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314 Plaza ROOF19-0098 Mod Bit
,j;',, ,'''.1.",,,,,„ ROOF NON SHINGLE PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH ROOF19-0098 \Y ` s-) ISSUED: ~ 800 SEMINOLE ROAD _..]'-1'4,c.)__ V ATLANTIC BEACH. FL 32233 EXPIRES: 7/6/2020 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: 314 PLAZA ROOF NON SHINGLE MOD BIT ROOF $9500.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: I GROUP: 169956 0000 ATLANTIC BEACH COMPANY: ADDRESS: CITY: STATE: ZIP: COLLIS ROOFING INC 5750 N. U.S. 1 St. Augustine FL 32095 OWNER: ADDRESS: CITY: i STATE: ZIP: LAMBERTJOSEPH JR 314 PLAZA ATLANTIC BEACH FL 32233-5442 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 .1: 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 $100.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $50.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.25 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $154.25 Issued Date: 1/8/2020 1 of 2 ''''',c.34 ,-0..;A-0.,-.,C3 ROOF NON SHINGLE PERMIT PERMIT NUMBER z � 800 SEMINOLE ROAD ROOF19-0098 9 '�u;3 9N >_ .. o CITY OF ATLANTIC BEACH \gid► ISSUED: 1/8/2020 \ ATLANTIC BEACH. FL 32233 EXPIRES: 7/6/2020 j Issued Date: 1/8/2020 2 of 2 NOTICE OF COMMENCEMENT State of Fto hda_ Tax Folio No. /0/54.0 County of Pu Vc4 To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following informatio is stated int s,NIOTIC 0 CO NC ME T. Q Legal Description of property being improved: ��•� �' //G �Jl1-1 t.v 7 eiluty Address of property being improved: J/l , 2 2' J i' 'i a' i/t. 6 CtC te, 35 General description of improvements: " " "/ZLr'G'/' Owner: J� (.y"-T L- /I1 �2T Address:jl V�G.1Z•9 /Z0 / Owner's interest in site of the improvement: ! 1btt ru-J Fee Simple Titleholder(if other than owner): *Ai Ai Na( iiXFY1 I Contractor: �irs I fC. . 5150 5 11J P. c • Com. us�-n r 32-€ i 5 Address: a /� � q Telephone No.:gO'D O -6 CI 5P7 Fax No:( Surety(if any) Address: Amount of Bond$ _ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Ai/ft 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: /V' jrt Address: Telephone No: Fax No: 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 Statues. (Fill ip'aOwner's option) Name: ��"J Address: Telephone No: Fax No: 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 OWN Doc#2020004427,OR BK 19061 Page 172, Signed: Ar Date: /% /7V7 Number Pages: 1 Before m-'his / day of / bre- 02i in the County of iuval,State Recorded 01/08/2020 10:14 AM, Of Florid.,ha personally appeare. _ I= f , RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Notary P bli at Large,State o o i.., •u • r.0,1 COUNTYMy commission expires: RECORDING $10.00 `o e, •• �bdFlerid9 Personally Known: Kenneth C Dean or Produced Identification: Vora, My Commission GG 345833 l/ Expires 'nuttOt3 <0.:1J;cCity of Atlantic Beach APPLICATION NUMBER Building Department (To be a signed by the Building Department.) 1� 800 Seminole Road 1�� , 1.9 _i`�O r Atlantic Beach, Florida 32233-5445lJ 9(8 Phone(904)247-5826 • Fax(904)247-5845 ,`�,,,3 qr E-mail: building-dept@coab.us Date routed: Z 1 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: .- ll1. 1 )(-11\- • Department review required Yes No Buildir Applicant: d L LA 5 OO r 1 SUc, Planning &Zoning ( Tree Administrator Project: r v\ t ( G� r/� G 1 pQ F Public Works 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: F4proved. I (Denied. Not applicable (Circle one.) Comments: �/)Dc.„ BUILDING Z© PLANNING &ZONING / _Z.,o,' Reviewed by: Date: TREE ADMIN. Second Review: nApproved 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 OFFICE COPY ;,-.",,T>> Building Permit Application lin�, 10/9/1,',-01.,:,,3.,:ie City of Atlantic Beach Building Department *`ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY rit+ IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us 3►L4 7142.a. 61.-Han-hc Reach >�t �t ocD -l9 - C>O. Job Address: Q 61.4-1 � 33 Number: 1 LegT DDeesc Krg•409 1U—Z45 29g (�+Ea? ?G 'Beach REH loge)e)5-to Ocoo (Vallutation of ork(Replacement Cost)$ '7I PI. -- Heated/Cooled SF_— Non-Heated/Cooled • Class of Work: ONew DAddition DAlteration DRepair DMove DDemo DPool DWindow/Door 9' Kieron e • Use of existing/proposed structure(s): DCommercial j2-sidential// • If an existing structure,is a fire sprinkler system installed?: DYes �No // • Will tree(s)be removed in association with proposed project?DYes(must submit separate Tree Removal Permit) RTVo Describe in detail the type of work to be performed: F14f- Reea,p ' P,;khed hi c{ ain.5 LI S/�r CT F1irrias3-,c. R-2536-13'ptiw� w-�}�' (7 Florida Product Approval II frt.,Z 3$• __ __--_for multiple products use product approval form Property Owner Information NanAair9Oglf FL---- Zip l /.