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�: Reroofing Form
Property Address:
Owners Name: A-LLFAj
Description of Work:
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Roof Specifications: 1�� � k ti D l' q «-
Roof Deck 1:
Roof Dimensions: 3oo y 5 1— Square Footage: 3 c--;>
Mean Roof Height: �� r q Pitch/Slope:
Rotten Wood: ❑Yes No
Roof Type: ❑ Gable WHip ❑Flat ❑Other:
Roof Material: ❑Shingle kmetal Mile ❑ Mod. Bit. ❑Other:
Underlayment: F�I7 !`.�� — V014;41e� Felt(lb.):_ #32, Es�
Roof Deck 2(If applicable):
Roof Dimensions: IAIZL Square Footage:
Mean Roof Height: Pitch/Slope:
Rotten Wood: ❑ Yes ❑ No
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Roof Type: ❑ Gable ❑ Hip ❑Flat ❑Other:
Roof Material: ❑ Shingle ❑Metal ❑Tile ❑ Mod. Bit. ❑Other:
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Underlayment: Felt(lb.):
"Florida Product Approval or Miami-Dade Notice of Acceptance is required for all products other than felt'
File Cory ST LUCIE WQ91KEDS
SEP 0 2 2021
VED
UTY ROOFING PERMIT INFORMATION SHEET StLuc fitting PermittingryE� 0 RFlorida Building Code 7th Edition (2020)
CODE COO, P 'IA sed an Section 1525 of the Florida Building Code-Building
ST. LUCIE COUNTY INSTRUCTION PAGE
CC
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,C
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 1,2,314$,6,7_
7Metal7Roofs 71,2j3,4j5,6,79
,7Wood Shingles and A,B,D 1,2;4,Shakes
Other As Applicable
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)
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j7. Any Required Roof Testing/Calculation Documentation
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Form RooflnfoFeb21 Rev Feb 18,2021
ST LUCIE WORKS
Section A (General Information)
Master Permit No. Process o. c n/+
,DVC4, f v t 4,1 �—
Contractors Name: 1! � )'`�F �l •^ License# of*-"13"5r�s I
Job Address e—cal ` ' V
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ROOF CATEGORY
❑Low Slope ❑Mechanically Fastened Tile ❑Mortar/Adhesive Set Tiles
❑Asphaltic Shingles XMetal Panel/Shingles Mood Shingles I/Shakes
❑ Prescriptive BUR-RAS 1S0
ROOF ROOF TYPE.
❑ New roof ❑ Repair ❑ Maintenance XReroofing 13 Recovering
ROOF SYSTEM INFORMATION,.
Low Slope Roof Area(SF) Steep Sloped Roof Area (SF) 49 Total(SF) 3,90
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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ST LUCIE WORKS
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Section C(Low Slope Roof) Surfacing:
Fill in specific roof assembly comp nents arfd identify Fastener Spacing for Anchor/Base Sheet Attachment:
manufacturer
Zone 1 ._.,_. oc @Lap,#Rows ®.. oo
(If a component is not used,identify s" A") Zone 1:� " oc @ Lap,#Rows @ "ac
System Manufacturer: Zone 2: oc @ Lap,#Rows ® "oc
Zone 3:_.._." oc @ Lap,#Rows @ °oc
Product Approval No.:
Number of Fasteners Per Insulation Board:
Design Wind Pressures,From RAS 28 Or 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., i
Deck: �' Ci Indicate: Mean Roof Height, Parapet Height, Height of Base
�00 �
Type: (� Flashing,Component Material,'Material'Thickness, Fastener
Gauge Thickness: ` Type,Fastener Spacing or Submit Manufacturers Details that
c� _ Comply with RAS 111 and Chapter 16..
Slope: ��,d�
pG� tr
Anchor/Base Sheet&No.df Ply(s):
Anc or4 ase Sheet Fr rser/Bow drl ing Medal:
FT.
Insulation Base Layer: ��
Base Insultation Size and Th ckness: Parapet
Base Insulation Fastener/Bonding Material: Height
Top Insulation Layer:
Top Insulation Size and Thickness: FT.
Top Inku'l ' stener/Bonding Material:
Ll� Mean
Base Sheet(s)&No.of Ply(s):4 �- / Roof
7 0eeeTTVilO nal:✓ Height
Ply Sheet(s)'&No.of Ply(s):
PlypSheetiFas,tene ding Mp$erial: F
Top Ply: (-=7tP. 1 l Roof—
Ton Ply Fastener/Bonding Material: l
Qcu.-�i
ST. LUCItWORKS
Section D (Steep Slope RQof ;ystem)
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Roof System Manufacturer.
Notice of Acceptance Number: 19
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Minimum Design Wind PressLA�jres, If Applicable(From RAS 127 or Calculations):
.Zone 1:�uone 2e: Zone 2n: Zone 2r: Zone 3e: Zone 3r:
Deck Type:
Type Underlayment:
Roof Slope: -
12 Insulation: ` )
Fire Barrier: tA dal a
-Sh (Ckg
Ridge Ventilation? Fastener Type&Spacing:5tko x 71
Adhesive Type: /'V0,1116,
TYPe Cap Sheet; kci-qm kek& DD
Mean-Roof Height: 14 Roof Covering: D�
� 1
Type&Size.Drip X � (>
' Edge: