371 8th St RERF23-0170 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
RERF23-0170
371 8th St
B SMITH ROOFING INC
OWNER:ADDRESS:CITY:STATE:ZIP:
WOOD JEREMY B 371 8TH ST ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
B SMITH ROOFING INC 13525 SAWPIT ROAD Jacksonville FL 32226
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169975 0000 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
371 8TH ST REROOF SHINGLE SHINGLE ROOF $13000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $120.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $124.00
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 1Issued Date: 11/17/2023
PERMIT NUMBER
RERF23-0170
ISSUED: 11/17/2023
EXPIRES: 5/15/2024
REROOF SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
fa '%;r_. BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
City of Atlantic Beach Building Department PERMIT# REiz c Z3 - b I 70r!
s' ' 800 Seminole Road, Atlantic Beach, FL 32233 ALL information required to process
W Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address 371 $ijs rT RE# f477175^omo,.
Legal Description f 4 7 j b -?,S^s.q't o9714/en a afgcly 14 1 b,7t=r xd7324-34 £4o,7p7AMU 0.11,1ia
Valuation of Work(Replacement Cost) /3/400;p Heated/Cooled SF Non-Heated/Cooled SF
Class of Work:0 New Addition Alteration Repair EMove Demo Pool Window/Door
Use of existing/proposed structure(s): Commercial Ei 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) ;a No
Describe in detail the type of work to be performed:
ee-- Roof
1// z
54z• X31- .
Florida Product Approval#For multiple products use Product Approval Information Sheet)
Property Owner Information Name A Q Et y 7TNA;reit rip Phone
Address 321 g/-0. ,r7--, City /9nA.yr'ic, ileAc/f State 1CL- . Zip 7.,,,y) 3
Email 23 C 13ttOb Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information Name of Company J,fcirr7( i?pafiq/f Phone fel -5(3--;?oq
Address (.3 5-1.f 5Alf(f Ik0 City .'",4c,LiA,I/t",1(e State t.L. Zip 71)-A4
Qualifying Agent ek.ind tM 1 TO State Certification/Registration# !}i GG / 326 TI' -
Email f/4,1'7p. goof/44'0/PT,i/. r Job Site Contact Number gp4 - S73_ 26 o 9
Worker's Compensation Insurer I,f.7110 y A4/3-. '6, OR Exempt Expiration Date t/([2-1-
Architect'sArchitect's Name Email Phone
Engineer'sEngineer's Name Email Phone
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 YOU PAYING TWICE
FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAI G,CONSU WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YO NOTICE OF COMMENCEMENT. Pidys/c4'.cyP+IYPc iLII1A-1PRes ant e1te..ce..
ffature of Owner or Agent) ature of Contractor)
Signed and corn to(or affirmed)before me this /14 day of Signed and sworn to(or affirmed)before me this ', day of
14d4- e-2. ,„70-13 by 3 iic y V#o 12
4/111,00/130A4/111,00/130A 119,--T...119,--Tby /3 set 4,l/vti fll
Signature of Notary 441/4‘:,
ocy'
Signature of Notary 4,,/a7Go(-
Personally Known OR [ ] Produced Identification j<] Personally Known OR [ ] Produced Identification
Type of Identification: Type of Identification:
ci' • ,.,WILLIAM L.POPE
WILLIAM L.POPE c MY COMMISSION#HH 412826MYCOMMISSION#HH 412826 z F
4.: EXPIRES:October 19,2027
b,:• EXPIRES:October 19 207 i4`
NOTICE OF COMMENCEMENT 3 0170
State of Florida Tax Folio No.
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: S'-6 f /G —2,p - 9r¢
tl 1V7 Pr l-d7"3 f Aor 3 f, /6.7fLo". Bt.e/o
Address of property being improved: .77/ 57'
General description of improvements: Ri-Roof
Owner: 2"F 2Cmj a/ Address: 3 71 gli.17'. 4.-7A 04#3 2 2.2.7
Owner's interest in site of the improvement: Jett/Dene e
Fee Simple Titleholder(if other than owner):
Name:
Contractor: /3194/. - frit yht
Address: /3 rzSr 5:44/,/r RO - TRGK5401 / Pi- 3-2.2
Telephone No.:370¢'7/3—2661 Fax No: 9e24—J,f f6
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name: nia
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:
Telephone 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 Statues. (Fill in at Owner's option)
Name: nia
Address:
Telephone 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):
Pftyfcn'- (e e_Ar
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: \ Date: I J't/r;-3
Doc#')^')1-)36494,OR BK 20R71 Page 1690, Before me th'• rear?
day of , VeMBtA in the County of Duval,State
Number Pages:1 Of Florida,h:s •-rsonally appeared .G4,e.,"ly Wosi 0Via/ifRecorded11115/2023 11:14 AM,Notary Publi •t Large,State of Florida,County of Duval.
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL
My commission expires:
COUNTY iumb or
RECORDING $10.00 Produced Identification:4 •WIuL1A14.4 L.POPE
a: . : MY COMMISSION#HH 412826
o;r; EXPIRES:October 19,2027
fiekiarr"
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA (*REQUIRED)
Project Address: 3 7/ Si • Permit#: RF,RF Z3— 017 0
Owner/Project Name: 5xef/'v 4JOaj
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 09/11-(e A/lc ii/#_e?tIRL p . /f..15-5-: 1
2. Underlayments
J G 22 u Tt e_p fee,{. 4'IVc/l A 253 '.J
3. Roofing fasteners
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
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
E.SHUTTERS
1.Accordion
2. Bahama
3. Storm panels
4. Colonial
5. Roll-up
6. Equipment
7. Other
F.STRUCTURAL
COMPONENTS
1. Wood
connector/anchor
2.Truss plates
3. Engineered lumber
4. Railing
5. Coolers-freezers
6. Concrete admixtures
7. Material
8. Insulation forms
9. Plastics
10. Deck-roof
11.Wall
12.Sheds
13. Other
G.SKYLIGHTS
1. Skylight
2. Other
H. NEW EXTERIOR
ENVELOPE PRODUCTS
1.
2.
Page 3 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): 3R(4 /5/1 %/ Contractor Signature:
Company Name: i J/`1,TH RDO,C/,i-C
Mailing Address: ,3 .s— .r SA!t- t
City: K.S 4'-/ .//c State: /-1 -Zip Code: 5-- --1-4
Telephone Number: — E-mail Address: S/y/l/l/QA6F/.v"/0,4¢77.
Cell Phone Number: Fax Number: 7¢
Page 4 of 4 Updated 06/21/21