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Roofing Permit Information Sheet & NOC
a LUCIE ST LUCIE COUNTY ROOFING PERMIT INFORMATION SHEET Florida Building Code 7th Edition (2020) Bascd on Sectibn 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 Law Slope Application A, B, C 1,2,3,4,5,6,7 Prescriptive BUR-RAS 150 A, 9, C — 2,4,5,6,7 Asphaltic Shingles Concrete or Clay Tile A, B, D A, B, D, E 1 2,4,5,6,7 1,2,3,4,5,6,7 A, 8, D Metal Roofs — f 1,2,3,4,5,6,T Wood Shingles and A, a, 0— Shakes Other As Applicable 12 3 4 5 6 7 ATTACHMENTS REOUIRED As AnnIir;ih1P1- 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) Any Required Roof Testing/Calculation Documentation — 7 , Form RooflnfoFeb21 Rev Feb 19, 2021 U Section A (General Information) Master Permit No, Process No. t _ � Contractors Name: �Gd v�J License tt _.0 00 1 �') :�mt Job Address Zt ❑ Low Slope © Asphaltic Shingles ❑ New roof ❑ Repair Low Slope Roof Area (SF) ROOF CATEGORY ❑ Mechanically Fastened Tile ❑ Metal Panel/Shingles ❑ Prescriptive BUR-RAS 1SO ROOF ROOF TYPE artar/Adhesive Set Tiles ❑Wood Shingles/Shakes ❑ Maintenance eroofing .ROOF SYSTEM INFORMATION Steep Sloped Roof Area (SF) ❑ Recovering Total (SF) 3�1(C!2 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. ISBN RAW N 1' ZI M L J9 Section D (Steep Slope Roof System) Roof System Manufacturer: 0 Ci'-e Notice of Acceptance Number: /r Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): Zone 1: 3Q'� Zone 2e� �'� Zone 2nZone 2rT Zone 3e: Zone 3r: Deck Type: l 1�b0 Roof Slope: Type Underlayment: 12 Insulation - Fire Barrier: RidLeVe�ntilaficn? Fastener Type & Spacing:! [)5 Adhesive Type:) Type Cap Sheet: Mean Roof Height: l` l� Roof Covering: i?.�,�e, ~ Type & Size Drip L,� -Vd edge: NOTICE OF COMMENCEMENT Permit No. Property Tax ID No. 3 c � �-- 069 (t� State of Florida, County of St. Lucie The Undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. Legal Description of property and address if available �sty, lei. �� �� - P 1 u� - CL� 1` -S 7 N G 04 General description of improvements 6- rla a mj_n�r Owner/lessee L [,Q r' �`� ti �� L) �1 p ! �� Address 9 �I 1 i �G (1 � Ct. ( 1 t�P S iNl . rLV4- S� c,i'-e. ' 41 W Interest in property: Fee Simple Title holder (if other than owner) Address ff Contractor "' (.0 Cc #� Address S' Stj Pi � r31 v� 3Y9I'ax # 0 Surety Phone # U F V Address # CL IsFax ti Amount of llond W �o rn ❑ Lender Phone # IN N Address Fax # W N O I N q Persons within the State of lorida designated by Owner upon whom notices or other documents may be served as o �_ � o ii by Section 713.13 (a) 7., Florida Statues: _6 n 0 � Name Phone # n w U M a z Address Fax # a0a Ir o In addition to himself, owner designates ai =U� o ' Phone # Fax # - to receive a copy of the Lien is Notice as provided in Section 713.13 (1) (b), Florida Statutes. Expiration date of notice of commencement is one year from the date of recording unless a different date is specified. WARNING TO OWNER: ANY PAYMENTS MADE BY TH OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CH.7I3.13, F. ., AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A ntnTTr'V n1W COMMENCEMENT MAST BE FINANCING, CONSULT WITH COMMENCMENT. State of Florida, County of Acknowledged before me tl who is personally known to Signature of Nota Title: Notary Public DED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF CNrifer/Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager/ Signature (D&0_ Signatory's Title/Office l ! `l ,day of f 200a , by lra� rJ-ti S ie or who has produced L as identification. A 0-oe-io I'ype or Print Name of Notary ojpIlRrllil ,P�a, CONSTC PROULX { �o,State of Florida -Notary pu6G1 Commission Number - = Cc)mmission # GG 258328 My Commission Expires SOPWnber 16, 2022