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331 19TH ST - ROOF ,`' j CITY OF ATLANTIC BEACH ` 800 SEMINOLE ROAD �141 - �� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 ROOF NON SHINGLE - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ROOF18-0001 Description: re-roof w/shingles &torch down Estimated Value: 7200 Issue Date: 2/14/2018 Expiration Date: 8/13/2018 PROPERTY ADDRESS: Address: 331 19TH ST RE Number: 172020 1210 PROPERTY OWNER: Name: CRUMPLER JAMES F Address: 331 19TH ST ATLANTIC BEACH, FL 32233-4538 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: RELIANT ROOFING INC 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. 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. * 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. rS-A1.1: City of Atlantic Beach APPLICATION NUMBER �� �� Building Department (To be assigned by the Building Department.) i s. ,, 800 Seminole Road V-0� Atlantic Beach, Florida 32233-5445 ( — wq Phone(904)247-5826 • Fax(904)247-5845 '%01119 E-mail: building-dept@coab.us Date routed: 1 I ( ( I l City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: - )\ 1 Ct SA Department review required Yes.-No wj �/ilding Applicant: eQ i an-k )V n\ Planning &Zoning Tree Administrator Project: Sh to0 S `44- tit c —&0, r\ Public Works C Public Utilities (t---f `l 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: ❑Approved. Denied. ❑Not applicable (Circle one.) Comments: BUILDIN PLANNING &ZONING // Reviewed by: Date: / -/ 9 ',PO/�— TREE ADMIN. Second Review: "IApproved as revised. ❑Denied. ['Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: /7 Date: ;--/ 3"o7 0/y FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. ['Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 y' f :+ CITY OF ATLANTIC BEACH ! 800 Seminole Road !.�, y-.`"� OFFICE COPY Atlantic Beach,Florida 32233 Volvite i7,7 REVISION REQUEST /CORRECTIONS TO PLAN REVIEW COMMENTS Date a\z l t.co Revision to Issued Permit Corrections to Comments Permit# P.-00 F 1V -cocl Project Address Contractor/Contact Name Phone Email Description of Proposed Revision/Corrections: Permit Fee Due $ SO.D 6 Ls()pay_ + Q,Vd,6 - U)m ifs Additional Increase in Building Value $ Additional S.F. By signing below,I affirm the Revision is inclusive of the proposed changes. (printed name) Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date (Office Use Only) Approved KDenied Not Applicable to Department Revision/Plan Review Comments D ent Review Required: Building /1(9^ Planning & Zoning Reviewed By Tree Administrator Public Works Public Utilities Z' I q ' tg Public Safety Date Fire Services 1rjr,J`1r J ' r, >' CITY OF ATLANTIC BEACH f 800 SEMINOLE ROAD OFFICE C O pY ATLANTIC BEACH,FL 32233 _________2I� I (904)247-5800 _-Jin BUILDING DEPARTMENT REVIEW COMMENTS Date:1.19.2018 Permit#: ROOF18-0001 Applicant: Reliant Roofing Site Address: 33 19th St. Site 822 N. AlA Highway #310, Review: 1 Address: Ponte Vedra Bch. RE#: 172020-1210 Phone: 657.0880, 712.3111 Email: shannon@reliantroofing.com Correction Comments: Ap s ' on is disapproved for the following issues: Manufacturer's installation instructions are quired for the site specific roofing application that this roof permit is being applied for. 2 . i s ies please. Highlite the system installation details that will apply to this install. Mike Jones Building Inspector/Plans Examiner City of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233 904.247.5844 Email:mjones@coab.us E n tQ I.fC/ 2e v i-" w C o vr, w'e rLT1 1-1 ?- 2 01 S— /1'''1 1 OFFICE COPY Ar1 '' cy Building Permit Application JAN 1 1 2018 City of Atlantic Beach 'MF/ 800 Seminole Road,Atlantic Beach, FL 32233 -f4)1 1�' Phone: one:(904) 247-5826 Fax:(904)247-5845 Job Address:35 P-1h Qk- • Permit Number: uumbber: 00L — Doc)) Legal Description3G-G3 O {rLwva Tyva v ti \ L c } RE# paORDaID Valuation of Work(Replacement Cost)$ 7, Loo.co Heated/Cooled SF I q19 Non-Heated/Cooled 21190 • Class of Work(Circle one): New Addltion(Alteratior�Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial�_' ntial • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe In detail the type of work to be performed:re-roof_$hlr les lt-t'01-ch ccLun ShinelesI S SQ —Glia i+'ch /-iOrohcicgon:G 5Q -(/1a Pitch 5h't - e5 FL*: FL-trw24-R6 ,-torch-irx,v, L. :tet.-I6-rnq-Q2,unri'rinymentfl. : Florida Product Approval ff S1ritt1CvS-C10\-1A-Z1 S for multiple ltiple p roducts use product approval form Property Owner Information Name: music viler Address: 1 IC141 a-. City ! c State E__ Zip 322 Phone '6 /-sot/ 91 6 - E-Mail Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Informion rn Name of ompany: � Qualifying Agent:l 5�0 'C Y" Address 022NI,R VPO City Ftirfe Mira- ate F'L Zip 32'082_ Office Phone golf 7 - � • Job Site/Contact Number gPy'-71 7 '�)�� State Certification/Registration ff C C 13 15 E-Mail 51�tY^ {�11-e t t� r1") Architect Name&Phone ff Engineer's Name&Pho a tf Workers CompensationVO\\C)q �k WCGlO-On— 618-0-r /PXflits la 1311 18 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. 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. (Si ature of Owner o Agent including Contractor) (Sig ature of Contractor) Signed and sworn to(or affirmed)before me this__day of Signed and sworn to(or affirmed)before me this 2--day of Upvnuaty, Zc la ,by carnes Crurnpr2r abnu°-7 , 20/7 ,by C4-41eieq (54'"/Gre • gnature.00' gn re f Notary) , JULIANA PANTOJA JULIANA PANTOJA State of Florida-Notary Public ersonall Known OR ,!�'�=State of Florida-Notary Publ ersonally Known OR I y '= Commission ft GO 151986 y Commission ff GG 15198 M Commission Expires "[ I Produced Identification =?" efi My Commission Expires ( Produced Identification �'��� ^` '�` y October 18.2021 mn�r " ��"'� October 16 2 21 a of Identification: Type of Identification:� � Q Tip _ Doc # 2017293498, OR BK 18230 Page 311 , Number Pages: 1 , Recorded 12/21/2017 04 :24 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10 . 00 OFF!CI COPY NOTICE OF COMMENCEMENT (PREPARE IN DJPLICATEI Permit No. POOF I S' 'CQdl Tax Folio No. State of FL County of DO V Q A To whom It may concern: The undersigned hereby Informs you that Improvements will be made to certain real property,and In accordance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF COMMENCEMENT. Legal description of property being improved: 3G- G- O-i--a S— ap E Sp 4 V cC11-IrOt Unri- R apt 1-1 - Address of property being improved: 331 1C • Prk rr-h(. } t Irl Ft- 32z 33 General description of rnprovements:re . _ Owner . at1fC, ) CiUm 1fr Address i i rctr 4. �tt(j C: 6 7►W n. 32,233 Owners interest in site of the Improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Rcliant Roofing,Inc. Address 822.A IA Highway Suite 310 Ponte Vedra Beach,FL 32082 Phone No, 904-657-0880 Fax No. 904-677-7972 Surety(if any) Address Amount of bond$ 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. 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 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 Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). 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 1 OWNEF} �;t-- /Z_ 7—e'—' o- !7 B.'or,lea '11.4GATE cr me h 7,(Iday of Q 'yJ Qry- h ria C r•of D S ci Florda.h p.rsona y appearec fir'Ll Th or,,+r him seep herself end eftmts ll•a U stalerneres an ar fy�r,J�er.:n JULIANA PANTOJA we true and accurate ��'" �e�ti IIC ;� State of Florida-Notary Public '• �•_ Commission 0 GG 151986 =5; �?c My Commission Expires 'r,,r,, October 16.2021 h13.ery Public at Large.St le or . Ccucty.3JJCJ.1 My commission aopir.ak+ " • . P or Pe•soiary I(nor:n Produced Identillc OFFICE COP) PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA Project Name: .53\ \0 \ \ S- . Permit # gC>OF/i—ooe / Project Address: 3\ 1«\ 1`( l • 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 oroduct approval may be obtained at:www.floridabuildinn.ore. 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 I. 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 OFFICE COPY 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 \VY \``ne }-`Q ft-1D17q-1z15 2. Underlayments ��1\\ Fe �U�� FL 166,8(4-g2 3. Roofing fasteners 4.Nonstructural metal roof 5. Built-up roofing y� �p� 6.Modified bitumen CY�tA��r�C� ,�( 1 n F1;1co?l-122- 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 OFFICE COPY 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-1-113(Y1°1° Y16.40u 191)12-- (Contractor Name) (Print`Name) (�� (Signa e) Company Name: 9-g,\ 1 O� u \ 1 Mailing Address: 33\j N . 3\�( t 1 City��� Y��1, ;/ 01 State: Zip Code: �Q� t3 C9 Telephone Number: (q09)- 37- Oho Fax Number:( ) Cell Phone Number: ( ) E-mail Address: OFFICE COPY V z POLYFLEX® G 0 PRODUCT DESCRIPTION a Polyflex G membranes ore premium, polyester reinforced APP modified bitumen roofing membranes specially designed for heat-welded applications. Constructed with premium Atactic Polypropylene resins, and incorporating superior polyester reinforcing, Polyflex G provides an exceptionally durable roofing product which is easy to install and will provide long-term weathering performance. With a granulated surface (available in several colors) and o polyolefin backing, Polyflex G exceeds all minimum ASTM standards for tensile strength, puncture resistance and flexibility. Polyflex G membranes can also be used as flashing membranes in all applicable in accordance with recommended installation practices. USES • • Heat-welded cap sheet • Applied directly over an acceptable substrate or as part of a multi-ply system • New roofing, re-roofing, re-cover and for flashing details PRODUCT DATA Coverage(Nominal) 100 sq ft FEATURES AND BENEFITS Weight(Approx) 110 lbs Roll Size 32'10"x 39 3/s`(10m x 1m) • Exceptional weathering characteristics Rolls/Pallet 20 • Puncture and tear resistant • Low-temp flexibility, exceptional tensile strength and elongation properties APPLICABLE STANDARDS TECHNICAL DESCRIPTION • ASTM D 6222 Type TEST METHOD PROPERTY TYPICAL. •1111111111111111011111Pie actoryMutua 1Approved VALUE • UL Classified for use in class A, B or C roofs,as listed in the latest UL"Roofing ASTM D5147 Thickness,typical, mm)mils) 4.5(180) Materials and Systems Directory" • ICC ESR-2018 ASTM D5147 Peak Load @ 23+/-2°C(73.4+/-3.6°F),MD 8.8 1501 • TDI and XMD, min, kN/m(lbf/in.) Elongation @ 23+/-2°C(73.4+/-3.6°F),MD ASTM D5147 and XMD, min(%) 23 • ASTM D5147 Tear Strength @ 23+/-2°C(73.4+/3.6°F), 311 (70) min, N(lbf) ASTM D5147 Low Temperature Flexibility, max,°C(°F) 0(32) PRODUCT WARRANTY Polyglass USA, Inc. commercial roofing ASTM D5147 Granule Embedment,g 2 membranes can be backed with a manufacturer's warranty for up to 20 years when used as part of an approved,multi-ply roofing system. Please see your Polyglass USA,Inc.Sales or Technical AVAILABLE COLORS Representative for specifications and details. Top surface granule protection is available in a variety of colors such as: ISATFRPROOFIKG MATERIALS ASI)INSULATING SYSTEMS Black Buff Chestnut Grey Slate Oak POLYGLASS O White Red Blend Pine Green Heather Blend Weatherwood MAPEI 4 . GROUP /"f44 1-800-222-9782 Copyright©2011 by Polyglass U.S.A.,Inc.and all rights ore reserved www.polyglass.com Wilton Dare:05/11•DocX Polyfee• t OFFICE COPY a PO LYF LEX® G CL d APPLICATION INSTRUCTIONS Pclyflex G is intended to be used as the primary weathering surface in new or re-roof applications. Polyflex G is to be applied as the outermost layer of o multi-ply roof system over a compatible Polyglass base or inner ply sheet. Polyflex G may be applied directly to non-combustible substrates. • Apply over clean, dry, dust and debris-free substrates. Prime concrete decks prior to application with PG 100 Asphalt Primer. • When re-roofing, remove all prior roofing materials down to a clean debris-free substrate and properly close-off all abandoned roof penetrations. • Concrete or steel decks shall be designed with proper expansion devices. • Wood decks shall have all joints blocked and properly supported. Ensure the fire rating of the assembly over any combustible substrate. Ensure the installation of Polyflex G does not prevent the ventilation cf existing construction. Do not apply over shingles cr any granulated surface. While installing Polyflex G: 1. Start at the low point cf the roof. 47 2. Unroll the material and allow to relax. . 3. Install with traditional torch roofing techniques ensuring proper heating of the roofing material as not to expose •rt the reinforcement. 4. Do not heat the substrate. 5. Position successive rolls providing a minimum 6" end lap and 3" side lap. Asphalt bleed out shall be 1/4" to 3/8" on all seams. 6. Laps shall be rolled with a 6"-wide roller immediately after heat welding. .. Details and flashing may be installed using Polyflex G with torch applied techniques. Do not use cold adhesives or hot asphalt. Check project details for r encs. • POLYGLASS U.S.A., INC. MANUFACTURING FACILITIES • Fernley, NV • Hazleton, PA • Winter Haven, FL CORPORATE HEADQUARTERS Polyglass U.S.A., Inc. 1 1 1 1 West Newport Center Drive Deerfield Beach, FL 33442 www.polyglass.com General Line: (888141G-1375 (9541233-1330 Customer Service: (8001222-9782 Technical Service: (8661802-8017 Questions?technical@polyglass.com Product Disclaimer:Unless otherwise incorporated into or part of a supplemental manufacturer's warranty,Polyglass warrants its product(s)against manufacturing defects in its product that directly results in leakage for a period of 5 years. Refer to material safely data sheet(MSDS)for specific data and handling of our products.All WATERPROOFING MATERIALS AVD INSULATING SYSTEMS data furnished refers to standard production and is given in good faith within the applicable POLYGLASS Q manufacturing and testing tolerances. MARE! GROUP Polyglass U.S.A., Inc., reserves the right to improve and change its products at any time with- out prior notice. Polyglass U.S.A., Inc. cannot be held responsible for the use of its products / `'4/C Nam under conditions beyond its own control. '� 1-800-222-9782 For most current product data and warranty information, visit www.polyglass.com www.polyglass.com