462 AQUATIC DR - PERMIT RERF18-0114 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE-24775814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0114
Description: shingle re-roof- F10124-R15 & FL10626-R13
Estimated Value: 5661.62
Issue Date: 5/16/2018
Expiration Date: 11/12/2018
PROPERTY ADDRESS:
Address: 462 AQUATIC DR
RE Number: 1718185154
PROPERTY OWNER:
Name: BURDITT CLIFFORD C JR
Address: 462 AQUATIC DR
ATLANTIC BEACH, FL 32233-3834
GENERAL CONTRACrOR INFORMATION:
Name:
Address:
Phone:
Name: RELIANT ROOFING INC
Address: 4230 Pablo Professional Court#155
Jacksonville, FIL 32224
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 perr.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
$2,5 00. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
Building Permit Application
City of Atlantic Beach
it 4*;
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
JobAddress'.
R Permit Number:
Legal Description -2 E z
RE#
Valuation of Work(Replacement Cost) 6;2—Heatecl/CooledSFL��— Non-Heated/Cooled-1224
a Class of Work(Circle one): New Addition
Repair Move De.mo Pool Window/Door
0 Use of existing/proposed structure(s)(Circle one): Commercial
0 If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No (ED
0 Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in, dtail the type of work to be performed:
'A
Florida Product Approval It ucts use producta'pproval form
Prolperty Owner Information
Name: Ot
Address.
C 1 t y r State _6Q s- 2
ZIP 13-3 Orone QW- Z-5 7 014:9 7
04
L �ML
E-Mail
Owner or Age t(if Agent,Xowdr of Attorney or Agency Letter Required)
-information
Contractor
OD4�T\n
Name of Company:
�ijualifylng Agent:.r,(.\y�APr,n ok-kim,
zip 3azz L4
Acldi,essLl 1,65 t�
State
Office Phone
.1 -��711 11 —Job Site/contact Number
'State Certificatio-/Registration �)6'15 E-Mail 4 t obt.i ina r Dy NIX
n
Architect Name&Phone 4
Engineer's Name&Phone.4
Workers Compensation RN-;-�W- A1 A' 51
exempt/insur6r/Lease tmplc*yees[�,xpioitlo�Dale'
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.
Dactiftned by;
'—it��4!LrMtOMW,Owner or Agent Includin&�jbritractor)' (919eaikure&W,=,at—.,)
Signed and sworn to'(6raffIrm'd before me this AV.day of Signed and sWorn�tq(or-affirmedl before me this day of
MAY J—QJ 9 b, —A
AX
(Signature of i"pta, (Signature of 66tary)
AMANDA jACXSON AMANDA JACKSON
sl; �A-Stats of Florida-Notary Publid
P '��-State.of Florida-Notar�;'Pobft
TA Per5onal[V Known'l I nally Known OR
g'S Commission#GG 265328 LXPLrsoi Commission#GG 206328
]Produced Identificatich
Produced Idi my commission Expires My Commission Expires
11, Aorll�.S�2022 Type of Identificat on-
Type of _April 9%2022
PRODUCT APPROVAL INFORMATION SHEET FOR THE.CITY-OF ATLANTIC BEACH.VLORIDA
Permit #
Project NafiI6 46,�
Project Address: 14"COP'
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 pen-nit 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
'Pt6ductapproval.dhd�be obtained at:-w,�Ax�,.flond,,ibiii'IdLn&or.-
Category/Subeateeory Manufacturer Product Description Limitation of Use State# Local#
A.EXTERIOR DOORS
1. Swinging
I 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
&'Projected
9.Mullion
10.Wi nd breaker
11.Dual action
......... .................
12. Other
'Local#
'Category/Subcategory Manufacturer Troduct Description Limitation of Use State#
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
J).ROOFING PRODUCTS
I.,Asphalt shingles C;Al�' rL-1 09L4 PQ 5
2.Underlayments Caw�-M: Skb I'IMQ
3.Roofing fasteners
4.Nonstructural metal roof
5.Built-up roofing
6.Modified bitumen
7. Single ply roofing
8.Roofing tiles
9. RooE�g in'sulation.
10.Wate ofing
11.Wood shingles/shakes
12.Roofing slate
13.Liquid applied roofing
14.Cement-adhesive coats
15.Roof tile adhesive
16. Spray applied polyurethane
roof
...............................................................
17. Other
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
E.SHUTTERS
I.Accordion
2.Baharna
3. Storm panels
4. Colonial
5.koll-i"
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
SKYLIGHTS
1. Skylight
............------_
2.Other
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
H.NEW EXTERIOR
ENVELOPE.,PRODUCTS f
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.
�Ornenqo S'�Oufp'q
(Contractor Name) (Print Name) (S ignature)
T
Company Name;i-eliad R6421
Mailing Address:+250 PA151-0 NOFEMR)AL CT 155
City:, TALKSc&\J_1 kll- State: Zip Code:
Telephone Number: Fax Number:
Cell Phone Number: E-mail Address:&_ Annon 19
................................................ .............
Doc # 2018111446, OR BK 18382 Page 1856, Number Pages: 1,
Recorded 05/10/2018 11:50 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
(PRIEPARE IN MKICATE)
Permit No. Tax Folio No.
State of County of r_8 kvD I
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.
Leql description of property being improved:
L-r)4- ::I—C_
Address of property being improved: L-�rp �2 AaucAbc Or
A-�a X-�' - (V%
General description of Improvements: roo
Owner C_11�knxe?i &Al2�i4
AddressArog, AacAp4ir -Qc &+[a :6'c 1!)dn 6- �527_33
Owners Interest In site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address;
Contractorg�_� ry) . 'na
Address Y2:3o fn b] FL 3 Z4
Phone No. 9D Fax No.
Surety(if any)
Address Amount of bond
Phone No. Fax No.
Name and address of any person making a loan for the consiation 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 i-lences 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 R ECORDER!S USE ONLY 0VVNER
S"d; .19t DATE
Baeft"e nw Ith Ag - WOW
Colo pats6ftily appdared
..lft=.. bV
WWn hersdl.andWdn"'
ace true and accurate AMANDA JACKSON
.4 Lv
;Notary Pt
G 13 20 53
ld
10
State of Florida-Notary Public
C Com
ommission#GG 205328
C I
My Commission Expires
w 0
..... ri
April 09.2022
N"ap
o c at Large.Stalk of".
Per— or