378 8TH ST ROOF19-0018 ROOF NON SHING PERM 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
CITY OF ATLANTIC BEACH BUILDING DEPARTMENT
CERTIFICATE OF COMPLETION
ROOF19-0018
ROOF NON SHINGLE
ISSUED:-- JOB ADDRESS: REAL ESTATE NUMBER: ZONING:
3/13/2019 378 8TH ST 1699420050
DESCRIPTION OF WORK:
torchdown roof
CONTRACTOR:
MICKLER ALBERT H NPS INC
5452 ARLINGTON EXPY 1833 LIVE OAK DRIVE
JACKSONVILLE, FL 32211 JACKSONVILLE, FL 32246
APPROVED: T�q )K�"t
CHIEF BUILDING OFFICIAL
VOID UNLESS SIGNED BY BUILDING OFFICIAL
ROOF NON SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ROOF19-0018
800 SEMINOLE ROAD ISSUED: 3/6/2019
EXPIRES: 9/2/2019
ATLANTIC BEACH. FL 32233
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.
ENOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
OT'C
t t
hat mav be found in the public records of this county,and there may be additional permits required from other
t m
g gov m
overnmental entities such as water management districts, state agencies,or federal agencies.
JOB ADDRESS: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
378 8TH ST ROOF NON SHINGLE torchdown roof $3600.00
TYPE OF REALESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1699420050 ATLANTIC BEACH
COMPANY: -----ADDRESS-:- CITY: STATE
NPSINC 1833 LIVE OAK DRIVE JACKSONVILLE FL 32246
-ADDRESS: E: zip:
MICKLER ALBERT H 5452 ARLINGTON EXPY JACKSONVILLE FL 32211
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 $70.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $35.00
BUILDING PLAN REVIEW RESUBMITTAL SECOND 4SS-0000-322-1006 0 $SO.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.33
STATE DCA SURCHARGE 455-0000-208-0600 C $2.00
Issued Date:3/6/2019 1 of 2
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
>, 800 Seminole Road
Atlantic Beach, Florida 32233-5445 00F C1 -M
Phone(904)247-5826 - Fax(904)247-5845
S). E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: _.DapafJpwQt review required Yes Mo
Building
Applicant: _11,�U. -PTa—nning &Zoning
Tree Administrator
Project: C_ C) 06 Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt
Other Agency Review or Permit Required Date
of Permit Verified By 2" r,�701
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: RApproved. Denied. E]Not applicable
(Circle one.) Comments:
Q��)
PLANNING &ZONING Reviewed by: Date:-2/2,6Z/9
TREE ADMIN. Second Review: [��Approved as revised. L/
]Denied. F]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by.-- ni Date:V� 2,�ci
4
FIRE SERVICES Third Review: FlApproved as revised. ElDenied. E]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
"ALL INFORMATION
Revision Request/Correction to Comments HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 RCC)Et
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
Revision to Issued Permit OR E] Corrections to Comments Date-AAt-
ProjectAddress:
Contractor/Contact Name: X�P'
�2- 1,5�3 -;'r -
Contact Phone:JV4179 Email: 4eW -f A.16—�
Description of Proposed Revision/Corrections:
-2.
I —affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Wil I p roposed revision/corrections add additional square footage to original submittal?
11'
n!'No El Yes(additional s.f.to be added:
• Will roposed revision/corrections add additional increase in building value to original submittal?
�7o EI*Yes (additional increase in building value:$ (contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
(Office Use Only)
W'Approved 11 Denied 11 Not Applicable to Department Permit Fee D(ue�$ 50.06)
Revision/Plan Review Comments
ment Review Required:
Bui clin�
'-�Iann�ing&Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities z C21-1
Public Safety Date
Fire Services Updated 10117118
FACE COPY
11 SS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
(904) 247-5800
BUILDING REVIEW COMMENTS
Date: 2/26/2019
Permit#: ROOF19-0018 Site Address: 378 8TH ST
Review Status: denied REM 169942 0050
Applicant: NPS INC Property Owner: MICKLER ALBERT H
Email: Email:jrs47@att.net
Phone: 9047254089 Phone: 9047250822
9047072680
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. All non-shingled roof permit applications go through plan review in Atlantic Beach, FL.
2. Please submit the Florida Product Approval Number for the base sheet and coversheet for the torch
down roofing system.
3. Submit 2 copies of the ICC-ES Evaluation Report for both of the products mentioned above.
4. From the evaluation report,which could be up to 60 some pages, only submit the pages that pertain to
the site specific conditions of the house you are permitting. Of those pages,highlight the information per
page submitted that pertains to the installation instructions, attachments, fasteners and their spacing for
this project. The report will also give information if there is special needs for roofs installed in higher
wind exposure areas.
5. The Building Official has made the request for plan review for non-shingled in order for the installers
and inspectors to be on the same page and that roofing materials be installed to tested and approved
methods.
6. We do have an inspection for the torch down unlike other jurisdictions. The base sheet/dry-in inspection
needs to be called in before the cap sheet is installed. We will work with you on this inspection as we do
not want the roof left open any longer than you do.
Building
Mike Jones
Building Inspector/Plans Examiner
City of Atlantic Beach
800 Seminole Road
Atlantic Beach, Fl, 32233
904.247.5844
Email:rnjones@coab.us
Building Permit Application OFFICE COPY Updated 1019118
City of Atlantic Beach Building Department "ALL INFORMATION
9. 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Build ing-Dept@coa b.us IS REQUIRED.
Job Address: co Fici - oc)
"A- &�/ �-//Permit Number:
'a�U -
Legal Description ZJ J� 1�� Fe g�
RE#_zl_
,ol !�O&2
Valuation of Work(Replacement Cost)$ Heated/Cooled SF
Non-Heated/Cooled
• ClassofWork: E]New DAddition EIAlteration DRepair DMove DDemo E]Pool []Window/Door
• Use of existing/proposed structure(s): DCommercial EIResidential
• If an existing structure,is a fire sprinkler system installed?: E]Yes E]No FFB 2019
• Will tree(s) be removed in association with proQosed project? E:]Yes(must submit separate Tree Removal Permit) []No
Describe in detail the type of work to be performed:
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name Address 162XW eel
city State �7 zip Phone
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company "') P S //V 6 QualifyingAgent fciy��fr",4,t
Address
city State Zip
Office Phone I'Jaz 7 "_,U Job Site Cnntact'Number 40 VS'l F 0
State Certification/Registration# lq:�' E-Mail ,IA6 q? 'iP— A-7(- IVCT
Architect Name&Phone# -T.A S YJ 7',T� We+
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt V(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 regulating
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 YOUi�PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LEN R OR N RNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
4.41 7
_EN R OR N ZARNI
11 0
T*
10idnature of 6–wner orAgent) !Signature of Contractor)
Sig 0 ffi r7
Z-
Signed and sworn to(or affirmed)before me this Playo Sig d t o i ir affirmedtbe day of
Y_
.9 D/Y by
(Signatge of Notalry)
State of Florida
My Commission Expires 06/05/2022
[q Personally Known 0 BARBARAJ.TRIPP ]P onally Avg,
le,14 roduced Identificatio
Produced Identificat Commission#GG 001988 Po6tL1W P997
Type of Identificatic _ Expires July 10.2020 ieype of Identification:
',,,U;*K:.��-," Bonded ThruTmy Fain Insurance 500-3M7019 I
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
'00
Permit No. le Tax Folio No. 1699420050
State of Florida County of Duval
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: Lot 37 and the north 3 feet of the east 35 feet
of Lot 38, Block 9,Atlantic Beach, FL as recorded in Plat Book 5, Page 69,current public records of Duval
County,Florida
Address of property being improved: 378 - 8th Street, Atlantic Beach, FL 32233
General description of improvements..new roof
I
OwnerAlbert and Carolynn Mickler
Address 3846 Sarah Brooke Court,Jacksonville, FL 32211
Owner's interest in site of the improvement Owner
Fee Simple Titleholder(if other than owner)
Name
Address
Y'41Contractor
Address 64L�_'2
Phone No.904-762-3153 Fax N15:.:��
'S'urety(if any)
Address -Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name n/a
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 Bryan K.Mickler,Attorney
Address 5452 Arlington Expressway, Jacksonville, FL 32211
Phone No. 904-725-0822 Fax No. 904-725-855
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 Statutes.(Fill in at Owner's option).
Name Bryan K. Mickler,Attorney
Address 5452 Arlington Expressway,Jacksonville, FL 32211
Phone No. 904-725-0822 Fax No.904-725-0855
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 OWNE
S I g n!Bedr� lh�94�7_ --I/—
DATE
Befoi ie t ils da In the
CcyjVf DuvaV State of'Wond har rsonally appeared
P_A I vil-1) F .4
himself/hers If a'd Mirms that all s7ents a .,ons e I
e g�kRAJ.TRIPP
Doc#2019035033,OR BK 1 B68_9 Page 2062, are true and:c inrat: '0 1 6
0;' J`8'��-- sion 9 GG 001988
T.j "..'tcornmis
ThruTMYF
Number Pages:1 t
:54 PM, Expires July 10,2.020
Recorded o2/12/2019 02 ain Insurance
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Bonded
COUNTY Notary Public at Large,State of F-I&e c6brily of 2)Z4 V 1*1
RECORDING $10-00 My commIssion expires:. 6 X-1
Personally Known 1,� —or
Produced Identification
OFFICE COPY
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA
Project Name: Permit , 4 )e6 op
Project Address: #k4rh� 22 T&
As required by Florida Statute 553.842 and Florida Administrative Code Rule 9B-72,please provide the information and product approval number(s)
for the building components listed below asapplicable to the building construction project for the permit number listed above. You should contact
your product supplier if you do not know the product approval number for any of-the applicable listed produ6ts. Information regardin g statewide
roduct gaov4 may be obtained at;www.floridabuilding. rg.
Category/Su'bcategory Manufacturer Product Description Limitation of Use 1 State 4 Local 9
A.EXTERIOR DOORS
1. Swinging
2. Sliding
3. Sectional
4.Roll up
5.Automatic
6. Other
B.VVINDOWS
---------------
1. Single hung
-.J
2.Horizontal slider
3. Casement
4.Double hung
5.Fixed
6.Awning 1
7.Pass-through
8.Projected
9.Mullion
10.Windbreaker
al action
OFFICE COPY
12. Other
Category/Subcategory Manufacturer Product Description Limitation o
f Use State Local
................................ .......... .
C. PANEL WALL
1. Siding
2.Soffits
3.EIFS
4. Storefr2nts
5. Curtain walls
6.Wall louvers
7. Glass block
8.Membrane
9. Greenhouse
10. Synthetic stucco
11. Other
A ROOFING PRODUCTS
1.Asphalt shingles
2.Underlayments
3.Roofing fastenc�rs
4.Nonstructural metal roof
5.Built-up roofing
6.Modified bitumen
7. Single ply roofing
8.Roofing tiles
9.Roofing,.insuladon
10. Waterproofing
11. Wood sh3ngles/shakes
12.Roofing slate
13.Liquid applied roofing
14. Cement-adhesive coats
15.Roof tile adhesive
16. Spray applied polyurethane
roof