HomeMy WebLinkAboutAPPLICATION FOR BUILDING PERMIT REVISIONS OFFICE USE ONLY:
DATE FILED: _____________________________ PERMIT # _______________________________
REVISION FEE: ___________________________ RECEIPT # ______________________________
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PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
LOCATION/SITE
ADDRESS:
___________________________________________________________________________________
___________________________________________________________________________________
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
___________________________________________________________________________________
___________________________________________________________________________________
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: ______________________ ST. LUCIE CO CERT. #: ____________
BUSINESS NAME: _________________________________________________________________
QUALIFIERS NAME: ________________________________________________________________
ADDRESS: _______________________________________________________________________
CITY: _______________________ STATE: _______________ ZIP: _______________________
PHONE (DAYTIME): ________________________ FAX: _____________________________
OWNER/BUILDER INFORMATION:
NAME: ____________________________________________________________________________
ADDRESS:__________________________________________________________________________
CITY: _____________________________ STATE: __________ ZIP: __________________
PHONE (DAYTIME: ___________________________ FAX: _____________________________
ARCHITECT/ENGINEER INFORMATION:
NAME: ____________________________________________________________________________
ADDRESS: _________________________________________________________________________
CITY: _____________________________ STATE: ____________ ZIP: ___________________
PHONE (DAYTIME): ___________________________ FAX: ____________________________
SLCCC: 9/23/09
Revised 06/30/17
ST. LUCIE WORK
Section D (Steep Slope Roof System)
Roof System Manufacturer: ---'T-"'am=ko::...._ _________________________ _ Notice of Acceptance Number: 20-0701.02Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): .Zone l: __ zone 2e: __ zone 2n:-2one 2r: __ zone 3e: __ zone 3r:
Roof Slope: 4 : 12
I Ridge Ventilation? Yes
Deck Type: .... I _,_p�ly:....w_o_o _d ____________________ �
Type Underlayment Tri built Underla ment & Tri built Sand SA Underla ment
Insulation:
Fire Barrier: n/a
Fastener Type & Spacing: ing shank nails, 6" in side lap, 12" oc in fi Id
Adhesive Type: LI _n.:_/a _____________,
Type Cap Sheet n/a
L_ ___________ _____,
I Mean Roof Height: ---'-'7:-"-6'_' __ _ I Atlas Shingles
Type & Size Drip Edge: 2 1/2" .032 Aluminud
Product Approval Affidavit Building Permit: Building Address: Code Version:
Contractor:
Product type Model# Mfg Attached to: Non Design Application # (N.O.A.
(Window, Door, etc.) Wood Metal Masonry Impact impact Pressures or Product approval)
The products listed herein have been evaluated for compliance with the Florida Building Code in accordance with the product approval
requirements of Florida Statue Chapter 553.842 and the Florida Administrative Code Chapter 9B-72 and based upon testing,
comparative, or rational analysis, or a combination thereof said products comply with the minimum requirements of the Florida Building
Code for the purposes intended.
Roofing Atlas Shingles X FL16305-R10
Property Renovations & Construction, LLC 7910 James Road, Fort Pierce