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ST LUCIE COUNTY ROOFING PERMIT INFORMATION SHEET
Florida Building Code 7th Edition (20.20) CO® ggi�nn OR
Based on Section 1515:6f the Florida Building Code-Building �� ®e���LIANG'E
INSTRUCTION PAGE ® LUCIE COUNTY
40CC (IpJ4
COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING SHEET
APPLICATION FORM AND ATTACH THE RECUIRED DOCUMENTS AS NOT
13ELOW:
Required Sections of Attachments Required
Roof System the:Permit Application See List Below
Form _
_ ,I
Low Slope Application A,B,C 1,2,3,4,5,6,7
Prescriptive BUR-RA5.150 A,B,C 2,4,5,6,7
Asphaltic Shingles A,B,D i1,2,4,5,6,7
Concrete or Clay Tile A,B,D,E 1,2,3,4,5,6,7
• I
Metal Roofs A,B,D
..._.. ......._.__...- - --
Wood,Shingles and A,B, D 1,2,4,5,6,.7
Shakes
Other As Applicable 1,2,3,4,5,6,7
ATTACHMENTS REQUIRED As Applicable):
1. Fire Directory Listing Page - -
2. From Product Approval:
f Front Page '
i
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
S. Municipal Permit Application
6. i Owners Notification for Roofing Considerations(Reroofing Only)
7. " Any Required Roof Testing/Calculation Documentation
Form RooflnfoFeb21 Rev Feb 18,2021
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LU C <�
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Section A(General Information)
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Master Permit No. Process No.
'� S`3
Contractors Name: !'rea Sub's CAgS� IZ®of 1 A0. License# C��• 13 3o'6
Job Addresses
ROOF CATEGORY
❑Low Slope ❑Mechanically Fastened Tile ❑Mortar/Adhesive Set Tiles
0Asphaltic Shingles 14 Metal Panel/Shingles Mood 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)'30
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.
,0
Asp
18 3 13 (320) 32
10
SPAR
t3�20)
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35
BAS
(1850)
l 20
21 5 4
' 32
GAA 21
SPAA
I 5 (105)
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U CM
01 Ys ...
Surfacing:
Section C(Low Slope'Roof)
Fill in specific roof assembly components and identify Fastener Spacing for Anchor/Base Sheet;i ttachment:
manufacturer Zone 1':q oc @ Lap,,#Rows_®—or.
(If:a component is not used,identify as"NA")
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11 Zone 1:—. ' or@.Lap,#Rows ®=00' "
'System Manufacturer: MO,4 : �1 rU M��1 Zone!--."oc @.Lap,#1 Rows—® "oc '
Zone 3:—" oc @.Lap,#Rows— =ac
Product Approval No:: FL
Number of Fasteners Per Insulation Boartl:
a
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Design Wind Pressures,From'RA5.128 Or Calculations: Zone 1': _`e Zone 1• Lone 2: , Zone 3:
Zone'1'-37Zone 1.-0 Zone 2'a!Zone 3: I I'S Illustrate Components Noted and Detailsi as Applicable:
Max. Design Pressure,from the specific product approval Woodblocking,. Gutter, Edge Termi,nati.on, ,Stripping,
System:. 90 - Flashing, Continuous' Cleat, Cant Strip, Base Flashing,
Counterflashing,Coping,Etc.i
Deck: Indicate: Mean Roof Height, Parapet Height, Height of Base
Type:. I^CI U IJ C)OC� Flashing,Component Material,Material','hickness,Fastener
Type,Fastener Spacing or'Submit Manufacturers Details that
-Gauge Thickness:. S I, Comply with RAS 111 and Chapter 16..
Slope: f �fol
Anchor/Base Sheet&No.df Ply(s):
.Anchor/Base rial:�o '
an
Insulation Base Layer: Q fla i GI
Base'lnsultationSizeancl hickness: .�(� IZaI� Parapet
e lnsul ion Fast er/B nding Material: Height
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Top Insulation Layer: b •1 U M t N
ToP insulation Size and Thickness; .,
Top Insulation FzitAner/ ndin Material:
0,1C C&a/n/ rIJ4� '
Mean
Base Sheet(s)&No.of Ply(s): - --------- Roof
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Base Sheet Fastener/Bonding Material: ! Height.
Ply sheet(s)'&No.of Ply(s)-
Ply Sheet Fastener/Bonding Material:
Top Plyt
Top.Ply Fastener/Bonding'Maierial:
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Section D'(Steep Slope Roof.System)
Roof System Manufacturer- L�Y)1 b N G6 r
Notice of Acceptance Number:
F� a oY qv- �a
Minimum Design Wind Pressures,If Applicable(From RA5127 or C_alculatlons)i
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Zone 1;��1Zone 2e:�Zone 2n:�one 2r ione 3e: i Zone 3r:
r - I
Deck Type:
Type Undeflayment: S i C
Roof Slope: and
12 Insulation:
Fire Barrier:
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[Ricig' dVentilation? Fastener Type&Spacing: SC�e w s ` �.
6�A
Adhesive Type:
Type Cap Sheet
Mean RoaFHeight: S�0 rlt : Roof Covering:. j �1 1
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Type&Sim Drip
Edge: �—
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