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1805 Mayport Rd RERF21-0167 Shingle RoofOWNER:ADDRESS:CITY:STATE:ZIP: Chelsea Leonard & Gloria Moore 1805 Mayport Road Atlantic Beach FL 32233 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: 172185 0000 DONNERS R/P JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 1805 MAYPORT RD REROOF SHINGLE Shingle: FL10674-R16, Underlayment: 18374.1 AB Arts Market $22808.17 LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 1 BUILDING ROOF IN-PROGRESS INSPECTION REQUIRED INFORMATIONAL Notes: a. The roof sheathing for all new construction must remain uncovered until the Roof Sheathing Inspection is approved. b. All roofing projects require an In-Progress Inspection. c. Sheathing installation and replacement guidelines per APA. d. Underlayment must conform to FBC-R Table 905.1.1 e. Shingles must conform to ASTM D3161 G or H, or ASTM D7158 F 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: 6/21/2021 PERMIT NUMBER RERF21-0167 ISSUED: 6/21/2021 EXPIRES: 12/18/2021 REROOF SHINGLE PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 FEES 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 2 of 2Issued Date: 6/21/2021 PERMIT NUMBER RERF21-0167 ISSUED: 6/21/2021 EXPIRES: 12/18/2021 REROOF SHINGLE PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $169.48 RERF21-0167 Address: 1805 MAYPORT RD APN: 172185 0000 $169.48 BUILDING $165.00 BUILDING PERMIT 455-0000-322-1000 0 $165.00 STATE SURCHARGES $4.48 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.48 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL FEES PAID BY RECEIPT: R16134 $169.48 Printed: Monday, June 21, 2021 11:06 AM Date Paid: Monday, June 21, 2021 Paid By: ELO RESTORATION, INC Pay Method: CREDIT CARD 470893213 1 of 1 Cashier: CG Cash Register Receipt City of Atlantic Beach Receipt Number R16134 Final Plumbing Final Electrical Final HVAC CC Final Final Building* Swimming Pool Steel Swimming Pool Safety Electrical Grounding & Bonding Swimming Pool Final (Bldg) Swimming Pool Final (PW) Formed Columns/ Beams* Masonry Cell Fill Structural Steel* OTHER: OTHER: OTHER: OTHER: OTHER: Power Pole Silt Fence Piers/ Stem Walls Underground Plumbing Underground Electric Foundation/ Footing Slab** Retaining Wall Footing Driveway Sewer (Building Dept) Sewer Tap (Utilities Dept) Rough Electric* Rough Plumbing/ Top Out* Rough Mechanical* House Wrap Wall Sheathing Roof Sheathing Tie-down Framing Connections Rough Framing Roofing In Progress Window/Door In-Progress Insulation Ceiling Insulation Wall Exterior Lath Stucco Scratch Coat Exterior Siding In-Progress Brick Flashing & Ties Early Power Gas Rough Gas Final* * When all rough electric, plumbing, mechanical are complete but before any work is covered up. * When all gas piping is complete and wallboard is installed but before gas is attached to any appliance. All outlets must be capped and pipe pressurized at a minimum of 15 lbs. * For new living space: When all construction work including electrical, plumbing, mechanical, exterior finish, grading, required paving and landscaping is complete and the building is ready for occupancy, but before being occupied Additional inspections may apply to your project if your project contains these elements: INSPECTIONS REQUIRED FOR BUILDING PERMITS To verify compliance with building codes, inspections of the work authorized are required at various points of the construction. The following inspections are typically required for residential projects: Date: Initial: Date: Initial: _____________________________________________________ Permit Type ____________________________________________________ Permit No. __________________________________________________________ Job Address ____________________________________________________ Contractor POST THIS CARD WITH PERMITS AND PERMIT DOCUMENTATION IN FRONT OF BUILDING Construction Hours per City Code: 7am—7pm Weekdays; 9am—7pm Weekends Building Department Public Works/Utilities Fire Department Phone: 904-247-5826 Phone: 904-247-5834 Phone: 904-630-4789 Fax: 904-247-5845 Fax: 904-247-5843 Fax: 904-630-4203 * When forms and reinforcing steel, anchor bolts, sleeves and inserts, and all electrical, plumbing and mechanical work is in place, but before concrete is poured. * When all structural steel members are in place and all connections are complete, but before such work is covered or concealed. ** FORM BOARD ELEVATION CERTIFICATE MUST BE ON-SITE FOR SLAB INSPECTION Building Permit Application J City of Atlantic Beach Building Department 800 Seminole Road, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us Updated 10/9/18 **All INFORMATION HIGHLIGHTED IN GRAY IS REQUIRED. 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 re r ·ect? □Yes must submit s Describe in detail the type of work to be performed: Florida Product Approval# __________________ for multiple products use product approval form Property Owner Information Name G,LC>Y" \ Cl NQQ<e. Address �l'tiJ,_..,._f___.M_A.._Yi...i..F...::::Cc...t.8_T__,___j<._......_O_g--'--":o:---=--=---City 8+)-AQT\C \nEACH State& Zip ::3Z.:Z33 Phone 9Cl:i-:;o:z--9038E-Mail Ab ar::IS CT10iUSITi;:, �ma, L.. , C c;..cQOwner 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 o Expiration Date _______ _ 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 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 ATTORNEY BEFORE RECORDING y.�u�� OMMENCEMENT. A..� � (Signature of Owner or Agent) (Signature of Contractor) Signed and sworn to (or affirmed) before me this J.[_ day of JUN-,w:M . by --"'+uu..u!"--.ix...t."'-"--""""'---- (Signature of Notary) ;,.0,-...��-��(/{1:, TAYLOR N. BOWMAN , · : Commission# GG 941920 * . *[ ] Personally Known OR � 17 Expires December 22, 2023 1:-fJ Produced Identification ,,.< on1.."<i:-" Bonded Thru Budget Notary Services Type of Identification: fl, t\e.1 v'<A-S L,{..(All }<- Signed and sworn to (or affirmed) before me this A day of Jvvu.. , 'J-02.,.I .��l. Wlt/,.""1M.s rJ p:n, Dvv:?=-2(Signature of Notary) "-...(l.Y Pitt, TAYLOR N. BOWMAN .f\: · ·: · · • ?' Commission # GG 941920ri Personally Known OR * i:I-ij'�)�: Exp•res December 22, 2023 ��q;r,·� C) Produced Identification ..,.,,.< OF f\.ui" Bonded Thru Budgettlotary Services Type of Identification: _____________ _ 1805 Mayport Road Atlantic Beach FL 32233 19-16 17-2S-29E DONNERS R/P LOTS 1,2(EX N 40FT) BLK 19 172185-0000 22,808.17 x x x Re Roof, Remove & install 62 sq. Roof Pitch 5/12. Asphalt Shingles FL#10674-R16 Elo Restoration Derek Williams 3415 Kori Rd Jacksonville FL 32257 904-528-0188 ext 105 904-463-1606 CCC1331535 jortiz@elorestoration.com Builders Mutual Insurance 06/10/22 x RERF21-0167