110 S Saratoga Cir ROOF19-0044ROOF NON SHINGLE PERMIT PERMIT NUMBER
j
_ CITY OF ATLANTIC BEACH ROOF19-0044
800 SEMINOLE ROAD ISSUED: 6/6/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 12/3/2019
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:
1 S SARATOGAROOF NON•D ROOF SYSTEM $2200.00
171799 0000
JOHNSON DONALD D C/O SHARON JOHNSON ATLANTIC BEACH
ESTATE
ATLANTIC BEACH VILLA #
02
FL 32233-3319
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.
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
�; x .'." Y { 4 yf .r ✓1 x c '? A `� t ',f C.' ',J` ,%P �.,
Y s fr E '�t¢£.i Rg:, f ✓ d .(Y.Cv_+` f. s - '�^ f9 ^;'"' k "%'
t
.`y!'Yr✓,ce t't' .
✓ "t�``i.`.✓ ".✓'' EOn
'
g`
DESCRIPTION
ACCOUNT
QUANTITY
PAID AMOUNT
BUILDING PERMIT
455-0000-322-1000
0
$65.00
BUILDING PLAN CHECK
455-0000-322-1001
0
$32.50
STATE DBPR SURCHARGE
4SS-0000-208-0700
0
$2.00
STATE DCA SURCHARGE
455-0000-208-0600
0
$2.00
TOTAL: $101.50
Issued Date: 6/6/2019 1 of 2
SyLy;y� City of Atlantic Beach
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 - Fax (904) 247-5845
^" COM >r E-mail: building-dept@coab.us
City web -site: hftp://www.coab.us
APPLICATION NUMBER
(To be assigned by the Building Department.)
Roc P (9 -o044
Date routed: S/91(9
APPLICATION REVIEW AND TRACKING FORM
Property Address: o S • (� a.r' a
Applicant: Q. [—
Project: mo C), R O F
Review fee $
I Qapaftment review required I Yes/1 No I
Building
ning
Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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:
Approved.
❑Denied.
❑Not applicable
(Circle one.)
Comments:
BUILDING
PLANNING & ZONING
Reviewed by:
Date: "5,-16.19
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
Building Permit Application OFFICE COPY Updated
1019118
} City of Atlantic Beach Building Department "ALL INFORMATION
U
<< 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
r
REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQ/f
i_'-,C,,—P7 J C,-
lob Address: I I Q Sc`A C. i S.
004+
��coac, r Permit Number:
Legal Description RE#
Valuation of Work (Replacement Cost) $ SF.10 Non- Heated/Cooled
• Class of Work: ❑New ❑Addition ❑Alteration 14Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial *esidential
• If an existing structure, is a fire sprinkler system installed?: Dyes ANO
• Will tree(s) be removed in association with proposed project? ❑Yes (must submit separate Tree Removal Permit) '&No
Describe in detail,the type of work to be performed:
x, st'I r,broO t ! erg Gk -to ce c K . N5 . Re p Iqc ed e c K;" 5 QS
N eede�
r
Lr-.s4r 66 d
Florida Product Approval # FL ly — for multiple products use product at oval form CNv
Property Owner Information c�, P° FL 10 W? 7— K 6
Z N \
1
Name S\Au"C"0N JuMNSo Address 110 S 4 01 S
a = 'J Z
City A-? L k State FL Zip 3;13.'33 Phone 90 7 Ci
Z
E -Mail +.S - I I nn • COM
Lu
Owner or Agent (If Agent, Power of Attorney or Agency Letter Required)
❑ O Q
Contractor Information_17) bMhs Coo) � o y a3� �
o ZM
Z
Z Z
Name of Company Qualifying Agent
O
Address City State Zip
U fa(A
Office Phone Job Site Contact Number
Q Z
State Certification/Registration #
Architect Name & Phone #
Engineer's Name & Phone #
Workers Compensation Insurer
E -Ma
OR Exempt ❑ Expiration Date
0
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or insj�llation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws Mulating
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 OBTA N FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORD fp YOUR NOCE OMMENCEMENT.
)1C, A A,
(Signature of Owpr
r Agent) q (Signature of Contractor)
ed and sworn to Lor affirrl�!d before me this l day of Signed and sworn to (or affirmed) before me this day of
Z6 M by �t cs t-�z� t� S O > by
TOM G':
(Signature of Notary) MY COMMISSION! FF92ogna re of Notary)
EXPIRES: October 5, 2019
Bonded Tn: u Notary Public Underwriters
m
W
w
LU
W_
Owner Builder Affidavit OFFICE CO � WIGGLE HTED IN OFFICE Y HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT #: R OFA % —oozlX
I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES
OWNER / BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED
FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER
OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A
LICENSE.
YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF.
YOU MAY BUILD OR IMPROVE A ONE OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY
ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS.
THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE
CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH
IS IN VIOLATION OF THIS EXEMPTION.
YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS.
IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES
REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES.
II. INJURY LIABILITY; SINCE OWNERS MAYBE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMEN
SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED..
111. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDIN
TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJE,
TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. TF
OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT (904-
247-5826 OR BUILDING-DEPTCa@COAB.US) IF IN DOUBT.
V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT
COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER -BUILDER PERMIT.
address: )10 Sars4o9a C i r S . AA L gc_, 'FL D_33
'r Name:_____S �gqr o *._) 3`O k N SON Phone Number:
ng Address: Sri M e City: State: Zip:
irized Signature of Owner
oregoing instru ent was acknowledged before me this day of 20" in the State of Florida, County
Signature of Notary Public
[ ] Personally Known OR [ ] Produced Identifica
TONT fl ULESPERGER
My COMM.I` 510(J ik F F 92?961
Type of Identification: 6 u \ ;; ,` EMPIRE& October 6, 2019
TRINIIYERD
EVALUATION REPORT
Mule -Hide Products Co., Inc.
1195 Prince Hall Drive, Suite A
Beloit, WI 53511
(608) 365-3111
OFFICE COPY
EXTERIOR RESEARCH & DESIGN, LLC.
Certificate of Authorization #9503
353 Christian Street
Oxford, CT 06478
(203)262-9245
Evaluation Report M10000.03.08-116
FL10497-R6
Date of Issuance: 03/28/2008
Revision 6: 09/08/2017
SCOPE:
This Evaluation Report is issued under Rule 61G20-3 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. The product described herein has been evaluated for
compliance with the 6th Edition (2017) Florida Building Code sections noted herein.
DESCRIPTION: Mule -Hide SBS and APP Modified Bitumen Roof Systems
LABELING: Labeling shall be in accordance with the requirements 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. Trinity I ERD requires a complete review of this
Evaluation Report relative to updated Code requirements with each Code Cycle.
ADVERTISEMENT: The Evaluation Report number preceded by the words "Trinity I ERD 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 1 through 5, plus a 22 -page Appendix.
Prepared by:
Robert J.M. Nieminen, P.E.
Florida Registration No. 59166, Florida DCA ANE1983
The facsimile seal appearing was authorized by Robert Nieminen,
P.E. on 09/08/2017. This does not serve as an electronically signed
document.
CERTIFICATION OF INDEPENDENCE:
1. Exterior Research & Design, LLC. d/b/a Trinity I ERD does not have, nor does it intend to acquire or will it acquire, a financial interest
in any company manufacturing or distributing products it evaluates.
2. Exterior Research & Design, LLC. d/b/a Trinity I ERD is not owned, operated or controlled by any company manufacturing or
distributing products it evaluates.
3. Robert Nieminen, P.E. does not have nor will acquire, a financial interest in any company manufacturing or distributing products for
which the evaluation reports are being issued.
4. Robert Nieminen, P.E. does not have, nor will acquire, a financial interest in any other entity involved in the approval process of the
product.
5. This is a building code evaluation. Neither Trinity IERD nor Robert Nieminen, P.E. are, in any way, the Designer of Record for any
project on which this Evaluation Report, or previous versions thereof, is/was used for permitting or design guidance unless retained
specifically for that purpose.
J TRINITY', ERD
15. Unless otherwise noted, refer to the following references for bonded base, ply or cap sheet applications.
TABLE 1: MULE -HIDE ROOF COVERS
Reference
Layer Material
Application
Option #
Base Ply One or more plies SA Base Sheet, SA Base Sheet (FR)
Type Vapor Barrier
SBS -SA
Cap SA -SBS Cap Sheet, SA -SBS Cap Sheet (FR)
Self -Adhering
(SBS, Self -Adhering)
Note: Self -adhering membranes shall not be installed over APP -TA membranes.
SA Base Sheet
APP -TA
Base Ply or Ply One or more plies APP Torch Base, APP Torch S
Torch
(APP, Torch -Applied)
Cap APP Torch S, APP Torch G, APP Torch G FR, APP Torch KoolCap G, APP Torch KoolCap G FR
-Applied
APP -SA
Cap SA -APP Cap Sheet, SA -APP Cap Sheet (FR), SA -APP KoolCap G, SA -APP KoolCap G (FR)
Self
(APP, Self -Adhering)
Note: Self -adhering membranes shall not be installed over APP -TA membranes.
-Adhering
16. Any FBC Approved coating listed for use with SBS or APP modified bitumen roofing may be applied to the top roof membrane without adverse effect on the system wind load performance. Refer to current Roofing
Materials Directory for fire ratings associated with coating usage.
17. Dens Deck shall be field -primed with PG100 prior to self -adhering membrane application. Refer to tables herein for other priming requirements.
18. Vapor barrier options for use over structural concrete deck followed by adhered insulation carry the following Maximum Design Pressure (MDP) limitations. The lesser of the MDP listings below vs. those in Table 3A
applies:
VAPOR BARRIER OPTIONS; STRUCTURAL CONCRETE DECK; ADHERED INSULATION PER TABLE 3A
Option #
Primer
Type Vapor Barrier
Attach
Insulation Adhesive
MDP (psf)
VB -1.
Mule -Hide 121
SA Base Sheet
Self -Adhering
Inta-Stik or CR -20, 12 -Inch o.c.
-60.0
VB -2.
Mule -Hide 121
APP Torch Base
Torch -applied
Inta-Stik or CR -20, 12 -inch o.c.
-75.0
VB -3.
Mule -Hide 121
SA -SBS Cap Sheet
Self -Adhering
Insta-Stik, 12 -inch o.c.
-75.0
VB -4.
Mule -Hide 121
SA -SBS Cap Sheet
Self -Adhering
Millennium One Step Foamable Adhesive, 12 -inch o.c.
-157.5
VB -5.
Mule -Hide 121
SA -SBS Cap Sheet
Self -Adhering
CR -20, 12 -inch o.c.
-270.0
VB -6.
Mule -Hide 121
SA Base Sheet, SA ease Sheet (FR)
Self -Adhering
Millennium One Step Foamable Adhesive, Millennium PG -1 Pump Grade
Adhesive, OlyBond 500 or CR -20, 12 -inch o.c.
290.0
19. "MDP" = Maximum Design Pressure is the result of testing for wind load resistance based on allowable wind loads. Refer to FBC 1609 for determination of design wind loads.
Exterior Research and Design, LLC. d/b/a Trinity IERD
Certificate of Authorization #9503
Prepared by: Robert Nieminen, PE -59166
6r" EDITION (2017) FBC NON-HVHZ EVALUATION
Mule -Hide Modified Bitumen Roof Systems; (608) 365-3111
Evaluation Report M10000.03.08 -R6 for FL10497-R6
Revision 6: 09/08/2017
Appendix 1, Page 3 of 22
UFFICt GOP
TABLE 1E-1: WOOD DECKS—NEW CONSTRUCTION OR REROOF (TEAR -OFF)
SYSTEM TYPE E: NON -INSULATED, MECHANICALLY ATTACHED BASE SHEET (NAILS), BONDED ROOF COVER
System
Base Sheet
Roof Cover (Note 15)
MDP (psf)
No.
