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Section A (General Information)
Master Permit No. Process No.
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Contractors Name: {�� �la� >� f�MVA N Dense # CZ [, � 3
L '1 �� r r�ec vt 5� ./�� <e�
Job Address � � �.--�.
ROOF CATEGORY
❑ Low Slope ❑ Mechanically Fastened Tile ❑ Mortar/Adhesive Set Tiles
Asphaltic Shingles ❑ Metal Panel/Shingles ❑Wood Shingles/Shakes
❑ Prescriptive BUR-RAS 150
ROOF ROOF TYPE_
❑ New roof ❑ Repair ❑ Maintenance lyReroofing ❑ Recovering
ROOF SYSTEM INFORMATION
Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) 3 (-7q 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.
ST. LUCIE
Section D (Steep Slope Roof System)
Roof System Manufacturer: r-A-/
Notice of Acceptance Number: ,Ft,, 505)0 ,
le -
Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations):
Zone 1: Zone 2e: Zone 2n: Zone 2r: Zone 3e: Zone 3r:
Deck Type: W 00 d
\Typendernt: ITr ►b�1 f �(.P c�j�+, ;i *
Roof lope:
12
rrier:
lion?tener Type & Spacing: L
Adhesive Type: [+
Type Cap Sheet:
Mean Roof Height: Roof Covering: a 0�
Type & Size Drip
Edge: