Permit 1525 Francis Ave I%J
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
A17LANUC BEACH,1% 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 06-00034229 Date 11/07/06
Property Address . . . . . . 1525 FRANCIS AVE
Application type description ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1500
----------------------------------------------------------------------------
Application desc
RE-ROOF
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
TOMMY LYLES KELLER ROOFING,
1525 FRANCIS AVENUE 332 CEDAR RUN DR.
ATLANTIC BEACH FL 32233 ORANGE PARK FL 32003
(904) 773-3460
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 1500
Expiration Date . . 5/06/07
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 . 00 35 . 00 . 00 .00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 35 . 00 35 . 00 . 00 .00
PERMIT.-IS.APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
X
CITY OF ATLANTIC BEACH
-IEW SHEET
�-A PLAN REV Routed to:
Building Department Public Works&Public Utilities Departments S.Doeff
800 Seminole Road 1200 Sandpiper Lane R.Carper
Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 D.Kaluzniak
-(904)247-5800 (904)247-5834 Public Safety
(904)247-5845 Fax (904)247-5843 Fax
PLAN REVIEW CONDIENTS
Permit Application# ok—
10F
Property AddressL-5426-- EUM,
Applicant: VA
.au4EE EzAh�0 I/VC
Project: kt� —ez
This permit application has been:
Po'�Approved as noted by the 5 Department.
Final application approval must come from the Building Department.
Reviewed and the following items need attention:
Please re-submit 2-copies of all revisions. Please re-submit your
revisions to the Department requesting them.
Building Dept, Public Works and Utility information at top of page,
failure to notify the correct department may delay your permit from
being issued.
Reviewed By:� Date:
f
Date Contractor Notihed:
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
Date: AlQu 7 '2406
PLEASE SUBMIT(2)COMPLETE SETS OF PROD UCT APPRO PALS AND INSTALLA TION INSTR UCTIONS
WITHAPPLICATION.
Job Address: 5`2 S- 61f(ltil CIS
Owner of Property: 0 �e�!
Address: -2 dt��f"vj C I_r Telephone:
Contractor: fC_ ('36e---1A1G- f jAJ C State License Number: 0 0 6 7 .
Contractor's Address: C�&J2,4�Z Oje 0 rV - 0&?!�)(v(7 onz
'Af
Telephone: jr,�J - Fax:
Scope of Work: lepo Ic iAjy ,r/q L, otif
Deck Slope: -Greater than 2:12 Less than 2:12
Valuation of work: 0 o
Product Name(Example: Timberline):
Manufacturer(Example: GAF): C /A) t5 6
ASTM Designation(s):
Required Inspections: She and Final
Signature of Owner: Date:
AS TO OWNER:
Sworn to and subscribed before me this (D of lit 20
State of Florida,County of Duval Notary's Signature: Jai V,
CAROLYN S. CITIZEN
Notary Public, State of Florida 2--Personally known
My comm. exp. Jan. 4, 2009 Produced identification
Comm. No. DD 383426 Type of identification produced
Signature of Contractor: Date: /V
AS TO CONTRACTOR:
Sworn to and subscribed before me this —dayof AW6mlick _,20 66.
State of Florida,County of Duval Notary's Signature: 47xt-
-eIW,% YVONNE M.
j V's Personally o
MY COMMISSION#DD 342192 2'Produ
14 repl EXPIRES:July 29,2008 ced i nt* cation
BMW Thru Nolary Public Underwrlters Type of id ication produced oe 4'q6o - 73 3-4-oll -o
800 Seminole Road Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 Fax: (904)247-5845 -http://www.ei.atlantic-beach.fl.us
Page I Revised 10/06
V
FILE COPY
MIAWMDADE NHAAH DADE COUNTY FLORIDA
METRO-DADE FLAGLER BUILDING
BUILDING CODE COWLL4,NCE OFFICE(BCCO) 140 WEST FLAGLER STREET,SUITE 1603
PRODUCT CONTROL DIVISION MIANH,FLORIDA 33130-1563
(305)375-2901 FAX(305)375-2908
NOTICE OF ACCEPTANCE(NOA)
CertainTeed Corporation
1400 Union Meeting Road
Blue Bell,PA 19422
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials.
