455 Helmsman Ln 2014 roof CITY OF ATLANTIC
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000100 Date 1/24/14
Property Address . . . . . . 455 HELMSMAN LN
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 10410
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Application desc
NEW ROOF FL11560 .4
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Owner Contractor
------------------------
------------------------
DWINELLE FORD ROOFTEC SYSTEMS
P.O. BOX 331443 PO BOX 26190
ATLANTIC BEACH FL 32233 819 EASTPORT DR
(904) 651-6066 JACKSONVILLE FL 32226
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 105 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 10410
Expiration Date . . 7/23/14
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 105 . 00 105 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 109 . 00 109 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904) 247-5826 Fax(904)247-5845
A4_
JobAddress: L114� WrY&I-A40 Lan6 M)aAt1C5Wej)' Permit Number:
IT-A-1
rL
Legal Description Parcel
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ Proposed Work heated/cooled_ non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial
If an existing structure,is a fire sprinkler system installed?(Circle one)'�� N/A
es
Florida Product Approval# -r-Llnc).q
For multiple products use product approval form
Describe in detail the type of work to be performed:
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Property Owner Information:
N �)W�ne I - 0. 5oX 35)443
ame: FvrJ Address: p
City r)'j-b10y)-tr_-5��- State F-Lzip 3Z2�
Phone 691 100i9b
E-Mail or Fax#(Optional)
Contractor Information:
Ret&-Y-
Company Name: RPA&_ S r Qualifying Agent:
Address: .2W,5 *4j barb n OW City'Jae'R501)VIV& 5tate FL
zip
Office Phone q0 4 55 7 bb 11 Job Site/Contact Number Fax
q-W 7-51--niq
State Certification/Registration#—
Architect Name&Phone# �OY)6
Engineer's Name&Phone# WDY)e,
Fee Simple Title Holder Name and Address 5arAe, c46 vrop�4A- t>w)&r qhy��
Bonding Company Name and Address
Mortgage Lender Name and Address 6[QA
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commencedprior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. 7his permit becomes
null and void if work is not commenced within six(6)months,or if construction or work is suspended or abandonedfor a period ofsix(6)months at any time
after work is commenced. I understand that separate permits must be securedfor Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers,
Reaters, Tanks andAir Conditioners,etc.
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 FINANCING9 CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby certify that I have read and examined this application and know the same to be true and correct Allprovisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not Ae granting of a permit does not presume to give authority to violate or cancel the
provisions ofany otherfederal,state,or local law regulating construction or the performance of construction.
Signature of Owner
Print Name
Sworn to and subscribed before me
this a-'J%Day of 2 0
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Notary Public
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EEN A.KERN(
Comryfission#FF
ExOres December 7,2017
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Signature of Contractor
Print Name .................. ........... ........
....................................................
Swom to and subscribed before me
this Day of 411d Loly
Notary Public
Revised 01.26.10
Notary Public State of Florida
Ap
Tammy S Panish
My Commission EE017524
Expires 10/28/2014
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EVALUATION REPORT OF
METAL SALES MANUFACTURING CORPORATION
'26 GA. IMAGE 11 PANEL'
FLORIDA PRODUCT APPROVAL
FL 11560.4-111
ROOFING
METAL ROOFING
Prepared For:
Metal Sales Manufacturing Corporation
545 South Yd Street,Suite 200
Louisville, KY 40202
Telephone: (502)855-4300
Fax: (502)855-4290
Prepared By:
Bala Sockalingam, Ph.D., P.E.
Florida Professional Engineer#62240
1216 N Lansing Ave., Suite C
Tulsa,OK 74106
Telephone: (918)492-5992
FAX: (866) 366-1543
This report consists of
Evaluation Report(3 Pages including cover)
Installation Details (I Page)
SOCKAL,
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No 62240 1%
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Report No. C1800-19 : 4.,
Date: 12.9.11
STATE OF 4Q
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FL 11560.4-RI
C 1800-19
12.9.11
Page 2 of 3
Manufacturer: Metal Sales Manufacturing Corporation
Product Name: Image 11
Panel Description: Max. 16" wide coverage with I" high ribs
Materials: Min. 26 ga., 50 ksi steel. Galvanized coated steel (ASTM A653) or
Galvalume coated steel (ASTM A792)or painted steel (ASTM A755).
