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ST. LUCIE WORKS
ST LUCIE COUNTY ROOFING PERMIT INFORMATION SHEET
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:
Roof System
Required Sections of
the Permit Application
Form_.
Attachments Required
See List Below
Low Slope Application
A, B, C
1,2,3,41 5,6,7
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
1,2,3,4,5,6,7
Metal Roofs
A, B, D
1,2,3,4,5,6.7'
Wood Shingles and
Shakes
A, B, D
1,2,4,5,6,7
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
1/
5.
Municipal Permit Application
6.
Owners Notification for Roofing Considerations (Reroofing Only)
V/
7.
Any Required Roof Testing/Calculation Documentation
Form RooflnfoFeb21 Rev Feb 18, 2021
ST. LUCIE
Section A (General Information)
Master Permit No.
Contractors Name: _ . erAd
Job Address '
fY 6 1 h 1 rA C... License #
PC 6-4- Oct, (Ia
Process No.
�< < .3G I
ROOF CATEGORY
Xow 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
J?f Reroofing ❑ Recovering
ROOF SYSTEM INFORMATION
Low Slope Roof Area (SF) 7
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.
f
I
3
i
ST. LUCIE
Section C (Low Slope Roof)
Fill in specific roof assembly components and identify
manufacturer
(If a component is not used, identify as "NA")
System Manufacturer: vcsS g
Product Approval No.: jq-63 I,,
O i
Design Wind Pressures, From RAS 128 Or Calculations:
Zone 1':(70 Zone 1: Zone 2: Zone 3:
Max. Design Pressure, from the specific product approval
system: I % PS-'
Deck:
Type: (2 ib X i �}
19 V cod
S �f
Gauge Thickness: �
Slope: 4 1_1 z.
Anchor/Base Sheet & No. df Ply(s):
Anchor/Base Sheet Fastener/Bonding Material:
Insulation Base Layer:
Base Insultation Size and Thickness:
Base Insulation Fastener/Bonding Material:
Top Insulation Layer:
Top Insulation Size and Thickness:
Top Insulation Fastener/Bonding Material:
Base Sheet(s) & No. of Ply(s):
Base Sheet Fastener/Bonding Material:
Ply Sheet(s)' & No. of Ply(s):
Ply Sheet Fastener/Bonding Material:
Top Ply:
Top Ply Fastener/Bonding Material: 0
Surfacing:
Fastener Spacing for Anchor/Base Sheet Attachment:
Zone 1':—"
oc @ Lap, # Rows ® "oe
Zone 1:—"
oc @ Lap, # flows @ 000
Zone 2:—"
oc @ Lap, # Rows ® " ae
Zone 3.—"
oc @ Lap, # Rows @ " 4e
Number of Fasteners Per Insulation Board:
Zone 1': Zone 1: Zone 2: Zone 3:
Illustrate Components Noted and Details as Applicable:
Woodblocking, Gutter, Edge Termination, Stripping,
Flashing, Continuous Cleat, Cant Strip, Base Flashing,
Counterflashing, Coping, Etc..
Indicate: Mean Roof Height, Parapet Height, Height of Base
Flashing, Component Material, Material' Thickness, Fastener
Type, Fastener Spacing or Submit Manufacturers Details that
Comply with RAS 111 and Chapter 16..
' ST. LUCIE
Section D (Steep Slope Roof System)
Roof System Manufacturerlx�e& k1ell I Llnra6
Notice of Acceptance Number:
Minimum Design Wind pressures, If Applicable (From RAS 127 or Calculations):
Zone 1:� U Zone 2e: Zone 2n: Zone 2r: Zone 3e: Zone 3r:
Deck Type: I f I g' r C _�JX P 1 t-t Lo CFCs a
Type Underlaymenir �` \1 S" -P
Roof Slope:
• 12 '
Insulation:
Fire Barrier:
Ridge Ventilatian? Fastener Type & Spacing: lot', a o f
Adhesive Type:
Type Cap Sheet: �
Mean Roof Height: � � � Roof Covering;
Type & Size Drip -Z p iV4 JIul C.
Edge: