459 Inland Way RERF20-0016 Shingle ,;----„,i,:v.,-,-..4.:,, REROOF SHINGLE PERMIT PERMIT NUMBER
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RERF20-0016
CITY OF ATLANTIC BEACHv, V~ 800 SEMINOLE ROAD ISSUED: 1/27/2020
l:71.011W ATLANTIC BEACH. FL 32233 EXPIRES: 7/25/2020
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:
459 INLAND WAY REROOF SHINGLE SHINGLE ROOF $22800.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169463 1534 OCEAN WALK UNIT 04
COMPANY: ADDRESS: I CITY: STATE: ZIP:
RELIANT ROOFING INC 4230 Pablo Professional Ct#155 Jacksonville FL 32224
OWNER: ADDRESS: I CITY: ( STATE: ZIP:
CORNELIUS LUKE M 459 INLAND WY 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.
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 $165.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.48
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $169.48
Issued Date: 1/27/2020 1 of 1
y -t'f'�'''4, Building Permit Application Updated 10/9/18
d ,,
�t City of Atlantic Beach Building Department **ALL INFORMATION
/f 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
‘4.W 9.'' IS REQUIRED.
45-qPhone: (904) 247-58261 \
, 1
Email: Building-Dept@coab.us
Job Address: it-N1 and W ekPermit Number: R '\Fzd UO I CO
2��1_11
Legal Description L12-- g 3 '_2S 2 C___OcEGl(1 l�{ (An;1" I i Ln�-T7—
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RE#
Valuation of Work(Replacement Cost)$�a (Q i•cx) Heated/Cooled SF Non-Heated/Cooled
• Class of Work: 'Mew ❑Addition , Alteration ❑Repair DMove ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial kf Residential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes 11No
• Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) IZtNo
Describe in detail the type of work to be performed:
tecoo , f sQ VIA pii-c1-)1 sh;n \es ELI8(-0�CP— l‹
Florida Product Approval# 1'1-t.O l a y----__RA ___ —__-- for multiple products use product approval form
Property Owner Information
Name Luke Cor ne 11 L.t S Address 11' _1f`and Wil
city;,Av. L,(1}t'L G£0.ch ._ State 11-1-. Zip. 32'L-3-�--, Phone %Li -.312 .-151-12
E-Mail i\�Kt.COrn-C1it ka�'3 6 C\mail .Corn
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company Reliant Roofing Qualifying Agent Cameron Shouppe
Address 4230 Pablo Professional Ct#155 City Jacksonville State'Fl Zip'32224
Office Phone 904-657-0880 Job Site Contact Number 904-712-3111
State Certification/Registration ft CCC1330615 E-Mail amandareliantroofinq.com
Architect Name&Phone#
Engineer's Name&Phone IS
Workers Compensation Insurer'Policy 4:WC 1967_49725 - OR Exempt CI Expiration Date 11/20/2020
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work-wiltbe'perforrried to meet-the standards of all the laws regulating
construction in this jurisdiction. I understand that a separate^prmlt must be sec'uted 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 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 entitie.ssuch s water management districts,state agencies,or
federal agencies. JAN G J 2020
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. ,
['?t.ilr?ir(-t !',r,r`�1"'s"'^•^;
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 ATTORN Y BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
(Autt, (e tA,tLttiS � f
(Signature of Owner or Agent) :•: ure. .ntractor)
Signed and sworn to(or affirmed)before me thisaQ day of Signed and sworn to(or affirm-d)before me hisQ9day of
�N , 02 COO,b Lu' e Cornel; -,k S SAN , 2020,by ,# H ' t0 - /1 OLA. L__
-
;,� o �`• �41t3}A JACKSON ' AV'• DA JACKSON
r°/ 4;4 State of Florida-Notary Public �o'�.,, g- State of Florida-Notary Public
`•�"��•= Commission a GG 205328 "i�•'= Commission N GG 205328
"''" gyp' M Commission Expires ,:., r^
[Personally Known OR `.;o,;,ac Y 1 l crsonally Known OR ;.� d•?; My Commission Expires
[ )Produced Identification "" April 09,2022 .1, Produced Identification «�,,. April 09,2022
Type of Identification:P~j Ica.\.�rxeSer, _ - __ Type of Identification: • .. ' 0er..!•i•i1' .,
Category/Subcategory Manufacturer Product Description f Limitation of Use stiff_. ` : !dealIt
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 GAF Timberline HD Architectural FL10124-R21
2.Underlayments GAF Feltbuster FL18686-R1
3.Roofing fasteners
4.Nonstructural metal
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
Page 2 of 4 Updated 10/17/18
Doc # 2020012110, OR BK 19071 Page 1627 , Number Pages : 1 ,
Recorded 01/15/2020 02 : 06 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 . 00
NOTICE OF COMMENCEMENT
(PREPAR_IN DUPLICATE)
Permit No. –ax Folio No.
State of Florida County of nl J.ver l
To whom It may concern:
The undersigned hereby Informs you that improvements will be made to certain real property,and In
accordance with Section 713 of the Flea Ida Statutes.the following Information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved. HZ-. j E ' 7- 2 5"' 2 q £
0 cera Lk)al K un i-t Li_
- �Lo 4- r-i
j
Address of property being improved: 1-16q n 1 and + v a 37Z-33
General description of improvements _-__a_Q E f .-
Owner �u k- -Com e i kAs ^ —
Address • 0. •
v
Owner's interest in site of the improvement Q7,..„2,n pr _-
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Reliant Roofing
Address 4230 Pablo Professional Ct#155 Jacksonville FL 32224
Phone No.904-657-0880 Fax No
Surety Of any)
Address - Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements
Name
Address
Phone No.- _---_ Fax No
Name of person within the State of Florida,other Ihan hmsetf,designated by owrer upon whom notices or other
documents may be served:
Name
Address
Phone No Fax No.
In addition Io himself,owner designates the fotloweig person to receive a copy of the Lienor's Notice as provided in
Section 713.06(2)(b).Florida Statutes.(Fill in at Owner's option),
Name
Address _
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one(11 year trDm the date of recording unless a
different date.s specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
1/12/2020
S n.*Be on mCOOOiSsnY:
w w .I I -11�Jii/. DATE In
r Pers. al
Y •
'•, �� �gpAOi,NDA JACKSON
himself wrneu and affirms Mut arsine . .b. i' • iii of Florida-Notary Public
ares -erweccura- Stet
1 Commission w GG 205328
/ ?`t•r '0 My Commission Expires
April 09,2022
• Pi IMP La, o,51. • ounty of tt�1\tin
My commis. eo.res: rllar)e)
Persoraiy nown laMttEr tW'TIII. ' • or
ro
Pduced i•entity.ii - -
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):Cameron Shouppe *Contractor Signature:
*Company Name: Reliant Roofing
*Mailing Address: 4230 Pablo Professional Ct #155
*city: Jacksonville *State: FL *zip Code: 32224
*Telephone Number: 9046570880 *E mail Address: amanda@reliantroofing.com
Cell Phone Number: 9047123111 Fax Number:
Page 4 of 4 Updated 10/17/18
rj�L`Jr i
.jr' `' Permit Inspections
r City of Atlantic Beach
Amok 416 All
Permit Number: RERF20-0016 Description: SHINGLE ROOF
Applied: 1/24/2020 Approved: 1/24/2020 Site Address: 459 INLAND WAY
Issued: 1/27/2020 Finaled: 2/4/2020 City,State Zip Code: Atlantic Beach, Fl 32233
Status: FINALED Applicant: <NONE>
Parent Permit: Owner: CORNELIUS LUKE M
Parent Project: Contractor: <NONE>
Details:
LIST OF INSPECTIONS
SEQ SCHEDULED DATE COMPLETED DATE TYPE INSPECTOR RESULT REMARKS
ID
1/29/2020 1/30/2020 ROOF DRY IN Rick Bell PASSED
Notes:
Hector:735-8303
2/4/2020 2/4/2020 ROOF FINAL** Rick Bell PASSED
Notes: i
Hector:735-8303
Printed: Wednesday,05 February, 2020 1 of 1 r