2348 W Oceanwalk Dr RERF21-0089 ShingleOWNER:ADDRESS:CITY:STATE:ZIP:
BAHR JERRY R 2348 OCEANWALK DR W ATLANTIC BEACH FL 32233-4694
COMPANY:ADDRESS:CITY:STATE:ZIP:
FIDUS ROOFING AND
CONSTRUCTION 1955 SR 16 ST AUGUSTINE FL 32084
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169463 1548 OCEANWALK UNIT 04
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
2348 W OCEANWALK DR REROOF SHINGLE SHINGLE ROOF $16000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $135.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.03
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $139.03
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 2Issued Date: 3/29/2021
PERMIT NUMBER
RERF21-0089
ISSUED: 3/29/2021
EXPIRES: 9/25/2021
REROOF SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 3/29/2021
PERMIT NUMBER
RERF21-0089
ISSUED: 3/29/2021
EXPIRES: 9/25/2021
REROOF SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Updated 10/9/18
*«Aa INFORMATION
HI6HUGHTE0 IN GRAY
IS REQUIRED.
Building Permit Application
City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: U OC£anhJQf/( Dr. /UJofr/ih. /M rmit Number:__________________________
Legal Description ‘\P^£OcaoQi^(_K £jnf</L7tr^____________________RE# ^
Valuation of Work (Replacement Cost) $ , /O^O Heated/Cooled SF Non- Heated/Cooied sPOJ^
• Class of Work: DNew DAdditlon DAlteration DRepair DMove DDemo DPool DWindow/Door ^ HcoF
• Use of existing/proposed structure(s): DCommercial CJR^dential
• If an existing structure. Is a fire sprinkler system installed?: DYes ClNo^
Will tree(s) be removed in association with proposed project? DYes fmust submit separate Tree Removal Permit!
Describe In detail the type of work to be performed: 3*
)arate I ree Kemoval Hermit) LgfJO
’/1/r^/cOy / <7s57^
Florida Product Approval tt , for multiple products use product approval form
Property Owner Information
Name
City,
E-Mail
Cl LV WWiigl IMIUHHqUUII
_______ ___Address OC.mn/7)A 0___
State _^_L, Zip Phone 0r>Y -
Owner or Agent (If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company //al / 'aQ <¥ (lon^ri^h/10\i3\\WmR Agent C^md3 Si
^_____________________City 57/^^*5^ate_ rAddress
Office Phone ri/_______ Job Site Contact Numbt.
State Certification/Registration n E-Mail ^0/y3/)iiy^
Architect Name & Phone #____
Engineer's Name & Phone #___
Workers Compensation Insurer.
Z
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 iation 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 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 ATTORNEI^EFORE
RECORDING YOtttTNdTICE OF COMMENCEMENT.
cJ0n)s5Suficc^
•bf Contractor) '
J y/'c*led) ^ore me this / (^ day of
k.
{/Z2J2A^
\ of Owner or Agent)
Signed anc
fnaioh to'Signed apd sworn ifore me this
(RdMEt lotary)
________ MntafvPufil'C State of FionOa
— I r -r .u- NQ'arI r lJ Cmilh
I VP^nalfy Known Ow 4> ^ h. y>a'T’^r^rni3Slon hh 001679
( ] Produced Identificatiifc / Expires 09n 8,2024
Type of Identification:.
physical PBE®
^eisonally KnOwnOR
( ] Produced Identification
T^e of Identification;
Notary PuOiic State of Florida
l> Tammy KSmilh
" i My Commission HH 001679
/ Expires 09/18(2024
RERF21-0089
Doc # 2021077220, OR BK 19648 Page 1658, Number Pages: 1,
Recorded 03/25/2021 11:21 AM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
State of.£L
County of F)lJ y/^ /
NOTICE OF COMMENCEMENT
Tw Folio No.
To Whom It May Concern;
The undersigned hereby Informs you that improvements will be made to certain real property, and in accordance with Section 713
of the Florida Statutes, the following Information Is stated In this NOTICE OF COMMENCEMENT
Legal Description of property being improved:
Address of property being Improved: .S/l/// Lt) . A^/nrr//r f^Tnn k s AL
General description of improvements: M/* ___________________________________ ___________
Owner. Cy /Q Jiokr-
Owner's Interest in site of the Improvement:,
Fee Simple Titleholder (if other than owner}:.
Address: />
---------------------------------------------------------------
Name:
Contractor H/^nQ 9^ ____________________
Address: pj) /^LiOu^i'/)/^ . J^L
Telephone No.; ^ax No: 9d^ ol^n ■^'$>$■*7
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:
Mdress:
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: ___________________________________________________________
Address:
Telephone No:.Fax No:
In addition to himself, owner designates the following person to receive a copy of tha Uenoris Notice as provided In Section*
713.06(2) (b), Florida Statues. (Fill In at Owner's option)
Name:
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 i
specified);.
THIS SPACE FOK RECORDER'S USE ONLY
tv of Duval. State
E>D<rck U>:S<202'.
OWNER
Of noridarhas persoMlIy
Notary Public at Urge,
My commission expires
Personally Known:
Produced identification:
RERF21-0089
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH. FLORIDA f*REQuiRFni
•ProjectAddress:_£23</S U) Da f^L Permit#:________________________
•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 fisted 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
Page 1 of 4 Updated 10/17/18
RERF21-0089
Category/Subcategory Manufacturer Product Description Umitation 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 Arrh ft
2. Underlayments MfCG CL /l
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
Category/Subcategory Manufacturer Product Description Umitatlon of Use State ft Local ft
E. SHUTTERS
1. Accordion
2. Bahama
3. Storm panels
4. Colonial
5. Roll-up
6. Equipment
7. Other
F. STRUCTURAL
COMPONENTS
1. Wood
connector/anchor
2. Truss plates
3. Engineered lumber
4. Railing
5. Coolers-freezers
6. Concrete admixtures
7. Material
8. Insulation forms
9. Plastics
10. Deck-roof
11. Wall
12. Sheds
13. Other
G. SKYLIGHTS
1. Skylight
2. Other •
H. NEW EXTERIOR
ENVELOPE PRODUCTS
1.
2.
Page 3 of 4 Updated 10/17/18
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 Officiai.
•Contractor Name (Print Name);. ^ Sf/p/o°.__________*Contractor Signature:
•Company Name: /"fdu5 ^ UCrfinn______________
^Mailing Address; / 9 RT) /^
•City:
•Telephone Number: 93d 551^
Cell Phone Number:,
•State:Fl . *Zip Code: v
. •E-mail Address: _ ^m/r)Lr Com
_ Fax Number: f o13D ___________________
Page 4 of 4 Updated 10/17/18