583 COASTAL OAK LN - NEW HOME PERMIT to CITY OF ATLANTIC BEACH
• s 800 SEMINOLE ROAD
Jr ATLANTIC BEACH, FL 32233
v INSPECTION PHONE LINE 247-5814
SINGLE FAMILY DWELLING NEW
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-SFR-2355
Job Type: SINGLE FAMILY RESIDENCE
Description: NEW HOUSE
Estimated Value: $287,500.00
Issue Date: 10/29/2015
Expiration Date: 4/26/2016
PROPERTY ADDRESS:
Address: 583 COASTAL OAK LN
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: SOUTHERN LIFESTYLE HOMES LLC
Address: 4861 Herton DR
Phone: - -
PERMIT INFORMATION:
FEES:
ENG REV RESIDENTIAL BLD $100.00
PLAN CHECK FEES $521.25
UTIL REV RESIDENTIAL BLDG $50.00
BUILDING PERMIT FEE $1,042.50
STATE DCA SURCHARGE $15.64
STATE DBPR SURCHARGE $15.64
SEWER SDC-SYSTEM DEV CHG $4,050.00
InRIFER GIONNffelIRTAMEMETERm I Sig 70.0.6L CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING(:ODES.
• 4,. (i,11.tvi...rie,
s A CITY OF ATLANTIC BEACH
'
5 '' A' s 800 SEMINOLE ROAD
isr)
C) ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
WATER CROSS CONNECTION $50.00
WATER SDC-SYSTEM DEV CHG $1,140.00
Total Payments: $7,355.03
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
•
DO NOT WRITE BELOW- OFFICE USE ONLY
App Ica. e o■es: I LIR IA If D 'II
Review Result (circle one)•
Approved Disapproved
Approved w/ Conditions
Review Initials/Date: - o_
Development Size
Habitable Space x781 SF Non-Habitable
Impervious area
Miscellaneous Information
Occupancy Group R-3
Type of Construction Y(j
Number of Stories l
Zoning District Q5C
Max. Occupancy Load
Fire Sprinklers Required
Flood Zone A
Conditions/Comments:
Prepared by and return to: Dec#2015222903 OR BK i 731,' Page 625.
Brent R.Newton,Esquire Number Pages 2
.
Recorded 09;29.2015 at 31:26 PM,
Newton&Newton,P.A. Ronnie Fussell CLERK,CIRCUIT r
10192 San Jose Blvd. COUNTY OURT CUVAL
Jacksonville,FL 32257 RECORDING 518.50
• File No.
Tax Folio Number:
State of Florida
County of: Duval (3 O �� � F P� 7 ccv
ik:.1
NOTICE OF COMMENCEMENT
The undersigned hereby gives noticc that improvement will be made to certain real property,and, in accordance with
Chapter 713,Florida Statutes(revised 10-I-96),the following information is provided in this Notice of Commencement:
1. Description of Property: Lot 88,Atlantic Beach Country Club,Unit Two,according to map or plat thereof,as
recorded in Plat Book 67,Pages 132 through 137,of the public records of Duval
County,Florida.
Street address:0 Coastal Oak Lane,Atlantic Beaciz,Florida 32233
2. General Description of Improvements: construction of single family home
3. Owner Information:
a. Name and Address: Procoin,LLC
2637 Center Court Drive
Weston,Florida 33332-1832
b. Interest in property: Fee Simple
c. Names and address of fee simple title holder(if other than owner):
4. a. Contractor Southern Lifestyle Homes,LLC
9957 Moorings Drive,Suite 503
Jacksonville,FL 32257
5. Surety:
a.Name and address:
b.Phone number:
c.Amount of bond:
6. a. Lender: Procoin,LLC
2637 Center Court Drive
Weston,Florida 3333248.32
7. a. Persons within the State of Florida designated by Owner upon whom notices or other documents may be
served as provided by Section 713.13(1)(a)(7).,Florida Statutes.
b. Phone numbers of designated persons:
8. a. In addition to himself;Owner designates to receive a
copy of the Lienor's Notice as provided in Section 713.13(1 Xb),Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is 1 year from date of recording unless a
different date is specified):
6.d 9ZZ009Z1706 uls d 69:Z0 91. 6Z deS
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE
EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,FLORIDA STATUTES,AND
CAN 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 COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Verification Pursuant to Section 92.525,Florida Statutttes
Under penalties of perjury,I declare that I have read the foregoing and that the facts stated In it are true
to the best of my knowledge and belief.
PROCOIN,LLC,
a Florida limited liability company pr.
By: ?s
Dame:
Title:
POST A COPY OF RECORDED NOTICE AT JOB SITE.
STATE OF FLORIDA
COUNTY OF DUVAL
I e fo Ring instrument was acknowledged before me this 114h day of September, 2015, by
j-AV Cf i I U1(kC'C I iL , of Pro Coin. LLC,a Florida limited liability
company, who is personally kinomin_to me or who did provide as
ident [cation.
a Or- ail -c
otary Pubs' i , OMEN MON
Maw My Commission Expires: 1GL' f '� �.t P - M a
rl Coma Melia Ad 17,2017
r•; i Commis**#FF 037131
•
•
Z•d 9ZZ009ZP06 415 d 1.9:Z0 9 l. 6Z deS
OR BK 17031 PAGE 1102
• T71 V n v
YWI it 4 I
Exhibit"A"
Lot 88, ATLANTIC BEACH COUNTRY CLUB UNIT 2, a subdivision according to the
plat thereof recorded at Plat Book 67, page 132 through 137, of the Public Records of
Duval County,Florida.
SUBJECT TO the "Declaration of Covenants, Conditions, Easements and Restrictions for
Atlantic Beach Country Club" as record on August 15, 2014 in Official Record Book
16880,page 816,of the public records of Duval County,Florida.
•
The Grantee (hereinafter called "Homeowner") shall maintain a social membership in the
Atlantic Beach Country Club, Inc. (the "Club") located within the Atlantic Beach Country
Club on the terms and conditions and with the rights and subject to the obligations
appertaining to such membership in effect or established by such Club from time to time.
Subject to the rights pertaining to such membership, the Homeowner acknowledges that
the Club is privately owned and that the owner thereof may determine in its sole discretion
how and by whom the Club may be used and enjoyed. Ownership of the Property and/or
membership in the Atlantic Beach Country Club Owners' Association, Inc. does not give
the Homeowner any vested right or easement, prescriptive or otherwise, to use any Club
facility. Without limiting the generality foregoing, the Homeowner acknowledges having
read and agrees to be bound by the provisions of Article XII of the Declaration of
Covenants, Conditions, Easements and Restrictions imposed by Atlantic Beach Partners,
LLC (the "Company") recorded in Official Records of Duval County in Book 16880, at
Page 816. The rights and benefits under this covenant inure to the benefit of the Company,
its successors and/or assigns and any modification or release of this covenant shall be by
and between the Homeowner and the Company,its successors and/or assigns.
Doc # 2015007082, OR BK 17031 Page 1100, Number Pages: 3, Recorded
01/12/2015 at 11 :50 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $27.00 DEED DOC ST $2030.00
- Prepared by,Record
and Return to:
• Cindie Hernandez
Gibraltar Title Services
4190 Belfort Road,Suite 475
Jacksonville,Florida 32216
File Number: 14-8625A
fie /t 35-°,35 Special Warranty Deed
This Special Warranty deed, made this _18th_ day of December, 2014, between
ATLANTIC BEACH PARTNERS, LLC, a Florida limited liability company,whose address
is: 414 Old Hard Road, Suite 502, Fleming Island, Florida 32003-3411, (the "Grantor"), and
Procoin, LLC, a Florida limited liability company, whose address is: 2637 Center Court
Drive,Weston,Florida 33332-1832, (the Grantee"):
(Whenever used herein the terms "grantor" and "grantee" shall be construed to include masculine,
feminine, singular or plural as the context permits or requires and shall include the heirs, legal
representatives and assigns of individuals, and the successors and assigns of corporations)
Witnesseth, that the Grantor, for and in consideration of the sum of Ten Dollars,
($10.00) and other good and valuable considerations, the receipt whereof is hereby
acknowledged, by these presents does grant, bargain, sell, alien, remise, release, convey and
confirm unto the Grantee, its successors and assigns forever, all that certain parcel of land lying
and being in the County of Duval, State of Florida,as more particularly described as follows:
See Exhibit "A" for Legal Description attached hereto and by this
reference made a part hereof.
