Permit 27 Forrestal Cir N DEPARTMENT OF BUILDING
800 Seminole Road-Atlantic Beach, F( 32233-.Tel. (904) 247-5826
ROOFING PERMIT
_c4t_10N llio��11��Alli�l�t ----��_- -
---0ER11 VIT INFQRMATtQN-____ �S:tkL Cl 1:;��CLE 1��
Address: .27. FO
N7ri4t__R6_miib_err:__241-67- ATLANTIC BEACH, FLORIDA 322�3
Permit Type: RE-ROOF Township�. 0 Range: 0 Book:,
Class of Work: NEW, Lot(s): Block, - Section:0
Proposed Use*
Subdivision:
Square Feet: Parcel Number:
Est, Value: OQWNE I ORMATION
Improv. Cost: 4,100-00
Njme-. - DONALD DAGLEY
Date Issued: 5116/2002 ,
Address. 600 TULIP STREET.
Total Fees: ATLANTIC BEACH, FLORIDA 32233,1
1 Amount Paid: 53.00 -8412
Phone: (904)249
Date Paid: 511-6/2002-
o - D c: REROOF APPLIC4TI0QN FEES
'CONT'RACTOR(S).'
PE MIT
ONAH . N R FIN
...... ......
........ .......
-A,
CTION
NOTICE
SPACE, AND
BUILDING MATE
MUST BE CLEAR
"FAILURE:TO C HE.
PROPERTY OV OR LW
j
OF-RUVE
REVOCATION
ISSUED ACCORDING T T TO
FOR VIOLATION OF APPLIC
'W
..........
WA: wn/42 K -Ibbb*so: "M
'14 -PM lw�V 1 153.06
7�_
CITY�OF tNT16 BEA&
2 FOMMAL
CK COW - 603 $53.0
5/21/12 Tim: 13:15:13
CITY OF ATLANTIC BEACH PERMIT .CALCULATION SHEET
Address
Date 'S-11(0 (V-z
Heated Sauare Footage @ $ per sq ft = $
Garage/Shed $_per sq f t = $
Carport/Porch @ $_per sq f t = $
Deck @ $_per sq ft = $
Patio $_per sqft = $
TOTAL VALUATION : $
C)(D
Total Valv&tion 1st $ 10 00
$
Remaining value $5.60per thousand
or portion thereof
TOTAL BUILDING FEE $
1/2 Filing Fee $
-4
UD Fireplaces @ $15 . 00 $
BUILDING PERMI T FEE $
WATER IMPACT FEE $
SEWER IMPACT FEE
WAT-tR METER/TAP
:APITAL IMPROVEMENT $
SEWER TAP $
) RADON (HRS) .0050 $
SECTION H PAVING $
HYDRAULIC SHARES $
CROSS CONNECTION $
) SURCHARGE . 0050 $
OTHER $
GRAND TOTAL DUE $
ADDITIONAL PERMITS OR FEES : 4echanical_.; Plumbing
Electric/New Electric/Temp_; SwimmingPool
Septic Tank Well-; Sign Finish Floor Elevation
Survey Other
CALCULATIONS and/or NOTES :
a A
City of Atlantic Beacho 800 Seminole Road Atlantic Beach, Florida 32233-5445
Phone: (904)247-5800 9 FAX (904) 247-5805 * http://www/ci.atlantic-bmh.fl.us
PERMIT APPLICATION FOR ROOFING
JOBLOCATION- a-A
OWNEROFPROPERTY PHONE#
Comm=— la�L VA-
CONTRACTOR ADDRESS
CONTRACTORS LICENSE NO.-PC - 412,,3 Y!2 PHONE C,/-/j
,2
SCOPE OF WORK_LC-
DECK SLOPE GREATER THAN 2 : 12 LESS THAN 2 : 12 ACTUAL
VALUATION OF WORK $ C)C)
MATERIAL TO BE USED L� 3-kt-_kt�p�s Zlqb ASTM DESIGNATION
7-
REQUIRED INSPECTIONS SHEATHING ---YINAL
LIBILITY INSURANCE POLICY SUPPLIED_____ZYFS NO
WORKERS COAP.POLICY SUPPLIED YES NO
CONTRACTOR LICENSE SUPPLIED YES NO
OCCUPATIONAL LICEW& SUPPI, YES NO
SIGNATURE OF OWWR
SIGNATURE OF CO TOR
NTRAC
SWORN TO&SUBSCRIBED RE ORE ME THIS DAY OF 200o2-
AS TO OWNER NOTARY PUBLIC
TF
R E"
OBERT D. *MY on CC907ms
AS TO CONTRACTOR M' UgU es February 02,2004
E MPI ' M
0 'p.s7mr
j�, Bonded T?hr.0 Totary pubfic=Undqmr#vv
APF R OV E rD '$I Iff PiDIXG/P6 and N-B-5-G
CITY. OF ATLANTIC .BEACH GAFGLAS*4480dadfiedtio
16 2002
Slope per toot
Cl uptox Steep ASTM Type Ill
on slopes up to'/v inch per loot,FI51 ASTM Type 11 may be used
Florida,Texas,New Mexico,Arizona,and California.
Surfacing
AspWt Over the entire surface,apply a uniform coating at the nominal rate of 60 pounds
per 100 square feet of Roofing Asphalt into which,while hot,apply not less than
n3t�is Q0 pounds at gravel or 300 pounds of siag for each 100 square feet of mot
area. On slopes up to 3 inches per too(the top pouring must be GAF MC Steep
Roofing Asphalt(ASTM 0312,Type 111).In the North and South Zones only,an
slopes up to j,inch per foot,a top pouring of GAF MC Flat Roofing Asphalt
(ASTM 0312,Type li)may be used.
S cial Instructions
pe
1.Acceptable Base Sheets include:STRATAVENTI Nallable,GAFGLAS#75 Base
77W
Sheet,RUBERIOIr Modified Base Sheet,GAFGLAS8 PLY b ,GAFGLAS Ply 4.
2.It GAFGLAS Ply 4 or GAFGLAS PLY 6 is used as the base shoot over wood or
voto sb1of CAMAS Ply 11log or
(so below) structural wood fiber decks,a sheathing paper is required.
3.Over freshly poured gypsum and lightweight insulating concrete decks,
STRATAVENT(Vent Ply)for Nallable Decks is required,see page 9.
4.For applications over lightweight insulating concrete decks.see page 9.
North, South, and West Zones
5.Faf'Nalling of Base Sheet,'see page 19.
Nailable decks up to 3 inches per toot slope,except for lightweight insulating 6.For roof slopes at 1 Inch per foot or more,all plies must be back-nailed
concrete decks which are limited to a maximum slope of 1"per toot. Wood, 4 inches in from the felt edge. See'Instaillation on Steep Roofs,'page 10.
plywood,structural wooa fiber,acceptable precast naifable decks,poured UL ClaBsification
gypsum. For lightweight insulating concrete,see page 9. IL Class Substrate Slope
3-
Materials �A
UL Chart Key
Sheathing pWr(1 Ply!it required) 1.Substrate
Base Sheet C=Combustible and Noncombustible
GAFGLAS Ply(4 plies) Combustible-Wood planks,boards,etc.,plywood(min.1-1h?inch thickness),
GAF Materials Gorporation Roofing Asphalt oriented strand board(min.72 inch thickness).
Interpfies NC z Noncombustible only
Pour Coat Noncombustible=Steel,poured or precast structural concrete,lil;ihtwelght
Aggregate Surfacing insulating concrete,gypsum,structural wood fiber,etc.
-----.......... 2.Slope
Approximate Welobt Pat square 500-680 Itis. Maximum slope allowed,in inches per loot.
Specifications
A
"I'VE '
General
Design and Application ConsIderations detailed in this Manual shall apply in U
addition to the tollowing recommen flations and specifications.
Application of Roofing Membrane A v
I r,
1.Over the entire surface,lay one ply of sheathing paper where applicable, Lap A I
each shoot 2 inches over preceding sheet. Nail sufficlently to hold in place.
