387 10TH ST - ROOF ROOF NON SHINGLE PERMIT PERMIT NUMBER
'•R' �.' ROOF18-0084
,j CITY OF ATLANTIC BEACH
;�.n,, ",.
800 SEMINOLE ROAD ISSUED: 11/28/2018
ATLANTIC BEACH. FL 32233 EXPIRES: 5/27/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, 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 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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
387 10TH ST ROOF NON SHINGLE Mod Bit Roof $6875.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170093 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
EXCEL ROOFING
CONTRACTING 5722 DUNN AVE MIDDLEBURG FL 32068
OWNER: ADDRESS: CITY: STATE: ZIP:
MUELLER CONRAD B 387 10TH ST ATLANTIC BEACH FL 32233-5529
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $85.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $42.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $131.501
Issued Date: 11/28/2018 1 of 2
(4-iiJCity of Atlantic Beach APPLICATION NUMBER
E-:'. Building Department (To be assigned by the Building Depa ment.)
�� 800 Seminole Road gOO /
F _OO&
Atlantic Beach, Florida 32233-5445 l d
p
�
' y
Phone (904)247-5826 • Fax(904)247-5845
, p ;lc-):- E-mail: building-dept@coab.us Date routed: :1AP
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 337 10 „ST Department review required Yes o
uildingD J
Applicant: (CC( ' ooF(/U & Planning &Zoning
Qn � Tree Administrator
/y�
Project: if l `6J 33 I T- FT.-I T goo Public Works
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: [9 Approved. I 1Denied. Not applicable
(Circle one.) Comments:
:UILDING
PLANNING &ZONING
Reviewed by: rki y Date: R'7I
TREE ADMIN. Second Review: Approved as revised. ❑Denied. ❑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
OFFICE COPY
"' a Building Permit Application Updatej2/8/17 6.z.
City of Atlantic Beach U
800 Seminole Road,Atlantic Beach,FL 32233 Q V)
p�jPhone:(904)247-5826 Fax:l (904)247-5845 /� — (= Q OZ
Job Address: 2 :3/ /(21'1.--471: �17kkm fig3a�, Permit Number:R.i (g—V 2( 0 `'0
Legal Description RE# f 7t:1...;-G em C] O 1-
Valuation of Work(Replacement Cost)$ 6 R,75; QP) Heated/Cooled SF Non-Heated/Cooled w p a V
rr
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door 0 Z O Z
• Use of existing/proposed structure(s)(Circle one): Commercial Residential 0 J u' co
F- „.LL
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A CC Q I' Z
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal 0 V- cc 2
Describe in detail the type of work to be performed: p O ua >
R e roc le //4 t only >. a CC CO
1,11
l ~ � 3 W
w0u) wl
W
la
Florida Product Approval#_ ___ 5 0 _ for multiple products use product app>val form
Property Owner Information w
CC CC
Name: nCon Pad f�l JJP?l' Address: Ac-,3 //-4.57"City /7'tkizj ..b, _ . - State 1G-Zip -- ,9g33 Phone 4L'y-.29/- 1/745-1
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Com any: J At ,, 1/ Civil C.�r,5 Qualifying Agent: /7' --11,074,—(01^e47.56,1
Address .57;e2 ►Lgh/j 'pa- City r(( hie State - Zip 33..iif
Office Phone 9O// 6 /- le_` Job Site/Contact Number :O - tp- 7j1/;;('
State Certification/Registration# 'CG I,3 liClji E-Mail e./'GJI t a� n
Architect Name&Phone#_ /A
Engineer's Name&Phone# /f'?' _
Workers Compensation fl// _
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,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 ' 'OPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER AN), ORNEY BEFORE
RECRDING YO NOTICE OF COMMENCEMENT. _
'i(iii-tt
(Signature ifrge,2,6zAgent)) (Signature of Contractor)
(including contractor)
Sined and sworn to(or affirmed)before. e this /9 day of Signedand sworn to(or affirmed)before me this J7 day of
,--
-1-tily , ao/C ,by f�0o✓`A� h1Lr// ,- .�U/y , go6-,b ./ sr" ' -
7d 1
1
(Signature Notary; (Signa,-'e of Notary]
( Personally Known OR 4 ,,,,,,� ersonally Known OR
[ ]Produced Identificatior'I �o�""�P�s�'; DENISE LYNN TAIT
:'?, «ns NotaryPublic-State of Florida )Produced Identification `„11=14!,:;,,,
Type of Identification: _ 1. . . c pe of Identification: ??,. `ms's Notar DENISE LYNN NT
•: Commi-s:on #FF9°0169 • Y Rubffd-Nate of Florida
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ommission
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Doc # 2018169815, OR BK 18462 Page 338, Number Pages: 1 ,
Recorded 07/19/2018 08:30 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT 1/40 o ' a 'v
PRO,AFEEIN DUPLICATE)
,•- Permit No. 806P/g--O08!!/ Tax Folio No.
