449 Mako Dr RERF19-0079 Shingle REROOF SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RERF19-0079
ISSUED: 5/31/2019
800 SEMINOLE ROAD EXPIRES: 11/27/2019
ATLANTIC BEACH, FIL 32233
-'%AWL LF111.1-0.
ALL WORK MUST CONFORM TOA AE ILJ�—�'IMTPFA 4"Y'V21 .
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
FNOTICE!in addition to the�requirements of this permit,there may be additional restrictions applicable to this property
1 0
t May fo. I P. Pcr cr sc u Y,. t
that maybe found in the public records of this county,and there maybe additional permits required from other
- t
g gov.r.m. tI entries such as .t.r PE PIT t Stn'ts,stz
overnmental entities such as water management Districts,state agencies,or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
shingle re-roOT- -L1U124- $11338.00
449 MAKO DR REROOF SHINGLE R21 & FL15216.1-RO
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
ROYAL PALMS UNIT
1714630000 02A3.00
COMPANY: ADDRESS: CITY: STATE: —ZIP: -
RELIANT ROOFING INC 4230 Pablo Professional Ct#155 Jacksonville FL 32224
ZIP:
OWNER: ADDRESS: CITY: STATE
SINGLETON LATIRIESE 449 MAKO DR ATLANTIC BEACH FL 32233
RAINIER
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
must be on City approved list. Container cannot be placed on City right-of-way.
FEES
DESCRIPTION PAID AM
BC
BUILDING PERMIT 455-000G322-1000 0 $110.00
7-00
STATE DBPR SURCHARGE 455-00ED-208 0700 0
STATE DCA SURCHARGE 455-0000-209-0600 0
TOTAL:$114.00
Issued Date:5/31/2019 1 of 2
Building Permit Application updsudlolls
City of Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road,Atlantic Beach, FL 32233 HIGHUGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-DeptQcclab.us IS REQUIRED.
Job Address: __Mrn)tr� �) —Permit Number: f (,V Ig_ocPf9
v- 0 Irl, p)f, of ff ZFVt�t foiiw�s Ltvriii?A
Legal Descripti n ),I �Vyl� It. —REII
Valuation of Work(Replacement Cost)$It , _S__S9, 00 fleated/Cooled SF_Non.Herbed/Conled—
• ClassofWork: [3New ClAddition eAlteration LiRepair ONlove E)Demo OPool OWindow/Door
• Use otexisting/proposed structure(s); DCommercial 09;sidenti.1
• If an existing structure,is afire sprinkler system insi Dyes An
• Will peels)be removed in association with proposed oroil Oyes lorust submit separate Tree Remooval P
Descri in detail the type of work to be performed: - I Sj O�F SAf WI,eI
fefm�) I fZ,Z ii fVL.-56 a 0-A20
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Florida Product Approvalli —for multiple products use product Approval form
Property Owner Information
Nam L �.Addlreas H�j MIQ�Q
State o 44 '5
E-Mail
. jn`2?:���e
Owner r Agent(If%!��IlAtft cY
Contractor Information
Name of Company Qualifying Agent a ffiewn 2how
Addressi.112 R"t� 'Pok1h, At I rn City
Office P umber-Al
State CertIfication/Registration If I I-AWli) '5 E-Mail NMQMO Q f
Architect Name&Phone 9
Engineer's Name&Phone#
Workers Compensation Insure OR E.pi lion Data
as=.
Application Is hereby made to obtain a permit to do the work and Installations d.,cer;Lhat no work or Astallation 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 se prate permit must be secured for ELECTRICAL WORK,PLUMBING,SIG NS,
WELLS,POOL5,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE:In addition to the requirements of this
permit,there may be ackiltional restrictions applica ble 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 weer 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
RECgRDINGX.OUR NOTICE OF COMMENCEMENT.
1 IAM adibliou —
"laocasuoujinature of owner or Agent)
,a it of Signed and sworn to(or affirmed)before me tl day of
Signed and am n to(or AM rm d)before me this 9
by
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islinature As Notary)
At V.A A0 AMANDAJACKSON
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Doc # 2019123844, OR BK 18806 Page 2331, Number Pages: 1,
Recorded 05/28/2019 04:36 PH, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
(PREPiNPE IN litol-�E]
Permit No Tax Folio No
Ster,of
Towhomitmayrxinicauddi
The Mularsigned marby informs you that improvements will car mar to certain real promarty,and In
accordance sim Section 713 of flue Florricia Statute$,the following information is stated in usis NOTICE OF
COMMENCEMENT.
Laud disecription a Property beirijur, d: 1-7— L15 0Iq E
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Name
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surety(ir any)
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Phors,No. Fax No.
Name add address of any p,swon making a oran for the combustion of the arrainandarts
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Address
Phone No. Fiat No.
Name of perves within the Sturte of Florida,other Mari himarelf or herself.drushmatedi by owme u,on whound
notices a offset documents my IN,sained,
Name
Address—
p1hossiMs. F.A No
in addition to himself or herself owner deri,,rates ts,fdlo�ddg Person to recame a dop,of the 1-jendir's Notice as
(RdleirdOwme'suptes,).
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Phone No ----Fa�No
E.p.ti.n data 0 Not,,.of Conemencrument(the dixurtion dt.,.on.(I I year ft.the data of wourding ni...a
different data 11 Pecilkid).
THIS SPACE FOR RECORDEII USE ONLY
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PRODUCr APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA (*REQUIRED)
Project Address: �Hq mo�,,C, or Permit#:
*Owner/Project Name: I OAriese., ZNq AaYo Df-.
As required by Florida Statute 553.942 and Florida Administrative Code Rule 9B-72,please provide the information and product approval number(s)for
the building components listed below as applicable 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 applimble listed products. Information regarding statewide product
approval may be obtained at:www.flordabuilding.org.
Category/Subcategory Manufacturer Product Description --dmkatim of Use State# Local#
A.EXTERIOR DOORS
375winging
2.Sliding
3.Sectional
4.Garage Roll-Up
5.Automatic
6.Other
B.WINDOWS
1.Single hung
2.Horizontal slider
3.Casement
4.Double hung
--i.Fixed
6.Awning
1 Pas's-th
8.Projet:gh
9.Mullion
10.Wind breaker
11.Dual action
12.Other
ftge1d4UPdMd10/17/28
categorv/sul�gory Manufacturer ProductDescription Limilathm of Use state# Local#
C.PANEL WALL
1.Siding
2.Soffits
3.EIFS
4.Storefronts
S.Curtain walls
6.Wall louvers
7.Glass block
8.Membrane
9.Greenhouse
10-Synthetic stucco
11.Other
D.ROOFING PRODUCrS
1.Asphalt shingles
2.UnderlaVments GAIF NdejaAneir WOLWn
3.Roofing fasteners
4.Nonstructural metal
muf
S.Built-up roofing
6.Modified bitumen
7.Single ply roofing
8.Rc�ofing tiles
9.ltc�ofing insulation
10.Waterprooling
11.Wood shingles/shakes
12.Roofing slate
13. Liquid applied roofing
14.Cement-adhesive
mats
15.Roof tile adhesiw
16.Spray applied
polyurethane roof
17.Other
Page 2 of 4 Updated 10/17/18
Category/Subcategmy Manufacturer VrCAU—ct I UrnitaftpOtIse Local#
E.SHUTrERS
1.Accordion
2.Bahama
3.Stom panels
4.Colonial
5.Roll-up
6.Equipment
7.Other
F.SMUCrURAL
COMPONENTS
1.Wood
connector/anchor
2.Tru�plates
3.Engineered lumber
4.Railing
5.cooler�freezers
6.Concrete admixtures
7.Material
S.Insulation fornns
9.Plastics
10.Deck-roof
11.Wall
12.She6--
13.Other
G.SKYUGHTS
1.Skylight
2.Other
H.NEW EXTEMOR
ENVELOPE PRODUCrS
1.
2.
P.ge 3 04 Vpd�,�d10117118
In addition to completing the above list of manufacturers, product description and State approval number for the products used on this prOject, the
Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and installation
instructions along with this Product Approval Sheet.
I certify that this product approval list is true and correct to the best of my knowledge. I further certify that use of different components other than the
ones listed in this document must be approved by the Building official.
*Contractor Name(Print Name):_ G 12 yyre� *Contractor Signature:
*CompanyName:
*Mailing Address: A�2,� ffibin R4. aA55
*City: V Me *State: F—L- *Zip Code:
-Telephone Number: 61124-(o6-1- MOO -E-mail Address:(J�I`MMa- 6.c6jayYtrccfi x29 cow)
Cell Phone Number:OYLMM Fax Number: JDq- 67-7- 791Z.
Page 4 of 4 Updated 10/17/18