465 BEACH AVE ROOF18-0086 L�fr,,, rayll
s f CITY OF ATLANTIC BEACH
iii:
J
s' 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
"�013 9V INSPECTION PHONE LINE 247-5814
ROOF NON SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ROOF18-0086
Description: Wood Shingle
Estimated Value: 20000
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 465 BEACH AVE
RE Number: 170159 0000
PROPERTY OWNER:
Name: LOVETT W RADFORD II
Address: 465 BEACH AVE
ATLANTIC BEACH, FL 32233-5321
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: AMERICAN ROOFING OF JACKSONVILLE
Address: 2117 University Blvd. S
JACKSONVILLE, FL 32216
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 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.
Sl.,:vJr City of Atlantic Beach APPLICATION NUMBER
rs ,: Building Department (To be assigned by the Building Department.)
.ter. 800 Seminole Road 1 i 660'
73....„ "V.f Atlantic Beach, Florida 32233-5445 / /Vb
F3 9',4 E-mail:(b0u�d ng-dept@coab.us 247-5845 Date routed: 8//o/i a
City web-site: http://www.coab.us ((! (((
APPLICATION REVIEW AND TRACKING FORM
Property Address:44°J 'Bend, Ave, De artment review required Y7 No
Applicant: '\ ,e1 icon k60+1 n Planning &Zoning
Tree Administrator
Project: V.)0661 Sh , A G�'�S Public Works
J 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: MApproved. ElDenied. ❑Not applicable
(Circle one.) Comments:
BUILDING
/ V O
PLANNING &ZONING �/y\ S\^! 7r1 W
Reviewed by: / Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denie . ❑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
,rfr� Building Permit Application Updated 12/8/17
# 1
`;, V City of Atlantic Beach
._<`.,,.ivr 800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 /My�
Job Address: Lt(a5 ,QLq,ch kv<7 J\\\.V t1c,- ,dn)?1,- Permit Number:ieOOp(g''00 -,
Legal Description -\ 1C-2-S '2 L 1 n4k . L'11 -
P S OI ( A�`4 G�►.. G RE# � OIS� 0000 5
Valuation of Work(Replacement Cost)$Za poQ Heated/Cooled SF CDS S .e Non-Heated/Cooled'--li (p LLJ
• Class of Work(Circle one): New Addition Alteratio Repair Move Demo Pool Window/Door _V
• Use of existing/proposed structure(s)(Circle one): Commercial esidential
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal CD
Describe in detail the type of work to be performed:
('fie—oo ti\-) Dt i C1_ w
C.
Florida Product Approval# V-1_ V31 %q —�-4. F-Lt 4'311 - R 3 for multiple products use product apprecClm_,rz
Property OwnFr Informationa.A .J U Q O
Name: 1_rs��Jc---- r Address: u(o5 �QL�Akle-'r1 JQ., 5 W 2 0 v
City N-}kan-1'1C, e::xsadr) State - Zip322-3-1) Phone 1O-( —x`13 — 03 I= Z
E-Mail PAD 0 I4c4c77T iii /Li-&1C- a" 0 _O p O Q
U p
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) I— p
C3ZCCZ
Contractor Information 0 c O d
Name of Company: '1E21CAN (200c - Qualifying Agent: yl.,e7 , A,t/ C.1 cq co
Address '2-1 l VY11efS1�j �!J S. City gQck<Scif'J 1 (C State�'l-- Zip 32- Q iZj
Office Phone ctOa-3�S `T3-iS Job Site/ContactNumber LI- �' c
State Certification/Registration# / J2 ()275 Z16 E-Mail c/a)ii7lyj,,,,-IQtiJ 1 j ',I ,.x_Ca, , at O
raj m
Architect Name& Phone# � I . W ' 0
Engineer's Name&Phone# LLI ,.-1::-:
cr) W
vu
Workers Compensation ' CP 10 .239 3 5/3/1 c) 5 cc W
Exempt/Insurer/Lease Employees/Expiration Date �[!.1 LL
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or installation has CC
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. 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.
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
RECORDIN YOUR
R • ICE OF CO MENCEMENT.
r
,/,
•
(Signature of Owner or Agent) i_nature o Contractor)
(including contractor)
Signed and sworn to(or affirmed efor'e^me this day day of igned and sworn to(or affirmed)before me thisZl• dayy of
�yAlki) , 201i3 ,byV. (M W 2018 , by A i P. �'�jl.r1�(
her ,,,,w.,
(Signature of Notary) (Signature of Notary)
Denise A.Ennis
Iv]Personally Known OR l I = NOTARY PUBLIC
1 ru�� 1 STATE OF FLORIDA )Personally Known OR Denise A.E►lnis
[ 1 Produced Identification [ )Produced Identificatio NOTARY PUBLIC
Type of Identification: '•� "•'�•` Cortes FF966426 Type of Identification: '1
1 Expires 3/1/2020
" lyyp :'� -STATE OF FLORIDA
Corm#FF866,%`:;
ifiv Expires 3/1120.40
NOTICE OF COMMENCEMENT
State of�o r, '4 OFFICE COPY Tax Folio No. f O 159 —0 0 00
County of Du,.,V 03 Lf I i I J i COPY
• To Whom It May Concern: Pe r Iy)(/ ) igoO IF/R -0081S Q 0o86
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.
