470 Sargo RERF18-0263 REROOF SHINGLE PERMIT PERMITNUMBER
CITY OF ATLANTIC BEACH RERFIS-0263
800 SEMINOLE ROAD ISSUED: 11/8/2018
ATLANTIC BEACH. FL 32233 EXPIRES:5/7/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
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CODE, NEC, IPIVIC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
NOTICE: In addition to the requirements of this permit,there maybe additional restrictions applicableto 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 aswater management districts,state agencies,orfederal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUEOFWORK:
470 SARGO RD REROOF SHINGLE SHINGLE ROOF $6000.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
ROYAL PALMS UNIT
1715420000 02A3.00
COMPANY: ADDRESS: CITY: STATE: ZIP:
KLT CONSTRUCTION, INC 1951 OCEAN DR S JACKSONVILLE FL 32250
BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
DAWSON ETHEL MAE LIFE 470 SARGO RD ATLANTIC BEACH FL 32233-3816
ESTATE
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. ANOTICEOF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER ORAN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF CONDITIONS
Roll off container company must be on City approved list. Containercannot be placed on City right-of-way.
DESCIUPT�ION ACCOUNT QUANTITY, PAID AMOUNT____]
!U LIMING PERMIT 455�0M-3224XO 0 $85=1
ITAT� . a $2.w
STATE 0( 0 $zM
TOTAL:$89.00
issued Date:11/8/2018 1 of 2
Building Permit Application updated 12/8/17
City of Atlantic Beach
800 S�.,n.le Road,Atlantic 13�ach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
R C—ep(,s -OZG-3
Job Address: _Ag6o 40. Permit Number:
Legal Description3l- IAL 17-2s-111117 Id I-aT a'I SILK 66 RE# -MOD
Valuation of Work(Replacement Cost)$6 )Do 0' Heated/Cooled SF_Non-Heated/Cooled_
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of� .�tiroposecl structure(s)(Circle one): Commercial ��ent,
• If an existing structure,is afire sprinkler system installed?(Circle one): Yes 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:
eCX.0ZkF; �24P 6,;fb q/17- -��k
Florida Product Approval#__Zdl_7�- If for multiple products use product approval form
Property Owner Informiltion
Na e:- CJ�LL g. Address: '7,17 .5a
ym _Sta Y 2 qp,��,_
Cit A�� fiz,rg A teJEE--Zip '6-ZX43 Phone
E-Mail
Owner or Agent(if Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: I'� �4�0 cs�DI Z" Qualifying Agent: 04)� W� U&JSLLH
Address 19� I 6�0s^ � it fia —Cit �� State K- zilp__�-L2.'�-o
OfficePhone jM`bI'&- k6I3 Job Site/Cont N,!eefl.,04-%Ll -00iot-3
State Certification/Registration#Ccol'13000 I E-Mail
Architect Name&Phone#
Engin�r's Name&Phone#
Workers Compensation k.�W�P-r 17n
'Ex Fsuhr/LeoeErnp1�s/Npinm*nWte
0�erny
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Application is hereby made to obtain a permit to do 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.NOTICE:In addition to the requirements of this
permit,there maybe additional restrictions applicable to this property that maybe 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
RECORDING YOUR NOTICE OF COMMENCEMENT.
K�5 A h%)A';)�) L-,
jl�DKSOAf 7tol ature of Contractor)
ISignature of Owner or Agent) "00 RM;/" (Sign
(including contractor) �0 JWKSON 1/1,
...........
...........
or affirmed)before me his
oraffir eJQ)DefXoreLet1s&dayof t -7—day of
by by
I (Signaye of Notaiv) W gatert (Signatu ofery)
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al.11
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Typo o entificati n Q� TYPPI&NItim"wNtib.: (io=.'
NOTICE OF COMMENCEMENT
(PREPARE IN MPLCA�)
Parent No. Tax Foli.No
State Of County of ruwE----
To whouri it may wnwm:
The undersigmed hemby infenow nou that Imprearaments will be made to ceirmin mal propeft,and In
accordance width Section 713 of the Florida Stated.,the following Information Is abroad In this NOTICE OF
COMMENCEMENT.
Legal deacription of Property�g innion"aad tKII V
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Address of property being hapswed:. 4-? 0 !�'Ae-6�6 KID ATLA�TV, UAI`14 ?-21'37
Owner 644, 1 Ift jld?�&n
Alone. f4t, 4k Ap,
Owner's Interest In site of the Imparvernand, I OnAk
Fee Sernple Tinercider(Wollner Man owneq
Nam
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pber"
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Nam ard address of any pamon maldnij a Wn for the wnmmoliier�ofthe
Nam
Ad�oaam
Phone No. Fax No.
Nam of parown within the State ol'Florida,offoor than hireWl,designated by owner upon whom notices or other
do mMftrnIxaorwxJ:
N.:—
Addre"a
Phone No. —FaxNo
In addition to hinenalf.owner dInIignates me follown"men to readine a entry d ft Unnam's Notion a proMed In
SWIM 713.W(2)(b),R Staludes.CRIN In at Owners opthard.
Nw.. 07
Address
Phone No. Fax No.
Expiration data of NI d (the expiration data is one(1)yaar froat to date at recorefing Mime a
different date Is specified):
THIS SPACE FOR RECORDWS USE ONLY
SWed QghA4 �4,0141�
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RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
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COUNTY ftnuex!dexta...
RECORDING $10.00 7-
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STAr
PULLED FROM FLORIDABUILDING.ORG AS INSTALLATION
INSTRUCTIONS.
FIL PRODUCT APPROVAL FL5444-R4
EXTERIOR RESEARCH & DESIGN, U-C.
Cerbftcii�of Authcir&�acn #9503
353 CHRISTIAN STREET, UNIT #13
UTR'INITY ERD OXFORD, CT 06478
PHONE: (203) 262-9245
FAX: (203) 262-9243
EVALUATION REPORT
CertainTeed Corporation Evaluation Report 3532.09.05-R4
1400 Union Meeting Road FL5444-R4
Blue Bell, PA 19422 Date of Issuance: 09/22/2005
Revision 4: 12/06/2011
SCOPE:
This Evaluation Report is issued under Rule 9N-3 and the applicable rules and regulations governing
the use of construction materials in the State of Florida. The documentation submitted has been
reviewed by Robert Nieminen, P.E. for use of the product under the Florida Building Code and
Florida Building Code, Residential Volume. The products described herein have been designed to
comply with the 2010 Florida Building Code.
DESCRIPTION: CertainTeed Asphalt Roofing shingles.
LABELING: Each unit shall bear labeling in accordance with the requirements of the Accredited
Quality Assurance Agency noted herein.
CONTINUED COMPLIANCE: This Evaluation Report is valid until such time as the named product(s)
changes, the referenced Quality Assurance documentation changes, or provisions of the Code that
relate to the product change. Acceptance of this Evaluation Report by the named client constitutes
agreement to notify Robert Nieminen, P.E. if the product changes or the referenced Quality
Assurance documentation changes. TrinityJERD requires a complete review of this Evaluation
Report relative to updated Code requirements with each Code Cycle.
AcivERTIsErrEirl The Evaluation Report number preceded by the words "TrinitylERD Evaluated" may
be displayed in advertising literature. If any portion of the Evaluation Report is displayed, then it
shall be done in its entirety.
INSPECTION: Upon request, a copy of this entire Evaluation Report shall be provided to the user by
the manufacturer or its distributors and shall be available for inspection at the job site at the
request of the Building Official.
This Evaluation Report consists of pages I through 10.
Prepared by:
:c,t The tassinol seal apiwasin raw authonnec!
W- by Poloeft N:sninen,P.E.on IVN/2011
This does not serge as an aiestronicaltv salons
Robert I.M. lifienrinen, P.E. document. Salinas! a-W!hardsoyies harne een
hansionsti a,the Wd.A11.1 Aclon...I., nol
Flonda Regi�tmtfon No. 59166, Florfib DC4 ANE198.3 d-narned Asont
C....bi. :
I. TrinitylIE11D does not hawt, nor dears it intend to aNuim or will it ac,uim, a financial incoamot in any conni,any nowndactunng or
diatrib�N proolucts it eyaluatea.
2. TrinitylERD is naossmal,olasnated orcantrolles!by any consisany manufacturiN ordistributio,i prooluctsiteyalioates.
3. Rolaert Niensinen,P.E.dcas na haws nor*11 atuim,a financial intnineast in any company mamitaMring or dlstrib�ng producits kr which
the waluation mi am loong loovesi
4. Robert Nierrinen, P.E. diws not have, nor will acquire, a finarcmi hrta� in any o�r entity involves! in the approwil procani of the
product.
��TPJNITY�ERD
6. INSTALLATION:
6.1 Roof deck, slope, underlayment and fasteners shall comply with FBC 1507.2 / R905.2 and the
shingle manufacturer's minimum requirements.