The documentation submitted has been reviewed by Miami-Dade County Product Control Division and accepted
by the Board of Rules and Appeals(BORA)to be used in Miami Dade County and other areas where allowed by
the Authority Having Jurisdiction(AHJ).
This NOA shall,not be valid after the expiration date stated below.The Miami-Dade County Product Control
Division(In Miami Dade County)and/or the AHJ(in areas other than Nfiami Dade County)reserve the right to
have this product or material tested for quality assurance purposes.If this product or material fails to perform in
the accepted manner,the manufacturer will incur the expense of such testing and the AHJ may immediately
revoke,modify,or suspend the use of such product or material within their jurisdiction. BORA reserves the right
to revoke this acceptance,if it is determined by Miami-Dade County Product Control Division that this product or
material fails to meet the requirements of the applicable building code.
This product is approved as described herein,and has been designed to comply with the High Velocity Hurricane
Zone of the Florida Building Code.
DESCRIPTION: CertainTeed CT 20,CT 20 AR,XT-25,XT-25 AR,XT-30,XT-30 AR and PatriotTm AR
Three Tab Shingles
LABELING:Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and
following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no
change in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any
product,forsales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply
with any section of this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Nfiami-Dade County, Florida, and followed by
the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall
be done in its entirety.
INSPECTION:A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors
and shall be available for inspection at the job site at the request of the Building Official.
This renews NOA 02-1216.05 and consists of pages I through 4.
The submitted documentation was reviewed by Alex Tigera.
NOA No.:06-0110.08
Expiration Date: 06114/11
Approval Date: 07/06tO6
Page 1 of 4
RoonNG ASSEMBLY APPROVAL
Catep.ory: Roofing
Sub-Cateeory: 07310 Asphalt Shingles
Materials 3-Tabs
Deck Type: Wood
1. SCOPE
This revises CertainTeed CT 20,CT 20 AR,XT-25,XT-25 AR,XT-30 XT-30 AR and Patriot AR Three
Tab Shingles as manufactured by CertainTeed Corporation described in Section 2 of this Notice of
Acceptance.
2. PRODUCT DESCRIPTION
Product Dimensions Test Specifications Product Description
CertainTeed CT-20& IT'x 36" TAS 100 A heavyweight,fiberglass
CertainTeed CT-20 AR reinforced 3-tab asphalt shingle.
CertainTeed XT-25& 1T'x 36" TAS 100 A heavyweight,fiberglass
CertainTeed XT-25 AR reinforced 3-tab asphalt shingle.
CertainTeed XT-30& 12"x 36" TAS 100 A heavyweight,fiberglass
CertainTeed XT-30 AR reinforced 3-tab asphalt shingle.
CertainTeed Patriot AR IT'x 36" TAS 100 A heavyweight,fiberglass
reinforced 3-tab asphalt shingle.
Accessory Shingles various proprietary Accessory shingles for hip,ridge
and starter strip applications.
3. EVEDENCE SUBMITTED:
Test Agency Test Identifier Test Name/Report Date
PRI Technologies,Inc. TAS-100 Wind Driven Rain Test 05/16/06
Underwriters Laboratories,Inc. 06CA 11166 Wind uplift resistance TAS 107 05/22/06
Underwriters Laboratories,Inc. (current listing) Material properties ASTM 3462 04/05/06
Underwriters Laboratories,Inc Follow-up Service Fire Resistance ASTM E108 08/25/04
Letter
4. LIMITATIONS
4.1 Fire classification is not part of this acceptance; refer to a current Approved Roofing
Materials Directory for fire ratings of this product.
4.2 Shall not be installed on roof mean heights in excess of 33 ft.
NOA No.:06-0110.08
Expiration Date: 06114/11
nV"-1A& Approval Date: 07/06/06
Page 2 of 4
5. INSTALLATION
5.1 Shingles shall be installed in compliance with Roofing Application Standard RAS 115.
5.2 Flashing shall be in accordance with Roofing Application Standard RAS 115
5.3 The manufacturer shall provide clearly written application instructions.
5.4 Exposure and course layout shall be in compliance with Detail W,attached.
5.5 Nailing shall be in compliance with Detail S',attached.
6. LABELING
6.1 Shingles shall be labeled with the Miami-Dade Logo or the wording "Miami-Dade County
Product Control Approved".
7. BUILDING PERMIT REQUEREMENTS
7.1 Application for building permit shall be accompanied by copies of the following:
7.1.1 This Notice of Acceptance.
7.1.2 Any other documents required by the Building Official or the applicable code in
order to properly evaluate the installation of this system.
DETAIL A
Rake
n
L2T 1A JL-- JL-- I
T-- IT
L2�:?ff-T J L 1T--J Sth Deck
1 11 4th
L1 �ff- JL--
-T
I 3rd
2nd
!-6,off Starter
ist
Eay., -W—W-ro-
NOA No.:06-0110.08
Expiration Date: 06114/U
Approval Date: 07/06106
Page 3 of 4
DETAEL B
12"
5 f 1131.
END OF THIS ACCEPTANCE
NOA No.:06-0110.08
-IL Expiration Date. 06114/11
Approval Date: 07/06/06
Page 4 of 4
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 5184
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 11-10 1983
Valuation$ 2,500 —Fee$ 19 .50 19itit) T
19,�OCKTV
This permit not valid until above fee has been paid to City Treasurer,and is I J t;
subject to revocation for violation of applicable provisions of law. 1 41 *WCA
This is to certify that Ken Owan-q
2128 Revberry Road Jachsonville
has permission to build Re-Rood and Remodel
Classification Residential Zone
Owned by Ken Owens
flAa—Block S/D_
House No. 159-5 F-rany-ps kyenUe
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
10 4 10 0 Building material, rubbish and debris
-zi from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
"r C
Building Official.
FOR OFFICE PERMIT
USE ONLY NUMBER DATE CONTRACTOR
PLUMBING
ELECTRICAL
SEWER
WATER
AM^
BUILDING AND ZONING INSPECTION DIVISION
CITY OF JACKSONVILLE, FLORIDA
APPLICATION FOR BUILDING PERMIT
IMPORTANT Applicant to complete all items in sections 1, 11, 111, and IV.
STREET ADDRESS: C e 5.
LOCATION INTERSECTING STREETS: BETWEEN--/ I've r -AND— LTA4 c k C 0 I'v'21111116�0
OF '1116 4-cl 5os,7,
BUILDING Lot No 1 A —Block No. Sub-division
(State portion of lot it less than full lot — Attach legal description per deed in duplicate in necessary)
11. TYPE AND COST OF PROPOSED CONSTRUCTION OR WORK — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT a. OWNERSHIP
1 n New building Swimming Pool 8 XPrivate (individual, corporation,
2 0 Additional (if residential, enter number gallons nonprofit institution, etc.)
of new housing units added, if any, 9 0 Public (Federal, State, or local
in Port D, 13) Sign (see reverse sidel gwernment)
3 [] Alteration (See 2 above) Mobile home move-on C. COST (Omit cenisl
A Repair, replacement, re-rocifing Other - — 10. Cost of improvement ...... $
5 Wrecking (if multifamily residential, en- SQ
te r number of units in building in Part 41 To be installed but not included in
D, 13) 4, T_ 1 E)c—
4 1. the above cost.
6 Moving (relocation) (see reverse side) a. Electrical . . ............. ...................
7 Foundation only -5/e> b. Plumbing
For Additions, Alterations or other permits, pro i rd�eb r i ff
description of work to be done: C. heating, air conditioning ..............
d. Other (elevator, etc.) ... ....... .......
11. TOTAL COST OF IMPROVEMENT .......
D. PROPOSED USE (For 'Wrecking," most recent use)
Residential Nonresidential
12 jAi, One family 18 El Amusement,recreational 28 El Tanks,towers
13 0 Two or more family— Enter number 19 El Church,other religious 29 El Other—Specify
of units ............W 20 ED Industrial
13a E) Condominiums 21 El Parking garage
14 El Transient hotel,motel,or dormitory 22 0 Service Station,repair garage
— Enter number 23 El Hospital, institutional
of units ............W 24 El Office,bank,professional
15 0 Garage 25 F1 Public utility
16 El Carport 26 0 School,library,other educational
17 0 Other—Specify 27 0 Stores,mercantile
111. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME 1. TYPE OF MECHANICAL FL.ST.CONTR.LIC.#
