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0 STm LUCIE WORKS
RECEIVED
ST LUCIE COUNTY ROOFING PERMIT INFORMATION SHEET
DEC 3 0 2021 .
Florida Building Code 7th Edition (2020) St.Lucie County
Based on Section 1525 of the Florida Building Code-Building Permitting
INSTRUCTION PAGE
File Copy
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
j Low Slope Application A, B,C 1,2,3i4,5,6,7
I
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
i -
i
Metal Roofs A, B, D 1,2,3,45AT
Wood Shingles and A, B, D 1,2;4,5,6,7
Shakes
Other As Applicable i,2,3,45,6,7
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
Section A (General Information)
Master Permit No. Process No. -
.:Contractors Name::» on License#
Job Addres''s �5 1� K I (cLrry c y C-e—
ROOF CATEGORY
❑66w Slope ❑Mechanically Fastened Tile ElMortar/Adhesive Set Tiles
I�Asphaltic Shingles El Metal Panel/Shingles ❑Wood Shingles/Shakes
Prescriptive BUR-RAS. 150
ROOF ROOF TYPE-
❑ New roof ❑ Repair ❑ Maintenance Q'Reroofing ❑Recovering
ROOF SYSTEM INFORMATION
Low Slope Roof Area(SF) 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.
A l�
a
a � W
� at
442
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f
` STa LUCIE WORKS
Section D (Steep Slope Roof System) ty� 4 '` ►�]nG�
Roof-_SVstem`m—aan'ufacturer,:`
Ngtice-ofAcceptance Number-:
Minimum Design Wind Pressures, If Applicable(From RAS 127 or Calculations):
Zone 1: Zone 2e: Zone 2n: Zone 2r: Zone 3e: Zone 3r:
Deck Type:,.
Type Underfayment` C f
Insulation: ,
Fire Barrier:
Ridge Ventilation? Fastener Type&Spacing:
Adhesive Type:
i
Type Cap Sheet-
Mean Roof'Height: Roof Covering:
- Type&.Size Dri
- - Yp p �=-- � 1-u.d►
Edge: