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70 JACKSON RD - ROOF �,y r , . ,„ CITY OF ATLANTIC BEACH 111Y J 3..-'''.<` c,' 800 SEMINOLE ROAD v ATLANTIC BEACH, FL 32233 ;i»f: INSPECTION PHONE LINE 247-5814 REROOF SHINGLE - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ROOF17-0049 Description: SHINGLE RE-ROOF ONLY (NO MOD ROOF) Estimated Value: 10950 Issue Date: 2/20/2018 Expiration Date: 8/19/2018 PROPERTY ADDRESS: Address: 70 JACKSON RD RE Number: 172044 0000 PROPERTY OWNER: Name: PEAVIE HENRY E JR Address: 70 JACKSON RD ATLANTIC BEACH, FL 32233-4320 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: EXCEL ROOFING CONTRACTING Address: 5722 DUNN AVE HENRY SCOTT SORENSEN MIDDLEBURG, FL 32068 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. 11.: -rje- City of Atlantic Beach APPLICATION NUMBER 't‘ Building Department (To be assigned by the Building Department.) 800 Seminole Road RDO F - �O�Q Atlantic Beach, Florida 32233-54451 Phone(904)247-5826 • Fax(904)247-5845 / A. art 9'.4E-mail: building-dept@coab.us Date routed: /- 1 ( t 7 City web-site: http://www.coab.us ` APPLICATION REVIEW AND TRACKING FORM Property Address: L7c - \QKSQDepartment review required Yes No uilding Applicant: l' k CC L. o Q R ( ,V s Planning &Zoning Tree Administrator Project: S N I NGL GLC 1\k© Roo F Public Works Public Utilities 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: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: HApproved 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 CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office(904)247-5826 Fax(904)247-5845 Job Address: 7D.GMson f.QCJ J70}�,4n)i,i&41 P2 .32x33 Permit Number. g00f/9— 0 O y!__ Legal Description 19- 2S -a9' .• („a1,* k' ?- ' OR Parcel# 7404/4/-USC) F oor Area of Sq.l,t. „I birso- 17.E q. t Valuation of Work$ /OJ Q3e)r?O Proposed Work heated/cooled . non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move "Demolition pool/spa window/door Use of existing/proposed structures)(circle one): Commercial ;- 'dential If an existing structure,is a fire snnkler system install ?(Circle one): 'es r'o / N/A Florida Product Approval# t� �,5 a `3j 5 g yr,,ldo/Ir4rr•r•.>`9•o /,r�o'"`r'S`r For multiple products use pro act aprova form a: 0. /' l - a Describe in detail the type of work to be performed: A er't'/ moi;t-t i J d- Fay A4— Pn5A46E ®JEIZ- KyLQe thAet ) 0c'kme,tGt i - eD 06-14.1.‘ Property Owner Information: Name: en l" Pt !/j r✓' O . Q Address: �f � t son Rd City /qn a State dip 3�;33 Phone 9ee,'-9/e—4/dk., E-Mail or Fax#(Optional) Contractor Information: Company Name: C ' Aso,J . _i, ' , ' Qualifying Agent: 17I. �0 ._ ,,�Jfl efi Address: 522 I 4i,' s - City ^/it yil/� State / Zip '01�/ Office Phone i5/- 9�pe Job Site/Co tact Nymber x/63. 3V 3 Fax# of1/e. State Certification/Registration# CLi )3,2 ir4iDG. Architect Name&Phone# Engineer's Name&Phone# �/9" L Fee Simple Title Holder Name and Address /y/9. e-AG '54,i (0 /a Tri; fief' Bonding Company Name and Address fr Mortgage Lender Name and Address A/ 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 laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of six(6)months at any time after 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. /herebycertify that 1 have read and examined this plication and know the same to be true and correct. All provisions of I, • nd 'dinances governing this type of ork will be complied with whether specified herein or not. The granting of a permit does not presume to a no to violate or cancel the provisions of any other federal,state,or local taw regulating construction or the performance of construction. gi � Signature of Owner ( Signature of Contractors L ' 4.1°4 14-e31 Print Name r'....... F., QR ti • t Print Name 011.._.._2e.efla41,7....__ .................. Sworn • and subscril befor- me Sworn to and subscribed before me this ' Day of /"lQU r 20 11' this Day of .- =„ _.Qr 201 '7 , - , „,, 41°' t • . ' f v. ROSEMARIE C.PER Y N ary 'u . ,, _r iw ... •' DENISE LYNN TAIT : MY COMMISSION*FF 941b98 �4�R`"ve% W....;=-.43•as EXPIRES:January 52020 ?2 � Notary Public-Statiril��rl i I .26.10 ;iii; ;• Bonded TAWNoanP+ •r al Commission#FF980169 A =j� .-' My Comm.Expires Jul 27,2020 "' 1 , Bonded through National Notary Assn. fS\ ( .„ CITY OF ATLANTIC BEACH f ) 800 SEMINOLE ROAD „r ATLANTIC BEACH,FL 32233 (904) 247-5800 'r !r BUILDING DEPARTMENT REVIEW COMMENTS Date: 12.1.2017 Permit#: Roofl7-0049 Applicant: Excell Roofing Contractors Site Address: 70 Jackson Rd. Site Address: 5722 Dunn Ave.,JAX Review: 1 Phone: 631.7663, 463.3438 RE#: 172044-0000 Email: erciaxna,att.net Homeowner: Henry Peavie, 910.4085 CORRECTION COMMENTS: Our Building Department is doing plan review for all roofs except shingle. We are asking that Florida product approval#s and manufacturer's installation instruction be submitted that are site specific for the job you are pulling a permit for. For example, the number you submitted, 2533, has 57 informational pages for that particular#. Please go through the information and high light only information that pertains to this installation only. Any other parts of the do not need to be submitted. Thanks, Mike Jones Building Inspector/Plan Reviewer City Of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233-5445 Ofc (904) 247-5844 Fax (904) 247-5845 6.014iIPO' /1-eV 4, iv Co flot me" 11 x2. 1 . 17 f'> 1 a CITY OF ATLANTIC BEACH 800 Seminole Road 11 Atlantic Beach,Florida 32233 REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS Date 41,-//-/ 7 Revision to Permit Corrections to Comments Permit# ROOF 1 7 -00"CI Project Address -76 V il.(K Spcc 0 GOP /7-lid 9 Contractor/Contact Name &4'16Z- WOOF( ,6 do TXieKroe Phone Qeei- Email Description of Proposed Revision/Corrections: Revision Review Fee b ue $ SC' O O g9rodc.c-¢ ttpyrov'i-t Additional Increase in Building Value $ Additional S.F. � C By signing b G 1 // 4// 0.00.67- t. Ec[ affirm the Revision is inclusive of the proposed changes. (printed name) 14 -//- Signa re f o actor/Agent(Contractor must sign if increase in valuation) Date (Office Use Only) Approved A Denied Not Applicable to Department this c 0 pI rte./. f rR 7 iU Revision/Plan Review Comments . - _ w — a - De ent Review Required: Building —Planning &Zoning Q Reviewed By Tree Administrator Public Works Public Utilities /2171'7 Public Safety Date Fire Services OFFICE COPY ` ATLANTA., PE ©R � NA { REQUIREMENTS AND CONDITIONS REVIEWED BY: /2,_ DATE: 12'/117 TRINITY ERD TABLE 1E-2: WOOD DECKS—NEW CONSTRUCTION,REROOF(Tear-Off)or RECOVER SYSTEM TYPE E: NON-INSULATED, MECHANICALLY ATTACHED BASE SHEET, BONDED ROOF COVER System Deck Base Sheet Roof Cover MDP(psf) No. (See Note 1) Base Fasteners Attach Ply Cap Min. 23/32-inch thick exterior AA Poly SMS Base; Ultra Poly 12-inch o.c.at 4-inch lap and 36-inch o.c. in BP AA, SBS- SBS AA, W-67 grade plywood attached per SMS Base See Note 2 two,equally spaced,staggered center rows SBS TA SBS TA or 45.0 Code. or APP-TA APP-TA Flintfast 3 in. Insulation Glasbase; Flexiglas; (Optional) Min. 15/32-inch plywood at Plates with FlintFast#12 or SBS-AA, Flintlastic Base 20; Poly 6-inch o.c.at 4-inch lap and 6-inch o.c.in BP-AA,SBS- W-68 max 24-inch spans attach 6- #14;Trufast MP3 with DP or SBS-TA or -97.5 inch o.c.using #8 wood screws SMS Base; Ultra Poly SMS HD; OMG 3 in.Round Metal three,equally spaced,staggered center rows AA,SBS-TA APP-TA Base; Yosemite Plates with OMG#14 HD or APP TA Min. 15/32-inch plywood at OMG 3 in.Round Metal 6-inch o.c. at 4-inch lap and 6-inch o.c. in W-69 max 24-inch spans attach 6- Flintlastic APP Base T Plates with OMG#14 HD three,equally spaced,staggered center APP-TA APP-TA -97.5 inch o.c. using#8 wood screws rows. Min. 19/32 inch plywood at Glasbase; Flexiglas; BP-AA,SBS- SBS-AA, W-70 max 24-inch spans attach 6- Flintlastic Base 20; Poly See Note 2 7-inch o.c.at 3-inch lap and 7-inch o.c. in AA SBS-TA SBS-TA or -105.0 inch o.c. using#8 wood screws SMS Base; Ultra Poly SMS three,equally spaced,staggered center rows or APP-TA APP-TA Base; Yosemite OMG 3 in. Round Metal Min. 19/32 inch plywood at W-71 max 24-inch spans attach 6 Flintlastic APP Base T Plates with OMG#14 HD or 7-inch o.c.at 3-inch lap and 7-inch o.c. in APP-TA APP-TA -105.0 inch o.c.using #8 wood screws Dekfast Hex Plate with three,equally spaced,staggered center rows Dekfast#14 Flintfast 3 in. Insulation (Optional) Min. 15/32-inch plywood at Glasbase; Flexiglas; Plates with FlintFast#12 or SBS-AA, W 72 max 24-inch spans attach 4- Flintlastic Base 20; Poly #14; Trufast MP3 with DP or 6-inch o.c.at 4-inch lap and 6-inch o.c. in BP-AA,SBS- W-72 BS SBS TA or -127.5 inch o.c. using #10 wood SMS Base; Ultra Poly SMSfour,equally spaced,staggered center rows AA,SBS-TA screws Base; Yosemite HD; OMG 3 in. Round Metal or APP-TA APP-TA Plates with OMG#14 HD Min. 15/32-inch plywood at W 73 max 24-inch spans attach 4- Flintlastic APP Base T OMG 3 in.Round Metal 6-inch o.c.at 4-inch lap and 6-inch o.c.in APP TA APP TA -127.5 inch o.c. using#10 wood Plates with OMG#14 HD four,equally spaced,staggered center rows. screws TABLE IF: WOOD DECKS—NEW CONSTRUCTION or REROOF(Tear-Off) SYSTEM TYPE F: NON-INSULATED, BONDED ROOF COVER System Deck Roof Cover MDP Primer (psf) No. (See Note 1) Base Ply Cap • Min. 19/32-inch plywood at max 24-Inch spans W-74 attach 6-inch o.c. using #8 wood screws FlintPrime SA SBS-SA (Optional)SBS-SA SBS-SA -127.5 Exterior Research and Design, LLC.d/b/a Trinity IERD Evaluation Report 3520.03.04-R8 for FL2533-R8 Certificate of Authorization #9503 Revision 8: 08/23/2012 Prepared by: Robert Nieminen, PE-59166 Appendix 1, Page 14 of 43 NOTICE OF COMMENCEMENT r 7 (PREPARE IN DUPLICATE) � Permit No. (K�€ / -- 7OY9 Tax Folio No State of FLORIDA County of Duval 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: 17-2S-29E PT GOVT LOT 2 RECD 0/R BK 6850-1738 Address of property being improved: 70 JACKSON RD Atlantic Beach FL 32233 General description of improvements: Re-roof Shingle and Flat Owner PEAVIE, HENRY E JR and PEAVIE,WYNOLA G Address 70 JACKSON RD Atlantic Beach FL 32233 Owner's interest in site of the improvement OWNER Fee Simple Titleholder(if other than owner) Name -- --.-- Address Contractor SCOTT SORENSEN - EXCEL ROOFING CONTRACTORS INC Address 5722 DUNN AVE JACKSONVILLE FL 32218 Phone No.904-631-7663Fax No. 904-214-0004 Surety(if any)N/A Address Amount of bond$ 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 N/A 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 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): THIS SPACE FOR RECORDER'S USE ONLY NER / ---- -- DATE 11-7- 17 Before me this ay f In the County of Duva ate of Florida.has personally appeared herein by himself/herself and affirms that all statements and declarations herein Doc#2017264256,OR BK 18190 Page 323, are true and accurate Number Pages:1 Recorded 11/16/2017 11:11 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVALaliI COUNTY Not ry Public at Large.State of �lyaunty of Pat RECORDING $10.00 I My commission exp Persoced Identtncat 16tl; _ ROSEMARIE C.PERRY or 4 .._ MY COMMISSION#FF 941898 • n 76.;.. .4:1 EXPIRES:January 5,2020 ':;qf,►A'' Bonded Thty Notary Public Underwriters