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369 7TH ST - ROOF CITY OF ATLANTIC BEACH ss1 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 S) INSPECTION PHONE LINE 247-5814 ROOF NON SHINGLE - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ROOF17-0042 Description: TORCHED DOWN & SHINGLE Estimated Value: 7130 Issue Date: 11/3/2017 Expiration Date: 5/2/2018 PROPERTY ADDRESS: Address: 369 7TH ST RE Number: 169939 0000 PROPERTY OWNER: Name: PALMER DOROTHY SKINNER Address: 10351 TOLER BRIDGE RD LEWISPORT, KY 42351-9656 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: ROMANO BROTHERS ROOFING, INC Address: 1188 N 12TH ST QA DANIEL JOSEPH ROMANO JACKSONVILLE BEACH, FL 32250 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. rj!.-1,y f; City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) J 800 Seminole Road /�,Atlantic Beach, Florida 32233-5445 ��C F 17 Vl 'Z- \ Phone (904)247-5826 • Fax (904) 247-5845 o,.» E-mail: building-dept@coab.us Date routed: 1 r City web-site: http://www.coab.us i APPLICATION REVIEW AND TRACKING FORM Property Address: 3 7L — C}( Department review required Yes No uilding> Applicant: R ()orv{pv...) n ri2_C)-(7" H ping Tree Administrator Project: 1 0 zaR - �(�W ,tJ Public Works Public Utilities _ _ R©Q F 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: r�pproved. ['Denied. Not applicable (Circle one.) Comments: BUILDING PLANNING & ZONING /7/71 -i Reviewed by: . Date: /l TREE ADMIN. Second Review: ❑Approved as revised. Denie Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. Denied. Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 �(.), > yr ''jy Building Permit Applicatio d5/5/17 D3 Cityof Atlantic Beach OFFICE COI 800 Seminole Road,Atlantic Beach, FL 32233 '4.4- Phone: (904) 247-5826 Fax: (904) 247-5845 (-y R 001= ('7 .0 CA-2.— Job Address: P rmitilu Legal Description ' j1 IG-DS- l E 4(7f-3pc La`-- ^'R #` l..Qc1citti - w�<-) Valuation of Work(Replacement Cost)$ Heated/Cooled SF Non-Heated/Cooled l • Class of Work(Circle one): New Addition__Alte • 's Repair Mo ool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial Residential • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal /"Describe detail the type of work to be performed: . "L 1 ce).3 j a ....1A/p1� -�� k o - -`-'1 d nLs3tow' b- I B Florida Product Approv le -Q rv �-, ?for multiple products use product approval form Propert Owner Information Name. etki4e/r Address: ci Th ..-( n f City . State Zip 3da�, Phone)-U - "f ci D) - L SO J E-Mai Owner or A:-• 4:ent, Power o , • ey or Agency Letter Required) Contractor Informa on Name of Corn.. _ . _ / Qualifyi Agent: (7-'4 G a-) Address U City , State Zip Office Phone - at-(Lo - i__01.--115 Job Site/Contact Number State Certification/Registration kiC 0 I '8 HCl .E-Mail Architect Name& Phone# Engineer's Name&Phone# \ I Workers Compensation 14 D( 1k . k—- eQ I `o f .LI C}S L_ 1ei Cj -` (- - 1 Lo Exempt/Insurer ease Employee xpiration Date la ) Ia Alication is made to obtaia to do the work an ' .tl�at' aindicated. I certi tht no work'orisilet on has Pp hereby permitY commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws reg construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,S " '= WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. j1�=i OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance w h alb•.-' applicable laws regulating construction and zoning. ' 3 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT i1 3. sr RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU I b�,7. j M F, 2 TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE a wa'6 QN RECORDING YOUR NOTICE OF COMMENCEMENT. > taa l (Signature of Owner or Agent) (Signature of Contractor) (including contractor S'' edand sworn to(or all' ed)befor me th'+, day of ' ed a d swotr, • (.r a d)before me i ��,day of ► Y ��'.f` . - 3 1 t'1'yj, ,� n-9 ��a ►U c i'1 t `• .0111."-- AMBERHI( nature . Notary) ;;• ;,•• ''�# (Signature of Notary) ?' ��<, Notary Public-State o Florida • Commission a GG 129180 _�; 1.. = My Comm.Expires Jul 27,2021 7..�d?r Bnnckditrrsugh Nalirmal Notary Assn. �. 4] pPer •• -- -' Personally Known OR Produced Identification - roduced Identification of Identification: ( Type of Identification: OFFICE COp N.�flD APPENDIX 1:ATTACHMENT REQUIREMENTS FOR WIND UPLIFT RESISTANCE �7 �RINIERD Table Deck Application 1A Wood Type Description New,Reroof(Tear-Off)or Recover Mech.Attached Insulation, Bonded Roof Cover Page 16 Wood C New, Reroof(Tear-Off) or Recover D Insulated, Mech.Attached Base Sheet, Bonded Roof Cover 2 SC-1 Wood New or Reroof(Tear-Off) E 2 1C-2 Wood Non-Insulated, Mech. Attached Base Sheet, Bonded Roof Cover New, Reroof(Tear-Off)or RecoverE Non-Insulated, Mech. Attached Base Sheet, Bonded Roof Cover 3 1D Wood New or Reroof(Tear-Off) F Non-Insulated,Bonded Roof Cover 3 The followin• notes a. .1 to the stems o tlined herei : 3 1. Roof decks shall be in accordance with FBC requirements to the satisfaction of the AHJ. Wind load resistance of the roof deck shall proper codified and/or FBC Approval documentation. 2. Unless otherwise noted, fasteners and stress plates for insulation attachment shall be as follows. Fasteners shall be ofbe documented through engagements; > Wood Deck: sufficient length for the following OMG #12 or #14 HD with 0MG 3 In, Galvalume Steel Plate or Tru-Fast DP or HD with MP-3 Plates. Minimum 3/4-Inch plywood penetration or minimum 1-inch wood plank embedment. 3. Unless otherwise noted, insulation may be any one layer or combination of polyfsocyanurate DensDeci< DuraGuard, SECUROCK Gypsum-Fiber Roof Board or SECUROCK Glass-Mat Roof Board that meets the QA requirements of F.A.C. Rule documented as meeting FBC 1505.1 and, for foam plastic, FBC 2603.4.1 or 2603.8, when Installed polystyrene, the roof cover. board, perlite, DensDeck, DensDeck Prime, 4. For mechanically attached components or partially bonded insulation, the maximum design pressure for the selected assemblyshall meet 9N-3eand is design pressure determined in accordance with FBC Chapter 16, and Zones 2 and 3 shall employ an attachment density designed bya professional to resist the elevated pressure criteria. Commonly used methods are RAS 117 and FM LPDS 1-29. Assemblies marked withan asterisk*hc Zone 1 limitations set forth in Section 2.2.1.5.1(a) of FM LPDS 1-29 for Zone 2/3 enhancements. g qualified design 5. For assemblies where all components are fully adhered, the maximum design pressure for the selected assembly shall meet or exceed carry ptressure determined In accordance with FBC Chapter 16, and no rational analysis is permitted, 6. For mechanically attached components over existing decks, fasteners shall be tested in the existing deck for withdrawal resistance,ritical design pr design professional shall review the data for comparison to the minimum requirements for the system. Testing and analysis shall be in accordance with TAS 105 ANSI/SPRI FX-1, A qualified design 7, For existing substrates in a bonded recover or re-roof installation, the existing roof surface or existing roof deck shall be examined for or performance with the selected adhesive, and the existing roof system (for recover) shall be capable of resisting project design pressures on its satisfaction of the AHJ, as documented through field uplift testing in accordance with ASTM E907, FM LPDS 1-52,ANSI/SPRI IA-1 or TAS 124.compatibility and bond 8. "MDP"= own merit to the Maximum Design Pressure is the result of testing for wind load resistance based on allowable wind loads.Refer to FBC 1609.1.5 for determination of design wind loads. Exterior Research and Design, LLC.d/b/a TrinityiERD Certificate of Authorization#9503 Prepared by: Robert Niemen,PE-59166 Evaluation Report Date of Issuance:.12.11 for 12/09/2011-R1 of Appendix 1,Page 1 of 3 OFFICE COPY \` f TRINITY'ERD I TABLE 