Deck (Note 1)
Base Fasten Attach
Base Ply Cap
TORCH -APPLIED BASE PLY:
W-19
Min. 15/32-
Nail Base
Simplex MAXX Cap
9 -inch o.c. at 2 -inch lap and 18 -inch o.c. in two (2),
(Optional) APP -TA
APP -TA
45.0"
inch plywood
equally spaced, staggered center rows
W 20
Min. 15/32-
Nail Base
Simplex MAXX Cap
9 -inch o.c. at 2 -inch lap and 12 -inch o.c. in two (2),
(Optional) APP -TA
APP -TA
-52.5
inch plywood
equally spaced, staggered center rows
W 21
Min. 15/32-
APP Torch Base, Nail Base
Original Simplex Cap Nails (1 -inch metal head diameter,
6 -inch o.c. at 3 -inch lap and 6 -inch o.c. in four (4),
(Optional) APP -TA
APP -TA
-52.5
inch plywood
PY
11 gouge x min. 1.25 -inch long annular grooved shank
9 9 9 9 )
equally spaced, staggered center rows
q Y P gg
Nail Base, Polyglass G2 Base,
W 22
Min. 19/32-
CertainTeed Glasbase, Firestone
32 ga., 1 -5/8 -inch diameter tin caps with 11 ga. annular
8 -inch o.c. in 4 -inch lap and 8 -inch o.c. in three (3),
(Optional) APP -TA
APP -TA
-60.0
inch plywood
MB Base, JM Perma-Ply 28, Tamko
ring shank nails
equally spaced, staggered center rows
Glass Base or GAFGLAS #75
W 23
Min. 15/32-
Polyglass G2 Base, Nail Base
32 ga., 1 -5/8 -inch diameter tin caps with 11 ga. annular
8 -inch o.c. in 4 -inch lap and 8 -inch o.c. in four (4),
(Optional) APP -TA
APP -TA
-67.5
inch plywood
ring shank nails
equally spaced, staggered center rows
W 24
Min. 15/32-
Polyglass G2 Base, Nail Base
Simplex MAXX Cap
10 -inch o.c. in 4 -inch lap and 10 -inch o.c. in three
(Optional) APP -TA
APP -TA
-75.0
inch plywood
(3), equally spaced, staggered center rows
W-25
Min. 15/32-
Polyglass G2 Base, Nail Base
Simplex MAXX Cap
9 -inch o.c. in 4 -inch lap and 9 -inch o.c. in four (4),
(Optional) APP -TA
APP -TA
-90.0
inch plywood
equally spaced, staggered center rows
W 26
Min. 15/32-
Nail Base
Simplex MAXX Cap
6 -inch o.c. at 2 -inch lap and 6 -inch o.c. in two (2),
(Optional) APP -TA
APP -TA
-90.0
inch plywood
equally spaced, staggered center rows
W-27
Min. 15/32-
Elastobase
Simplex MAXX Cap
6 -inch o.c. at 2 -inch lap and 6 -inch o.c. in three (3),
(Optional) APP -TA
APP -TA
-105.0
inch plywood
equally spaced, staggered center rows
W 28
Min. 19/32-
Elastobase or Elastobase Poly
32 ga., 1 -5/8 -inch diameter tin caps with 11 ga. annular
6 -inch o.c. in 4 -inch lap and 6 -inch o.c. in four (4),
(Optional) APP -TA
APP -TA
-112.5
inch plywood
ring shank nails
equally spaced, staggered center rows
SELF -ADHERING BASE PLY:
W -29
Min. 15/32-
Nail Base
Original Simplex Cap Nails (1 -inch metal head diameter,
6 -inch o.c. at 3 -inch lap and 6 -inch o.c. in four,
(Optional) SBS -SA
SBS -SA, APP -
52.5
inch plywood
11 gauge x min. 1.25 -inch long annular grooved shank)
equally spaced, staggered center rows
SA, APP -TA
W -30
Min. 19/32-
Nail Base
32 ga., 1 -S/8 -inch diameter tin caps with 11 ga. annular
8 -inch o.c. in 4 -inch lap and 8 -inch o.c. in three,
(Optional) SBS -SA
SBS -SA, APP -
60.0
inch plywood
ring shank nails
equally spaced, staggered center rows
SA, APP -TA
W -31
Min. 19/32-
Nail Base
32 ga., 1 -5/8 -inch diameter tin caps with 11 ga. annular
4 -inch o.c. in 4 -Inch lap and 4 -inch o.c. in four,
(Optional) SBS -SA
SBS -SA, APP -
97.5
inch plywood
ring shank nails.
equally spaced, staggered center rows
SA, APP -TA
Min. 19/32-
32 ga., 1 -5/8 -inch diameter tin caps with 11 ga. annular
6 -inch o.c. in 4 -inch lap and 6 -inch o.c. in four,
SBS -SA, APP -
W -32
inch plywood
Nail Base
ring shank nails. Note: Tin caps are to be primed with
equally spaced, staggered center rows
(Optional) SBS -SA
SA, APP -TA
-112.5
Mule -Hide 121 or ASTM D41 primer.
Exterior Research and Design, LLC. d/b/a Trinity IERD Evaluation Report M10000.03.08 -R6 for FL10497-R6
Certificate of Authorization #9503 6T" EDITION (2017) FBC NON-HVHZ EVALUATION Revision 6: 09/08/2017
Prepared by: Robert Nieminen, PE -59166 Mule -Hide Modified Bitumen Roof Systems; (608) 365-3111 Appendix 1, Page 8 of 22