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1753 Live Oak Ln ROOF19-0088 Metal Roof ROOF NON SHINGLE PERMIT PERMIT NUMBER (,;1-i1-.--.A.,T,..), ROOF19-0088 �� CITY OF ATLANTIC BEACH ISSUED: 11/25/2019 800 SEMINOLE ROAD EXPIRES: 5/23/2020 I \ 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. 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: 1753 LIVE OAK LN ROOF NON SHINGLE METAL ROOF $42500.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 172020 0186 SELVA MARINA UNIT 06 COMPANY: ADDRESS: CITY: STATE: ZIP: TOP GUN ROOFING, INC. 5570 FLORIDA MINING BLVD JACKSONVILLE FL 32257 OWNER: ADDRESS: CITY: STATE: ZIP: SCOTT JOSEPH M 1201 SEMINOLE RD 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. 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 $265.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $132.50 STATE DBPR SURCHARGE 455-0000-208-0700 0 $5.96 STATE DCA SURCHARGE 455-0000-208-0600 0 $3.98 TOTAL:$407.44 Issued Date: 11/25/2019 1 of 2 r11 !'''r%, ROOF NON SHINGLE PERMIT CPERMIT NUMBER J '0 CITY OF ATLANTIC BEACH ROOF19-0088 ,� r 800 SEMINOLE ROAD ISSUED: 11/25/2019 �;i»� V ATLANTIC BEACH, FL 32233 EXPIRES: 5/23/2020 Issued Date: 11/25/2019 2 of 2 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) ;41 800 Seminole Road �oF — /088 - � Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 f•-/" �r E-mail: building-dept@coab.us Date routed: l ( `,= City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1 --/S 3 L I\(E-• OAK LI,_) partment review required Ye�-No 0 Building Applicant: ( © }� 0,,,,DINOO pc or Planning&Zoning Tree Administrator r1 Project: ! V/\.E.TA(..._ f C Public Works O� �— Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By 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: roved. ❑Denied. ❑Not applicable (Circle one.) Comments: :UILDINe PLANNING &ZONING /,,� y•gyp 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 —/) ',,-;_:'' ', Building Permit Application Updated10/9/18 • r"I` " ,,, City of Atlantic Beach Building Department **ALL INFORMATION ��. « 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY s IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: 1753 LIVE OAK LANE Permit Number: ROOF I 1 - OO 7 ) Legal Description 3451 09-2S-29E .46 SELVA MARINA UNIT 6 LOT 7 BLK 10 _ RE# 172020-0186 Valuation of Work(Replacement Cost) $ 42,500 Heated/Cooled SF Non-Heated/Cooled • Class of Work: New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial CResidential • If an existing structure,is a fire sprinkler system installed?: DYes ❑No • Will tree(s)be removed in association with proposed prosect? ❑Yes(must submit separate Tree Removal Permit) ❑No Describe in detail the type of work to be performed: NEW CONSTRUCTION SF RESIDENCE METAL ROOF Florida Product Approval# FL11651.9 METAL& FL14317.1 UNDERLAYMENT for multiple products use product approval forms ` Property Owner Information 0 Name JOSEPH M SCOTT Address 1201 SEMINOLE ROAD - -$ City ATLANTIC BEACH State FL Zip 32233 Phone 904.323.8264 E-Mail tjaa Owner or Agent (If Agent, Power of Attorney or Agency Letter Required) t Contractor Information Name of Company TOP GUN ROOFING INC. Qualifying Agent MATTP MCLEOD Address 5570 FLORIDA MINING BLVD SOUTH#501 City JAX State FL Zip 32257 Office Phone 904-342-0211 Job Site Contact Number 904-509-2595 State Certification/Registration# CCC058178 E-Mail OFFICE@TOPGUNROOFING.NET Architect Name& Phone# lIN Engineer's Name&Phone# _ , Workers Compensation Insurer FRSA 870 03.66: OR Exempt ii Expiration Date 12131/19 Application is hereby made to obtain a permit • d. the work and installations as indicated. I certify that no work or instar],'s�tionV has i '� commenced prior to the issuance of a permit :nd t at all work will be performed to meet the standards of all the laws re .atgig - construction in this jurisdiction. I understan• that : separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS, .-:,1 1..i. i �, WELLS, POOLS, FURNACES, BOILERS, HEAT.'S,T,NKS, and AIR CONDITIONERS,etc. NOTICE: In addition to the requireme�sef this, 0 permit,there may be additional restrictio s app !cable to this property that may be found in the public records of this cousitypnd there may be additional permits require. from other governmental entities such as water management districts, state ag8c2t,6*Z federal agencies. U J u. cn I— NH OWNER'S AFFIDAVIT: I certify that all t e for:going information is accurate and that all work will be done in compliance v t 611 ! Z applicable laws regulating constructs. and oning. � Lt. pC a � ppOwW j.: 7-filiF6,1 TO OWNER: YrsUR AILURE TO RECORD A NOTICE OF COMMENCE NT IVIAt a m_ wn a LT IN YOUR PA I t W CE FOR IMPROVEMENTS TO YOUR PROPER �� F� OU INTglifio w w O OBTAIN FI N t. C;i SULT WITH YOUR LENDER O: A N A r•R Y ORE . w RECORDIN '* NOI IC ' n/ OMMENCEMENT. / °C Sign-lure of Owne '•r/gent) ,, (Signature of Contractor) /� 1 igned and sworn to(or affirmed) •;fore me this H Trday of Signed and sworn to(or affirmed) before me this ` %d t_Oy of 'E o1:c4Q 47206C- by - l S\)© by \-1,...A . r i►�r aps,. • er'• VI M1.IRWIN - (Signature o -otary) f:i. `r4r Notary Public-State of Florida Y.P'6;;,... u TERESA STONE IRWIN • g Commission#GG 311787 :,� o., ''F oP MyComm.Expires Jul B,2023 ./°•7,-(1',*- Notary Public-State of Florida [Personally Known OR orF4:' personally Known OR 2 `<' Bonded through National Notary Assn. �• �a Commission GG 311787 [ ]Produced Identification ] Produced Identification °' oF, My Comm.Expires Jul 8,2023 Type of Identification: Type of Identification: bonded through National Notary Assn. OFFICE COPY PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA (*REQUIRED) *Project Address: 1753 LIVE OAK LANE ATLANTIC BEACH, FL 32233 Permit#: /2 00 ri 9 _dc. (fer JOSEPH SCOTT *Owner/Project Name: 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 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 applicable listed products. Information regarding statewide product approval may be obtained at: www.floridabuilding.org. Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# A. EXTERIOR DOORS 1. Swinging 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 5. Fixed 6. Awning 7. Pass-through 8. Projected 9. Mullion 10. Wind breaker 11. Dual action 12. Other Pa€^'of a.'.,..dot.a-'0/1"i'3 vrriut VujY Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# C. PANEL WALL 1. Siding 2. Soffits 3. EIFS 4. Storefronts 5. Curtain walls 6. Wall louvers 7. Glass block 8. Membrane 9. Greenhouse 10. Synthetic stucco 11. Other D. ROOFING PRODUCTS 1.Asphalt shingles 2. Underlayments BORAL PEEL & STICK FL14317.1 3. Roofing fasteners 4. Nonstructural metal GULF COAST SUPPLY 24 GA FL11651.9 roof 5. Built-up roofing 6. Modified bitumen 7. Single ply roofing 8. Roofing tiles 9. Roofing insulation 10. Waterproofing 11. Wood shingles/shakes 12. Roofing slate 13. Liquid applied roofing 14. Cement-adhesive coats 15. Roof tile adhesive 16. Spray applied polyurethane roof 17. Other -Pa@ '-of 4-�"—lair',.O/1'�,4 — — Ut-HUE COPY 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): MATT P MC LEOD *Contractor Signature: *Company Name: TOP GUN ROOFING, INC 5570 FLORIDA MINING BLVD SOUTH #501 *Mailing Address: JACKSONVILLE FL 322574 *City: *State: *Zip Code: *Telephone Number: 904-342-0211 *E-mail Address: OFFICE@TOPGUNROOFING.NET Cell Phone Number: 904-509-2595 Fax Number: 904-379-7059 Page 4 of 4 Updated 10/17/18