1A: WOOD DECKS—NEW CONSTRUCTION,REROOF(Tear-Off)or RECOVER SYSTEM TYPE C: MECHANICALLY ATTACHED INSULATION, BONDED ROOF COVER System Base Insulation Top Insulation Layer Roof Cover No. Roof Deck MDP(psf) Layer Type Fasteners Attach Base Ply Cap Min. 19/32"plywood at (Optional)One or Min.3/8-Inch W-1 max.24"spans attached more layers,any SECUROCI(Gypsum- See Note 21 per 1 ft2 EasyBase (Optional) EasyStick Plus -52.5 with 8d common or ring combination,loose Fiber Roof Board EasyBase shank nails,6"o.c. laid TABLE 1B: WOOD DECKS—NEW CONSTRUCTION,REROOF(Tear-Off)or RECOVER SYSTEM TYPE D: INSULATED,MECHANICALLY ATTACHED BASE SHEET,BONDED ROOF COVER System Insulation Layer Base Sheet Roof Cover Roof Deck MDP(psf) No. Type Attach Type Fasteners Attach Ply Cap Min. 19/32"plywood at 10-Inch o.c.In the min.4- Antpe, W_2 max.24"spans attached thicknessor Loose laid EasyLay See Note 2 Inch lap and 10 Inch o.c.In EasyBase EasyStick Plus -60.0 with 8d common or ring combination two,equally spaced, shank nails,6"o.c. staggered center rows TABLE 1C-1: WOOD DECKS—NEW CONSTRUCTION or REROOF(Tear-Off) SYSTEM TYPE E: NON-INSULATED, MECHANICALLY ATTACHED BASE SHEET, BONDED ROOF COVER System Base Sheet Roof Cover No. Roof Deck MDP(psf) Type Fasteners Attach Ply Cap Min. 19/32"plywood at max.24" 12 ga.annular ring shank nails 7-Inch o.c.in the 4-Inch lap and l- and min. 32 ga., 1-5/8" W-3 spans attached with 8d common EasyLay diameter tin-caps. (Ref: FBC inch o.c.In three,equally spaced, EasyBase EasyStick Plus -45.0 nails,6"o.c. staggered center rows 1517.5) Min. 19/32"plywood at max.24" 12 ge.annular ring shank nails 7-Inch o.c.In the 4-inch lap and 7- W-4 spans attached with 8d rinq EasyLay and min. 32 ga., 1 5/8" Inch o.c.In three,equally spaced, EasyBase EasyStick Plus -60.0 shank nails,6"o.c. diameter tin-caps. (Ref: FBC sta 1517.5) ggered center rows Exterior Research and Design, LLC.d/b/a TrinityjERD Evaluation Report T39820.12.11 for FL9487-R1 Certificate of Authorization#9503 Date of Issuance: 12/09/2011 Prepared by: Robert Nieminen,PE-59166 Appendix 1,Page 2 of 3 OFFICE COPY ""s.\. TRINITY=ERD TABLE 1C-2: WOOD DECKS—NEW CONSTRUCTION,REROOF(Tear-Off)or RECOVER SYSTEM TYPE E: NON-INSULATED, MECHANICALLY ATTACHED BASE SHEET,BONDED ROOF COVER System Roof Deck Base Sheet No. Roof Cover Type Fasteners Attach MDP(psf) Min. 19/32"plywood at max.24" Ply Cap W-5 spans attached with 8d common EasyLay See Note 2 10-Inch o.c.In the min.4-Inch lap and 10-Inch or ring shank nails,6"o.c. o.c.In two,equally spaced,staggered center EasyBase EasyStick Plus -60.0 rows TABLE 1D: WOOD DECKS—NEW CONSTRUCTION or REROOF(Tear-Off) SYSTEM TYPE.F: BONDED ROOF COVER System No. Roof Deck Roof Cover Base Ply Cap MDP(psf) 8W ,he� -6 chwitdfio shank nails, 6 EasyBase'- o.c. (Optional)EasyBase s: p Exterior Research and Design,LLC.d/b/a TrinitylERD Certificate of Authorization#9503 Evaluation Report T39820.12.11te of Issuance:for -R1 Prepared by: Robert Nieminen, PE-59166 Date of 12/09/2011 Appendix 1,Page 3 of 3 OFFICE COPY 11N. ,riJZS"- . ,.... TRINITY ERCP TABLE 1A: WOOD DECKS-NEW CONSTRUCTION OR REROOF(TEAR-OFF) SYSTEM TYPE A-1: BONDED INSULATION,BONDED ROOF COVER System Deck Base insulation Layer No. Y Top Insulation Layer Roof Cover(Note 14) (Note 1) Type Attach Type Attach Base Ply Cap MDP(psf) Min.19/32-inch Min.1.5-Inch W'1• plywood or OSB at max. EnergyGuard RA, Min.0.5-inch Structodek High (Optional)One or more EnergyGuard RH, GAF 2-Part Density Fiberboard Roof GAF 2-Part BP-AA,SBS-AA BP-AA,SBS-AA,SBS-TA SBS-AA,SBS-TA or 24-inch span Insulation -52.5 EnergyGuard RN or APP-TA APP-TA Min.19/32-Inch Min,1.5-Inch Min.0,25-Inch Dens Deck, W-2. EnergyGuard RA, Dens Deck Prime or BP-AA,SBS-AA,SBS- (Optional)One or more plywood or OSB at max. EnergyGuard RH, GAF 2-Part GAF 2-Part SBS-AA,SBS-TA or 24-inch span �' SECUROCK Gypsum-Fiber TA or APP-TA BP-AA,SBS-AA,SBS-TA52,5 EnergyGuard RN Roof Board