1R RFrnRDER'S USE ONLY fDoc#2023066545,OR BK 20635 Page 331, Signed: XMIL r. D E 3 • 1_3
Number Pages: 1 Before me th s __C day of All- /i,'fl1k - in the
Recorded 04/05/2023 10:53 AM, County of Duva.-a'of o as-per ally appI
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL C74–
CHERYL
herein by
COUNTY himself/herself and , • , -t= -tements and declarations herein
are true and accura
RECORDING $10.00 i"0' CHERVLa,
r Notary Public-StatekofF;Orica
oo• Commission c GG 972051
p Comm.Expires Mar 3 p rj. `Notary Public at Lar' r_e Jur' a r ti!i) . - 4
My commission ex. e . .ii-,.._,: _YLUZI
Personally Known or
Produced Identification
ROOF23-0026
Metal Roof Certification & Listing Program
EIYSTONE 0CertificationReportCERTIFICATIONS, INC. f
11030-002-KCI
145 Limekiln Road,Suite 100B Issue Dated: 10/27/2017
New Cumberland,PA 17070 Revision Date: 1/11/2021
www.keystonecerts.com Expiration Date: 10/12/2025
Construction Specifications Institute (CSI)Category:
Division: 07 00 00—Thermal&Moisture Protection
This Certification Report was used to qualify
Section: 07 41 13-Metal roof and wall panels Florida Product Approval FL 24397-R6.
1. Program Licensee: 4. Evaluated Roof System Description:
4.1. Roof Covering: Armour Rib 29 Ga. metal roof
and wall covering panels are cold roll-formed from
minimum 29 gauge ASTM A792 Grade 80 steel sheet.
Ad?: ST COAST The panels are aluminum-zinc alloy coated per ASTM
A792 (AZ50), and shall be installed in accordance with
METAL ROOFING SUPPLY the manufacturer's instructions and this Certification
Report.
1st Coast Metal Roofing Supply 4.2. Roof Deck:Armour Rib Panel metal roof and wall
186 SR 207 panels are certified for use over solid or closely-spaced,
East Palatka, FL 32131 nominal 15/32" B-C 4 Ply Plywood sheathing complying
386-325-0242 with 2020 Florida Building Code - Building, 7th Edition,
http://www.lstcoastmrs.com/ Section 2303.1.5, with or without the use of 1x4#2 SWP
purlins at 24"O.C.,with a minimum slope of 4%(1/2:12).
2. Certified Roof Covering:Lap sealant shall be applied for installed slopes less than
1st Coast Metal Roofing Supply's Model Armour Rib 29 25% (3:12). When used, 1x4 purlins are attached
Ga. non-structural through-fastened metal roof and wall
through the sheathing and into the rafters using(2) 8x3"
panels installed over plywood sheathing roof deck for deck screws max. 24" O.C.
use in new construction, re-roofing and re-covering 4.3. Anchorage: Armour Rib 29 Ga. metal roof and
applications.
wall panels shall be through-fastened to the purlins or
3. Scope of Certification: roof deck using #10-15 x 1-1/2" Woodgrip hex-head
This Certification Report provides technical data wood screws with bond-seal washer or equivalent, as
substantiating that the use of the certified roof covering
specified in Table 1, applied in the patterns described in
and the evaluated roof systems are in compliance with
Appendix 1.
the following:
4.4. Underlayment: Armour Rib 29 Ga. metal roof
2020 Florida Building Code Building, 7th Edition,
panels in new construction applications shall be installed
Section 1504.3.2. over underlayment meeting the applicable material type
Florida Product Approval Rule 61G20-3.
and attachment details specified in 2020 Florida Building
Code - Building, 7th Edition Table 1507.1.1.1., the
Properties Evaluated: manufacturer's installation instructions and this
Wind Uplift Resistance Certification Report.
Resistance to Foot Traffic
Refer to www.keystonecerts.com to ascertain the ongoing status of this Certification Report.Approval of building products and/or materials can only be granted by
the building official having jurisdictional legal authority. Keystone Certifications,Inc.does not endorse or make warranties with respect to product performance or
suitability of a product for a given use.
By Mike Jones at 5:25 pm, Apr 06, 2023
Metal Roof Certification & Listing Program
KEYSTONE' Certification Report
GEFeripicAric:Inis. 11,1C. 40612
J 11030-002-KCIProduct Coraficatoo Body
1.5O/IEC 17065
Page 2of4
Installation
Armour Rib 29 Ga. metal roof and wall panels in new Note: The UL 580-94 standard is equivalent to the UL
construction applications shall be installed in accordance 580-06 standard, the UL 1897-04 standard is equivalent
with the 2020 Florida Building Code - Building, 7th to the UL 1897-2012 standard, and the FM 4470-12
Edition, Section 1507.4, the manufacturer's published standard is equivalent to the FM 4470-16 standard.
installation instructions and this Certification Report. 5.1. Wind Resistance
Armour Rib 29 Ga. metal roof and wall panels in re- The allowable design uplift pressures for Armour Rib 29
roofing and re-covering applications may be installed Ga. anchored as described in Table 1 and illustrated in
over a single layer of existing shingles and shall be Appendix 1, when tested in accordance with the
installed in accordance with the 2020 Florida Building referenced standards with an applied safety factor of 2.0
Code-Building, 7th Edition, Sections 1507.4& 1511,the are found in Table 1.
manufacturer's published installation instructions and Table 1
this Certification Report.
Max
The manufacturer's installation instructions shall be Anchor
Anchor Design
made available at the time of installation. If there are Description Man'f&
Pattern Uplift
differences between this report and the manufacturer's Model
Pressure
installation instructions, this report shall take SFS HiLo
precedence. Over 15/32"
Woodgrip
4 Ply A 78.5 psf
5. Product Performance 10-15 x 1-
Plywood
The performance of the Armour Rib 29 Ga. non- 1/2"
structural through-fastened metal roof and wall panels SFS HiLo
Over 15/32"
described in this Certification Report has been Woodgrip
4 Ply B 108.5 psf
determined in accordance with: 10-15 x 1-
Plywood
1/2"UL 580-94, Tests for Uplift Resistance of Roof
Assemblies. Over 1x4 SFS HiLo
UL 1897-98, Uplift Tests for Roof Covering Systems. Purlins Over Woodgrip
FM 4470, Resistance to Foot Traffic Test.15/32"4 Ply
A 10-15 x 1-
108.5 psf
As tested & reported by the following independent
Plywood 1/2"
accredited laboratory:
Over 1x4 SFS HiLo
Purlins Over Woodgrip
Laboratory Report Ref. 15/32"4 Ply
B
10-15 x 1-
183.5 psf
Force Engineering&Testing 384/593-0030T-10A, B Plywood 1/2"
384/593-00301-10C, D
384/593-00301-10E
Refer to www.keystonecerts.com to ascertain the ongoing status of this Certification Report.Approval of building products and/or materials can only be granted by
the building official having jurisdictional legal authority. Keystone Certifications,Inc.does not endorse or make warranties with respect to product performance or
suitability of a product for a given use.
Metal Roof Certification & Listing Program
KEYSTONE' CertificationpReort Cr)
CERTIFICATIONS, INC. 0.061=
L_/ 11030-002-
KCI15o/
IEC 17065
Product Caruhcauon Body
Page 3 of 4
5.2. Resistance to Foot Traffic Each licensed facility is subject to periodic inspection by
The Armour Rib 29 Ga. non-structural through-fastened Keystone Certifications to verify conformance with
metal roof and wall panels were tested per the Keystone Roof Covering Certification & Listing Program
referenced standard installed using Anchor Pattern A requirements.
over 1x4 SWP purlins over 15/32" 4 ply plywood. The 9. Identification
resultant deflection under load and permanent
deflection were within the allowable limits defined by Armour Rib 29 Ga. non-structural through-fastened
the standard. metal roof and wall panels represented by this report
shall be identified with Keystone Roof Covering
6. Conditions of Use Certification & Listing Program certification labeling
Armour Rib 29 Ga. non-structural through-fastened illustrated below, to be applied to individual panels,
metal roof and wall panels must be insulated against packaging, invoicing or bills of lading:
other materials or metals including concrete, lead,
copper and treated lumber that contains corrosive keystonecerts.com
materials.
rig
o
7. Limitations of Use
Armour Rib 29 Ga. non-structural through-fastened
CERTIFIED
metal roof and wall panels are not qualified for use in the
High Velocity Hurricane Zone (HVHZ). 11030-002-KCI
Fire classification, shear diaphragm design, roof deck
design & attachment to supporting members are not 2021 .01 .1
within the scope of this Certification Report.
Roof support framing shall comply with 2020 Florida
Ari E 1 09:35.41
Building Code-Building,7th Edition,Chapter 22 for steel, 051001
Chapter 23 for wood and Chapter 16 for structural
loading.
8. Licensed Manufacturing Facilities
This Certification Report is applicable only to Armour Rib
Aaron M. Shultz
29 Ga. non-structural through-fastened metal roof and
Validation Manager
wall panels manufactured at the following locations:
1st Coast Metal Roofing Supply
186 State Rd 207
East Palatka, Florida 32131
Refer to www.keystonecerts.com to ascertain the ongoing status of this Certification Report.Approval of building products and/or materials can only be granted by
the building official having jurisdictional legal authority. Keystone Certifications,Inc.does not endorse or make warranties with respect to product performance or
suitability of a product for a given use.
r..._ I Metal Roof Certification & Listing Program
KEYSTONE Certification Report CO
CERTIFICATIONS, INC._
J 11030-002-KCI Product Curritcsoots Body
L50/IEC 17065
Page 4 of4
Appendix 1 Note: In all cases (new construction, re-roofing and re-
covering),the anchors shall fully penetrate the purlins
or the plywood roof deck (as applicable).
Anchor Pattern A
I;.ROWS OF 010-15 x1-12'SFS I0Lo
REQUIRED ONLY FOR NIA WOCOGP.IP s74'O C
aRM0UR RIR
N
Cc
I_ _.. mow:.. _ .4
r444 " _-tttttitt __ 44;titt44k4i444-T44444 •4 444(4444444444444• 44-tt4tttttt is'.t Ott• 4444tttt. ""r' :zil t4ttttttt i-,
Ex6TNG uNOERuniENT I/\I ,-MN.MSM Al,k..,MLNI.. t--.r... ;it32' I.IICA (MSN /Y,
OPTIONAL) V \
YI
80. 2.5'LONG RING SWUM WJL
MIN 25_W000 RAFTER/JOIST/ OR/8. 2'LONG*000 SCREWS
TRUSS AT MAX 26'0E SPACED 0 6'0.0 N THE FIELD&
AT EDGES
FASTENER PA1TERN AT PANEL ENDS
ARMOUR Rb EXISTING SHINGLES- NEW UNDERLAYMENT-
OPTIONAL) \ (REQUIRED ONLY FOR
1 NEW CONSTRUCTON)AIL
444 ' - 224222 2 222224 22 422 2 4 42242 2624 24242442 42 2t 4 '4 42424 2 ••244 442 .e`.
1,7,LAIANRIWPLY1100015/32'THICK(MIN.)
OPTIONAL) 8d 1 2 S'
LONGAITACNI[
NT:
R02G SHANK NAIL
MN 2*_ *000 RAFTER/JOIST/
EXISTING UNOERUYMENT
OR/8 1 2'LONG*000 SCREWS
TRUSS AI IAAW. 2e O C SPACED 0 6'0.C. N INC FIELD&
Al EDGES
Anchor Pattern B
ROWS OF 010-15x 1-1/2'SFS I L0
N000GRIP a 24'O.C.
r.•c.,0=1s
ExSTING 5WNGLES NEW UNDERIAYMEn-
P0148L) REQUIRED ONLY Ft'.
NEW CONSTRUCTION) f
2zztt12'< rzt3=== .==- ==' s;--`" '"—_ -1,7,-=,-r zziirr r;i i;rzirrrzz 4 42 2r2i442241.4 246z r' zz«:zrzr'zrzrri zi<4:tc <<r<zzt ..
A 1
uw
x 48N11N1Y ATTACHMENT: PLYWOCU I i S2 (HICK (Mitt I/J(\
V y 80. 2.5'LONG RING SHANK NAL L
MN 20_WOOD RAFTER/JOIST/ OR/8 x 2'LONG WOOD SCREWS
TRUSS AT MAX- 2e 0 C. SPACED 0 6'0.0 N THE FIELD&
Al EDGES
Refer to www.keystonecerts.com to ascertain the ongoing status of this Certification Report.Approval of building products and/or materials can only be granted by
the building official having jurisdictional legal authority. Keystone Certifications,Inc.does not endorse or make warranties with respect to product performance or
suitability of a product for a given use.
r-Metal Roof Certification & Listing Program
KE,YST01yE Certificationr-CribReportCERTIFICATIONS. INC. o6lz
11030-002-KCI
LSO/IEC I7065
Product
REC
000 Body
145 Limekiln Road,Suite 100B Issue Dated: 10/27/2017
New Cumberland,PA 17070 Revision Date: 1/11/2021
www.keystonecerts.com Expiration Date: 10/12/2025
Certificate Revisions
Rev# Date Description
0 10/27/2017 Initial issuance.
1 1/8/2018 Added reference to associated Florida Product Approval No 24397.
2 1/23/2018 Added hyperlink to FL24397
3 6/25/2018 Removed ref's to measurements for mat'l thickness and yield strength, relying on
applicable Gauge and steel Grade. Added ref to 1x4 purlin anchorage.
4 03/12/2019 Updated Model name to include metal roof"and wall panels"
5 9/3/2019 Updated ANSI Logo to proper requirements.
6 10/3/2019 Revised anchorage illustrations for clarity,added reference to optional re-roofing
re-covering installation over"one layer of existing shingles".
7 10/12/2020 Updated to 2020 FBC 7th Edition.
8 1/11/2021 Corrected Model name. Updated FPA link.
Refer to www.keystonecerts.com to ascertain the ongoing status of this Certification Report.Approval of building products and/or materials can only be granted by
the building official having jurisdictional legal authority. Keystone Certifications,Inc.does not endorse or make warranties with respect to product performance or
suitability of a product for a given use.
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $154.25
ROOF23-0026 Address: 796 MAIN ST APN: 170942 0050 $154.25
BUILDING $100.00
BUILDING PERMIT 455-0000-322-1000 0 $100.00
BUILDING PLAN REVIEW $50.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $50.00
STATE SURCHARGES $4.25
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.25
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R22883 $154.25
Printed: Tuesday, April 11, 2023 9:03 AM
Date Paid: Monday, April 10, 2023
Paid By: PATRIOT ROOFING SERVICES, INC.
Pay Method: CREDIT CARD 848946602
1 of 1
Cashier: TG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R22883