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Section A (General Infor FOR
Master Permit No. CODE GWPLIANCE
STo gLUICIE M
Contractors Name: License#
Job Address ` (25
ROOF CATEGORY
Low Slope ❑N,. hanically Fastened Tile ❑Mortar/Adhesive Set Tiles
❑Asphaltic Shingles ?;°°tal Panel/Shingles OWood Shingles/Shakes
Prescriptive BUR-RAS 150
ROOF ROOF TYPE /
New roof ❑ Repair Maintenance Reroofing ❑Recovering
ROOF SYSTEM INFORMATION
Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF)
Section B(Roof Plan)
Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include
dimensions of.sections and levels,clearly identify dimensions of elevated pressure zones and location of parapets.
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COO AID` : LUCIE
ST LUCIE COUNTY ROOFING PERMIT INFORMATION SHEET
Florida Building Code 7th Edition (2020)
Based on Section 1525 of the Florida Building Code-Building
INSTRUCTION PAGE
COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING SHEET
APPLICATION FORM AND ATTACH THE REQUIRED C:000MENTS AS NOTED BELOW:
Required Sections of Attachments Required
Roof System the Permit Application See List Below
Form
Low Slope Application A,B,C 1,2,3,4,5,6,7
Prescriptive BUR-RAS 150 A,B,C 2,4,5,6,7
Asphaltic Shingles A,B,D 1,2,4,5,6,7
Concrete or Clay Tile A,B,D,E 112,3,4,526,7
Metal Roofs A,B,D 1,2,3,4,5,6,7
Wood Shingles and A,B,D 1,2,4,5,6,7
Shakes
Other As Applicable I 1,2,3,4,5,6,7
ATTACHMENTS REQUIRED As Applicable):
1. Fire Directory Listing Page
2. From Product Approval:
Front Page
Specific System Description
Specific System Limitations
General Limitations
Applicable Detail Drawings
3. Design Calculations per Chapter 16,or if applicabl., RAS 127 or RAS 128
4. Other Component of Product Approval
5. Municipal Permit Application
6. Owners Notification for Roofing Considerations(Reroofing Only)
7. Any Required Roof Testing/Calculation Documentation
A.1
Form Roof1nfoFeb21 Rev Feb 18,2021
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Section D (Steep Slope Roof System)
Roof System Manufacturer: '[
Notice of Acceptance Number: iiz-- �
Minimum Design Wind Pressures,If Applicable(From RAS 127 or Calculations):
Zone 1: Zone 2e:ej!77-7,pne 2nef�,-Yone 24i3✓ Zone 3e Zone 3r
Deck Type:
Type Under ayment:
Roof Slope:
' 12 Insulation:
Fire Barrier:
Ridge Ven'lt�atign? Fastener Type&Spacing: ?� t07p :-Z:7
Adhesive Type:
Type Cap Sheet: I
- Roof Covering:
e�
Mean Roof �� -� 9 �j�
Type&Size Drip
3
Edge:
a LC I ° .
Section C(Low Slope Roof)
Fill in specific roof assembly components and identify Surfacing:
manufacturer Fastener Spacing for Anchor/Base Sheet Attachment:
(If a component is not used,identify as"NA") Zone 1':�"oc @ Lap,#Rows ® "oc
System Manufacturer: Zone 1:�" oc @ Lap,#Rows ® °oc
Zone 2:�" oc @ Lap,#Rows ® "oc
Product Approval No.: Zone 3:�" oc @ Lap,#Rows ® .00
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Design Wind Pressures, From RAS 128 Or
Number of Fz :taners Per Insulation Board:
Calculations: Zone 1': Zone 1: Zone 2: Zone 3:
Zone 1': Zone 1: Zone 2: Zone 3: Illustrate Components Noted and Details as Applicable:
Max. Design Pressure, from the specific product approval Woodblocking, Gutter, Edge Termination, Stripping,
system: Flashing, Continuous Cleat, Cant Strip, Base Flashing,
Counterflashing,Coping, Etc. .
Deck: Indicate: Mean Roof Height, Parapet Height, Height of Base
Type:
Flashing, Component Material, Material' Thickness,
Fastener Type, Fastener Spacing or Submit Manufacturers
Gauge Thickness: Details that Comply with RAS 111 and Chapter 16.
Slope:
Anchor/Base Sheet&No.df Ply(s): ;If,
FT. ;.
Anchor/Base Sheet Fastener/Bonding Material:
Insulation Base Layer:
Parapet
Base Insultation Size and Thickness:
Base Insulation Fastener/Bonding Material: Height
Top Insulation Layer:
FT.
Top Insulation Size and Thickness:
Top Insulation Fastener/Bonding Material:
Mean
Roof
Base Sheet(s)&No.of Ply(s):
Height i^
Base Sheet Fastener/Bonding Material:
y.
Ply Sheet(s)'&No.of Ply(s):
Ply Sheet Fastener/Bonding Material:
Top Ply:
Top Ply Fastener/Bonding Material: