2242 BAREFOOT TRACE - ROOF (2) `'3 , ss1 CITY OF ATLANTIC BEACH
�' s) 800 SEMINOLE ROAD
151, z
ATLANTIC BEACH, FL 32233
'+t r;3 c-)1 INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0030
Description: rE-roof Shingle-FL 10124.16 15216
Estimated Value: 15000
Issue Date: 1/25/2018
Expiration Date: 7/24/2018
PROPERTY ADDRESS:
Address: 2242 BAREFOOT TRACE
RE Number: 169463 0590
PROPERTY OWNER:
Name: Anthony Hicks
Address: 2242 BAREFOOT TRCE
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name: RON RUSSELL ROOFING INC
Address: 4419 HUDNALL RD QA RONALD WAYNE RUSSELL
JACKSONVILLE, FL32207
Phone: 9047141907
Name:
Address:
Phone: 9047141907
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$7,500.
Building Permit Application Updated 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
//�1 Phone:(904)247-5826 Fax:(904)247-5845
Job Address: 22-9 2 ,l�a✓t{"•.7 1a!o - Permit Number: �� RFS'
Legal Description` z-/jO`t-2S-21( az awn,. Ur‘;} 2 Lot 'fy RE# /67`/63-OS79
Valuation of Work(Replacement Cost)$ /Si 00c, Heated/Cooled SF 2S 1 t 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 sidentia
• 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
Describer�7� vinn detail
the type of work
^to be/�performed: �i
'e-L'oof7�, lnOr+( '^/ GAF' Avett �Cc�uv.-` \‘1/4Z-"Ike) S-6 Y?T fit"' %Z
Florida Product Approval# /0/79•/(o I j for multiple products use product approval form
Property Owner Information
Name:IAntio f Dick Address: 721/ Oarrw•afic1, C4.
City A-}Ia,i.lc Frei State r'- Zip 32Z?3 Phone 4799- SaS5
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company:
Korn Puff,II Q��z'.. rrt Qualifying Agent: 2�.JJ QKSStk
Address 1-11(9 /&,j) /f Ru{ City 3•ve State Ft_- Zip 3210
Office Phone 119 —Int o7 Job Site/Contact Number 'levy — boa— Sat 3
State Certification/Registration# 13 2 1't $`( E-Mail ' orf2•4 Sse\\
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation fiti/Jeies Mu}.-w I ASur.,s,a Ci,arw..l VJCP 16`12'18(&O3 12/3 V/I g
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 that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition to the requirements of this
permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and
there may be additional permits required from other governmental entities such as water management districts,state agencies, or
federal agencies.
%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.
, , - c
(Signature of Owner or Agent) (Signature of Contractor)
(including contractor)
Signed and sworn to(or affirmed)before me this/G day of Signed and sworn to(or affirmed)before me this Zy day of
icciA , 20 if; , by 4,irj,oi j , " -k JuN ,10 ./8 by 'u A� Qv�SS c 1/
ignaturr-• ,00011111111 (Signa 141!of Notary)
[ ]Personally Known OR i.4.Perstsy nown OR
[.4_PFeduced Identification [ I Produced Identification
Type of Identification: L.L Type of Identification:
Ryan Rennick Eyrltk
NOTARY PUBLIC
• Ryan Rennick Eyrick
'Y' NOTARY PUBLIC STATE OF FLORIDA
>01Lifk `Comm#FF945229
�' -STATE OF FLORIDA •
�'�'4 Comm#FF945229 Expires 12/20/2019
iN %lb Expires 12/20/2019
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA
Project Name: 22.9 Z- i3 a r c coo-t- T.c e Permit #
Project Address: 7212- es r e A + 'Tri.-e kj s4'c g4,,A, pc F 2 z 3 3
As required by Florida Statute 553.842 and Florida Administrative Code Rule 9B-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 approval may be obtained at: www.floridabuildin
Category/Subcategory 1 Manufacturer Product Description f 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 1 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 6/sc — ,4r.v.ke.'lvv.A slerre /o/2 y•16
2.Underlayments gh;,,c, SK j; t,� \t— ,ft L 15 216
3.Roofing fasteners
4.Nonstructural metal roof
5. Built-up roofing
6. Modified bitumen
7. Single ply roofmg
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 1
Category/Subcategory Manufacturer Product Description jJmitation of Use State# Local#
1
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
i
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 ofdifferent components other than the ones
listed in this document must be approved by the Building Official.
(Contractor Name) (Print Name) 12.%43 A mss c, I (Signature)
Company Name: Rs c o( I��•�K Sr /'
Mailing Address: V/Pr ik JM,if dal
City: 3m-X State: re— Zip Code: 3 Oz v "7
Telephone Number: (f o Y ) 7i y- /70 Fax Number: ( )
Cell Phone Number: (for ) loo -886 3 E-mail Address:Pe.,/awe 1.L.e
_ x
RRROOE� , ` Ron Russell Roofing, Inc
�n. PropZsa:lRd
���' 4419 Hu . , :I'
,�
Jacksonville,FL 32207 "'..�
904-600-8883 Cell
904-714-1907 Office
904-636-9909 Fax
Proposal submitted to:Anthony Hicks City,State,Zip
Atlantic Beach,FL 32233
Address: 2242 Barefoot Trce Contact: 994-5235
We hereby submit specifications&estimates for: Re-roofing Home
✓ Removal of all existing roofing from house and replace with GAF Architectural shingles with synthetic
felt for underlayment
✓ Nail off decking 6 inches on center with#8 ring shank nails.(per code).
✓ Obtain city permit and notice of commencement.
I Replace with new galvanized 6 inch painted drip edge and lead st ^'- " ngs.
✓ Replace with new (2)6ft off ridge vents —' - ( metal.
I Remove and replace any b, A.,o�\A6� \ er sheet 1/2"(4x8),and
$75 per sheet of 3/4". $3.2=
e
,, All work performed m acco; 6
✓ Clean up and haul away all o Cp 0 -3r— wing tear-off will be
r
billed at$30/sq.Pick up any, A "A ' 4
me
✓ Includes 5 yr.warranty on all
1/15/18
Le I.
cf.iso n ovc. e,,f I ,ex s i'A i,
We hereby propose to furnish material ications above for
the sum of: Fifteen Thousand Dollars ,.,.,..w0
Payment to be made as follows: 1 completion
Acceptance of Proposal-The above prices,specifications,and conditions are satisfactory and are hereby accepted.
You are authorized to do the work as specified.Payment will be made as outlined above.r/
Signature: (:),, Gz-.___ /41--
4
Date of Acceptance: J'/b///
Signature:
NOTICE OF COMMENCEMENT
;PREPARE IN DUPLICATE)
Permit No. R Tax Folio No.
State of Florida County of 'pvvw\
To whom It may concern: •
The undersigned hereby informs you that Improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information Is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved:
X12-)3 o'f -2S "2' e'
C eeANv.+.1"- Vnt•f L Lot yy
Address of property being improved: 2 292 gaa a oc>"1- Tr t t
h-10.14IL gfuLh, FA- 32233
General description of improvements:
Reroof
Owner he/WIy 141E k n Fc 2233
Address ZZgi OCeaeS%ie Cf .• At/Iodic c fftrreh i
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Ron Russell Roofing,Inc.
Address 4419 Hudnall Road,Jacksonville,FL 32207
Phone No.
904-7141907 Fax No. 904636-9909
Surety(if any)N/A Amount of bond$
Address
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name N/A
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 Ron Russell Roofing,Inc
Address 4419 Hudnall Rd.Jacksonville,FL 32207
904-636-9909
s, Phone No.
904 7141907 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 Statutes.(Fill in at Owner's option).
Name N/A
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):
OW ER
THIS SPACE FOR RECORDER'S LW—ONLY DATE y v Q
Signed/�-' 'luN 7 01 - _in the U O
Doc#2018019870,OR BK 18263 Page 12, I Before me this 6 day•'_ W N o
County of uval State of F fi`_ personally appeared herein by L m JCD N
Number Pages:1 a u-
Recorded 01125(2018 02:58 PM, himself!herself and a rms that all statements and declarations herein
are true and accurate atoo )- O LL h
il
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY c F N `t
RECORDING $10.00 cr z rj
e.State of County oAtillerf " v ., r• , .
�nexpires: t••2or
•ersonaliy Known � �
Produced Identification •4.-- t .9_1*
W
r. ; •