State of FLORMA County of Dural __. _
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with Section T13 of the Florida Statutes,the following information Is stated in this NOTICE OF
COMMENCEMENT.
Legal es^r tion of property being improved:
5-69 1 G-2S-29E ATLANTIC BEACH LOT 42 BLK 13
Address of property being improved: 387 10TH ST Atlantic Beach FL 32233
General description of improvements:Re TOOT Flat
c,,,,,.MUELLER,CONRAD B and MUELLER,ELVA S
Address 387 10TH ST Atlantic Beach FL 32233
Owner's interest In site of the improvement OWNER
Fee Simple T9lehclder(if other than owner)
Address
Contractor SCOTT SORENSEN - EXCEL ROOFING CONTRACTORS INC
Address 5722 DUNN AVE JACKSONVILLE FL 32218
?hone?lo.904-631-x663 Fax No.904-214-0004 '
Surety of any)N/A
Address Amount of bond S
Phone No. Fax No.
Name and address of any person making a loan for the consauclion of the improvements.
Name WA
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 N/A
Address
Phone No. Fax No. ---
In addition to himse f.owner designates the foliar Ong person to receive a copy of the Lieror's Notice as provided in
Section 713.06(2)(b).Florida Statutes.(Fill in at Owner's opton).
Name NIA
Address
Phone No. Fax No. ^z
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 RECORDEit'S 0SE bREY. + WYPi€R
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Yarse:hers.!ani aims that a:.stataro:ds eni d^_Car «.,�er�h _ -`
as true and ar._trs'a .:DE ANN I
v. v o�P,,� v DENISE LYNN TAIT
a=_ Notary Public-State of Fk.rig.
",; `7 I; Commission#FF980169
���ILLL��e r•ram Expires Jul 2i,202u; 2u..
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QC:TDRINITI ERD
TABLE 1E-2: WOOD DECKS—NEW CONSTRUCTION,REROOF(TEAR-OFF)OR RECOVER
SYSTEM TYPE E: NON-INSULATED,MECHANICALLY ATTACHED BASE SHEET,BONDED ROOF COVER
System Deck Base Sheet Roof Cover(Note 14) MDP
No. (Note 1) Base Fasteners Attach Ply Cap (Psf)
Glasbase;Flexiglas;Flintlastic Flintfast 3 in.Insulation Plates with (Optional)BP-
Base Min.15/32-inch plywood Base 20;Poly SMS Base;Ultra FlintFast#12 or#14;Trufast 3"Metal 6-inch o.c.at 4-inch lap and 6-inch o.c.in three AA,SBS-AA, SBS-M,SBS-
W-89 97.5
at max 24-inch spans Poly SMS Base;Yosemite Insulation Plates with DP or HD;OMG 3 (3),equally spaced,staggered center rows SBS-TA or TA or APP-TA
in.Round Metal Plates with OMG#14 HD APP-TA
Min.15/32-inch plywood OMG 3 in.Round Metal Plates with OMG 6-inch o.c.at 4-inch lap and 6-inch o.c.in three
W-90 at max 24-inch spans Flintlastic APP Base T #14 HD APP-TA APP-TA -97.5
p (3),equally spaced,staggered center rows.
