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ST LUCIE COUNTY ROOFING PERMIT INFORMATION SHEET FILE COPY
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 DOCUMENTS 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 1,294,5,%7
Concrete or Clay Tile A,B,D,E ' 1;2 3A,5,6,7
Metal Roofs A,B, D 1,234,56T
Wood Shingles and A, B, D 1,2,4,5,67
Shakes
Other As Applicable 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 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. Any Required Roof Testing/Calculation Documentation
Form RooflnfoFeb21 Rev Feb 18,2021
I
ST. LIE � .O �� o $ )).
Section A(General Information)
Master Permit No. Process No.
j
Contractors Name: MAY I J ✓ ' i eLC �li �2-
y� ��1 � 2 r�, r
Job Address � � 1 C�)�IJ�LP f e. if r 1" �n�,{fie r-t J1't'� 4
ROOF CATEGORY
❑Low Slope ❑Mechanically Fastened Tile ❑Mortar/Adhesive Set Tiles
$1 Asphaltic Shingles ❑Metal Panel/Shingles ❑Wood 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)A f �'
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 iden' dimensions of elevated pressure zones and location of parapets.
�L ROOF
SDI;
Section C(Low Slope Roof) Surfacing:
Fill in specific roof assembly components and identify Fastener Spacing for Anchor/Base Sheet Attachment:
manufacturer of QQ.L
Zone 1':Y— oc @ Lap,#Rows @ "oc
(If a component is not use identify as"NA") Zone 1:—L"oc @ Lap,#Rows @ 1"oc
System Manufacturer: �Y 3 Zone 2:1-11 oc @ La #Rows ® "oc '
Zone 3: oc @ Lap,#Rows
�" . @ o
°Or, '
Product Approval No.: �� //�•7`7 `'y��•��
Number of Fasteners Per Insulation Board:
Design Wind Pressures,From RAS 128 Or Calculations: Zone 1' Zone 1: Zone 2: Zone 3:
Zone 1':=one 1: 'l�j'One 2: one 3:~ Illustrate Components Noted and Details as Applicable:
Max. Design Pressure,from the specific product approval Woodblocking, Gutter, Edge Termination, Stripping
�� /���� k/' A>
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
Gauge Thickness:
Type,Fastener Spacing or Submit Manufacturers Details that
Comply with RAS 111 and Chapter 16..
Slope: a
Anchor/Base Sheet&No.df Ply(s): �/�� /-�
Anchor Base Sheet Fastener/Bonding Material: FT. 16�t#df/llA/
r 5 /"6
Insulation Base Layer:
Base Insultation Size and Thickness: Parapet
Base Insulation Fastener/Bonding Mate al: Height
Top Insulation Layer:
Top Insulation Size and Thickness: FT/
Top Insulation Fastener/Bonding Material:
Mean
Base Sheet(s)&No.of Ply(s): / Roof
Base Sheet Fastener/Bonding Material: Height
Ply Sheet(s)'&No.of Ply(s): (/
Ply Sheet Fastener/Bonding Material:
Top Ply:
Top Ply Fastener/Bonding Material:
k. >;�V- 5r1 c1'�<
1
'aV
Section D (Steep Slope Roof System)Roof System Manufacturer: �Jr644 I I
Notice of Acceptance Number:
Minimum Design Wind Pres ures,If Appli ble(From RAS 127 or Calculations):
Zone 1:✓� Zone 2e: Zone 2n 1�Zone 2r:"10b Zone 3e::1Q'tZone 3r: 194
De6k Type' ]
Type-Undertaymenibu 1ko
Roo Slope:
�; 12 -
lnsulation
II
Fire-Bamer:
Rui e;Vetiti(ation?� FastenerType>�_Spacing: Side 141
Adhesiire Type: ON P M
Type tap Sheet
Mean Roof Height- Roof CoveringZkC,: 1 I
Type&:Size Drip 3n ,
Edge: