482 E SAILFISH DR - ROOF ROOF18-0101 s'r'— ROOF NON SHINGLE PERMIT PERMIT NUMBER
C) 'fr'- '�` ROOF18-0101
I CITY OF ATLANTIC BEACH ISSUED: 1/4/2019
800 SEMINOLE ROAD
\`0;tiw~ ATLANTIC BEACH. FL 32233 EXPIRES: 7/3/2019
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:
482 E SAILFISH DR ROOF NON SHINGLE metal roof system FL14207 $3798.00
& Versico TPO
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171403 0000 ROYAL PALMS UNIT
02A3.00
COMPANY: ADDRESS: CITY: STATE: ZIP:
Roofcrafters Roofing, LLC
OWNER: I ADDRESS: CITY: STATE: ZIP:
BURNS STEPHANIE J 482 SAILFISH DR E ATLANTIC BEACH FL 32233
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $70.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $35.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $109.00
Issued Date: 1/4/2019 1 of 2
e `jA
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
r 800 Seminole Road CC F I — 0(01
j .."_, Atlantic Beach, Florida 32233-5445 U
Phone (904)247-5826 • Fax (904)247-5845 a I �� l Cy
''.•:=._•-0.7119'rEmail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 4 (6 - �- - saL\ kS‘Ix of • t review required Yes No
( Building
Applicant: V--Oc) r e (a f (S /11---00l\(.� manning Zoning
J Tree Administrator
Project: ( �et\0vk_ 4- ( L fj C((-R (Chef S\t\V__M Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date1- \`
of Permit Verified By L
Florida Dept. of Environmental Protection w
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: Approved. ❑Denied. fNot applicable
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by: Date:
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
er'�. Building Permit Application Updated 12/8/17
v„�,,_ City of Atlantic Beach
� 't: 800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
L�� \N.-0 Permit �0Ori _ oto /
Job Address: �. SAS\-c`:5\� 'C L �\A(\k` c_bc,c0�h\Ft Permit Number:
Legal Description -5\ ib s
\\r ..,\I "i IQ o4 VI Rws-h‘ svego 4A'/N aA
t RE#
Valuation of Work(Replacement Cost)$3 j.1 1%'1.1 Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition AlterationRepair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial identi
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes N/A
• 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: RiMuvL ov. Fro 0-( t.,J S�S.4M ln0, AcQ\ALS L ' (141,L),)
M a-4-c:_ ( RP0 -c
Florida Product Approval# F1...14at1 C•Cs'LL '(Q0 for multiple products use product approval form
Property Owner Information
Name: JA4.- %,,.0 c`,5 '- `. t;oNA Lt. ¶b c4 Address: '\% SG1‘\{ Sh N0. E
City Ai\A(1i@ L %tiAlh State '-L. Zip 3-4x);), Phone S( - 6\3- 31'10
E-Mail S.3O.sQirbI.`\ @ (5`,.t.V.AA.". WO
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: \\0tJ{C(>1 kS4) (\uuA'Cn, U,C- Qualifying Agent: OW\C- CA3C56 n
Address %o.'lay G(PAAcPPacKwc c. U\U City �at4�5oct 'tac State -L Zip 11.1,51Office Phone 914-OM -4 t y y Job Site/Contact Number 9�y-65�! '4 1'14
State Certification/Registration# U-1- \3A\0 4,L E-Mail �►ct�t\a e P,uiJ - (,[A{ t 4(S .COM
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation
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 PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORD NG YOUR OTICE OF COMMENCEMENT.
Pt fit,Noll
(Signature of Owner or Agent) (Signature of Contractor)
(including contractor) It
V
Signed and sworn to(or affirmed)before me this I day of Signed and sworn to(or affirmed)before me this day of
'LU ,by 1^QAI(( > `( ,by
t)6P-Ajj--
1 (Signature of Notary) (Signature of Notary)
[ ]Personally Known OR ••'""n' %, LEANNE WILCHER [ ]Pers nally Known OR
[,],Produced Identification Commission#FF 987368 [ ]Prod ced Identification
T(y�pe of Identification: V-ivLOG sfii-yt e Fxoirpcgnrit 9f1,9rori_ Type of entification:
J12:* 0f 1-L &codec The Troy pain Insurance 8003857019
0tikt c/.\ (ovA%-1
" u ;' '•Building Permit Application 11;;r'ata•f 17/0117
uty cif Atlantic Beach
S0 t, gr'1 i.,n ntdn an i•1 Ftltn't etach,FL 31233 G
F'•a*� ISru7a/',,:;Frt (f04)2er`a,t5 rLO�F� 0 /1 f�a
lei a. c s . • . `1 t, r ` ` ..}��j3rt,rmit Number: 1
Job Addrt JF1,�� . \:� 11C- L- I�\e,!�� >�\•,t �\ -. . ...
‘-1b 18-45-AC-0 tic c t 1' .,1 (1.�L• tt�r•.) t.''4 1G RfN �_
toga!Des:-;• •.:,..._Wt VI,,Am, 1� ._ _ --.___.. __ _..._--t����+�,.��ED
Valuation of Work(t: e • ,,,i.C' '1 r. $ ,'l..N. -- _ H.'.ited/Cooled SF Non-Heated/ ool.
• C'arof V:otk.(Cir:1••one) :e:c Ade.t•Zn r,Ile,a:,un<Rcpair Ao:c Demo Pool Window/Door
• Use of c••<tung/pro;o•ed strucr.Fets)(Circle one) Commercial f•tes Identiii) n�r 14 a
20'
• If an Ex.sting structure,is a I rc sprinkler system installed?(Circle one): Yes 64:0 fi/A v
• Submit a Tree Removal Permit Applcation if any trees are to be removed or Affidavit of('Jo Tree Removal
Describe in detail the type of work to be performed: �5 r1bA1S U\r� QtG C�t(t, SS+ res �1nOs 9>1Q tiffs @ rtment
i ,f cif..:'an" h. FL
Florida Product Approval It_FL 141Ct1 V rpt`-"U.. -00 T for multiple products use product approval form
Property Owner Information
_ 4
Name: JGC- %v.:e,5 :7‘t0h�E's tU�t' Address: ACEI `JRA\{`,21\ 0.
City Pya1c•.=c 1 X01.,, h State 4-L Zip 3)5,31) Phone RU4 - b11- a)r10
E-Mail C G • ct,2.`1 :vvz•o....'1\• 4-i --- ----_----
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: C1t,t{C«.{kS ) (\t,s, 'VN3 W- Qualifying Agent: P -UV CC:fejt)r\
Address 1 o.13`i f_r clCyot- Qp•v.v.r-.•. }kJ, sk lU City 'clih5or- t Li
`t tit- State Fp 111‘51Office Phone q•. a -la%Y-4.yy J Job Site/Contact Number Soy-6.44 -yIyy _
State Certification/Registration# CUL- 1,510al9 E-Mall /10.'x.1 P p•LiUA - Ctct-ictS CCC'`
Architect Name&Phone#
Engineer's Name&Phone# _—
Workers Compensation
Exempt/insurer/Lease Employees/Expiration Date �..T_.—
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 reguiationg
1 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
4 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
RECORD NG YOUR N TICE OF COMMENCEMENT.�/
) " ': ' 'JI),,, ,,c)/)
(S`gnature of Owner or Agent)
-- -- (Signature of Contractor)
(including contractor) 1/
S'ned and sworn to(or affirmed)befor me this '`s day of Signed and sworn to(fir affirmed)before me this L_ ay of
0,C(\‘otx , /,G\ ,by J&Sqr Mxh ' - p2ClW)b2r I '0 by NI cote -+ a ,0,,,iiin.„,ltlrrtu,,,.
15,gn�t rc rf Nctary) x
lS•Gnatuxe of ti�tatyj 5
Ci "9%
r' APR
:fir=
a't
( }PerscnyYw+
.rria CR I Personalty Known OR =*; 1
educed dcrU cat:.^n I Froduccd Identif•.atIan ••cy 20 �(:
i I f,
T yc;,f td i...f;- tom Ti;z�f tdertdication _ /�../i.1•4y� roc:. \�.z
�rgRYPO .
CcTrC1�1 CFD U a� 'i U .�
:;•,:ar•��, LEANNE WILCHER 'Nr,,, .,,tir+"
Ccmmissan#FF 987368
'• Expires April 28,2020
'•;;Z:4`'.
,,: ,' EcnCeC Thru Troy Fair.Insurance 800-385-7t t9
r~'1 "xI, CITY OF ATLANTIC BEACH
'' '� 800 SEMINOLE ROAD
/- ATLANTIC BEACH,FL 32233
/ (904) 247-5800
,..,:-/----JF311)f.
BUILDING REVIEW COMMENTS
Date: 12/19/2018
Permit#: ROOF18-0101 Site Address:482 E SAILFISH DR
Review Status:denied RE#: 171403 0000
Applicant: Roofcrafters Roofing, LLC — Property Owner: BURNS STEPHANIE J
Email: adyna@roof-crafters.com Email: sjbjb824@bellsouth.net
Phone: 904-654-4144 Phone: 9046133170
THIS REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS.
Revisions may not be submitted until ALL departments have completed their respective reviews.
Revisions submitted MUST respond to EACH department review. Submittals that respond to only one or a
few correction items will not be accepted.
Correction Comments:
1. Non shingled roof systems go through plan review by the Building Department in the City of Atlantic
Beach, FL.
2. The product approval number, FL-14207,when placed into the DBPR product approval website,
brought me to 61 page document produced by NEMO/ETC,LLC,and evaluation an certification report.
Of these 61 pages we need only the pages that pertain to this site specific installation. Of those pages
submitted,highlight the lines/boxes, etc. that pertain to the installation process of this new roof systems.
This should disclose what the existing roof make up is and how the new system will be attached. This
will aid in the inspection and installation process. 2 copies required with both sets being highlighted.
3. This roof installation will have at least 3 inspections. Roof deck/underlayment, in-progress of the TPO
material being installed and then a Final Roof when installation is complete.
4. If the Notice of Commencement is not on site for the first inspection,the inspection will be failed and a
fee charged. Please have all documents on site.
Building
Mike Jones
Building Inspector/Plans Examiner
City of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233
904.247.5844
Email:mjones@coab.us
Y
Resubmittal Notes:
All revisions and changes shall clearly stand out from the rest of the drawing on the sheet as a revision by way of
completely encircling the change with "clouding". The revision shall also be identified as to the sequence of revision by
indicating a triangle with the revision sequence number within it and located adjacent to the cloud.The revision date
and revision sequence number shall also be indicated in a conspicuous location in the title block for each sheet on which
a revision for that sequence occurs. For projects still in the initial review stage and permit pending, all sheets with
revisions shall be inserted into each set of drawings.The original sheets must be clearly marked "VOID" but are to be left
within the set of drawings. Complete new sets of drawings will not be accepted.ADDITIONAL ITEMS MAY BE REQUIRED
DEPENDING UPON NEW INFORMATION AND CLARITY OF FINAL PLANS SUBMITTED FOR REVIEW.
ALL
Revision Request/Correction to Comments **HIGHLI HIGHLIGHTED
ON
rs'fa t� HIGHLIGHTED IN
Cityof Atlantic Beach BuildingDepartment GRAY IS REQUIRED.
af,
'`' V 800 Seminole Rd, Atlantic Beach, FL 32233
`, Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: MO 1c6- Q\0\
❑ Revision to Issued Permit OR [A Corrections to Comments Date: la.il l)Y
Project Address: '- %, Sp;-'1\4;A i)t -4,\1`L 4,A5it (NA\Act*`iL Sytn(AN ,FL- .3a), 3
Contractor/Contact Name: i10u4 L(pvc-\5,(5 ` . Mi n A ti'cd(°‘-k0 c`L
Contact Phone: Cin`65.4 --y\y y Email: pfd` c Q Ik00 - - OA ciS,90. C,On1
Description of Proposed Revision/Corrections:
SuiomiAV?n -.nSk('cAUns 4(0M pcc&UJ-A Appcuvp .A YL ?- L
14.4"O ik - W- 1
I P1 c r' Qti,S i i t%r C. affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• ll proposed revision/corrections add additional square footage to original submittal?
ANo ❑ Yes(additional s.f.to be added: )
• W'II proposed revision/corrections add additional increase in building value to original submittal?
No ❑*yes (additional increase in building val :�r$ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
°L._ 42...----------_
(Office Use Only)
Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$ 50.OC)
Revision/Plan Review Comments
Department Review Required:
ril)...,
Planning&Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities /- 2^i9
Public Safety Date
Fire Services Updated 10/17/18
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NOTICE OF COMMENCEMENT
State of -\O f Of,‘ Tax Folio No.
County of 0\,,�A�
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.
Legal Description of property being improved: 3\-\b 11-a,S- `1 \'1 .\ , Q,o * 'A\u S • ^
\o-\ 6\`t, ‘cl
Address of property being improved: t•lVd, SA\\ SNN S)($s, p►i\A iNA4 o- Vt, (..\1 \Ft— 3).a33
General description of improvements: I\c•MoU4. U\(„). cl,t)`rWC\5J SLAW-v(4\SLAr' c1n(A kc_plgLfi, W NAN\ (1C..W
Owner: '"QG aiNx `. h2\(1k c\S Address: l\`67, Sa't1VSh E \A c9A L S.c;Lh FL 31d33
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: ("Nty. ic,(0,•k•v.,0 (1.st)tM c\cc3
Address: 11.111A C-1( eR A3 Vtic\iW&\%5 Si ti_ u\u 31Nc,1\SSnv`i\lci \FL 3'1,4,5(3
Telephone No.: (10k4.-6'A \a4 Fax No:
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
1ei 4-
Signed: .1 t Date:
`1
Before me this day ofQUI � O(�'
r
in the County of Duval,State
Doc#2018292736,OR BK 18629 Page 450, )f Florida,has personally appeared 'JIY h Q},l_v "31
Do
Domer Pages: 1 'lotary Public at Large,State of Flor�daa,,County of Duval.
Recorded 12/14/2018 01:23 PM, vly commission expires: `�'I�'
I.v
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL 'ersonally Known: or
COUNTY 'roduced Identification: "V-
RECORDING
FRECORDING $10.00 ,��>':a" LEANNEWILCHER
•f„7,AQ,Commission#FF 987368
Expires April 28,2020