6.1.1 Underlayment shall be acceptable to CertainTeed Corporation and shall hold current Florida
Statewide Product Approval, or be Locally Approved per Rule 9N-3, per FBC Sections
1507.2.3, 1507.2.4 or R905.2.3.
6.2 Installation of asphalt shingles shall comply with the manufacturer's current published
instructions, using minimum four (4) nails per shingle in accordance with FBC 1507.2.7 or
Section R905.2.6 and the minimum requirements herein.
6.2.1 Fasteners shall be in accordance with manufacturer's published requirements, but not less
than FBC 1507.2.6 or R905.2.5. Staples are not permitted.
6.2.2 Where the roof slope exceeds 21 units vertical in 12 units horizontal, use the "Steep Slope'
directions.
6.3 CertainTeed asphalt shingles are acceptable for use in reroof(tear-off) or recover applications,
subject to the limitations set forth in FBC Section 1510 and CertainTeed pubilshed installation
instructlons.
6.3.1 CT20-. XT- 25. and XT- 30:
LOW ADD STANDARD SLOPE SHIP SLOPE
BrAm Iz 12 IT �four n9l;Md M spou&z"A�ffing emen,I&es,N11
l-M M )--i "gl,Vl�It 4) AVMI mfiIt,cesent mmft Mol D45%
SwIal 1.(3.)
5$A (It.)
AWN
NHW 13IM' J� ITW 131X
fi-(25M) Saint (n.4
6.3.1.1 Hip & Ridge: Cut Shingles
I - %VW
r
F4.11-A
Note: For ASTM D3161 - Class F, use BASF Sonolastic NP 1 adhesive or Henkel PLO
Polyurethane Roof&Flashing Sealant, in accordance with manufacturer's instructions.
Exterior Research and Design, LLC. Evaluation Repoft 3532.09.OS-R4
Ceftificate ofAuffionzation#9503 FL5444 R4
Revision 4: 12/06/2021
Page 4 of 10
TRINI-rY ERD
6.3.3 Landmark—, Landmark— Pro (formerly Landmark— Plus). Landmark— Premium,
Landmark— TL and Landmark—Solaris:
LOW AND STANDARD SLOPF IANNKAMA OIL
JV� tr 13'X
METRI(DIMMINSIONS
17 14'/1 12-
V F,-Z'-�T_0--)7
MrA VA POW44 ftl.�*�jfif*'*
SOUP SLOPE �TO
I d fo�,,M,.f w,ul, .. I., NO
MTMD4586T�,11
METRIC DIMENSIONS
(25
12' 1431C 17,
305 (375.) ONE
I I
Tap
NNIZI
(25.)
no ce."
6.3.3.1 Hip&Ridge, Option 1: Shadow Ridge—
ft�13
�pku,=&6 xwb 72*k*WW aiii
97X
r r-4 rQV! M)04"
IT- lila
L 4 A ["'ar:ml
E"bh Dimmmmim MOW
EAerior Resmarch and Design, t-L.C. Evaluation Repoft 3532.09.05-R4
C�iffic.� f A.thefi�.U..#9503 FLZ�-Rt
Revision 4: 12/0612011
Page 6 of 10
\\�TRINJTY ERD
6.3.6 Hlatfland Slabe—:
Sn"SLOM
FM." d WAI 1.111 11.�.V 1�1 l'
ll*�V. F� SM"6—"m—1
Apply i-Ai���m d�holl�fi�c�t opla mh
AUt PA N5%W 11
Willeor.
6.3.6.1 Hip&Ridge, Option 1: Refer to instructions herein for Cedar Crest— or Shangle Ridge— hip
and ridge shingles.
7. LAmLxma:
7.1 Each unit shall bear a permanent label with the manufacturer's name, logo, city, state and logo
of the Accredited Quality Assurance Agency noted herein.
7.2 Asphalt shingle wrappers shall Indicate compliance with one of the required classifications
detailed in FOC Table 1507.2.7.1 / R905.2.6.1.
S. Sunmam PERmrr REQUIREMENTS:
As required by the Building Official or Authority Having Jurisdiction in order to properly evaluate the
Installation of this product.
9. MANUFACTURING P�NTS:
Contact the named QA entity for information on which plants produce products covered by Florida Rule
914-3 QA requirements.
10. QuAmy AssuRANCE ENTITY;
Underwriters Laboratories - QUA1743; (414) 248-6409; kamn.buchmann@us.ul.com
END OF EVALUATION REPORT -
Excterior Reseamh and cesign, LI-C. Evaluation Report 3532.09.05-114
Certfff�ate of Authonzation#9503 FIL5444 R4
Revision 4: 12/06/2012
Page 10 of 10