720 SABALO DR - PERMIT RERF18-0109 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF1 8-0109
Description: shingle re-roof- FL10124-R19 & ESR.3624
Estimated Value: 8001.89
Issue Date: 5/14/2018
Expiration Date: 11/10/2018
PROPERTY ADDRESS:
Address: 720 SABALO DR
RE Number: 1714300000
PROPERTYOWNER:
Name: WW BERG INC
Address: PO BOX 350747
JACKSONVILLE, FL 32235-0747
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Paramount Roofing Specialists Inc dba Roofcrafters; Roofing
Address: - -7318 Harbourmaster Court
Tampa, FL 33607
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 pen-nits 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$7,500.
Building Permit Application Updated 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
Job Address: r Permit Number:
-1,A
Legal Description'31. 1�,g I.-I -.gs -,Ple a��R6S
Valuation of Work(Replacement Cost)$ Heated/Cooled SIF Non-Heated/Cooled
• Class of Work(Circle one): New Addition A CteratDn Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s) (Circle one): Commercial
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No 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: (Qp\au oc�c!&' �-k54Q r� LAN-V� r\op-13
C-Ac �Vb
Florida Product Approval# 592= for multiple products use product approval form
Property Owner Information
Name: U� U�s (�)Q ea ,::Soc- Address: 3-Tw �WrvhAaAg cc,-I c
city ( llo_cv.,�,J xue. -1 State Zip 3PP-1 Phone Q0Q"L,(Ca'S 053 0
E-Mail L>z) e gm�,"�+
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: j&�5� LLC Qualif NC,(,k)v- co
ying Agent: N
-'Address ILAVI _<r-6kr 0� 44iosp City 1riM9,0C" Stateot!-'�L Zip S�A
Office Phone Q01A 5q�� LA-w--kn Job Site/Contact Number C(k _)Q�=3 k
State Certification/Registration#CCC 11533J0;t(_v E-Mail 0) P ccs�- UQ44vs- zr,
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Ui9t) �w\&_LraAu
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,et J 01 ition b
1 199,51 ne i ln s a P effce)w rl C1 1 -n e D-D 11 eco rcas 1,1 IS CO n'it a
app�c
171111 ire, BmIdE iCirinic'.. +..
Lf r
IL11 flat UeFfMIN �6_11thZE2,gQv I�e titiesisu b i,asl, atergma me,
,�h - __prnmentaILnL_______
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
RECP 7 N OF COMMENCEMENT.
T,RDING YO
Tsignatufi/6wner or Agent) (Signature of Contractor)
(io(cluding contractor)
Signed apd sworn to(or affirmed &
tI t�o np m e t hn i "Wdda o ff Signed and sworn to(or affirmed)before m his 1d%%1%1
ff by by Z
$
a-is 0
_(�Slgnature oof�-No
19 (Signatur f Not0y) APR
9
eA M J.'.
:*z
LAURA TAY1. 18
6 ��Ime cf F!orlda
Personally Known OR A" VPrsonally Known OR 20
f�f,2 —
n,:6C'3626
COMI Produced Identification
Produced Identification
2019
Type of Identification: Type of Identification:
LVL P.4 crliinl-c -1, - ",Pk-!�R
I// -1"y
NOTICE OF COMMENCEMENT
State of Tax Folio No.
County of _p1k60A
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 COMMENCEM T.
Legal Description of property being iinproved:�; n -as -,q & iyT CbSA.GA
Vakml) U,0 i�- q � (I k-Ats- L k
Address of property being improved: '00 Sc� -6,r ArA-_L%\a(*<_ Nacin jrC -3
General description of improvements: fwla U�+ nb�_ L)h"VN r\w CA(:: jtry�6�Ltyuz
Wo _,cA1\"U5 y 0
lip
Owner: 010'r— Address:snqgi oany) 4= aq- E; jw%z%Nk3vk
U
Owner�s interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor:?( CX--5WQ-LW_S T,=�00&�—CSC�A LILC
Address: (L,(�-\ Q_,3 - %.D
ejAzck-\ (7C- 32 -&kA
Ix Telephone No.cb-k 5-)a L4W_LA1_1 Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No: Doc#2018110568,OR BK 18381 Page 133 0,
Name and address o.f any person making a loan for the construction of the improvements Number Pages:1
Recorded 05/09/2018 03:27 PIVI,
Name: RONNIE FUSSELL CLERK CIRCUIT COURT.DUVAL
COUNTY
Address: RECORDING $10.00
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:
Telephone 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 Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Exp iration 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 OWNE
Date:.
S i an e dl: -. 4.
Befor"mlils day oy 1AAM .=I in the Cou o Duval, tate
Of Florida,has personally appen d
Notary Public at Large,State of Florida,County of Duval.
My 0 ssio.n-expires:
erson ly Known: or
XlroLced Identification:
20
V.M i r,
�key Aug.It 20,19
PRODUCT APPROVAL INFORMATION SBEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA
Project Name:Tn(�A Permit #
Pr ject Address: SOJO QA-C) -be-
01
As required by Florida Statute 553.842 and Florida Ach-ninistrative 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 pr oductappr.oval number.for any of the applicable listed products...Information regarding statewide
product approval may,be obtained at: www.floridabuilding. rg.
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.Windbreaker
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. Storefi-onts
5. Curtain walls
6.Wall louvers
7. Glass block
8.Membrane
9. Greenhouse.
10. Synthetic,stucco
11. Other
D.ROOFING PRODUCTS
1.Asphalt shingles t�j) '�ly-AYM,-(SAftk LS I OLi - 9—v�?
2. Underlayments
3.Roofing fasteners'' 77,
4.Nonstructural metal roof
5.Built-up roofing
6.Modified bitumen
7. Single ply roofing
8.Roofing files
9.Roofing insulation
10.Waterproofing
11.Wood shingles/shakes
12.Roofing slate
13.Liquidapplied roofing
14. Cement-adhesive coats
15.Roof tile adhesive
16. Spray applied poly-urethane
roof
—--------- -------------
17. Other
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
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
13. Other
G. SKYLIGHTS
1. Skylight
2. Other
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
H.NEW EXTERIOR
ENVELOPEPRODUCTS
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 ft ae 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.
(Contractor Name) (PrintName) (Signature)
CompanyName:2( Q�c�Suq-�� 7-t�
MailingAddress: tLtt-'� Sqc�)tkr ou
City:r-Ur\0.,r\�- V�-O, yl�- a-clv-\ State: Zip Code: '�P�— -9�-4
Telephone Number: (QCX�)_ 'SD,DL LA U LtD_Fax Number:
Cell Phone Number: E-mai.I Addressc��S�&---,PV-06�-