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338 19th St RERF20-0114 ShingleOWNER:ADDRESS:CITY:STATE:ZIP: GWIZDAK DANIEL J 338 19TH ST ATLANTIC BEACH FL 32233-4536 COMPANY:ADDRESS:CITY:STATE:ZIP: ELO RESTORATION, INC 3415 KORI ROAD JACKSONVLLE FL 32257 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 172020 1204 SELVA MARINA UNIT 12 JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 338 19TH ST REROOF SHINGLE SHINGLE ROOF $10450.00 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $105.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $109.00 LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 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. 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. 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. 1 of 1Issued Date: 6/26/2020 PERMIT NUMBER RERF20-0114 ISSUED: 6/26/2020 EXPIRES: 12/23/2020 REROOF SHINGLE PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 Building Permit Application Updated 10/9/18 City of Atlantic Beach Building Department 800 Seminole Road, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: _______________________________________________________ Permit Number: ____________________________ Legal Description ________________________________________________________________ RE# _________________________ Valuation of Work (Replacement Cost) $_________________ 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 □Residential  If an existing structure, is a fire sprinkler system installed?: □Yes □No  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: Florida Product Approval #______________________________________________ for multiple products use product approval form Property Owner Information Name ______________________________________________ Address _________________________________________________ City ____________________________________ State _______ Zip _______________ Phone ________________________________ E-Mail ______________________________________________________________________________________________________ Owner or Agent (If Agent, Power of Attorney or Agency Letter Required) _________________________________________________ Contractor Information Name of Company _______________________________________ Qualifying Agent _______________________________________ Address________________________________________________ City___________________ State ________ Zip_______________ Office Phone ____________________________________ Job Site Contact Number _______________________________________ State Certification/Registration # ____________________ E-Mail_______________________________________________________ Architect Name & Phone # ______________________________________________________________________________________ Engineer’s Name & Phone # _____________________________________________________________________________________ Workers Compensation Insurer _____________________________________ OR Exempt □ Expiration Date ___________________ Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or instal lation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating 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 may be additional restrictions applicable to this property that may be found in the public records of this coun ty, and there may be additional permits required from other governmental entities such as water management districts, state agen cies, 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ___________________________________________________ (Signature of Owner or Agent) Signed and sworn to (or affirmed) before me this ____ day of ___________, ________, by ____________________________ ________________________________ (Signature of Notary) [ ] Personally Known OR [ ] Produced Identification Type of Identification: ______________________________________ ___________________________________________________ (Signature of Contractor) Signed and sworn to (or affirmed) before me this ____ day of ___________, ________, by ____________________________ ________________________________ (Signature of Notary) [ ] Personally Known OR [ ] Produced Identification Type of Identification: ______________________________________ **ALL INFORMATION HIGHLIGHTED IN GRAY IS REQUIRED. 338 19th St Atlantic Beach FL 32233 36-63 09-2S-29E SELVA MARINA UNIT 12 LOT 1 172020-1204 1464 40010450.00 19 SQ RE ROOF 5/12 PITCH FL10674 FL10674 DANIEL J GWIZDAK 338 19TH STREET ATLANTIC BEACH FL 32233 904-716-3626 N/A ELO RESTORATION INC DEREK S WILLIAMS 3415 KORI ROAD JACKSONVILLE FL 32257 904-528-0188 904-528-0188 OR 904-660-5339 CCC1331535 TYUHAS@ELORESTORATION.COM 15th June 2020 Derek S Williams X 15th June 2020 Daniel Gwizdak DESCRIPTION ACCOUNT QTY PAID PermitTRAK $109.00 RERF20-0114 Address: 338 19TH ST APN: 172020 1204 $109.00 BUILDING $105.00 BUILDING PERMIT 455-0000-322-1000 0 $105.00 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL FEES PAID BY RECEIPT: R12178 $109.00 Printed: Friday, June 26, 2020 4:43 PM Date Paid: Thursday, June 25, 2020 Paid By: ELO RESTORATION, INC Pay Method: CHECK 18315 1 of 1 Cashier: CT Cash Register Receipt City of Atlantic Beach Receipt Number R12178 NEMO|etc. Certificate of Authorization #32455 353 Christian Street, Unit #13 Oxford, CT 06478 (203) 262-9245 ENGINEER EVALUATE TEST CONSULT CERTIFY EVALUATION REPORT Owens Corning One Owens Corning Parkway Toledo, OH 43659 (740) 404-7829 Evaluation Report O37940.02.12-R10 FL10674-R15 Date of Issuance: 02/06/2012 Revision 10: 08/15/2019 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 and Florida Building Code, Residential Volume. The products described herein have been evaluated for compliance with the 6th Edition (2017) Florida Building Code sections noted herein. DESCRIPTION: Owens Corning Asphalt Roof Shingles LABELING: Labeling shall be in accordance with the requirements of the Accredited Quality Assurance Agency noted herein and FBC 1507.2.7.1 / R905.2.6.1 CONTINUED COMPLIANCE: This Evaluation Report is valid until 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. of any changes to the product(s), the Quality Assurance or the production facility location(s). NEMO|etc. 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 “NEMO|etc. 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 10. 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 08/15/2019. This does not serve as an electronically signed document. CERTIFICATION OF INDEPENDENCE: 1. NEMO|etc. 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. NEMO|etc. 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 produ cts 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 NEMO|etc. 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. ©2018, NEMO ETC, LLC NEMO|etc. NEMO ETC, LLC Evaluation Report O37940.02.12-R10 Certificate of Authorization #32455 6TH EDITION (2017) FBC NON-HVHZ EVALUATION FL10674-R15 Owens Corning Asphalt Roof Shingles Revision 10: 08/15/2019 Page 2 of 10 ROOFING SYSTEMS EVALUATION: 1. SCOPE: Product Category: Roofing Sub-Category: Asphalt Shingles Compliance Statement: Owens Corning Asphalt Roof Shingles, as produced by Owens Corning, have demonstrated compliance with the following sections of the 6th Edition (2017) Florida Building Code and Florida Building Code, Residential Volume through testing in accordance with the following Standards. Compliance is subject to the Installation Requirements and Limitations / Conditions of Use set forth herein. 2. STANDARDS: Section Property Standard Year 1507.2.4, R905.2.3 Physical Properties ASTM D1970 2015 1507.2.5, R905.2.4 Physical Properties ASTM D3462 2010 1507.2.7.1, R905.2.6.1 Wind Resistance ASTM D3161 2016 1507.2.7.1, R905.2.6.1 Wind Resistance ASTM D7158 2011 3. REFERENCES: Entity Examination Reference Date Owens Corning Declaration Equivalency Declaration 08/06/2019 PRI (TST5878) ASTM D1970 OCF-382-02-01 10/24/2017 UL LLC (CER9626) Physicals & Wind Resistance File R2453, Vol. 3 02/15/2007 UL LLC (CER9626) Physicals & Wind Resistance 20120516-R2453 05/16/2012 UL LLC (TST9628) Physical Properties 06CA20263 04/18/2006 UL LLC (TST9628) Wind Resistance 11CA34308 02/18/2012 UL LLC (TST9628) Physicals & Wind Resistance 4786093137 02/01/2014 UL LLC (TST9628) Wind Resistance 4786126532 02/10/2014 UL LLC (TST9628) Physical Properties Classification letter 02/13/2014 UL LLC (TST9628) Physical Properties Classification letter 10/02/2015 Miami-Dade (CER1592) FBC HVHZ Compliance Various NOAs Various PRI (QUA9110) Quality Control Service Confirmation 04/05/2020 4. PRODUCT DESCRIPTION: 4.1 ACCESSORY STARTERS: 4.1.1 Starter Strip Shingle, Starter Strip Plus and SRS TopShield Starter are starter strips for asphalt roof shingles. Meets ASTM D3462. 4.1.2 Starter Shingle Roll is a mineral-surfaced, fiberglass-reinforced, self-adhering SBS modified bitumen starter strip, nominal 7.2-inch wide x 33-ft 4-inch long roll, for use with asphalt shingles. Meets ASTM D1970. 4.2 ASPHALT SHINGLES: 4.2.1 Classic® and Supreme® are fiberglass reinforced, 3-tab asphalt roof shingles. Meets ASTM D3462. 4.2.2 Berkshire® are fiberglass reinforced, 4-tab asphalt roof shingles. Meets ASTM D3462. 4.2.3 Duration®, TruDefinition® Duration®, Duration® Premium Cool, TruDefinition® Duration® Designer Color Collection, TruDefinition® Oakridge®, Oakridge® and WeatherGuard® HP are fiberglass reinforced, laminated asphalt roof shingles. Meets ASTM D3462. 4.3 HIP & RIDGE SHINGLES: 4.3.1 Berkshire® Hip & Ridge Shingles with Sealant, DuraRidge® Hip & Ridge Shingles with Sealant, ProEdge® Hip & Ridge Shingles and WeatherGuard® HP Hip & Ridge Shingles are fiberglass reinforced, hip and ridge asphalt roof shingles. Meets ASTM D3462. NEMO|etc. NEMO ETC, LLC Evaluation Report O37940.02.12-R10 Certificate of Authorization #32455 6TH EDITION (2017) FBC NON-HVHZ EVALUATION FL10674-R15 Owens Corning Asphalt Roof Shingles Revision 10: 08/15/2019 Page 3 of 10 5. LIMITATIONS: 5.1 This is a building code evaluation. Neither NEMO ETC, LLC 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. 5.2 This Evaluation Report is not for use in FBC HVHZ jurisdictions. 5.3 Fire Classification is not part of this Evaluation Report; refer to current Approved Roofing Materials Directory for fire ratings of this product. 5.4 Wind Classification: 5.4.1 The Owens Corning asphalt shingles noted in Section 4.2 are Classified in accordance with FBC Tables 1507.2.7.1 and R905.2.6.1 to ASTM D3161, Class F and/or ASTM D7158, Class H, indicating acceptable use in all wind zones up to Vasd = 150 mph (Vult = 194 mph). Refer to Section 6 for installation requirements to meet this wind rating. Note: Classification by ASTM D7158 applies only to exposure category B or C, as defined in FBC 1609.4.3, and a mean roof height of 60 feet or less. Calculations by a qualified design professional are required for conditions outside these limitations. Contact the shingle manufacturer for data specific to each shingle. 5.4.2 Starter Strip Shingle, Starter Strip Plus and SRS TopShield Starter noted in Section 4.1.1 and the Owens Corning hip & ridge shingles noted in Section 4.3 are Classified in accordance with FBC Tables 1507.2.7.1 and R905.2.6.1 to ASTM D3161, Class F, indicating acceptable use in all wind zones up to Vasd = 150 mph (Vult = 194 mph). Refer to Section 6 for installation requirements to meet this wind rating. 5.4.3 Refer to Owens Corning published information on wind resistance and installation limitations. 5.5 All products in the roof assembly shall have quality assurance audit in accordance with F.A.C. Rule 61G20-3. 6. INSTALLATION: 6.1 GENERAL: 6.1.1 Roof deck, slope, underlayment and fasteners shall comply with FBC 1507.2 / R905.2 and the shingle manufacturer’s minimum requirements. 6.1.2 Underlayment shall be acceptable to the shingle manufacturer and shall hold current Florida Statewide Product Approval, or be Locally Approved per Rule 61G20-3, per FBC Sections 1507.2.3, 1507.2.4 or R905.2.3. 6.1.3 Fasteners shall be in accordance with the shingle manufacturer’s published requirements, but not less than FBC 1507.2.6 or R905.2.5. Staples are not permitted. 6.1.4 Owens Corning asphalt shingles are acceptable for use in reroof (tear-off) or recover applications, subject to the limitations set forth in FBC Section 1511 or R908 and published installation instructions. 6.2 ACCESSORY STARTERS: 6.2.1 Installation of Starter Strip Shingle, Starter Strip Plus and SRS TopShield Starter shall comply with the Owens Corning current published instructions, using minimum five (5) nails per strip. Figure 1: Minimum Nailing, Starter Strip Figure 2: Minimum Nailing, Starter Strip Plus NEMO|etc. NEMO ETC, LLC Evaluation Report O37940.02.12-R10 Certificate of Authorization #32455 6TH EDITION (2017) FBC NON-HVHZ EVALUATION FL10674-R15 Owens Corning Asphalt Roof Shingles Revision 10: 08/15/2019 Page 4 of 10 6.2.2 Installation of Starter Shingle Roll shall comply with the Owens Corning current published instructions. Figure 3: Starter Shingle Roll 6.3 ASPHALT SHINGLES: 6.3.1 Installation of asphalt shingles shall comply with the Owens Corning current published instructions, using minimum four (4) nails per shingle in accordance with FBC 1507.2.7 or R905.2.6, with the following exceptions: ➢ Berkshire® shingles require minimum five (5) nails per shingle. ➢ WeatherGuard® HP shingles require minimum six (6) nails per shingle. Where the roof slope exceeds 21 units vertical in 12 units horizontal, special methods of fastening are required Refer to Owens Corning published information on wind resistance and installation limitations. 6.3.1.1 Classic® & Supreme: Figure 4: Minimum Nailing, Classic & Supreme (Standard Size) Figure 5: Minimum Nailing, Classic & Supreme (Metric Size) NEMO|etc. NEMO ETC, LLC Evaluation Report O37940.02.12-R10 Certificate of Authorization #32455 6TH EDITION (2017) FBC NON-HVHZ EVALUATION FL10674-R15 Owens Corning Asphalt Roof Shingles Revision 10: 08/15/2019 Page 5 of 10 6.3.1.2 Berkshire®: Figure 6: 5-Nail Pattern, Berkshire Figure 7: 6-Nail Pattern, Berkshire Figure 8: Mansard or Steep Slope Pattern, Berkshire NEMO|etc. NEMO ETC, LLC Evaluation Report O37940.02.12-R10 Certificate of Authorization #32455 6TH EDITION (2017) FBC NON-HVHZ EVALUATION FL10674-R15 Owens Corning Asphalt Roof Shingles Revision 10: 08/15/2019 Page 6 of 10 6.3.1.3 Duration®, TruDefinition® Duration, Duration® Premium Cool & TruDefinition® Duration® Designer Color Collection: Figure 9: Standard 4-Nail Pattern, Duration Figure 10: 6-Nail Pattern, Duration Figure 11: Mansard or Steep Slope Pattern, Duration NEMO|etc. NEMO ETC, LLC Evaluation Report O37940.02.12-R10 Certificate of Authorization #32455 6TH EDITION (2017) FBC NON-HVHZ EVALUATION FL10674-R15 Owens Corning Asphalt Roof Shingles Revision 10: 08/15/2019 Page 7 of 10 6.3.1.4 TruDefinition® Oakridge®, Oakridge®: Figure 12: Standard 4-Nail Pattern, Oakridge Figure 13: 6-Nail Pattern, Oakridge Figure 14: Mansard or Steep-Slope Pattern, Oakridge NEMO|etc. NEMO ETC, LLC Evaluation Report O37940.02.12-R10 Certificate of Authorization #32455 6TH EDITION (2017) FBC NON-HVHZ EVALUATION FL10674-R15 Owens Corning Asphalt Roof Shingles Revision 10: 08/15/2019 Page 8 of 10 6.3.1.5 WeatherGuard® HP: Figure 15: 6-Nail Pattern, WeatherGuard HP Figure 16: Mansard or Steep-Slope Pattern, WeatherGuard HP 6.4 HIP & RIDGE SHINGLES: 6.4.1 Installation of asphalt shingles shall comply with the Owens Corning current published instructions. ➢ Berkshire® Hip and Ridge Shingles with Sealant and DuraRidge® Hip & Ridge Shingles with Sealant require minimum two (2) nails per shingle. ➢ WeatherGuard® HP Hip and Ridge Shingles and ProEdge® Hip & Ridge Shingles require minimum four (4) nails per shingle. Refer to Owens Corning published information on wind resistance and installation limitations. NEMO|etc. NEMO ETC, LLC Evaluation Report O37940.02.12-R10 Certificate of Authorization #32455 6TH EDITION (2017) FBC NON-HVHZ EVALUATION FL10674-R15 Owens Corning Asphalt Roof Shingles Revision 10: 08/15/2019 Page 9 of 10 6.4.1.1 Berkshire® Hip & Ridge with Sealant and DuraRidge® Hip & Ridge Shingles with Sealant: Figure 17: Isometric View, Berkshire and DuraRidge Figure 18: Plan View, Berkshire and DuraRidge 6.4.1.2 WeatherGuard® HP Hip & Ridge Shingles: Figure 19: Isometric View, WeatherGuard HP Hip & Ridge Figure 20: Plan View, WeatherGuard HP Hip & Ridge NEMO|etc. NEMO ETC, LLC Evaluation Report O37940.02.12-R10 Certificate of Authorization #32455 6TH EDITION (2017) FBC NON-HVHZ EVALUATION FL10674-R15 Owens Corning Asphalt Roof Shingles Revision 10: 08/15/2019 Page 10 of 10 6.4.1.3 ProEdge® Hip & Ridge Shingles: Figure 21: Isometric View, ProEdge Figure 22: Plan View, ProEdge 7. LABELING: 7.1 Labeling shall be in accordance with the requirements the Accredited Quality Assurance Agency noted herein. 7.2 Asphalt shingle wrappers shall indicate compliance with one of the required classifications detailed in FBC Table 1507.2.7.1 / R905.2.6.1. 8. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or Authority Having Jurisdiction in order to properly evaluate the installation of this product. 9. MANUFACTURING PLANTS: Contact the named QA entity for information on which plants produce products covered by Florida Rule 61G20-3 QA requirements. 10. QUALITY ASSURANCE ENTITY: PRI Construction Materials Technologies, LLC– QUA9110 ; (813) 621-5777; bwilson@pricmt.com - END OF EVALUATION REPORT -