Legal Description of property being improved: 5 LA lc-2S- 2 q E , MA qirNt G ac ctch
Lo+ 4 S 112 Lai- 5 QL_k .2_%
Address of property being improved: 4c CO P1/4.-4e., ' Actrl tc ,qs )F t- '3223
General description of improvements: P)e-ROCS-
Owner:Pjq O.Ord Love-4 Address:%5 [?•qC.31.1Q, lcLrl-tL eXcarli
Owner's interest in site of the improvement: O Wr('
!Fee Simple Titleholder(if other than owner):
-----------------
Name:
ontractor: CQ 'chn9 Coc, n o s kn G .i r
20
Address: 21 5$ Pr)cu Dr- Pict. �ICj AI-Sbc v 11 k k 32233
i Telephone No.g0'-x-4% -03 `J
Fax No: 104- 2k4 1- 032 Co
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction 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:
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:
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 RECORDER'S USE ONLY OWNER 7
Signed: W- (��;,�� Date: 1 2(t t46
Doc i#2018176815,OR BK.18471 Page? Before me this day of ��iw in the Courtly of�uval,State
_g_ 1.1' Of Florid has personallyappeared J R
Number Pages:1 PP 1N�. �.9�F(,{t
Recorded 07/26/2018 04:10 PM, Notary Public at Large,State of Florida,County of Duval. LAsz &o`y,,o
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL My commission exPues:-
COUNTY Personally Known: NI or
RECORDING $10.00 Produced Identification: ,. _ Denise A Ennis
;.?`•- NOTARY PUBLIC
_iloglo • _STATE OF FLORIDA
111 ;";" Comm#FF966426
''' 10 Expires 3/1/2020
FLORIDA DOPAATMIINT OP f rC t=
Business & Professional Regulation •
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ro6PIit Riff AaoUt Oawp Daps DIVISIONS CONTACTDBPR
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Product Approval
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Product Approval Menu>Product or Application Search>Application List>Application Detail
OFFICEOFTHE FL# FL13714-R4
SECRETARY
Application Type Revision
Code Version 2017
Application Status Approved
*Approved by DBPR.Approvals by DBPR shall be reviewed and ratified by
the POC and/or the Commission if necessary.
Comments
Archived
Product Manufacturer Watkins Sawmills Ltd
Address/Phone/Email 9414 288th St.
Mission, NON-US 00000
(604)462-7116
troy@watkinsawmills.com
Authorized Signature Troy Welsh
troy@watkinsawmills.com
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Wood Shingles and Shakes
Compliance Method Certification Mark or Listing
Certification Agency Miami-Dade BCCO-CER
Validated By Chris Bowness, P.E.
d• Validation Checklist-Hardcopy Received
Referenced Standard and Year(of Standard) Standard Year
CSSB 1997
TAS 100 1995
Equivalence of Product Standards
Certified By Approved Certification Agency
FL13714 R4 Equiv New NOA.pdf
Product Approval Method Method 1 Option A
Date Submitted 03/06/2018
Date Validated 04/04/2018
Date Pending FBC Approval
Date Approved 04/04/2018
YY
Summary of Products
FL# Model,Number or Name Description
13714.1 Cedar Shakes widths 4"to 11", Tapered or Non-Tapered,may be preservative or Fire retardant
lengths 15",18",24" Treated,Cedar Shakes graded and certified to the CSSB 1997
Standards.
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:Yes FL13714 R4 C CAC NOA 17-1211.09.pdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: N/A 02/20/2023
Design Pressure: N/A Installation Instructions
Other: 1.Can be used in HVHZ per NOA#17-1211.09 This FL13714 R4 II NOA 17-1211.09.pdf
acceptance is for wood deck application. Minimum deck Verified By: Miami-Dade BCCO-CER
requirements shall be in compliance with applicable Building Created by Independent Third Party:
Code.3.Wood shingles shall not be installed on roof mean Evaluation Reports
heights greater than 33 ft. Created by Independent Third Party:
I
13714.2 Cedar Shingles widths 4"to 11", Tapered,may be preservative or Fire retardant Treated,Cedar
lengths 16", 18" Shingles graded and certified to the CSSB 1997 Standards.
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:Yes FL13714 R4 C CAC NOA 17-1211.09.pdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: N/A 02/20/2023
Design Pressure: N/A Installation Instructions
Other: 1.Can be used in HVHZ per NOA#17-1211.09This I FL13714 R4 II NOA 17-1211.09.pdf
acceptance is for wood deck application. Minimum deck Verified By: Miami-Dade BCCO-CER
requirements shall be in compliance with applicable Building Created by Independent Third Party:
Code.3.Wood shingles shall not be installed on roof mean Evaluation Reports
heights greater than 33 ft. Created by Independent Third Party: