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131 S Oceanwalk Dr re-roof permit y�JT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 REROOF SHINGLE - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RERF17-0202 Description: shingle re-roof- FL10124-R15 & FL5259-R24 Estimated Value: 3000 Issue Date: 12/5/2017 Expiration Date: 6/3/2018 PROPERTY ADDRESS: Address: 131 S OCEANWALK DR RE Number: 169463 0004 PROPERTY OWNER: Name: OCEANWALK ASSOCIATION INC Address: PO BOX 331188 ATLANTIC BEACH, FL 32233-1188 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: RELIANT ROOFING INC RYAN SHOUPPE Address: 822 N. A1A Highway Suite 310 Ponte Vedra Beach, FL 32082 Phone: PERMIT INFORMATION: Please see attached conditions of approval. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU 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 RECORDING YOUR NOTICE OF COMMENCEMENT. * A notice of Commencement is only required for work exceeding an estimated value of $2,500. For HVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach,FL 32233 Office(904)247-5826 Fax(904)247-5845 Job Address: t 3 I OCegnW0 I K- Dr 5• Permit Number: F—&9-r t T m©a, y2-DDi W-7,5-296 OCeanwa/K0nifol t� M Legal Description rArCC 113 O IR B K G,28 — I S37_ Parcel# ) 6 q 9 r0 3— 0004 Floor Area of Sq.Ft. Sq.Ft 6 Valuation of Work$ 3,000-00 Proposed Work heated/cooled 3�2• non-heated/cooled 89 10 Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Residential 0 If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A Florida Product Approval# F*L' 10 12 iq' For multiple products use product approval form ��•h� Describe in detail the type of work to be performed: re- Of 13 c7U1— 5/12. Nth - h'i n s - FL - o 12-x-1 2.i s o hl e-road►n P l b Q �� qtr ��� . � � 2 � - I Property OwQner Information: C QQ Name: Gear) J I� I N(,Address: P-0- x 3 3 1 1 t/V City StateF-LZip- 2-233 Phone 6104- &25 - 143 E-Mail or Fax#(Optional)-M 1 Ckle le r)C he v m A r-ri r10 C O M C a S+. r sC Contractor Information: Company Name:Reliant Roofing,Inc Qualifying Agent- cameron Shouppe Address:822 N.AIA Highway Suite 310 City Ponle Vedra Beach State FL Zip 32W2 Office Phone 904-657-0880 Job Site/Contact Number Cane Shouppe-904-es7-0880 Fax# 904-677-7972 _ State Certification/Registration#ccc1330615 Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mia tiv � — s U . I Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no w»rk or ins lotion has comme edA�atissuance ofa permit and that all work will be performed to meet the standards ofall laws regulattng construction in this jurisdiction. Thisper null and void tjwork is not commenced within six(6)months,or ii construction or work is suspended or abandoned for a period ofsix(6)months at anti•time alter work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers, heaters,Tanks and Air 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 FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereb,certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governingthis rope aJtwork will be complied th whet er sped ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the provestons ;will other federal ate,or al law re lacing cronstruction or the performance ofconstruction. Signature of Owner JSignature of Contractor Print Name �/1 I C h e t 2 (\/l a r-K n Print Name Cameron Shouppe Sworn t and subscribed before me Sworn to and subscribed before me this Ij Day of p r 20 17 this 2-Day of NOOMOU -20 r Notary u is Notary Pub 6/4-, Revised 01.26.10 JULIANA PANTOJA ;�;�J►;e, JULIANA PANTOJA .s U4�,State of Florida-Notary Public State of Florida-Notary Public = _ Commission 0 GG 151986 Commission#GG 151986 =y�� My Commission Expires My Commission ExpiresOctober 16,2021 October 16,2021 PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA Project Name: o c P(,A o f A)G I K— 02o o I Ca-b cc n 0', Permit # Project Address: o f A [)r C BC> 0(h R 327-5-3 As required by Florida Statute 553.842 and Florida Administrative Code Rule 913-72,please provide the information and product approval number(s) for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact your product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide roduct a roval may be obtained at: www.floridabuildin .or . Category/Subcategory Manufacturer Product Description Limitation of Use State# Local # A. EXTERIOR DOORS 1. Swinging 2. Sliding 3. Sectional 4.Roll up 5.Automatic 6.Other B.WINDOWS 1. Single hung 2.Horizontal slider 3. Casement 4. Double hung 5. Fixed 6. Awning 7. Pass-through 8. Projected 9.Mullion 10.Wind breaker 11.Dual action 12. Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# C. PANEL WALL 1. Siding 2. Soffits 3. EIFS 4. Storefronts 5. Curtain walls 6. Wall louvers 7. Glass block 8. Membrane 9. Greenhouse 10. Synthetic stucco 11. Other D. ROOFING PRODUCTS 1. Asphalt shingles 68F d Fl.-l o12N-R t 2. Underlaymentsn FL _ S _K2`I 3. Roofing fasteners 4. Nonstructural metal roof 5. Built-up roofing 6. Modified bitumen 7. Single ply roofing 8. Roofing tiles 9. Roofing insulation 10. Waterproofing 11. Wood shingles/shakes 12. Roofing slate 13. Liquid applied roofing 14. Cement-adhesive coats 15. Roof tile adhesive 16. Spray applied polyurethane roof 17.Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local # E.SHUTTERS 1.Accordion 2. Bahama 3. Storm panels 4. Colonial 5.Roll-up 6. Equipment 7.Other F.STRUCTURAL COMPONENTS 1.Wood connector/anchor 2.Truss plates 3. Engineered lumber 4. Railing -- 5.Coolers-freezers 6.Concrete admixtures 7. Material 8.Insulation forms 9.Plastics 10.Deck-roof 11.Wall 12. Sheds 13. Other G. SKYLIGHTS 1. Skylight 2. Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local # H. NEW EXTERIOR ENVELOPE PRODUCTS 1. 2. In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, the Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and installation instructions along with this Product Approval Sheet. I certify that this product approval list is true and correct to the best of my knowledge. i further certify that use of different components other than the ones listed in this document must be approved by the Building Official. C a " sVic)Up pe 4-Al- (Contractor Name) (Print Name) (Signature) Company Name: pe i j p. 9-io y�b-�t ` 9 Mailing Address: 9 7�_N `11 iq H1 I 1' IW c/1V - City: Y-�r \6�OV-CA &00CV)f State: FL Zip Code: Telephone Number: 5-7 — 0850 Fax Number: ( ) Cell Phone Number: ( ) E-mail Address: ah n%on® Vr[iot ntrobfirI03 • am Doc # 2017272158, OR BK 18200 Page 1283, Number Pages : 1 , Recorded 11/28/2017 02 : 05 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10 . 00 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit Nc Tax Folio No State of i-L County of To whom It may concern: The undersigned hereby Informs you that Improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF COMMENCEMENT. Lt gal description of property being improved: L a ru I I-3 1 Add ass of property being improved 'J2' I 1)rn 1 2p General description of Improvements' Owner L4 c 4 t1m TV-] Address, ! �L Owner's Interest in site of the improvement _- Fee Simple Titleholder(if other than owner) Nome Address Contractor Reliant Roofing Address 822 N.AIA Highway Suite 310 Ponte Vedre Beach FL 32082 Phone No.(904)-557.0850 Fax No. Surety(if any) Address Amount of bond£ Phone No. Fax No.. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Nome of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself,owner designates the following person to receive a copy of the Usnofs Notice as provided in Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). Name Address Phone No. Fox No. Explrallon 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 I ^OO'e1o.S.b,"Bd bY, IL�N R�R�� k8/2017 59nd fr'l.lt��(. C1_�!l 1, Before this ypr_ ---Intra Counlr A4 LA P_ _ _r._ hi^1YYIt vy•nC efTm S 11ho e'I�tjtFrnsrrb ',�U L ANA PANTO A en tr,,E c�adq�a b i' -State of Flor ca-Notery Pubnr� COmmisslon 0 GG '5 1885 ' My Commission Ex e5 41. .Alit el Lupe.S4U I m saionerp aF._ _ �O PowuliyWawn._/_��—_—_ Nod—d lckmtrGcet- l Cash Register Receipt Receipt • City of Atlantic Beach • i i DESCRIPTION ACCOUNTQTY PAID PermitTRAK $55.00 RERF17-0202 Address: 131 S OCEANWALK DR APN: 169463 0004 $55.00 ROOF IN PROGRESS 01/05/2018 RBE $55.00 ROOF IN PROGRESS 01/05/2018 RBE 45500003221002 0 $55.00 TOTAL FEES PAID BY RECEIPT: R3838 11 Date Paid: Friday, January 05, 2018 Paid By: RELIANT ROOFING INC RYAN SHOUP Cashier: LE Pay Method: CREDIT CARD 3 x Printed: Friday,January 05, 2018 12:03 PM 1 of 1 1 wuar