Parcel ID Number: .
TOGETHER WITH with all the tenements, hereditaments and appurtenances thereto
belonging or in anywise appertaining.
SUBJECT TO real estate taxes for 2014 and all subsequent years, and all declarations,
covenants, easements and restrictions pertaining to the Property, recorded in the current Public
Records of Duval, Florida.
TO HAVE AND TO HOLD the above described premises, with the appurtenances,
unto the said Grantee, its successors and assigns,in fee simple forever.
NOTICE REGARDING REPURCHASE OPTION: As provided in the Purchase
and Sale Agreement, Grantee is required to construct a home on the Lot within a period of
3 years after closing and if Grantee fails to comply with this requirement,then Grantor has
the right, but not the obligation, to repurchase the Lot for the amount set out in the
Purchase and Sale Agreement.
OR BK 17031 PAGE 1101
COY
And the Grantor does specially warrant the title to the Property subject to the matters
referred to above and will defend the same against the lawful claims of all persons claiming by,
through or under the Grantor,but not otherwise.
In Witness Whereof, the Grantor has caused these presents to be duly authorized in its
name and by those thereunto duly authorized,the day and year first above written.
Signed, sealed and delivered in our presence:
ATLANTIC BEACH PARTNERS, LLC, a
Florida limited liability company
-AIL& Vi C
CA- 46:,- By: The Wood Development Company of
Witness Printed Name ct1 [�-• �Ci'� Jacksonville,a Florida corporation
Its Managing Member
By: 6—
Susan D. Wood,Vice President
Address:414 Old Hard Road,Suite 502
Fleming Island,Florida 32003-3411
Witness Printed Name R V'ta C-OQ.^CI Nl
State of Florida
County of Duval
The foregoing instrument was acknowledged before me this \C.t•■day of December,
2014, by Susan D. Wood, Vice President of The Wood Development Company, a Florida
corporation, the Managing Member of ATLANTIC BEACH PARTNERS, LLC, a Florida
limited liability company,on behalf of the limited liability company. She is personally know to
me.
�S�ia`ltittoct.r.�
Notary Public
ggPtRTi,v ,,,
��S1oN PO �'�� Print Natne:
• 5
•r �420,? �9FS
4 s s:*w My Commission Expires:
�
• Ay.22274ti ?Q` Notary Seal
lat.: eonaed F'��
iyy9 o .... `.44.`:
,J,���l 1i1i,'h‘`‘.
COPY
SOUTHERN
LIFESTYLE HOMES
"We care about what matters most to you.
Cover page: Lot 88 Atlantic Beach Country Club
583 Coastal Oak Lane
Atlantic Beach Florida 32233
Occupancy Class Group R3
Codes —5th edition (2014) Florida Building Code, Residential & the Florida Building code.
Energy Code Form R405-2014
Index of all drawings
Page—site plan
Page — 1 floor plan
Page — 2 electrical
Page—3 front & rear elevations
Page —4 side elevations
Page—5 details
Southern Lifestyle Homes L.L.C.
904-591-8013 Dana Skaff
9-10-15
9957 Moorings Dr. #101 Jacksonville Florida 32257—Fax 904-260-0228 Phone 904-260-0962
10 / 23 ) ► 5
' n OFFICE COPY
n i gf/u-rcvu�.
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tu- ritimit iii& At sY3 0_--Qa4t--Li.t, &ad, esw4t,644-,
5 g3 Cocuai . Oaf 4a,), , atiovii-U/& Rtazii , Fl 32233 .
tbA-f4,12_,,,0„ 9_,1 (,,, /Y)rid 4 roua ad d t,;,, j2m'"�",tidi' v"-- 11(A,461611/4)
44Lc PA-but q +Lk- 12-vvtliA -6vi- 44' Plat -
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HL , EIF! IT:
Ow 23 2015 � '
s LAN:rjr, CITY OF ATLANTIC BEACH
,r)S Building Department
J; + ,) 800 Seminole Road
J 1 ;r Atlantic Beach,Florida 32233
�y f ` (904)247-5800 OFFICE COPY
• PLAN REVIEW COMMENTS
Permit Application # L.5-- 1-=--- 2 - ,2 .?..5.-5-
Property Address: 5 a 3 Co o,s 7/0 / 00 Ll'n
Applicant: Jovit fi&t c Z- fes77/--�s /7/0,-77 a S
Project: 706'4/ 0P77-e--
This permit application has been:
0. Approved
El Reviewed and the following items need attention:
/ S J_..___ __ _ ' a - ' _ ✓ I . / a •
_' Tv , of +
ec. JO/ 3/j 5
•
Please re-submit your application when these items have been completed.
