364 2nd St RERF23-0171 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
RERF23-0171
364 2nd ST
TOP GUN ROOFING
OWNER:ADDRESS:CITY:STATE:ZIP:
PHILLIPS PHYLLIS S 364 2ND ST ATLANTIC BEACH FL 32233-5230
COMPANY:ADDRESS:CITY:STATE:ZIP:
TOP GUN ROOFING, INC.5570 FLORIDA MINING BLVD JACKSONVILLE FL 32257
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169771 0000 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
364 2ND ST REROOF SHINGLE SHINGLE ROOF $12500.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $115.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $119.00
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: 11/20/2023
PERMIT NUMBER
RERF23-0171
ISSUED: 11/20/2023
EXPIRES: 5/18/2024
REROOF SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $119.00
RERF23-0171 Address: 364 2ND ST APN: 169771 0000 $119.00
BUILDING $115.00
BUILDING PERMIT 455-0000-322-1000 0 $115.00
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: R25556 $119.00
Printed: Monday, November 20, 2023 10:01 AM
Date Paid: Monday, November 20, 2023
Paid By: TOP GUN ROOFING, INC.
Pay Method: CREDIT CARD 10117066594
1 of 1
Cashier: TG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R25556
BUILDING PERMIT APPLICATION
City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, Fl 32233
FOR INTERNAL OFFICE USE ONLY
PERMIT# _______ _
"ALL Information raqulnd to proc:eu
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address 364 2ND STREET ATLANTIC BEACH, FL 32233
Legal Description 05-69 ATLANTIC BEACH LOT 21BLOCK30/R BKS 4253-235,4648-211
Valuation of Work (Replacement Cost) 12,500 Heated/Cooled SF _____ Non-Heated/Cooled SF
-Class of Work: D New □Addition □Alteration l![IRepair OMove ODemo □Pool □Window/Door
-Use of existing/proposed structure(s): □commercial [&]Residential
-If an existing structure, is a fire sprinkler system installed?: Oves ONo
-Will tree(s) be removed in association with proposed project? Oves (Must submit separate Tree Removal Permit) 0 No
Describe in detail the type of work to be performed:
SHINGLE ROOF REPLACEMENT 2.5:12 PITCH/ 29 SQUARES ARCHITECTURAL
Florida Product Approval# _10_6_74_.1 __ -_se_c,,_C\.;_,Bo __ c~h __ vi,._~_ (For multiple products use Product Approval Jnformatjon Sheetl
Property owner Information Name PHYLLIS PHILLIPS Phone ----------Address 364 2ND STREET City ATLANTIC BEACH state FL Zip 32233 ---------
Email Owner or Agent (If Agent, Power of Attorney or Agency Letter Required) ---------
Contractor Information Name of Company TOP GUN ROOFING, INC. Phone 904-342-0211
Address 5570 FLORIDA MINING BLVD. SOUTH #501 City JACK~ONVILLE statl"L Zip 32257 ------
Qualifying Agent MATT p MCLEOD State Certification/Registration# _c_c_c_o_,5._8_1_:.7_8 ______ _
Email OFFICE@TOPGUNROOFING.NET Job Site Contact Number 904-509-2595 ----~~~~--------
Worker's Compensation Insurer FRSA OR Exempt O Expiration Date 01/01/2024
Architect's Name Email Phone -------------------
Engineer'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 COMMENCE
FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINAN
RESULT IN YOU PAYING TWICE
~•·•~LT WITH YOUR LENDER OR AN
ATTORN~_E£..ORE RECORDING YOUR NOTICE OF COMMENCEMENT. ~~
(Signature of Owner or Agent)
Signed and sworn to (or affirmed) before me this \0 + hday of
f\o\Je...rnbu-.~y t>hy \ I 1s ft11lli1?:?
Signature of Notary /6 '{_)v~_
~Personally Known OR [ ] Produced Identification
(Signature of Contractor)
Signed and sworn to (or affirmed) before me this \ a t-~ay of
Oow:roW . '2El'23 by \-A.~ ~~4,_gct\__
SignatureofNotary ~<
~ersonally Known OR [ ] Produced Identification
Type of Identification: -+.lii'zoi~~==ii~,;r.;-;nr.;;r,r,;-t--
My Comm. Expires Jul 8, 2
onded through National Notary A
Type of Id m· •""" .fl: TERESA STONE IRWIN
(f. . \ Notary Public -State of Florida ra~ .,,41 Commission II HH 372421
Y:?fo,r,,~·' My Comm. Expires Jul 8, 2027
• .... Bonded thrqh National Notary Assn.
RERF23-0171
Doc# 2023229621, OR BK 20862 Page 1485, Number Pages: 1,
Recorded 11/06/2023 12:33 PM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
PERMIT NO.
PARCa ID NO. ....;.;16;..9.c..77&...1;..;-o;..;;o..;..oo.;._ ______ _
STATE OF FLORIDA
COUNTY OF DUVAL lplce lbove l'NtMCI for uee of IWCOrdlng office
THE UNDERSIGNED hereby give notice 1hat improvements will be made to certain real property, and In accordance with Chapter 713,
Florida Statutes, the following Information is provided in this Notice of Commencement.