Glasbase;Flexiglas;Flintlastic Flintfast 3 in.Insulation Plates with
(Optional)BP-
Min.15/32-inch plywood Base 20;All Weather/Empire 8-inch o.c.at 4-inch lap and 8-inch o.c.at three SBS-AA or
W-91 at max 24-inch spans Base;Poly SMS Base;Ultra Poly FlintFast#14;Trufast 3"Metal Insulation (3)equally spaced,staggered center rowsAASBS-AA or SBS-TA 97'5
SMS Base;Yosemite Plates with Trufast HD SBS-TA
Glasbase;Flexiglas;Flintlastic BP-AA,SBS-
Min.19/32-inch plywood Base 20;Poly SMS Base;Ultra Note 2 7-inch o.c.at 3-inch lap and 7-inch o.c.in three AA,SBS TA or SBS-M,SBS-
W-92 -105.0
at max 24-inch spans
Poly SMS Base;Yosemite (3),equally spaced,staggered center rows APP TA TA or APP-TA
OMG 3 in.Round Metal Plates with OMG
W 93 Min.19/32-inch plywood Flintlastic APP Base T #14 HD or Dekfast Hex Plate with Dekfast 7-inch o.c.at 3-inch lap and 7-inch o.c.in three APP-TA APP-TA -105.0
at max 24-inch spans #14 (3),equally spaced,staggered center rows
Glasbase;Flexiglas;Flintlastic Flintfast 3 in.Insulation Plates with (Optional)BP-
Base Min.15/32-inch plywood Base 20;Poly SMS Base;Ultra FlintFast#12 or#14;Trufast 3"Metal 6-inch o.c.at 4-inch lap and 6-inch o.c.in four AA,SBS-AA, SBS-AA,SBS-
W-94 -127.5
at max 24-inch spans Poly SMS Base;Yosemite Insulation Plates with DP or HD;OMG 3 (4),equally spaced,staggered center rows SBS-TA or TA or APP-TA
in.Round Metal Plates with OMG#14 HD APP-TA
W 95 Min.15/32-inch plywood Flintlastic APP Base T OMG 3 in.Round Metal Plates with OMG 6-inch o.c.at 4-inch lap and 6-inch o.c.in four APP-TA APP-TA -127.5
at max 24-inch spans #14 HD (4),equally spaced,staggered center rows.
COLD-APPLIED SYSTEMS:
Glasbase;Flexiglas Base;
Min.15/32-inch I Flintlastic Base 20;All Weather/ Flintfast 3 in.Insulation Plates with
W-96 / plywood Empire Base;Yosemite Venting FlintFast#12 or#14;Trufast 3"Metal 8-inch o.c.at 4-inch lap and 8-inch o.c,in three (Optional) SBS-CA1 -52.5
at max 24-inch spans Base;Flintlastic Poly SMS Base; Insulation Plates with DP or HD (3),equally spaced,staggered center rows SBS-CA1
Flintlastic Ultra Poly SMS Base
TABLE 1F: WOOD DECKS—NEW CONSTRUCTION OR REROOF(TEAR-OFF)
SYSTEM TYPE F:NON-INSULATED,BONDED ROOF COVER
System Deck Roof Cover(Note 14) (P
No. (Note 1) Primer Base Ply Cap MDP s
f)
W-97 Min.15/32-inch plywoor4at max 24-inch spans FlintPrime or FtintPrime SA SBS-SA-H (Optional)585-TA,APP-TA S *M4A - -112.5
W-98 Min.15/32-inch plywood at max 24-inch spans FlintPrime or FlintPrime SA SBS-SA (Optional)SBS-SA SBS-SA -127.5
Exterior Research and Design,LLC.d/b/a Trinity IERD Evaluation Report 3520.03.04-R20 for FL2533-R19
Certificate of Authorization#9503 6t"EDITION(2017)FBC NON-HVHZ EVALUATION Revision 20:09/14/2017
Prepared by: Robert Nieminen,PE-59166 CertainTeed Flintlastic®Modified Bitumen Roof Systems;(610)651-5847 Appendix 1,Page 17 of 57