Reviewed By: / / '9 . Date: lG•IO -1 r
�6d -022 i'
J' :z c ��
-�' �s CITY OF ATLANTIC BEACH
'51.., ______:If:
,.: .) PUBLIC UTTT,ITTES
1200 Sandpiper Lane
''"�Jsil�ir ATLANTIC BEACH,FL 32233
(904) 270-2535 or(904) 247-5874
NEW WATER/SEWER TAP REQUEST
Date: OD- 7 / 3 Project Address: Sg3 4/74i7-,42-e aiL 4 y_7:
No. of Units: Commercial Residential ✓ Multi-Family
New Water Tap(s)&Meter(s) Meter Size(s) `�/V
New Irrigation Meter ✓ Upgrade Existing Meter from to
(size)
New Reclaimed Water Meter ✓ Size 3A/ New Connection to City Sewer ✓
Name:
Applicant Address:
City: State: Zip
Phone Number: Cell Number:
Email Address Fax: /
Signature:
(Applicant)
CITY STAFF USE NLY
Application# /5- 5Fi 23515—
Water System Development Charge $ 1, /140 0, 00
Sewer System Development Charge $ V OA, VI
Water Meter Only $ ! 8 co
Reclaimed Meter Only $ 18c3 a
Water Meter Tap $
Sewer Tap $ (notes)
Cross Connection $ 60,vv
Other $
TOTAL $ 5 f./0. od
APPROVED: Kadle Moore,PE -
(Deputy PW Director or Authorized Signature) ALL TAP REQUEST MUST BE
APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED
rS�*`ir4 City of Atlantic Beach APPLICATION NUMBER
J , __ ' -•S5 Building Department (To be assigned by the Building Department.)
a-- 800 Seminole Road /5_ji/) 03s'�
ii--- - `f: Atlantic Beach, Florida 32233-5445 /�
Phone(904)247-5826 • Fax(904)247-5845
\—',.:1%01119'r- E-mail: buildin de t coab.us Date routed: 9 2.1/ l�
9 P @ J!!
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 5 '3 eD4. -1- Oai Department review required Ye No
uillty.. .0„.._
r S' 1,4 Inning &Zonin.
Applicant: __ / /
, . % . ree • • . istrator
Project: XE0 • r-n6 ublic ork
u iic Utilitja
Public Safety
Fire Services
Review fee $__ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLIC TION STATUS
Reviewing Department First Review: pproved. I (Denied.
(Circle one.) Comments:
B ILDING)
PLANNING &ZONING /o- 6
Reviewed by: ril Date:
TREE ADMIN. Second Review: Approved as revised. 1 (Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
rsLV;. City of Atlantic Beach APPLICATION NUMBER
(s ,� Building Department
tt� (To be assigned by the Building Department.)
r - Atlantic tic Seminole Road l5_�� r 035"5"
Atlantic Beach, Florida 32233-5445 0�
Phone(904)247-5826 • Fax(904)247-5845 /
o; a- E-mail: building-dept @coab.us Date routed: 9 Z9! l�
City web-site: http://www.coab.us 111
APPLICATION REVIEW AND TRACKING FORM
Property Address: S '3 &4. riL De.a ment review re uired Yes No
O&i q
:Ole
Applicant:pP ....__,/ /, _ _ r S /• -nning &Zonin
re • •nistrator
Project: ii“) I I'Yt ublic orks
u is tilit•
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: XjApproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
2 /
Reviewed by: �/ /� -- Date: / /14S"
TREE ADMIN. — —Second Review: ❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
rt-.•LVrjf, City of Atlantic Beach 't i re\ — APPLICATION NUMBER
j . 1 Building Department
,,� � D (To be assigned by the Building Department.)
g 800 Seminole Road fi
" �� Atlantic Beach, Florida 32233-544 ! 0 7 Z015r /5-Ji� .. a35i
Phone(904)247-5826 • Fax(904 X845 K\,...________)
Date routed: q,/iq/115'
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 5 '3 &4. ric OILk. De• , ment review required Yes No
_
A pp licant: .....__./ , _
_ r S' ri � , _nning &Zonin
_
re- •• .nistrator
Project: e. Ng/ • 4 ublic ork
r-u• is tilit =.