1. Legaldeaalption of property and straetaddress: 364 2ND STREET ATLANTIC BEACH, FL 32233
05-69 ATLANTIC BEACH LOT 21 BLOCK 3 0/R BKS 4253-235,4648-211
2. Deecriptionofimprovementa:_R_E-R_OO_F _______________________ _
--·-····-----
3. Ownernameandaddreaa: PHYLLIS S PHILLIPS
a)lnterestin property: _..,_,10~0,..:.:Mi~--------------------------
b)Feesiq,lelitleholdernameandaddresa: _______________________ _
4. Contractor name, address and phone number: TOP_G_U_N_R_OO_F_IN_G_,_, I_N_C. _________________ _
5570 FLORIDA MINING BLVD SOUTH # 501 JACKSONVILLE, FL 32257 (ICM) 342-0211
5. Surety Bond N/A a)Name, aclchssandphonentmber: ________________________ _
b) Amount of bond$. ____ _
6. Lender's name and address:_N~/A ___________________________ _
7. Name, address and phone number of Persons within the State of Florida whom notices or other documenls may be served as p,ovlded by
F.S. §713.13(1)(a)7: ____________________________ _
8. Name, addlw and phone mrnt,er of Pel'8on& designated by the Owner to l908ive a oapy of the llenor's Notice as provided i'l F.S. §713.13 (1)(b):
9. This Notice shall expire within 1 year of the recorded date unless a different date is specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER FLORIDA STATUTES, CHAPTER 713 ANO CAN RESULT IN YOUR PAYING lWICE 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalties of peljury, pursuant to F.S. § 92.525, I decln that I have read the foregoing and that the facts stated therein are true to the
best of my knowledge and belief.
~~ ·-Signature(s) of Owner(s) or Authorized Officer/Director/Partner/Manager
Phyllis Phillips
Print Name and Authority Type (Offlclr, AfmWlf in Fact. elc.)
STATE OF FLORIDA, COUNTY OF DUVAL \ $1-
The fofegoing instrument was acknowledged before me by means of ( ] physical presence or c,Xonline notarization, this __ day of
~Q\l~Y'f'I~---, 2a.23. by ~y\1 i!:. f>h1\\if>£-. Ct<!ndivlduallyor( J as . for
_ ..... wh~ Is personally known to me or ( J produced
as identification. ~
,~:;~ TERESASTONEIRWIN NO~:;,oy·~P-UBL. I -,..,.,,.~JU'"-----R-·E-IYT'A.~OFFLORl-jiii"-"_ .. ---·,----. • •••• l~m \ Notary Public • State of Florida 'I Mn '-'IV'\ 0 I, , I C I.II\ ,
fa~ ;.j commtsslon I HH 3i2421 cl"\t.••1SS10NED NOif:A0 Y NAME~'" I\ ~ 'CW I\ 'JJ?,f_o,...._i1 My Comm. Expire) Jul &, 2027 VIVIIYI ~ • --~ • • • •• -
....... Bonded thraueh National Notary Assn.
RERF23-0171
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA (*REQUIRED) *Project Address: 364 2ND STREET ATLANTIC BEACH,, FL 32233 Permit#: ___________ _ * /P . N PHYLLIS PHILLIPS Owner roJect ame: ___________________________________________ _ As required by Florida Statute 553.842 and Florida Administrative Code Rule 9B-72, 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. ( £.SL0---?~ 2 , ;) Category/Subcalego(Y Manufacturer Product Description Limitation of Use State# Local# A. EXTERIOR DOORS ----'----... 1. Swinging ~ 2. Sliding ~ 3. Sectional ----......, -........, 4. Garage Roll-Up I'-........ 5. Automatic ~" ""-._ 6. Other ~, B.WINDOWS ~-1. Single hung I'-.'-.. 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 10/17/18 RERF23-0171
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 OWENS CORNING DURATION FL10674.1 2. Underlayments OWENS CORNING RHINO ROOF 15216.1 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 10/17/18
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 VELUX 2X2 SKYLIGHT GLASS H~00.1 2. Other H. NEW EXTERIOR ENVELOPE PRODUCTS 1. 2. Page 3 of4 Updated 10/17/18
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. . MATT P MC LEOD . *Contractor Name (Print Name): ______________ *Contractor Signature: ----r------+-----------*C N TOP GUN ROOFING, INC ompany ame: _____________________________________________ _ 5570 FLORIDA MINING BLVD SOUTH # 501 *Mailing Address: _____________________________________________ _ 32257 *City: JACKSONVILLE *State: FL *Zip Code: ____________ _ *Telephone Number: 904-342-0211 *E-mail Address: OFFICE@TOPGUNROOFING.NET Cell Phone Number: 904-509-2595 Fax Number: -------------------------Page 4 of 4 Updated 10/17 /18