20 E) Masonry lwall becir,ng� WM there be central ci,r
31 C] Wood frame co,do,on�ng'l
32 [] Structural steel 44 n Yes 45 No Zone Fee$
33 F1 Reinforced concrete Will there be an elevator)
34 E] Other — Specify 46 [] Yes 47 No Zoning Approved
F. PRINCIPAL TYPE OF HEATING FUEL J. DIMENSIONS House No.
35 C] Gas 48. Number of stories
36 C] Oil 49, o, Total enclosed floor OT7ea - APPROVED
CITY OF ATIANTIC BEACH
37 Electricity b. Total unenclosed floor area StjItDING 5F-Ftel!
38 Coal Total area
39 Other — Spec,f 50. Total land area, sq. ft.
y
K. NUMBER OF OFF-STREET
PARKING SPACES
G. TYPE Of SEWAGE DISPOSAL 51 Enclosed
40 n Public or private company 52. Outdoors
41 RPr,,,.te lseptic tank, etc.1 L. RESIDENTIAL BUILDINGS ONLY
11,1)1 !;G PFT�`:I T
L":!,I',C, I T
HEATED SQUAl�',E FOOTAGE ZIA/"7 W400 @ �r S.
pc
C,Av�kGE (PRIVATE/SHED). @ per s. $
CAJd'ORT @ per s. f $
PG!JCHES @ per s. $
DECK @ per s. $
-----------10TAL-VALUATION' DATA. . . . . . . . . . . . . .
PERMIT FEES
TOTAL VALUATION DATE Ist
REMAINIDER VALUATION
@ $ per thousand
10'FAL BUILDING PERMIT
PLUS 1/2 TPE BUIlDING PERIMIT FOR PLAN FILING FEE
�OTAL FEE DUE s
----------------------------------- -
PLt7,-�BING PE--,CIIT FEE
WATFR METER SIZE & FEE $
SE'.,.IER CON ECTION: SQUARE FOOTAGE FE E
'.�ATER CON-NECTION: FIXTURE U\ITS @ $10.00 PER UNIT $
TOTAL BP & PC FEES DUE . . . . .. . . . . .$
TOTAL 17ATER METER CHARGE . . . . . . . .$
A P P R 0 V Ej'i TOTAL I..ATER CONNECTION CH-A-RGE. . . .-$
CITY OF ;,,*AITIC Bl-'ACfl
mill
TOTAL SEWER CON�NECTION CrLkRGE. . . .$
t C', 1non
CF�',-ND TOTAL DUE. . . . . . . . . . . . . . . . . . $
DEPARTMENT OF BUILDING
ERMIT No. 6314
CITY OF ATLANTIC BEACH,FLORIDA P
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date December 16 , 19 0J
Valuation$ MECHANICAL Fee$ 38.00 30*UU T1
I A 12/16/61
iii 114 *UDCACS
This permit not valid until above fee has been paid to City Treasurer,and is
subject to revocation for violation of applicable provisions of law.
This is to certify that VICTORY 11EL SERVICE
has permission to)= TN.9TATJ, HEAT & AIR SYSTEM
Classification RESI)DENTIAL -Zone
Owned by KKR OWENS
Lot Block S/D
House No. 1525 FRANCES AVENUE
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
4 11111 4 0. 0 Building material, rubbish and debris
-zi from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
tr 0 -owner.
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
BU11-DiNG, AND Z0,"\1I'[qG INISPil-'C'HON DiVISAON
CITY OF ATLANTIC BEACH, FLORIDA
APPLICATION FOR MECHANICAL PERMIT
IYAP0RTANT-/Wl;canf to compl.*fa all items ;n itci;ons 1. 11, 111, arJ IV.
NOn of-/-Jl� 6.".. Sf. i.-d-4- St.
LOCATION St,,
of:
NJ I La:NG
(Sf4fo Pori;On of 64 if t�%4 f+,&A full 6�--At��a c4j�.Cr:pAl�oo por d-od in dup!;cAto if P+c-#-&&ry)
If. n-?E OF VIOK>Sr=D Y-,*CW,,,NlCAL WORK - All cpplicbrfs Corn--,,#.fe Perts A - D
A. USZ OF IVILDING
PLESIDENTIAL 15. IZ/ rr;�Afo Cz-r;,or*f;<,ft.
1. Ono f.rn;Iy 11. C] u0ify wc..Ipr-ofif &+c-)
16. C3 P w S tit I Fv-&*r&I. S a!o ow Vvw*f%wvwf
2. 0 Tw�.or r�oro Eam3y- 12. 0 Sc-k", r---*ry.
Enfo-r num6or of ">c.,,t &&vc6f:oN&I C- NATU ft E OF WOAK
3. 0 Tr4^s';*M. Wet. mofol. 17. C1 Nr-e r-j1,4*.nq
roorning �,ovta - 13. D S--a M M ,,c a rrf.10
Enfw murn6or of unit- 00� it. 0 Eiilf;�q sw;w;*.q
4. 0 Clf�or res',domf;al 14. 0 OTHER-SPECIFY 0
70. CM( Nf-w ;m5fe"Itfiom (Ka.tylf000
NON-RESIDENTIAL
21. 0 or dA--oA to tx;if;F�q rr.fowit.
22. El Otke-r-Spocify
6. 0 C�wlrch, ofbor r*';9*,ovx
7. (] lr-d�siriol
0 Gsro,99,
0 L TYPE OF %IJILD441%-p
10. C) offics. 66A. profes3:0mal 0
-A 37. 0 W-o-d f r-a
D. ME-CHANICA.I. KUI?Mr-NT TO tfi IRSTALLW 39. a�d �--od
(P,*�;do rzrnploto t4f or compo�onh on 6*ck of fh*ts form) 39. [3 t�einfomf-4 concrete
23. 0 Furnece: 0 Space (3 R oc*-ttad 0 Contral 0 Fk-lor 40. 0 Siructut&I stool
24. 0 A;r Cond;Con'ing: 0 Room 0 Cont A 1/ 41. 0 OtI%or
25. 0 Ducf Systern: M&Ior;aIP-Ald &wj Thk1J,"L-L--
max;murn capacity 0.1n.
A
26. 0 R*fr;g%raf;on
27. 0 Cc�ol;ng to-or: Capacity 9-pin- THIS VACS FOR OFHC* USE 014LY
28. 0 F�ro tpr�nllorz: N'urr.6*r of
29. 0 E!�,sfot 0 �44ftlift 0
30. 0 Gcs�or.no p�jmpt
31. 0 Tonit
32. 0 I-PG confa;r,
33. 0 Uftf;t.-d pev�uurw "us! Po rm;i A+
34. 0 golers
35. 0 04or - Specify Fva--
INIF-ORVLATION
I S OTHER CCYST'-�,JCTICM bEIHG,D;4E
4 f r;C THIS FUN-DING OR SITE?
A. Type of �*&Cmg f-.#*I;
T'
r4'�
CITY OF ATLANTIC BEACH, FLORIDA
Approwd by I APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:— .1910
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN�ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: mild ELATRICIAN SIGNAT64E JOURNEYMAN
- �--a-N N c
NAME ADDRESS: IS?-5 RFD Box_
BLDG.SIZE BETWEEN:
RES.�() APT.( comm.( PUBLIC INDUS. NEW( OLD REW.
ADDITION ( ) TRAILER ( TEMP.I SIGNS ( ) SQ. FT.
SERVICE: NEW4 INCREASE ( REPAIR ( I FEE
CONDUCTOR SIZE AMPS COPPER ALUM.
SWITCH OR BREAKER �0 0 AMPS PH 3 W VOLT RACEWAY
EXIST.SERV.SIZE AMPS PH w VOLT RACEWAY
FEEDERS NO. SIZE INO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
SWITCHES 0-30 AMPS. 31-100 AMPS.
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER
APPLIANCES BELL TRANSF.
AIR H.P.RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
OVER
MOTORS H.P. VOLTAGE-'-- 1 M.P. VOLTAGE PHS
MISCELLANEOUS
k-e-Lo%/ AA- 0�0__ t-A-A44-- -To
ft&t K-
TRARI4t9:nRUr.R-Q. munciannnv n%ls:o RM