55 Robert St roof permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOBINFORMATION:
Job ID: 17-ROOF-3491
Job Type: ROOF PERMIT
Description: re-roof FL10124-R4 & FL15216
Estimated Value: $4,834.84
Issue Date: 3/15/2017
Expiration Date: 9/11/2017
PROPERTY ADDRESS:
Address: 55 ROBERT ST
RE Number: 172228-0000
PROPERTYOWNER:
Name: DAVIS, SADELL MARIE
Address: 55 ROBERT ST
GENERAL CONTRACTOR INFORMATION:
Name: HOUSE DOCTORS CONSTRUCTION INC
James Hoskins,Jr.,CCC1328920
Address: 5782SAWYERAVE JAMESHOSKINSJR
Phone:
FEES:
BUILDING PERMIT FEE $74.17
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $78.17
PERMIT IS APPRW(ED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AM 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
Job Address: SE &L . F4 3W5 Permit Number:
1 .9
Legal Description M-M -19C -pEt az �JannlLeieq k/psArcizif BILK
r loor Area or Sq.rt Nq.Ft
Valuation of Work S -4112 31� , 5?,4 Proposed Work heated/cooled non-heated/cooled—
Class of Work(circle one): New Addition Alteration Repair Move Demolition pooltspa window/door
Use of existing/pro osed structure(s) circle one): Commercial e 'demi
'es o N/A
1012.14 - AAA -)1�
If an existing struefore,is a fire spn1er system installed? (Cimle One)
Florida Product Approval# hL
For multiple products use p—roifir�spprova orm
Describe in detail the type of work to be performed:— 'bl�7jaly "WA4
ProvertyOwnerIn rmation:
Name: Satipp Address:a Xnb04 ff.
City 4uaaiia —State Zip3jZ0_P 104; - T20 - 19 541-
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR ENLAM ADDRESS:
Naoie� Ine QualifyingAgent:
Courps"
Add,e,,y 5-,�Wq —City --bCk<a4vill�e State FZ Zip 329
Office Phone 11 -7-,-7r JobSitaJCo ctNurnber Fax#0861)q 30-117417
State CertificatioNn/RagNistrat 0 # CXC 13
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain apermitto do the work and installations as indicated ]certty that no work a,installation has commencedlarlor to the
issuance qfapermlt and that all work will bcp,�armvd to meet the standards ofall laws regulating construction in ou.no,isdiction. Thispermilbecomanull
en
and void rfwck is not commenced within six(� months,or ii-conanuction or work is sradatur abandonedfor a criod ofeivA)months at any time a
u 'Ser
workitconneenced. I understand that separamparmas most be recuredfor Electric Work,Plumbing,sign, widis,P"Is, �naces,Bollers,Rea an,
Tooke ndAfr Conditioners,eu,
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 FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOa NOTICE OF
COMMENCEMENT.
Ih��mrt6thatlh�emadand�aminedthis lication and know the same to be true and correct. AlIppovisions qrlaws and ardnances gov=1hil
type q, work will be con; 179
plied with whether Tear ted herein or not. The granting of a permit does not presume to gras authority to violate or the
prowisions of..y otherfiale,.Z state,a,/..I aw regulating construction or thepeTfomance ofconstraction.
Signature of Owner Signature of Contracto
Print Name c,.)e I C4�3 Print Nall -U&I-Ins
..................
�Befoirq me Before me
is Day If .20 this _L_Day f t'\s----------------U&_
MEITTA TEAGE
Notary Public
4 �W A4tS111A1E^Uz Notary t'ut)llc
MWY C�&"asxai#F=�
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M��
CM
Foni:'�auwa Dcd,ag'"FU:(Q).W7.7-773 -- ''"'IT.:-- "'" — I I I
File TEW)347-5ed" -ft 3 M MSM179:53M
03/03/2017 at 03:04 PM, Ronnie Fussell CLEENC CIRCUIT COURT &A�2 COUNTY
RECORDING $10.00
A C�,
t
NOTICE OF COMMENCEMENT
,wdswuiuWK,�.,,
To whom It osW odnc�
The undisedonvil bar"wor,w you that aranwovoilunts will he.1dal.1011,11a,leal PIWWW sulin
ai,,omon—with SedtiOn 213 of din Flodda analutes.the fbillowng jolemation is stated In thh,WTICE OF
Mwid
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co'n'rits arm us AeVed:
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KIMSERLYANNEARNEY
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From:House Docame F.:(904)W7.7773 To: Fec (904)247-filid.5 Page 2 of 3 Mfin(117 9.53 M
1-7 -Roci�- 549
[EXTERIOR RESEARCH & DESIGN, I.I.C.
Ceftfflcote of Atithor&addon 09503
353 CHRISTIAN STREET, UNIT*13
TRINITY ERD OXFORD, CT 06478
PHONE: (203) 262-9245
FAX: (203) 262-9243
EVALUATION REPORT
Interwrap, Inc. Evaluation Report 140310.02.12
32923 Mission Way FLIS216
Mission, BC V2V-GE4 Date of Issuance: 02/17/2012
Canada
SCOPE:
This Evaluation Report is issued under Rule 9N-3 and the applicable rules and regulations governing
the use of construction materials In the State of Florida. The documentation submitted has been
reviewed by Robert Niedminen, P.E. for use of the product under the Florida Building Code and
Florida Building Code, Residential Volume. The products described herein have been designed to
comply with the 2010 Florida Building Code sections noted herein.
DescRipTiorn PhinoRoof Underlayment
LABELrNG: Each unit shall bear labeling In accordance with the requirements the Accredited Quality
Assurance Agency noted herein.
CONTINUED COMPLIANCEt This Evaluation Report Is valid until such time as the named product(s)
changes, the referenced Quality Assurance documentation changes, or provisions of the Code that
mate to the product change. Acceptance of this Evaluation Report by the named client constitutes
agreement to notify Robert Niedminen, P.E. If the product Changes or the referenced Quality
Assurance documentation changes. TrinityJERD requires a complete review of this Evaluation
Report relative to updated Code requirements with each Code Cycle.
ADvtR�EMENT: The Evaluation Report number preceded by the words"TrinitylERD Evaluated"may
be displayed In advertising literature. If any portion of the Evaluation Report is displayed, then it
shall be done In Its entirety.
ImspEcTiom Upon request, a copy of this entire Evaluation Report 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 Evaluation Report consists of pages I through 4.
prepared by:
by'Roilest Nisamm,PA.-OVd7/20d2
Robert J.M. Niaminen, P.E. sioned W hadia,dies was
Florida Registration No. 59166,Florida OCAI ANE1983 transmitted to Me Wd.ct appowal Adminustridor and
to�e named clue,a
1. TdnitylERD does hot home, mar done, It intend to acquire d, will it accube, a firdandal Interest in any counpary morsuffeetturing or
distributing Phocancts itvaboadds.
2. TrialtylERD Is not owned,peraded or controlled by any company rouraffacturing or distributing Products It evalubdea�.
3. Robert Nbeaften,P.E.doew not haft nor will acc.1m,.financial interest In any company manufacturing or dishnianting Products far which
the eftuation raiders;am being issued.
4. Robarl, Nusudiwa, P.E. does not have, mor will acquire, a financial Interest In any otliar entity, involftc! In the Wraval process of the
aroduct.