or APP-TA APP TA Min.19/32-Inch Min.1.5-Inch Mln,0,25-Inch Dens Deck, W-3. plywood or OSB at max. EnergyGuard RA, Dens Deck Prime or WeatherWatch XT 24-inch span EnergyGuard RH, GAF 2-Part SECUROCK Gypsum-Fiber GAF 2-Part Mat Surfaced Leak (Optional)SBS-TA,APP- EnergyGuard RN TA SBS-TA,APP-TA -52.5 Roof Board Barrier TABLE 18-1: WOOD DECKS—NEW CONSTRUCTION OR REROOF(TEAR-OFF) SYSTEM TYPEA-2: MECHANICALLY ATTACHED ANCHOR SHEET,BONDED INSULATION,BONDED ROOF COVER System I Deck I Anchor Sheet No. (Deck) Base Insulation Top Insulation Roof Cover(Note 14) Type I Fasteners I AttachI MDP CONVENTIONAL SYSTEMS: Type Attach Type I Attach Base Ply Cap (psf) Min.1-Inch Min.0.5-Inch Mln,15/32- GAFGLAS#75 Base Sheet, 32 ga.,1- 8-inch o,c,at EnergyGuard Polyiso Structodek High Inch BP-AA, SBS-AA, i Tri-Ply#75 Base Sheet, 5/8-Inch dia. min.4-Inch laps Insulation, Density Fiberboard plywood at GAFGLAS#80 Ultima Base tin caps with • and 8-Inch o,c.In EnergyGuard Ultra Roof Insulaton or (Optional) max.24- Sheet,GAFGLAS Stratavent 11 ga. two,equally Polyiso Insulation or Hot Hot BP-AA,SBS- W-4. asphalt EnergyGuard Perlite -45.0 SBS-AA, SBS-TA, Inch span Nallabie Venting Base annular ring spaced, EnergyGuard RH Recover Board or Min, asphalt AA Sheet,Ruberold 20 Smooth shank nails staggered center Polyiso or min,1,5- 0.75-inch EnergyGuard SBS-TA, App TA rows inch EnergyGuard RA Parke Roof Insulation APP-TA or EnergyGuard RN (homogeneous) Min.1-Inch 15/32- GAFGLAS#75 Base Sheet, 32 ga.,1- Min. 8-inch o,c.at EnergyGuard Polyiso Inch Tri-Ply#75 Base Sheet, 5/8-inch dia. mm .4-inch laps insulation, GAFGLAS#80 Ultima Base tin caps with and 8-Inch ox,In EnergyGuard Ultra Min.0.25-Inch Dens (Optional) W'S• plywood at P Hot Deck Prime or BP-AA,SBS- BP-AA, SBS-AA, max.24- spaced, GAFGLAS Stratavent 11 ga, two,equally Polyisolnsulatlon or Hot spaced, EnergyGuard RH asphalt SECUROCK Gypsum- asphalt AA,SBS-TA, SBS-AA, SBS-TA, -45.0 Inch span Nailable Venting Base annular ring APP-TA SBS-TA, APP-TA Sheet,Ruberold 20 Smooth shank nails staggered center Polyiso or min.1.5- Fiber Roof Board rows Inch EnergyGuard RA APP-TA or EnergyGuard RN Exterior Research and Design,LLC.d/b/a Trinity(ERD Certificate of Authorization#9503 FBC NON-HVHZ EVALUATION;GAF Modified Bitumen Roof Systems Evaluation Report01506.1Revisi 18 for FL5680-R17 Prepared by: Robert Nieminon,PE-59166 Revision 18:04/12/2017 GAF;(800)766-3411 Appendix 1,Page 5 of 85 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE)) (�� 1, Permit No. Tax Folio NA J i c�G - `)� .o State of. 1 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. Legal d ri tion o party being impro ed: - y Address of pro being improved: _ -ti , General description of improvements: Owner DW(�/(lq^q.jak�s �-- _/Address 3 f(� i ` 6 CG/ ; 1 1 e -rC�'! �L G2 Owner's interest in site of the improvement -- ' r ' eholder(if other than owner) Name Address _ J9ontr..a. _ ���.C1!!^'{ rtnig (1-4—:\ Address 1 _ W/MIa Phone No. 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 N O alp N G Phone No. Fax No. V Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other =„° v rc , c . documents may be served: m .s w Name e a.E E 'o Address o v z � Phone No. Fax No. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in €> jr �i_ri tt ,- ,p +: Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). -,,oh isSP;; Name _ _ Address Phone No. Fax No. 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 OWNE./ Signed: 4, ..//// / ' DATE/04/17 B e this day of in the Coun al Sla�tt Florida,has.=r appeal C) + 0 herein by hhnseIU herself and afnns tttt all state e s an at arations herein are true urate Doc#2017246074,OR BK 18165 Page 266, Number Pages: 1 Recorded 10/27/2017 12:11 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL �4 1 �� 'n /J COUNTY ublicalLane ateo W C ntyof /` My commission expires: w lr)� RECORDING $10.00 Personally Known ...... or Produced Identification