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: r4pproved. ❑Denied.
(Circle one.) Comments: fee 44 44/ ifeita
BUILDING �
PLANNING &ZONING
dir ■
Reviewed by/
�� Date:/u/f�
TREE ADMIN. Second Review: ❑Approved as revised. •lenied.
PUBLIC WORK Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
City of Atlantic Beach APPLICATION NUMBER
i► i% Building Department f (To be assigned by the Building Department.)
800 Seminole Road
5 y l 0 Atlantic Beach, Florida 32233-5445 OCT a'015 , 013 5 5-
Phone(904)247-5826 • Fax(904)247-5845 /
g ar E-mail: building-dept@coab.us _ Date routed: 9 if /c
City web-site: http://www.coab.us \= !//
APPLICATION REVIEW AND TRACKING FORM
Property Address: 5 '3 &a. rtiL Q,� De• , ment review required Yes No
•
Applicant: / .4 /, _ r S !�� %�":nning &Zonin•
re- • .nistrator
Project: t,l/ 4
•ublic ork
r1ti;iir•1 =.
Public Safety
Fire Services
Review fee $ S i9 Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
AP PLICATION STATUS
Reviewing Department First Review: Approved. ['Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING K9L% a� _Date: / /
Reviewed by: ° Q
TREE ADMIN. Second Review: A roved as revised.
❑ pp ❑Denied.
d IC WOW Comments:
%%
PUBLIC UTILITIES
/4- 7- S
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
FILE COPY
Product Approval Southern Lifestyle Homes L.L.C.
Project Name: AT t Permit#
Project Address: 58 3 CoGSla / 0ft-X- ` qv,E TLAA-r;c El 33
As required by Florida Statute 553.842 and Florida Administrative Code 9B-72, please provide the information
and product approval number(s)for the building components listed below as applicable to the building const.
project for the permit number listed above. You should contact your product supplier if you do not know the
product approval number for any applicable listed products. Information regarding statewide approval
may be obtained at: www.floridabuilding.org.
Category/ Manufacturer Product Descrip. Limitation of use State# Local#
Subcategory
A. Exterior Doors
1. Swinging Masonite Wood edge steel door None Known FL8228.5
Metal edge steel door
Fiberglass door units
2. Sliding General Alum. Aluminum sliding 53,88 FL15332.2
and doors glass doors Per manufacturer
installation instr.
3. Sectional Overhead Door Series 180/280 8' max. ht. 16' max. FL14170.2
Corporation 381 sectional width. Not for use in
steel garage door HVHZ. Glazing opt.
is not for use in the
wind borne debris
region
4. Roll up N-A N-A N-A N-A
5. Automatic N-A N-A N-A N-A
6. Other N-A N-A N-A N-A
B. Windows
1. Single Hung Custom window Vinly single SH8100 FL-4091.2
systems hung windows
2. Horizontal Slider N-A N-A N-A N-A
3. Casement N-A N-A N-A N-A
4. Double hung N-A N-A N-A N-A
5. Fixed N-A N-A N-A N-A
9/10/2015
Product Approval Southern Lifestyle Homes L.L.C.
Category/ Manufacturer Product Descrip. Limitation of use State# Local#
Subcategory
B. Windows cont.
6. Awning N-A N-A N-A N-A
7. Pass-through N-A N-A N-A N-A
8. Projected N-A N-A N-A N-A
9. Mullion N-A N-A N-A N-A
10. Wind breaker N-A N-A N-A N-A
11. Dual action N-A N-A N-A N-A
12. Other
C. Panel Walls
1. Siding OSB Georgia Pacific N-A
Strand bd. 4'X8'
2. Soffits N-A N-A N-A
3. EIFS N-A N-A N-A N-A
4. Storefronts N-A N-A N-A N-A
5. Curtain Walls N-A N-A N-A N-A
6. Wall Louvers N-A N-A N-A N-A
7. Glass Block N-A N-A N-A N-A
8. Membrane N-A N-A N-A N-A
9. Greenhouse N-A N-A N-A N-A
10. Other
9/10/2015
Product Approval Southern Lifestyle Homes L.L.C.
Category/ Manufacturer Product Descrip. Limitation of use State# Local#
Subcategory
D. Roofing products
1. Asphalt shingles GAF Laminated See limitations in FL 183.10
shingles asphalt Miami Dade NOA
Owens Corning Laminated All FBC sections
shingles asphalt that apply to Co.
except Broward &
Miami-Dade must
be followed. This
approval not for use
in the HVHZ.
2. Underlayments Owens corning OC weather lock 1 None known FL-9777.3
3. Roof fasteners
4. Nonstructural Petersen Alum 24 gauge steel N-A FL-10880.1
metal roof Corp
5. Built-up roofing N-A N-A N-A N-A
6. Modified N-A N-A N-A N-A
Bitumen
7. Single-ply N-A N-A N-A N-A
Roofing
8. Roofing Ties N-A N-A N-A N-A
9. Roofing Insulation N-A N-A N-A N-A
10. Waterproofing
N-A N-A N-A N-A
11. Wood shingles
/Shakes
N-A N-A N-A N-A
12. Roofing Slate
13. Liquid applied N-A N-A N-A N-A
Roofing
14. Cement-adhesive N-A N-A N-A N-A
coats
15. Roof tile N-A N-A N-A N-A
adhesive
9/10/2015
Product Approval Southern Lifestyle Homes L.L.C.
Category/ Manufacturer Product Descrip. Limitation of use State# Local#
Subcategory
D. Roofing products
16. Spray applied N-A N-A N-A N-A
polyurethane roof
E. Shutters N-A N-A N-A N-A
1. Accordion N-A N-A N-A N-A
2. Bahama N-A N-A N-A N-A
3. Storm panels N-A all N-A N-A
4. Colonial N-A N-A N-A N-A
5. Roll-up N-A N-A N-A N-A
6. Equipment N-A N-A N-A N-A
7. Other Mid-America / Vinyl shutters N-A
G. Pacific
F. Structural
Components
1. Wood connectors Simpson Strong
/anchor Tie Co.
2. Truss plates Mitek Industries Truss connector N-A FL-2197.1
plates FL-2197.2
FL-2197-3
3. Engineered Trus-joist Prefabricated
Lumber Weyerhaeuser Wood I-Joist
Lam. Veneer
Lumber
4. Railing N-A N-A N-A N-A
5. Coolers-Freezers N-A N-A N-A N-A
6. Concrete N-A N-A N-A N-A
admixtures
7. Material N-A N-A N-A N-A
8. Insulation forms N-A N-A N-A N-A
9/10/2015
Product Approval Southern Lifestyle Homes L.L.C.
Category/ Manufacturer Product Descrip. Limitation of use State# Local#
Subcategory
9. Plastics N-A N-A N-A N-A
10. Deck roof N-A N-A N-A N-A
11. Wall N-A N-A N-A N-A
12. Sheds N-A N-A N-A N-A
13. Other N-A N-A N-A N-A
G. Skylights N-A N-A N-A N-A
1. Skylights N-A N-A N-A N-A
Category/ Manufacturer Product Descrip. Limitation of use State# Local#
Subcategory
H. New exterior
envelope prod.
In addition to completing the list of manufacturers, product description and State approval
number for the products used on this project, it is the Contractor's or Authorized Agent's
responsibility to have a legible copy of each manufacture's printed instructions. along with
the list above, on the job site available to the inspector.
The products listed below did not demonstrate product approval at time of plan review. I
understand that before these products can be inspected, they must be submitted for review
for code compliance and approved by a Plans Examiner. This form will be revised to include
each new products and required information.
q_
Authorized Project Agent: Dana Skaff
Contractor or Design professional
Company Name: Southern Lifestyle Homes L.L.C.
Mailing address: . 12550 Hood Landing Rd
Jacksonville Florida 32258
Telephone number: 904-260-0228 Fax: 904-260-0228
Cell phone number: 904-591-8013 Dana Skaff E-mail address: dskaff @bellsouth.net
9/10/2015
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