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981 SAILFISH DR ROOF NON-SHINGLE 1.S1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 ROOF NON SHINGLE - MUST CALL BY 4113M FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ROOF18-0032 Description: re-roof slope 1:12 with 16sq of ply mod bit OC deck seal Estimated Value: 7163 Issue Date: 3/16/2018 Expiration Date: 9/12/2018 PROPERTY ADDRESS: Address: 981 SAILFISH DR RE Number: 1712600000 PROPERTY OWNER: Name: KOENIG RENA Address: P 0 BOX 330850 ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: Tadlock Roofing, Inc. Address: 1408 Capital CIR NE Suite#3 TALLAHASSEE, FL 32308 Phone: PERMIT INFORMA77ON: 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. City of Atlantic Beach APPLICATION NUMBER Building Department (To be aNigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Daterouted: City web-site: http-://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address -A)epaftent review required Yes No Buildingi Applicant:- _T061foc-LC- TTa�nning &Zoning Tree Administrator Project: Public Works Public Utilities Public Safety Fire Services Re-view 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: YApproved. FIDenied. [:]Not applicable (Circle one-A Comments- V PLANNING &ZONING Reviewed by: Date: �b TREE ADMIN. Second Review: []Approved as revised. O!Denie4f []Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date". FIRE SERVICES Third Review: DApproved as revised. E]Denied. E]Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 BUILDING PERMIT APPLICATION OFFICE COPY CITY OF ATLANTIC BEACH 800 Scminole Rnad,AtIandc Bewh,FL 32233 office(9001247-5826 Fax(904)241-5845 Job Address: 981 SAILFISH DR Atlantic Beach FIL 32233 Permit Number.gmEvzK ,no-�I4- Le.gal Description 30-60 17-2S-29E ROYAL PALMS UNIT 1 LOT 41 BLK 6 171260-0000 Arcil 01 Flwr 117.1- 917�sq ft 240 sq ft Valuation of Work 17,183.00 Proposed Work heated/cooled no n Class of Work(circle one) Addition Alteaafion Repair &love t)emolmon pool/spa window/dooc Uscofoxistinygilpro osedstructurc(s) Irciconc); Commorcial I If an existing strucrore.is a fire spruAr systent installed?(Chnelle oncl Florida Product Approval# For multiple products use pzy.m�mw ro—rm Describe in detail the type of work to be V,,fn,,d., Re-roof slope 1:12 with 16 sq of ply mod bit CIC deck sea.1— rromerly Owntr larormatioe: Namc� KOENIG RENA P-0 Box 330060 City __State ELZtp 32233 --Phone E-Mail or Fax 4(Opuonal)_ Contrioctor Information: Company Nallw- Tadlock Roofing QuAlifyingAgetil Dale Tadlock Address:—7099"s ftrway Unit 211 ---(,ily Jacksonville FIL Zip 1512-58 Office -- 904454"W Fax 0 Phone Ill Job Site/Comw Number State Curifivatiotv'R,,�gi.gtr,,tti(vn _Z771328417 Architect Name&Phone# Enemccr's'4amc&Phone it FC0 imple I itle Holder Name iAnd Address Flonding Comity Name and Addrcsi Mov,gage Lender Name and Address Aa*,-,It it- .111.,wi wit ho wo dw vatwk"-v,dj h- Cjt� wk.A141, )fPO4-- iff 11 Ire, ov "e WARNING TO OWNER- YOUR FAILURE TO RECORD A NOTICE OF- COMMENCEMENT MAY RESULT LN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORMNG OUR NOTICE or, COMMENCEMENT. I&J—ho#-,,I I I.......&1.�/,wi�l tk,,,ojy#.wt," .I I..dor'U.Ir ft,fie Mw,hh1A,t 111MI'm she tw%l J"lmdwww 1"-.,Vat,.,rm�0?h� Signature ofowner SIgIlatUre OfCMEWOF wt"-, r '4anic L)L14 v,, To 0 1 D cK Print Name G4 �0 e4if Print, Mvorplkl 81)(1-%ila!