90 OCEAN BLVD - ROOF x;.1,`1 j•!v)
,64 f` `?„ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
,,._
ATLANTIC BEACH, FL 32233
'
22 oil �% INSPECTION PHONE LINE 247-5814
ROOF NON SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ROOF17-0039
Description: DENSDECK OVER EXISTING, SEAL WITH HYDROSTOP
Estimated Value: 18000
Issue Date: 10/9/2017
Expiration Date: 4/7/2018
PROPERTY ADDRESS:
Address: 90 OCEAN BLVD
RE Number: 170225 0005
PROPERTY OWNER:
Name: ROY SASWATA
Address: 90 OCEAN BLVD
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: SHORE ROOFING COMPANY
Address: 914 7TH AVENUE S QA THOMAS LOUIS SHORE
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.
�S!.APJ City of Atlantic Beach APPLICATION NUMBER
Jam, Building Department (To be assigned by the Building Department.)
'` 800 Seminole Road f _ /
r' ��� Atlantic Beach, Florida 32233-5445
( XD (7- vU 3
5
Phone(904)247-5826 • Fax(904)247-5845-. J; �? E-mail: building-dept@coab.us Date routed: I e`4 1t7
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 9 o EI )CIE-)q&.) BLU 0 _ Department review required Yes -No
Building (/
Applicant: St-tpiz_e RIOC rung &Zoning
FM
Tree Administrator
Project: 6 M El �,1 C_'` 0 VE 2__ Public Works
'' II Public Utilities
E,4, (S Ti NpG t'1 •Li bRO STO 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
T
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 I First Review: t'pproved. Denied. ['Not applicable
(Circle one.) Comments:
BUILDI G
PLANNING &ZONING Reviewed by: rri 4), Date: /0' 117
TREE ADMIN. Second Review: ['Approved as revised. ['Denied. 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
Building Permit Application OFFICE COPY
f:.... a, City of Atlantic Beach
800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Fax: (904) 247-5845
Job Address: 93 C -Ct (1 8(1)ChPermit Number: �oo r� - 0039
C
Legal Description5-641 A 1 a5--ai6 ,0643.14 'f'c f3raLLV tA /,�t6 t31/( 3Lj RE# /•iii_ ,.5 -6643
aL
Valuation of Work(Replacement Cost)$ 1jOOi• ' Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Residential
• If an existing structure,is a fire sprinkler system installed?ICindeone): Yes No N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removall
Describe in detail the type of work to be performed: k C JG✓ .XI
ht+* T154^i1 Ply i)rd fi-6,Q ?rtaniuir .,frwier4re
Florida F'rodluet/Aipproval#/i,r,r., g ).L.'�i..i•
c.) /_. dtw,J,_ '"/I Z col •� for multiple products use product approval form
Property Owner Information
Name: -S/7S4.)0A key Address: 7p
G D(eqt 11 /3I UJ
City $ -)A-x,4 i` /3ccc.� State Zip .3 U3 3 Phone c.;14-/ - fsi3'9'
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company:S)t)fL 064-..)/1./15 Co Qualifying Agent: 5 h
Address CX3 /1:141 r4 VL S City T47 6"4 c L state ):-"( zip 3 L2J-0
Office Phone q)-$61/2. Jab sitejtentari ilniar cte)6-aS'S9
State Certification/Registration# CCC65t I I E-Mail '---g—rive,-__k✓,-__ e p,..,/, Com
Architect Name&Phone#
Engineer's Name&Phone 4*
Workers Compensation F_XCIl
Exempt/Insurer/Lease Employees/Expiration Date
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the(laws regulationg
construction in this jurisdiction. I understand thata separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
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.
Signature of s -r or Agent including Contractor) (Signat lre ofiContractor)
Signed and sworn. » (o affirmed) before me- his -;2--- day of 5 an swornfto:( r affirc e• before roe t _ clay
()di- , .' e7b gi ' L 74 (is() , 701 7,by �r •M tra .
.._ it , L _4' '1r2 'C• • 411 t •
:o""-r�`Oe:': PAMELA Ji� �d�Eo' "o -rv) (Signature crf Notary
g. ,•1,: ._ 'r bile-State of Florida
"; =`'o; Expires Dec 4,2017
�'•.,, �,,, ion N FF 074537 ?�.,� "` TONT GINDLESPERGER 1111.
[ ]P R [ Personally Known OR �;; ;* MY COMMISSION#FF 924951
f Produced Identification ( 1 Produced Identification 1 , 2= EXPIRES:October 6,2019
1 O'f .F Bonded Thru Notary Public Underwriters
t
perin1 - Q.dor-2 ! -7 —0a 3?
NOTICE OF COMMENCEMENT
State of F! Folio No. 1-70 -5`�a6''
County of 0v VtA- 1 OFFICE COP
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 COMMECEMENT.
Legal Description of property being improved: S C, at-)..6-
.. t- S D1. != R0 ' A+ (vk(i i'+e- 13 P_ct C_4.\
_Al f/D--1.0 .- C -G1K39.
Address of property being improved: 90 0 6 e 61/1) 6(U c /4 i l rt-A,f`'c- 13 PGt c J /i 3.2233
General description of improvements: !2L 1260
Owner: ,hS i)A' Anv Address: 90 (5(�G !1 3 r Art-^ f r c 13r,- h /932_233
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Doc#2017226050,OR BK 18138 Page 264,
Name: Number Pages: 1
Recorded 10/03/2017 at 01:16 PM,
Contractor: .SAorL (COO n d v IRonnie Fussell CLERK CIRCUIT COURT DUVAL
Address: 9j 1ci II+'1 14vt '5 J 5+C i3-rti!L (�( 3 2_2-so
sby RECORDING$10.00
Telephone No.: 7j U 4-,, I I -�1`()- Fax No: COUNTY
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
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 addition to himself, 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:
Address:
Telephone 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 OWNER
Signed:)( .-// Date: U<J1( a aa/7
— _ — — — — — _ _ Before me this o2, day : ` y� in th�unty of Duval,State
' Of Florida,has personally app ared Ori . e
in,,,,' ' °`ePAMELA JEAN SHORE Notary Public at Large,State • ^ri•. , Qunt,3iooD% 1.
? Notary Public-State of Florida I My commission expires:,: My Comm.Expires Dec 4,2017 ( Personally Known: b- or
1 '"4,oF,,, ,,, Commission#FF 074537 Produced Identification:N01- ROOO — Od 0 ' 7,5*-- 10 fi—d
f J
L/
OFFICE COPY
QUICK SPEC
GYPSUM (DensDeck & SecuRock) — HYDROSTOP® PREMIUMCOAT® (HS-10)
in NOTE:The following"Quick Spec" is an abbreviated specification and is not meant to replace the detailed
specification. Read the entire 3-Part CSI System Specification prior to starting the project. Specifications are
u available at www.gaf.com.
z
cl Method • Use GAF Roof Brush to apply HydroStop® PremiumCoat® Foundation Coat
• Spray, roller, or brush apply HydroStop® PremiumCoat® Finish Coat
Requirements • Roof must be clean, dry, and tight.
• Adhesion test required to ensure proper adhesion to substrate(s).
• If mechanically attached, plates must be encapsulated with Butter Grade Flashing.
• All seams are to be treated with Butter Grade w/fabric OR Foundation Coat w/
fabric.
• Apply at 50°F (10°C) and rising with no rain, dew,fog or freezing temperatures in
forecast for 24 hours.
• GAF recommends that the surface temperature be at or less than 105°F (40°C)
during application.
Application 1. Ensure roof is free of dirt, debris, oil, and other contaminants that could
Instructions negatively affect adhesion.
2. In most cases, no primer is required for this substrate.
3. Before applying the HydroStop® PremiumCoat® System, an adhesion test is
required to ensure an adhesion of a minimum of 2.0 PLI.Test patches to be
applied with system rates listed below.
4. Apply HydroStop® PremiumCoat® Foundation Coat and Finish Coat per the chart
below.
GYPSUM(DensDeck&SecuRock)
HYDROSTOP®PREMIUMCOAT®SYSTEM
Foundation Coat Finish Coat System Warranty
(with fabric)
Total DFT* 1st Coat 2nd Coat 3rd Coat Total DFT* Total DFT* Emerald Diamond
(Gal/Sq) (mils) (Gal/Sq) (Gal/Sq) (Gal/Sq) (Gal/Sq) (mils) (Gal/Sq) (mils) Pledge Pledge*"
10
2.5 27 0.75 0.75 1.5 13 4.0 40
Year
15
2.5 27 1.0 1.0 2.0 17 4.5 44
Year
Yes Yes
20 2.5 27 1.0 1.0 1.0 3.0 25 5.5 52
Year
25 2.5 27 1.5 1.5 1.0 4.0 33 6.5 60
Year
*DFT(Dry Film Thickness)is rounded to nearest mil.Actual DFT will vary dependent on substrate profile,application technique&
waste factor.Primer/Base is not included in DFT calculations.