2.Starting at the low point of the roof,lay one ply of GAFGLAS Base Sheet, Be-aclij
lapping each sheet 2 inches at edges and not less than 6 inches at end laps. JOBSITE COR ,
Nail along lap of base ply at intemis not to exceed 9 inches and stagger-nail
down center of sheut in two iows with nails spaced at 18 Inch interval in each
row. Use fasteners with integral metal heads at least 1 inch in diameter or
square that are recommended by GAF or the deck manutacluier.(See'Special
I nstructionsr below.)
3.Starting at the low point of the roof,mop tour phas of GAFGLAS Ply shingle
fashion:lapping each shoot 30 inches over the preceding sheet;solidly mopping
to the underlying base sheet to provide five plies over te entire roof area.
GuaraiftesAvallialkle
Asphalt Requirements
S Liberty Gourat as
Interply mappings of Roofing Asphalt must be appliedin a continuous film and I
shall consist of approximately 25 pounds per 100 square feet of root area with a . M-8-5-G/P6 _20 yj*West Zone only,Wood Decks
tolerance not to exceed 200/6 plus of minus. The appropriate asphalt for the j N-8-5-G/P6 .20yrUghtweight.Institating.
slopes involved must be used. Concrete.(See page 9.)
i N-8-5-G 12,10,5 yr.
36
1 Lin"I VILIT 4nnx Ljwwt4Linu dQT :pn �n CT
5 MIN. RETURN
PHONE#5A�-qqad ! 180ok 10468 Page a35
n../,1977 LAWS RAMCO FORM 409
FS 713A
N oVw,.,el of C am&nR4����
TO W40M it may concern., (Prepare in Duplicate),
The undersigned hereby informs all concerned that improvements will be made to certain real property,
alld in accordance with section 713.13 of the Florida Statutes,the following information is stated in this NOTICE
OF COMNIENCEMENT.
Description of property t�4 . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . t>ikVA L
. . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
General description of improvements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . I . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . — . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . I . . . . . . . . . . . . . . .
F)lw
Address . . . . . . . I . . . . . . . . . . .
Owner
. . . . . . . . . . . . . . . . . . . . . . .
Owner's interest in site of the improvement . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . * . . . . . . . . .
Fee Simple Title holder(if other than owner) Y
Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0j r
Ptit ;Ctor
H . . . . . . . . . . . . .
;!�' 'L�r 17
. . . . . . . . . . . . . . .
Address . . . . .. �,e . . . ... . . .
&
I
Surety(if any) .... . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . — . . . V �
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Amount of Bond S. . . . . . . . . . . . . . . . . . . $0 A
Any person making a loan for the construction improvements:
Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . .
Address
Person within the State offlorida designated by owner upon whom notices or other documents may be served: qz
Name
Address
In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided
in Section 713.13 (1)(h), Florida Statues, (Fill in at Owner's option).
Name . . . . . . . .
Address . . . . . . .
Ms space for recorder's use only
IC
er
Sworn to and subscribed before me this day of
. . . . . . .xl�/. . . . . . . . . . . . . . . . . 20 A'D
'MR-3044 11093
DEPARTME10 OF BUILDING
CITY OF ATLANTIC BEACH
T LdCATION' INFORMATION
PERXIT IXFORAA TON ---- --------
A
�ermit Number:1 , , 11093 ddr'ess-. 27 ,PORRZSTAL CIRCLE
Pe'rmi t Typ e: MECHAN I CAL ATLANTIC BEACH ,� FLORIDA 312233
.das.s Of Wbrk: ALTERATION ---------- LE(AL DESCRIPTION ---------
Constr,. Type-, � WOOD FRAME Lot * Block- ' Section:
Us ' *' ' 'SINOLE FAMILY ' Township: RN<;: 0,
e.
Dwellings : 11 1 , Co'd e, 0 Suba,vision:
Estimated ,Val'ue. $0.00
Improv. 'Cost . �0.00
Total 'Fees $33-100
Amo $33 .00
Da
NDENSER AND AIR HANDLER
D
ATION 00C)MON PSES
-CITT-OF -P-Z-R-MAITP�
A e TAL CIRCLE SOUTH WAT IMPACT FEE SO .00
A
FLOk
4V lot"
1 5 9 'A Ap
RAD014 GAS� $0 .00
T T N Iry 0 ON ------- RA6014 CA9, ,5% $0. 00
mime': 'ic _9 'R � & Al YSTEMS �CAPITAL IMPROVE. $0 �00
00:11- wi im I
A CiI:1 !1111111110 -
JA- ILLE�, �FL 32207 $0 .00 '
Lio4 AC, 8 : Typo: 3 SEC H FEE .00
CONST.,SURCHARGE 00
NOTES:
NOME—A�.L�CONCRETE FORMS AND FOOTINGS MUST BE INSPIECTED,BEFORE POURING
PERMIT VOIP SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL,RUBBISKANDDEORIS FROM THIS WORKNIUST NOT BE PLACED IN PUBLIC 8PACE,AND MUST BE
CLEARED UP AND HAULED'AWAY BYEITHER CONTRACTOR OR OWNER
F 1LURE,T0,, COMPLY WITH THE MECHANICS I.,11EN LAW,CAN RE
A SULT1N
NGTWICE
PIFPPERTY'OWO�PAYO PORITHE BUILDING IMPROVEMENT
iSsoib ACCORDING TO APPROVED�IPLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
ER
PLI O�OL p 16
�il&,A OFAP Ci' RW
-10_N.5,OF LAW.
19501 0*2
9413
BEAC-H'S LO
00
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC REACH
ATLAWIC MUCH, F"MIDA SAASS
APPLICATION FOR MECHANICAL PERMIT -cWLW-WtFmifm-"
IMPORTANT Applicant to complete all iferns in zections 1, 11; 111, and IV.
LOCATION SPrtof
CIF WerooAflng
WILDIN
Z.—
"IDEW—IFICA'"TIO-N com-p'"Ie"fed by all applicants.
In com4;dOW40A of p4tm;t givvi (ot odoinc; the wori at d*icr;bod in the obov* 1144MV11 we he'41vy Agroji to pitf4ffn ta;d WU41 to
w;fik tho ettachpd plans oncl sPocifiesfiorls which am a part h*roof vid in &ci:ordenco �;fk 06 City of Jeclionoillo a,diAv1i;oi snO ItfAdirds
.4 good pf&4f;Cv 6114ci #harain.
kanisof C17) i *0 me Vp
-), ,'L C of I
CoZow (prillf) ;7) C(2-11
NO" 84
:PA=h*J Agoot!
III, "181AL INKXMArUl
IS OTHkA��,'MATRUCTWM WLIN� 9 ON
(ff 1"M WILDING On Wit T_
0 Lp a 1,44111m u C�4*0104 v"%
19 YW OiYtt WMIKR OF C0144MUCTION
0 00
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IV. MOOMMOM WVWMW T* 14 OMAUM NATO 19 WfWK
colopwoo kt 04 compe"An 00 tp$4 Of A ost") Altildthl1*1 or Comawc.1al
-r/mw
;/zC6ft*r%"kWj'- 0 ItIn 04010dirig
of i8r.11gluv syvom
i5tc:n
mosixtom cap4cify tftw InS14114110A(Wj sysim prevIoualy kW1A%qm
Fee
tximislon of VJ04-n W&xWInq w"ter"
LJ; 011W
JOBADDREM TYPE WOBJC
pRopEmT owNEx Dor)ct(d nmEmom_09 0q -e Ll -2,
coNmc7-oR MonoLhan P)a�i ' :mom 5 co 6-9 041
to] 0
pm?m=m7mB,u 10-1 -DATE
INSPECITONS: FOOTING
SLAB
TIE BE"
,15f-7
NALUNGISEMAnEUNG
FBAARNG'COVER
DUCLATION
FTVAL BVZrDLVG
CERIMC41E OF OCC17PANCY
ELEC7VC4L PERAdM
INSPEC77ONS ROUG9
FMAL
AAECHAMC4L PFRAaIV
)MMMONS ROUGU
FIM4L
APMld03EVG PERARn
MPECIYONS ROUGffA7tMEXV_4B
ropour
3VATERISHWER
FWAL
NOTES.