� I�hefor- c S I loand suw cot W4 me if th, Day of to , is I Cf, 20 Do I -M iu Y37 'Revised 0 1.26.10 JESSICASURNEY CommissW#GG 155907 JESSICABURNEY C,mmiss-w I GG 155907 tober 30,2021 Expires Oc Expires(),:tober 30,2021 Bonded Tleu Troy Fain Insmnoo rance gor4W Thnj Troy Fain lnsumnw Doc # 2018058767, OR BK 18312 Page 2401, Number Pages: 1, Recorded 03/13/2018 12:27 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 PermitNo. KA Tax Folio No. 171260-0000 NOTICE OF COMMENCE To Whom It May Concern: The underAgned hereby informs you that improvements will be made to ceirtain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information is stated In this NOTICE OF COMMENCEMENT. 1. Description of property: Legal Description: 33-60 17-23-29E RaYAL PALMS UNIT I LOT 41 OLK 6 Street Address: *96i S.AlLFISH DR Atlantic Beach FL 32h2l 2. General description ofimprovements: Re-Roof 3. Owner's Information: Name- KOENIG RENA Address: P 0 BOX 330850 ATLANTIC BEACH,R.32233 Interest in Property: OWNER Name Hod Address or fee simple titleholder(if other than owli-*, 4. Contractor Information;Name: TADLOCK ROOFIN-G INC. Address: 7999 PHILIPS HIGHWAY UNIT 211 JACKSONVILLE,FL 32256 Telephone No. 904-236-5200 S. Surety Information: Name: N/A Address: Amount of Hand: Telephone No. 6. Lender Information: Name: NIA Address: felephone No. 7. Identity otperson within the State ofFlorlda designated by owner upon whom notices or other documents may be served: Name: N/A Address: Telephone No. 8. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes: Name: N/A Address� Telephone No. 9. Expiration date or Notice of Commencement(the expiration date Is I year from the date of recording unless different date is specified) N/A WARNING TO OWNER. ANY PAYMENTS NIADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART f, SECTION 713.13, FLORIDA STATVFES,AND CAN RESULT IN YOUR 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 YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signatur O*rfo.r or 0 r',.Atith r' Ofricer/Director/PartneriM&nager ovold A State of Florida Print Nume County of Leon ThkForegoing Instrumenij:was acknowledged before me this day of rn 120 by en ci whoispersonally known to me or has produced as Identification and who Old/did not take an oath. 2 qigViltirc at'Notary/Deputy C(or% JESSICASURNEY i r r- 4-,vi COMMitsion#GG 155907 L EXI)Irts October 30,2021 Printed Name Unded Thiv'ray Fain krvmoe 800,M5.1019 PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA Project Name: IaX- Permit Project Address: qb\ Pr�kxAc 13ko kj. � R_ 237-LIS As required by Florida Statute 553.842 and Florida Administrative Code Rule 913-72,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.floridabuilding. ng. 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 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 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 A ROOFING PRODUCTS 1.Asphalt shingles 2. Underlayments 3.Roofing fasteners 4.Nonstructural metal roof 5. Built-up roofing 6. Modified bitumen �qqjq, 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 2.Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# H.NEW EXTERIOR ENVELOPEPRODUCTS I. ..................... 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 manufacturees 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 fitrther certify that use of different components other than the ones listed in this document must be approved by the Building Official. (Contractor Name) (Print Name)-Dake_ _\C-6k0C1C- (Signature) Company Name: Mailing Address: J'H9 47_1� City: State: fu Zip Code: 32-7-54 Telephone Number: �?3CP- 5ZUD Fax Number: (90-1 ) -5Z_�\ Cell Phone Number:(quA )Ld54- 3(ek � E-mail Address: \cc Co ri