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o ST. LU C)F�KS
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ST LUCIE COUNTY ROOFING PERMIT INFORMA g ED FOR
CODE COMPLIANCE
Florida Building Code 7th Edition (2 ) N NCIE COUNTY
Based on Section 1525 of the Florida Building Code-Buildi Bocc �
INSTRUCTION PAGE
�ry
COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING SHEET
APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW:
Required Sections of Attachments Required
Roof System the Permit Application See List Below
Form
Low Slope Application A,B, 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;4,58,7
Concrete or Clay Tile A,B,D,E
Metal Roofs C 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 1,2,%4,6,6,7
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 applicable, RAS 127 or RAS 128
4. Other Component of Product Approval
5. Municipal Permit Application
6. Owners Notification for Roofing Considerations(Reroofing Only)
7. j Any Required Roof Testing/Calculation Documentation
Form RooflnfoFeb21 Rev Feb 18,2021
..ST. LUCIE WORKS
Section A (General Information).
Master Permit No. Process No.
Contractors Name: D License# GG G 1.3-)-,1
Job Address J �3 16 G kl i?l N 011— 10r ' i•
ROOF CATEGORY
❑Low Slope ❑Me anically Fastened Tile ❑Mortar/Adhesive Set Tiles
❑Asphaltic Shingles etal Panel/Shingles ❑Wood Shingles/Shakes
rescriptive BUR-RAS 150
ROOF ROOF TYPE.
ew roof ❑ Repair ❑ Maintenance ❑ Reroofing ❑Recovering
-ROOF SYSTEM INFORMATION
Low Slope Roof Area (SF) 00 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.
ST. LUCIE WORKS
Section C (Low Slope Roof) Surfacing:
Fill in specific roof assembly components and identify Fastener Spacing for Anchor/Base Sheet Attachment:
manufacturer Zone 1':—" oc @ Lap,# Rows @ 'or,
(If a component is not used,identify as"NA") Zone 1:—" oc @ Lap,# Rows @ "oo
System Manufacturer: A0 f �A Zone 2:—" oc @ Lap,#Rows ® "0
,h /'a �. Zone 3:—" oc @ Lap,#Rows ® "O
Product Approval No.: 6
Number of Fasteners Per Insulation Board:
Design Wind Pressures,From RAS 128 Or Calculations: Zone 1': Zone 1: Zone 2: Zone 3:
Zone 17W4Zone 1: `I one 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,
Counterf lashing, Coping, Etc. ..
Deck: blJ Indicate: Mean Roof Height, Parapet Height, Height of Base
Type: V��'�'l Flashing,Component Material, Material'Thickness, Fastener
G �� Type, Fastener Spacing or Submit Manufacturers Details that
Gauge Thickness: Comply with RAS 111 and Chapter 16..
Slope: /l/� /V G�
Anchor/Base Sheet&No. df Ply(s): 0/V
Anchor/B a Sheet Fastener/Bonding Material: FT.
y-f—( J'S fir'C K
Insulation Base Layer:
Base Insultation Size and Thickness: Parapet
Base Insulation Fastener/Bonding Material: Height
Top Insulation Layer:
Top Insulation Size and Thickness: FT.
Top Insulation Fastener/Bonding Material:
�1 Mean
Base Sheet(s) &No.of Ply(s): J �G Roof
Base Sheet Fastener/Bonding Ma�rival: /JlC, y Height
Ply Sheet(s)'&No.of Ply(s):
Ply Sheet Fastener/Bonding aterial: C
Top Ply: �� C Y`� v✓�j�z"'. C �i%7C.0
Top Ply Fas rener/i?tncling,Material:
;ST. LUCIE WORKS
Section D (Steep Slope RoofSystem) f
Roof System Manufacturer:
Notice of Acceptance Number:
,4�7, g 7 V9
Minimum Design Wind Press s, plicable(From EZone
Iculations):
Zone 1: Zone 2 Zone 2n: r one 3e: Zone 3r:
Deck Type: W o CI
Type Underlayment o'
Roof Slope.-
12 Insulation:
Fire Barrier: v
Ridge Ve n? Fastener Type &Spacing:10
Adhesive Type:
Type Cap Sheet
Mean Roof'Height: Roof Covering: ¢yi at,"
Type&Size Drip
Edge: