257 1st St Roof18-0072 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
-5814
INSPECTION PHONE LINE 247
ROOF NON SHINGLE -
MUST CALL BY 4PM FOR MOM DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ROOF18-0072
Description: MOD. BIT AND SHINGLE
Estimated Value: 6600
Issue Date: 7/6/2018
Expiration Date: 1/212019
PROPERTY ADDRESS:
Address: 257 1ST ST
RE Number. 1725380000
PROPERTY OWNER:
Name: CASTRANOVA ROBERT ET AL
Address: 2261 OCEANWALK DR W
ATLANTIC BEACH, FL 32233
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.
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 them my
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 RVAC work
exceeds and estimated value of$7,500.
City of Atlantic Beach
Building Department
800 Serninole Road
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826-Fax(904)247-5845
E-mail: building-dept@mab.us IM]
City%velb-site: hftP:/Mvm.coab.Us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 7ZS7 1 `4 � I inq ant review re uhred Yes o
10 wj kc—)o oning
Applicant: Administrator
Project: ��apc�L& ubic orks
Public Utilities
Public Safety
Roo Fire Services
Review fee $
Review or Receipt
Other Agency Review or Permit Required of Permilt Verified B Date
Florida Dept.of Environmental Protection
De
Florida Dept.of Transportation
S oh
t.Johns River Water"Management District
Amy Corps of Engineers
on
Divisi of Hotels and Restaurants
Division of Alcoholic Beveragee and Tobacco 7N
Other,
APPLICATION STATUS
Reviewing Department First Review: Ph"pmVed. ODenled. oNot applicable
(Circle one.) Comments;
Q�D
PLANNING&ZONING Reviewed by:_ r" Date:
TREE ADMIN. Second Review: ElApproved as revised. E]Deni E]Not applicable
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:—
FIRE SERVICES Third Review: DApproved as revised. E]Denied. E]Not applicable
Comments:
Reviewed by: Date:—
Revised0511WN117
OFFICE COPY
Building Permit Application Updated IZ/g/17
City of Atlantic Beach
Road,Atlantic Beach,FL32233
Phone.(Bi 247-5926 Fax�(9041)247�15 Ro3p 6c;-/z
Job4driness: 257j&SjmNAdoft&cR1&*FL32233 Permit Number:.
Legal Description 15.34 16-25�29E ATLANTIC REACR TERR SID PT OF LOT 12 Rely 17253"M
Valuation ofWork(Replacement Cost)$0�Rested/Cooled SF_Non-Heme4/000led—
• Class ofWDrk(Circle oft): New Addition Alteoatlon(� Move too Pool Wmd./D-or
• Use ofexhamigurproceed struchum(s)(Circleone): Commercial esidenti
• Ifan existing struclum,is afire sprinklersystem,Installed?(Orcleone): Yes No N/A
• Submit a Tree Remonat Permit Application if wry holes areto be morroved orAmdmt of No Tree Removal
Describe in cletail the type ol'work to be Performed: A U�Ars .,, 9
R�roof back 2-Mory GPM&and ORIY k_� arp-
S.,I2(7)squ..Amb&Wlaskingk--Nd2.'72(7)-q�M-UflcdBii-man 6"y un�v OnXN]
Florida Product Appm.1# -LI"741 CRUSlubt9fin, —for..kille roducts, seproductap�lfmrm
ProQMQWVJ9WWM'JAGLIVA�Jrly
NameAVrPANAVA Add.: 2261 OCEANWALK DRIVE W
City ATLANTICREACH state FL Zip 32233 Phone 9911102
E-Mail noplidaLcom,
Owner or Agent lif Agent,PowerolAttionsel,orAencl,Letter Required)
Contractor Information
Name of Company: TOP GUN ROOFVV49,JNc. QualifyingAgent, MA7TPMCLE0D
Address 5570 FLORIDA AHN17VAG All VD S. STE 501 aty__ZJX_State FZ Zip 32257
Ofific.Ph.ft 904-34"211 JobSits/Commethhunber 904-509-2595
StateCertification/Registradorl OCC#58178 E4W office@10PPInn'tioNt-l"y
Architect Name&Phone If
Engineer's Name&Phone#
Workers Compensation FJM#870-WJJAU date 01409
�,Pt/momr/mam Eropictymol tm�Dam
Application is hereby made to obtain a pernitto do the work and installations;as Indicated.I certify that no work or Installation has
commenced priorto the Issuance of a Introit and that all woric Will be Performed to meatthe standards of all the laws regulationg
construction in thIsjunscliction.I understand the a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc NOTICE:In ackfirthon to the requirements of this
Permit,there may be additional restrictions applicable to this property chat may be found in the Public moords of this county,and
them may he additional permits required from other governmental entities such as water management districts,state agencies,or
federal agencies.
OWNEWS AFFIDAVa: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 coning.
WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEONT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPE"'AOU INTEND
TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTOR FORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
(ShinaturectownerorAgent) 7_rwft.M 1.of Go Mort 0 1)
(incloding conton1m)
is
41, vt i
Signed and sworn to(or affirmed)before me this day of Signed and swom Do(or affirmed before me th day
-jl&n_t —A"01*69 9 C—I ,
R1,06,,t�C04li—r&KOWna June- �LdBpo 0_41�Pf\k
ISipaturs of Next) - - - - - -
VVensurally Kmmm OR rornally Known OR TERESA STONE IR I
I I Produced Identification C...I,,I.n# IF 89 1
To.of Rientificati Tyr�of Idemifirelon v CD..I,,i.n E.PI
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Doc # 2018150264, OR BK 18434 Page 2266, Number Pages: 1,
Recorded 06/26/2018 02:51 PK, RONNIE FUSSELL CLEW CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT OFFICE COPY
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AND POSTED ON THE JOB SITE BEFORE THE FIRST WSINEICTION. IF YOU INTEND�OBTAIN
MMCMG,�SMT�YOM LENDER OR AN ATTOR?iFY BEFORE COPiWHINCIPIG WORK
OR HEIDDRDING YOUR NOTILICE OF COPPIENCENUENT. UNDER INEVO&TIES OF PERJURY, I
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AUthOnzed Signature Greg Keeler
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Technical Representative Granville, Oil 43023
Add,ess/Phone/Illi' (7'40) 321-6345 enor
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OFFICE COPY
6CIS Home Log In User Registrat n Hot Topics Submit Surcharge Stats;&Facts Publications F
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Product Approval Menu Product or Application Search > 6api cation Lis > Application Detail
FL # FL19979-RI
Application Type Revision
Code Version 2017
Application Status Approved
Comments
Archived
Product Manufacturer Owens Coming
Address/Phone/Email One Owens Coming Parkway
Toledo, OH 43659
(740) 404-7829
greg.keeler@owenscoming.com
Authorized Signature Greg Keeler
greg.keeler@owenscoming.com
Technical Representative Greg Keeler
Address/Phone/Emall 2790 Columbus Road
Granville, OH 43023
(740) 321-6345
greg.keeler@owenscoming.com
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Modified Bitumen Roof System
Compliance Method Evaluation Report from a Florida Regis
Professional Engineer
Evaluation Report - Hardcopy Recei,
Florida Engineer or Architect Name who developed the Robert Nieminen
Evaluation Report
Florida License PE-59166
Quality Assurance Entity UL LLC
Quality Assurance Contract Expiration Date 08/25/2020
Validated By John W. Knezevich, PE
Validation Checklist- Hardcopy Reo
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Certificate of Independence F119979 RI CQJ ?017 01 COI Njvr
Referenced Standard and Year (of Standard) Standard
ASTM D6163
ASTM D6164
FM 4470
FM 4474
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 10/10/2017
Date Validated 10/11/2017
Date Pending FBC Approval 10/15/2017
Date Approved 12/12/2017
summary f Products
-orrroa__
FL Model, Number or Name Description
DeckSeal Modified Bitumen Roof Self-adhering, SBS modifie
Systems
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL19979 R1 It 2017 JD_
Approved for use outside HVHZ: Yes
Impact Resistant: N/A Verified By: Robert Niemin
Design Pressure: +N/A/-135 Created by Independent T1
Othen 1.) The design pressure herein pertains to one assembly. Evaluation Reports
Refer to ER Appendix for all assemblies and max. allowable Fl 19979 RI AF ZQ12 IQ
I design pressures. 2.) Refer to ER Section 5 for Unnits of Use. HVHZ_ELLq9ZS-_lKLPdf
Created by Independent TI
Contact us :: ZfigljgaL-9tQagjkQ",-TARaftassee-EL32M Phone: 850-41
The state of Florlda is an AA/EEO employer.Cundight 2007-2013 State Qf Elgdd� :; EdYaW-Slilteulellt ;: A
Under Florida law, email addresses are public records. If you do not want your e-mail address released in resix
electronic mail to this entity, Instead, contact the office by phone or by traditional mail. If you have any questior
Section 455.275(t), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. r
address if they have one. The emalls provided may be used for official communication with the licensee. Howew
not wish to supply a personal address, please provide the Department With an email address which can be mad
am a licensee under Chapter 455, F.S., please click bff-e-.
Product Approval Accepts:
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