1969 Beach Ave ROOF19-0081 TPO Roof ROOF NON SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ROOF19-0081
\Lr ISSUED: 11/7/2019
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 5/5/2020
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:
1969 BEACH AVE ROOF NON SHINGLE TPO ROOF $12950.00
TYPE OF I REAL ESTATE ZONING: i BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169698 0000 NORTH ATLANTIC BCH
UNIT 2
COMPANY: ADDRESS: CITY: STATE: ZIP:
ROMANO BROTHERS
ROOFING, INC 155 E. Levy Road Atlantic Beach FL 32233
•
OWNER: ADDRESS: CITY: STATE: ZIP:
GREIDER JACK L JR 1969 BEACH AVE ATLANTIC BEACH FL 32233-5936
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 $115.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $57.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.59
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $177.09
Issued Date: 11/7/2019 1 of 2
„:.0-'10-0;\ ROOF NON SHINGLE PERMIT PERMIT NUMBER
J i,*” ',A
1�3 , w. ,. \t CITY OF ATLANTIC BEACH ROOF19-0081
ISSUED: 11/7/2019
'-'71_,,91119',-
ATLANTIC
�V 800 SEMINOLE ROAD
�';�'` ATLANTIC BEACH. FL 32233 EXPIRES: 5/5/2020
Issued Date: 11/7/2019 2 of 2
YT:,r.Ly�, City of Atlantic Beach APPLICATION NUMBER
. Building Department (To be assigned by the Building Department.)
1 800 eaRoad
Atlantic Beach, Florida 32233-5445 ROOF i 9 _00Q
Phone(904)247-5826 • Fax(904)247-5845 g
r 3 �%' E-mail: building-dept@coab.us Date routed: 1 Q/Zv/l
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: , .— 1 (9 E-f-AQt.( Liu Department review required it No
{{ Building !/
Applicant: k 0 IV Pt/VD O 12_0'164 Planning &Zoning
Tree Administrator
Project: I. PC) RPublic Works •
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt
Other Agency Review or Permit Required of Permit Verified By Date
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: ved. ❑Denied. ❑Not applicable
(Circle one.) Comments: I D
BUILDING
PLANNING &ZONING /Reviewed by: / d
Date: � '31'20/99
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
OFFICEQ L7:;'`=�1 BuildingPermit Application
City of Atlantic Beach-
r`-- 800 Seminole Road,Atlantic Beach,FL 32233 •
(� I Phone:(_ 4)247-5826 Fax:(904)247-5845 I -00s (
Job Address: I "� l.s q v p Cj:, T'�/ Permit Number:l ROO `�
•
Legal Description iS - � q- ��
_ "i 1..),t u AB 1. it- a l & RE#u )L„ 91 Ft Pl `WC)
Valuation of Work(Replacement Cost)$ ) 0 Heated/Cooled SF I3�5 Non-Heated/Cooled d.
e Class of Work(Circle one): New AdditionIterau h Repair Mov m P of / or
• Use of existing/proposed structure(s)(Circle one): Commercial Residential frJE
VE IQ I ()
• -If an existing structure,is a fire sprinkler system installed?(Circle one : es No N/Aj '.,
o Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Z U) N1
'Q = —r Z t
Describe in the type of work to be erformed: OCT 2 8 2019 a U a 0 v
Z R.
W O
Florida Product '.proval# c et.3 ) for multipl �)$(�s tx� p iy ti:::
CI Cc: U Q
Property Owner 'T.e - City Of A intIC E3e vh, tC].Z
Name: .-Ae_ic I i•-,2.1---- ,-.4- ,--. Address: X91 2r1q?.x./ �✓-P._._ 0 < 0 Q
City ,41.?4,-4n,7 it ,62Ac/! State 7C2 Zip .3...242,33 Phone/,2744 "76 7-,<'s'-[rd U J ' U)
E-Mail - — CC Q_ I.cn Z
Owner.rw:- •:-nt,Power of Att • ney or Agency Letter Required) 0 LL
Contractor Informa '.n Mr cc 2
O a [WLmName of Commpan 0 il\�4 C Qualif 'n g ►`., L, t Ci. F--- Lu 5 o
Address � City State Zip (n W w
Office Phone c� �— Job Site/Contact Number 5 ¢ w
State Certification/Registration (�� I _ '-- (r..). (-6(-1 '")E-Mail W W
cc cc
Architect Name&Phone#
Engineer's Name&Phone#
WorkersCompensationI 1 G rl , L.1 D J
-1 j Exempt/Insurer/Lease Employees/Expiration Date i ` at
Application is hereby m to obtain a permit to do the work and installations as indicated.I certify that4�o work or insta Iltii3n 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 WORT(, 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 ORNEY BEFORE
RECOI /UR NOTICE OF CO ENCEMENT.
� /
(Signature of O( er or Agent) (Signature of Contractor)
(including contractor)
Signed� and sworn to(or affirmed fore me this.2flday of Signed and sworn to(or affirm d)before -e this V- day of
lJe—Z >�if ,b ,�,. , �s,t'j,z.e C dk� , 201 ,by �a 74N- Q
141 44.1, - _ ��`� __
(Signature of Notary) (Signature of Notary)--
[ I
otary)[ )P;t.monally Known OR Personally Known OR
[prfroduced Identification [ 1 Produced Identification
"'Not Notary Public State of Florida
Type of Identification: V Nor S /c c►15,e • T. N.,r.
;.........
NAJEE PERRY
181978
14.1' '•F a., Expires 00s/2G
_.:
Commission#GG 366354
r`4-,;i Expires August 15,2023 ,
-' P.!,!`;?. Bonded Thru Troy Fein Insurance 800-385-7019
,•,.....-..-...
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OFFICE COPY
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System Deck Base Insulation Layer Top Insulation Layer
No. _______(Note 1) Type Attach Type Attach
Roof Cover(Note 16) MOP(psf)
MM.19/32-inch plywood or Min.1.5-inch EnergyGuard Polyiso Insulation, GAF 2-Part GAF 2-Part(Optional)Additional layers base EverGuard Freedom TPO/self
-52.5
W-1.
OSB at max.2 ft spans EnergyGuard Ultra
_____
insulation,flat or tapered adhered
MM.19/32-inch plywood or Min.1.5-inch EnergyGuard Polyiso Insulation, (Optional)Additional layers base EverGuard TPO/#1121,TPO 3-
W-2.
GAF 2-Part
GAF 2-Part -52.5
OSB at max.2 ft spans EnergyGuard Ultra
insulation,flat or tapered Square,W8181
MM.15/32-inch plywood at Min.1-inch EnergyGuard Polylso Insulation, (Optional)Additional layers base EverGuard TPO/L-VOC,TPO 3-
W-3.
OB500
OB500
-67.5
max.2 ft spans EnergyGuard Ultra
insulation,flat or tapered Square
_ — — _
MM.15/32-inch plywood at MM.1-inch EnergyGuard Polyiso Insulation, 09500,6-inch (Optional)Additional layers base 06500,6-inch EverGuard TPO/L-VOC,TPO 3-
W-4.
-75.0
max.2 ft spans EnergyGuard Ultra
o.c. insulation,flat or tapered o.c. Square
1
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System Deck Anchor Sheet Base Insulation Top Insulation Roof Cover(Note 16) MDP
No. (Note 1) Type Fasteners Attach Type Attach Type Attach Base Cap (Ps)
—
MM.0.5-inch
GAFGLAS 1175 Base Sheet, 32 ga.,1-5/8- 8-inch o.c.at mm . Min.1-Inch EnergyGuard Structodek High
kyerGuard TPO
Min.15/32-
ty
Tri-Ply#75 Base Sheet, inch dia.tin 4-inch laps and 8-
Polyiso Insulation, DensiFiberboard One or two plies Ruberoid 20 Smooth, FB Ultra in hot
inch
o
GAFGLAS 880 Ultima Base caps with 12 inch o.c.in two, EnergyGuard Ultra Polyiso Roof Insulation r
Ruberoid Mop Smooth,Ruberoid Mop asphalt or GAF
W-5. plywood at
Insulation or EnergyGuard HA EnergyGuard Perlite
-45.0
max.21-
Sheet,GAFGLAS Stratavent ga.annular equally spaced,
RH Polyisor min.1.5- ' Recover Board or Min. Smooth 1.5 or Ruberoid Mop Plus 2-Part(spatter)
o
Nailable Venting Base ring shank staggered center
inch span
inch EnergyGuard RA or 0.75-inch EnergyGuard Smooth in hot asphalt or OlyBond 500
Sheet,Ruberold 20 Smooth nails rows
(spatter)
EnergyGuard RN Perlite Roof Insulation
(homogeneous)
..... _
II _
.._..
Min.15/32.- GAFGLAS#75 Base Sheet, 32 ga.,1-5/8- 8-inch o.c.at min. Min.1-inch EnergyGuard
One or two plies Ruberold 20 Smooth, EverGuard TPO
Polyiso Insulation,
Tri-Ply#75 Base Sheet, inch dia.tin 4-inch laps and 8-
Min.0.25-inch Dens Ruberoid Mop Smooth,Ruberoid Mop FB Ultra in hot
inch
EnergyGuard Ultra Polyiso
GAFGLAS#80 Ultima Base caps with 12 inch o.c.in two,
Deck Prime or Smooth 1.5 or Ruberoid Mop Plus asphalt or GAF
plywood at
Insulation or EnergyGuard HA HA
-45.0
Sheet,GAFGLAS Stratavent ga,annular equally spaced,
SECUROCK Gypsum- Smooth in hot asphalt or Ruberoid HW 2-Part(spatter)
max.2,1-
RH Polyiso or min.1.5-
Nailable Venting Base ring shank staggered center
Fiber Roof Board 25 Smooth or Ruberoid HW Smooth, or OlyBoncl 500
inch span
inch EncrgyGuard RA or
Sheet,Ruberoid 20 Smooth nails rows
torch-applied (spatter)
EnergyGuard RN
Min.0.5-inch
• Min.1-inch EnergyGuard Structodek High
32 ga.,1-5/8- 9-inch o.c.at min.
EverGuard TPO
Min.19/32-
Polyiso Insulation, Density Fiberboard
GAFGLAS 1180 Ultima Base inch dia.tin 4-inch laps and 9-
One or two plies Ruberoid 20 Smooth, FB Ultra in hot
inch
EnergyGuard Ultra Polyiso Roof Insulation or
Sheet,GAFGLAS Stratavent caps with 12 inch o.c.In two,
Ruberoid Mop Smooth,Rubel aid Mop asphalt or GAF
plywood at
Insulation or EnergyGuard HA EnergyGuard Partite HA
-45.0
Nailable Venting Base go.annular equally spaced,
Smooth 1.5 or Ruberoid Mop Plus 2-Part(spatter)
max.24-
RH Polyiso or min.1.5- Recover Board or Min.
Sheet,Ruberoid 20 Smooth ring shank staggered center
Smooth in hot asphalt or OlyBond 500
inch span
inch EnergyGuard RA or 0.75-inch EnergyGuard
nails rows
(spatter)
EnergyGuard RN Perlite Roof Insulation
_ (homogeneous)
----
1
NI`...'MO ETC,LLC
Evaluation Report 01506.09.05-R30 for is FZ.19E-EiN
Certificate of Authorization#32455 -:i..E,i-j,...,i., 202./..i;.;.,:c.: :c' -F1,: i:',/fif.UATIOp!
Revision 30:06/15/2018
Prepared by: Robert Nieminen,PE-59166 GAF EverGuard TPO Single-Ply Roof Membrane Systems;(Boo)766-3411
Appendix 1,Page 6 of 99
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 169698-0000
State of FL 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: 15-057 9-2S-29E N ATLANTIC BEACH UNIT NO 2 LOTS 59,60
Address of property being improved: 1969 BEACH AVE Atlantic Beach FL 32233
General description of improvements: REROOF
Owner Jack Greider
Address 1969 BEACH AVE Atlantic Beach FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor ROMAN0 BROTHERS ROOFING INC
Address PO BOX 330337 ATLANTIC BEACH FL 32233
Phone No.904-246-5649 Fax No. 904-246-4810
Surety(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.
J
Name >
Address a
Phone No. Fax No. N cece
rn D
0
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other a o
documents may be served: a 5
Name DANNYROMANO rx
155 LEVY RD SUITE E ATLANTIC BEACH FL 32233 Co _
Address Y a Y
904-610-0476 v Et
Phone No. Fax No. cc o J
O rnU o
In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in c 5 Jt o
w
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). ri o
Name rn m-u Z
vaso > o
Address
,�ozzO
Phone No. Fax No. c, E 8 Z U
o n a,OOW
OZCCCCUCC
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 01RNER,
Sii
f// , DATE%0'2_14/^j
Be -•ay o i . in the
Cotate of Florlia,has personally appear d
eg,tirf•-":2 J Ili G ,Cr--. .%D,CP � herein by
himself/ ersetf and affirms that all statements and declara ons herein
are true and accurate
r wermallislINIMINIIMINIIMIMIENNIMINNOMP
iii"I % NAJEEPERRY
public/ arge,State of IG•f�� Count of Jit
•, Commission GG 366354 My commission expires: Cyt , 0 1 j
•' 't. '*' Personally Known or
-`.. .if Expires August 15,2023
'IA,••i-Q".•' Bonded Thai Troy Fein Insurance 800-385-7019 Produced Identification pt�I2d I.(tincC