*- I am CityLL State rZip r3 Phone ' • a • fj$-- F-Mail _____ Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Infor tion_ Name of Company I Z iI rigInc. Qualif i g A:-nt . ,0 •... �.eint efY Address61Cit 4 • 4 + /ip. -- Office Phone ( ' Job Sitentacct/Nyu� er J State Certification/Registration I k' Arraz, E-Mail uo, 1C� ev .vn I.3 rt/ •rdi'Y) Architect Name&Phone# Engineer's Name&Phone It / Workers Compensation Insurer OR Exempt t0 Expiration Date / /• •26 W Cb Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or installation h commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating Z CD CJ construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS, Q U Q 0 t WELLS,POOLS, FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE:In addition to the requirements of tl' 2 p permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,ands W 0 p IL there may be additional permits required from other governmental entities such as water management districts,state agencies,oO E a Z '- federal agencies. 0 v 8 U a OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all Q ` Ix 2 applicable laws regulating construction and zoning. 0O S WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY OC r-r li Q •,� Iliw RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTENDu_ u- `> TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE 0 0 in Li.1 uj }, ii s CO RECORDING U CE COMMENCEMENT. f= u p w /f'/' /r. - ,' , , .> C/�, c_-'L__. L1J V v) W CC UJ ( ignature of Owner or Agent) (Signature of Contractor) W tt 11.1CC Signed and sworn to(or affirmed)before j thi 7_day of`�J Signed and sworn to(or affirmed)before me this day of . Peel_ ad/ ,by — j / Pete_._. 2UJ by I.x1�t, �,�.tiuir' Sr:nature of •�f� _.ul� wr t _ • e .)'t`•• ANDREA C.O'NEAI. ,,��p° NoU y Public Stets d floritla •. .4t )..4.1) MY COmmisSiON H GG 299244 ( )Personally Known t r . •Ker iieth C Doan ( Personally Known OR :?,� o�c:= EXPIRES:btay 31,2023 ;�.•� •:nml,10120 334.1133 ( )Produced Identificatin •41:"•• 6a4deJTtrutktaryPut4cl)ntcyrafka O Produced Identific ctt I : .: 7+1012023 type of Identification: Type of Identification: OFFICE COPY NEMo I etc. TABLE:D: WOOD DECKS—NEW CONSTRUCTION,REROOF(TEAR-Occ)OR RECOVER SYSTEM TYPED:INSULATED,MECHANICALLY ATTACHED BASE SHEET,BONDED ROOF COVER System Deck Insulation Layer(s)(Note 13) • Base or Anchor Sheet Roof Cover(Note 15) MVP No. (Note 1) Type Attach Base Fasteners Attach FlY I Cap (PSt) Fllntfast 3 in.Insulation Plates Glasbase;Flexiglas; with FlintFast 1412 or 1414; Min.15/32-inch Min.1.5-inch,One 6-inch o.c.at 4-inch lap and 6-inch (Optional)BP- plywood at max 24- or more layers, Prelim. Flintlastic Base 20;Poly SMS Trufast 3'Metal Insulation AA,S35-AA, S85-AA,Sas- W-48Attach Base;Ultra Poly SMS Base; Plates with DP or HO;OMG 3 °'c'in four(4),equally spaced, -127.5 inch spans any combination staggered center rows. SBS-TA or TA or APP-TA Yosemite Venting Base in.Round Metal Plates with APP-TA OMG#14 HD Min.15/32-inch Min.1.5-inch,OnePrelim. 1 6-inch o.c.at 4-inch lap and 6-inch W-49 plywood at max 24- or more Payers, ginilastic APP Base T CMG 3 in.Round Metal Plates Attach with OMG#14 HD o.t n four(4;,equally spaced, APP-TA APP-TA -127.5 inch spans j any combination l staggered center rows. COLD-M►UEo SYSTEMS: --- Glasbase;Plexiglas Base; Flintlastic Base 20;All Min.15/32-inch Min.1-inch,One Weather/Empire Base; Fhntfast 3 in.Insulation Plates with Flint Fast 7112 or 1414• 8-inch o.c.at 4-inch lap and 8-mch W-50 plywood at max 24- or more layers, Loose- Yosemite Venting Base; o.c.in three 3,equally (Optional) laid Trufast 3'Metal Insulation l } spaced, SBS CAl S85 CA1 52.5 inch spans any combination. Flintlastic Poly 5MS Base; staggered center rows IPlintiastic Ultra Poly SMS Plates with DP or HO I — II Base I i NEMO ETC,L'C Certificate of Authorization 432455 rK Evaluation Report 3520.03.04-R22 for R2533-R216 EDITION(2017)FSC NON-HVHZ EVALt ATION Revision 22:12/06/2013 Prepared by Robert Nieminen,PE-59166 CertainTeed Flirttlastic•Modified Bitumen Roof Systems;(610)651.5847 Appendix 1,Page 12 of 61 , ! r Cash Register Receipt Receipt Number -re? City of Atlantic Beach R11436 DESCRIPTION I ACCOUNT I QTY I PAID PermitTRAK $154.25 ROOF19-0098 Address: 314 PLAZA APN: 169956 0000 $154.25 BUILDING $100.00 BUILDING PERMIT 455-0000-322-1000 0 $100.00 BUILDING PLAN REVIEW $50.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $50.00 STATE SURCHARGES $4.25 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.25 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL FEES PAID BY RECEIPT: R11436 $154.25 Date Paid: Wednesday, January 08, 2020 Paid By: COLLIS ROOFING INC Cashier: CT Pay Method: CREDIT CARD 908043 Printed: Wednesday,January 08, 2020 10:35 AM 1 of 1 1 TIM,I