Deck Description: Min. 15/32" thick plywood for new and existing constructions.
Designed and installed as per FBC 2010.
Deck Attachment: 8d x 2.5" long ring shank nails or 48 x 2" long wood screws @ 6" o.c.
in the plywood field and @ 4" o.c.at edges
New Underlayment: Minimum underlayment as per FBC 2010 Section 1507.4.5
Existing Underlayment: One layer of asphalt shingles over one layer of#30 felt. For reroofing
(Optional) construction only.
Slope: 2:12 or greater in accordance with FBC 2010 Section 1507.4.2 and
1504.6
Design Uplift Pressure: 84.25 psf @ fastener spacing of 24" o.c.
(Factor of Safety=2)
Fastener Pattern: #10 pancake head screws along panel seam. Fastener shall be of
sufficient length to penetrate through the deck a minimum of'/4".
Test Standards: Roof assembly tested in accordance with UL580-94 (Rev 98) 'Uplift
Resistance of Roof Assemblies' and TAS 125-03 'Standard
Requirements for Metal Roofing Systems'.
Code Compliance: The product described herein has demonstrated compliance with FBC
2010 Section 1507.4
Product Limitations: Design wind loads shall be determined for each project in accordance
with FBC 2010 Section 1609 or ASCE 7-10 using allowable stress
design. The maximum fastener spacing listed herein shall not be
exceeded. This evaluation report is not applicable in High Velocity
Hurricane Zone. Fire classification is not within scope of this
Evaluation Report. Refer to FBC 2010 Section 1505 and current
approved roofing materials directory or ASTM E108/UL790 report
from an accredited laboratory for fire ratings of this product.
FL 11560.4-RI
C 1800-19
12.9.11
Page 3 of 3
Supporting Documents: TAS 125-03 &UL580 Test Reports
Hurricane Test Laboratory,LLC
HTL Report#: 0 103-0714-09, Reporting Date 9/l/09
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State of Hof,-Jetj r.'--- T,-11
Doc#2014018486,OR BK 16670 Page 1462,
No. Number Pages:3
Recorded 01,124/2014 at 03:09 PM,
County of J�)v va) Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
To Whom It May Concern: RECORDING$27.00
The undersigned hereby informs you that improvements wiii De maae 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:
b4 17-25 -2�5 5EASPR& LXJ �-15 BLK4
Address of property being improved:
4,55 HP-1 n15 M a r) At)a ntic B&A a
General description of improvements:
Rvp� D'a Oal!,kmewt
Owner: 1)660ej it, R -t--Dfd Address:
-P.D, 6:�x 3,51449 Atlantic 66aeJ) rL --v-233
Owner's interest in site of the improvement:
Fee Simple Titleholder (if other than owner):
AtOne, Ubher thly) QWY)er &bOV&
Name:
%-,onLracLor:
R�b Rade,,- \f6,nbjret5 L-1-6 db' &
Address:
JOC
Berho Sood :� K50f)V-)j)6_ L 3X,21�
Telephone No.: qD4,- 75-7-Lbb Fax No:
qC4 - 151 -3,�3q 9
Surety (if any)
Address:
Amount of Bond
Telephone No: Fax No:
Name and address o�oany person making a loan for the construction of the
improvements
Name:
4)n e,
Address: i�JIA
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:
Address:
Telephone No: Fax No:
in aaaition to nimselt, 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:
*ne,
Address:
glA
Telephone No: Fax No: Af/A
Expiration date of Notice of Commencement (the expiration date is one
(1) year from the date of recording unless a different date is specified):
THIS SPACE FOR RECORDER'S,USE ONLY OWNER
Signed: Date:
IdID �Z 1
Before me this kay Of 1—k-14�Lu" in the County of Duval,State
Of Florida,has personally appeared V�,�k tv.- 0�,&
Notary Public at Large,State of Florida,County of Duval.
zz
My commission expires:
COLLEEN A.KEELIN
i—=ally K..,;-. +
�ir'es December 7,2017
M& R-6,U.TrOY FM 1-9-0-900JM7019
Produced Identification: