1883 ATLANTIC BEACH DR - ROOF j 1-Ly1,4.,
.6' ,Pr ., CITY OF ATLANTIC BEACH
"� �� 800 SEMINOLE ROAD
,� v� ATLANTIC BEACH, FL 32233
O.3 t) INSPECTION PHONE LINE 247-5814
ROOF NON SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ROOF18-0003
Description: metal porch roof
Estimated Value: 5100
Issue Date: 2/2/2018
Expiration Date: 8/1/2018
PROPERTY ADDRESS:
Address: 1883 ATLANTIC BEACH DR
RE Number:
PROPERTY OWNER:
Name: RIVERSIDE HOMES OF N FL
Address: 414 OLD HARD RD STE 502MATTHEW ROBERTS
ORANGE PARK, FL 32003
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: TOP GUN ROOFING, INC.
Address: 5570 FLORIDA MINING BLVD QA MATTHEW PATRICK
MCLEOD
JACKSONVILLE, FL 32257
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.y,>>r�J , City of Atlantic Beach APPLICATION NUMBER
(--
-.,. Building Department (To be assigned by the Building Department.)
800 Seminole RoadV-00 r 11 G
\TV- Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
%r�;,��r Date routed:E-mail: building-dept@coab.us1If
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 V. A-4j ung C C-&c.h 0 . D rtment review required Yew No
r (Building ✓
Applicant: O(-9 (lit() �b k n_ Planning &Zoning
1 Tree Administrator
Project: M \ po( C V (()I Public Works
11 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: Voved. ❑Denied.
['Not applicable
(Circle one.) Comments:
BUILDING
PLANNING & ZONING
Reviewed by: Date: 2 -2-DO)
TREE ADMIN. Second Review: EI 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 C O P Y
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845 p con g- 0003
Job Address: 1883 ATLANTIC BEACH DRIVE ATLANTIC BEACH, FL 32233 Permit Number:
Legal Description 67-132 08-2S-29E .251 ATLANTIC BEACH COUNTRY CLUB UNIT 2 LOT 55
Parcel#_169505-1570
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ 5.100 Proposed Work heated/cooled: non-heated/cooled
Class of Work(circle one) 0P--- Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial : -sidential
If an existing structure,is a fire sprinkler system installed? (Circle one): o N/A
Florida Product Approval # FL 11651.9 For multiple products use product approval form
Describe in detail the type of work to be performed: METAL PORCH ROOF
ASSOC CONTRACTOR PERMIT#55-17-SFR-3338-01
Property Owner Information:
Name:RIVERSIDE HOMES OF NORTH FLORIDA r
Address: 12276 SAN JOSE BLVD.# 120
City JACKSONVILLE State FL Zip 32223
Contractor Information: E04 ` I L - 8 70 -033 - ‘63
Company Name:TOP GUN ROOFING,INC. Qualifying Agent: MATT P MCLEOD
Address:5570 FLORIDA MINING BLVD. S. #501 JACKSONVILLE, FL 32257
Office Phone(904)342-0211 Job Site/Contact Number(904) 509-2595
State Certification/Registration#CCC058178
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 a period 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
C I MMENCEMENT.
I hereby certify that I have read and examined this application ' d know the same to be true and correct. All provisions of laws and ordinances governing
this type of work will be complied with whether specified herei- or not. The granti
ng of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law reLatin. "nstruction or the performance of construction.
Signature of Owner / Signature of Contractor
Print Name I A PMcLE-Op .._.._...---.._.._..__.. Print Name NI/CIrrP
Swo • and subscrbed before me Sworn to and subscribed before me
thi• Am.L. of • ,20 this 8 y of U0-KLO ,20 1/
Notary Public Notary Publi
,��• TERESA isad101464. C
TERESA STONE IRWIN '�
. _,`^ �? Commission # FF 896991
4,9 �,^r Commission # FF 896991iprei My Commission Expires
=;�Illi�oc My Commission Expires ",°; °' July 08, 2019
'•f°< July 08, 2019
Doc # 2017040249, OR BK 17883 Page 1629, Number Pages: 2, Recorded
02/21/2017 at 09:03 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $18.50
Perm, (2Oo J� - �a3
Prepared by and return to: OFFICE COPY
Brent R.Newton,Esquire
Newton&Newton, P.A.
10192 San Jose Blvd.
Jacksonville, FL 32257 Reeo to 1,• •vnit:•l"
-File No. 17-0077 • Book u Pam M
Cat e, I;r "' `4 •
Permit Number: Cou .
Tax Folio Number:
This NOC is being re-recorded to correct
State of: Florida the recording order.
County of` Nassau •
NOTICE OF COMMENCEMENT
The undersigned hereby gives notice that improvement will be made to certain real property,and, in accordance with
Chapter 713, Florida Statutes(revised 10-1-96),the following information is provided in this Notice of Commencement: •
1. Description of Property: Lot 55,Atlantic.Beach Country Club Unit Two,according to the map or plat
thereof as recorded in Plat Book 67,pages 132 through 137,f the public records
of Duval County,Florida.
Street address: 1883 Atlantic Beach Dr.,Atlantic Beach,FL 32233
2. General Description of improvements: construction of single family dwelling
3. Owner Information:
a. Name and Address: Riverside Homes of North Florida,Inc.
12276 San Jose Boulevard, Suite 120
Jacksonville,Florida 32223
b. Interest in property: Fee Simple
c. Names and address of fee simple title holder(if other than owner):
4. a. Contractor Riverside Homes of North Florida,Inc.
12276 San Jose Boulevard, Suite 120
Jacksonville,Florida 32223
b. Contractor's phone number: 904-503-7055 Fax number:
•
5. Surety:
a.Name and address:
b.Phone number:
c. Amount of bond:
6. a. Lender: Fidelity Bank
10611 Deerwood Park Blvd.
Jacksonville, Florida 32256
b. Lender's phone number: 904-996-1000
7. a. Persons within the State of Florida designated by Owner upon whom notices or other documents may be
served as provided by Section 713.13(1)(a)(7).,Florida Statutes.
•
b. Phone numbers of designated persons:
OR BK 17883 PAGE 1630
OFFICE COPY
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE
EXPIRATION OF TIIE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, ANI)
CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A
NOTICE OF COMMENCMENT MUST BE RECORDED AND POSTED ON THE JOB SITE
BEFORE THE FIRST INSPECTION. IF YOU INTENT) TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT. " • 1
1
R 4,. .E OM.E,S NORTH FLORIDA,INC.
,
1
i
f(
' ,y: • hri 17.1-B. * ood
. •ice President
POST A COPY OF RECORDED NOTICE AT JOB SITE.
STATE OF FLORIDA
COUNTY OF DUVAL
The foregoing instrument was acknowledged before me 1-tA rkli
j` ,2017,by Christopher B. Wood,the
Vice President of Riverside I-Ioi ies of North Florida,Inc.,who is personally Itinown to me.
, �
'6,, ..`i� am,_.,_,.
Notablic
V
1wy Commission Expires: tl,I� Z&' I * fiox h4yDu8s;0d
fj
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.....z, EXPIRES:Jung25.20W fJ
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Fr..lad7F?u Nan Puhlic ikdore...•..a d.
OFFICE COPY
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA
Project Name: Riverside Homes ABCC Lot 55 re-roof Permit # RoUF L-6 -0 oU 7
Project Address: 1883 Atlantic Beach Drive Atlantic Beach,FL 32233
As required by Florida Statute 553.842 and Florida Administrative Code Rule 9B-72,please provide the information and product approval numbers)
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
oduct approval may be obtained at: www.floridabuilding.orr
Category/Subcategory , Manufacturer f Product Description J 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
OFFICE COP,'
12. Other
rCategory/Subcategory Manufacturer Product Description kAmitation 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 Owens Corning TruDef Duration FL11651.9
' Uwens Lorning
2. Underlayments Tile&Metal peel&stick underlayment 9777.7
3. Roofing fasteners
4.Nonstructural metal roof
5. Built-up roofing
6. Modified bitumen
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
urriut uur
2. Other
Category/Subcategory Manufacturer Product Description IL,imitation of Use State# Local#
LL .
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.
1
(Contractor Name) (Print Name) f7ature/
Company Name:Top Gun Roofing, Inc.
Mailing Address:5570 Florida Mining Blvd. S. # 501
City:Jacksonville State:FL Zip Code:32257
Telephone Number: ( )342-0211 Fax Number: ( )379-7059
Cell Phone Number: ( )509-2595 E-mail Address:office@topgunroofing.net