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Section A(General Information)
Master Permit No. 2 Process No.
Contractors Name'jV�'iUr� 1y°�`1�Y1 License# �c�
Job Address r ,o (D sakeo,0 '"'u�Fn •�'• �e►r('�1—� �L �7-15�
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ROOF CATEGORY
(DIw 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 C>6 Reroofing ❑Recovering
.ROOF SYSTEM INFORMATION
Low Slope Roof Area(SF) _ Steep Sloped Roof Area (SF) I Total(SF) —
Section B(Roof Plan)
Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppersi and overflow drains.
Include dimensions of sections and levels,clearly identify dimensions of elevated pressure zones and location of parapets.
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, ST LUCIE WORKS
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Surfacing:
Section C(Low Slope Roof)
Fill in specific roof assembly components and identify Fastener Spacing for Anchor/Base Sheet Attachment:
manufacturer Zone 1'•2-" o6@ Lap,#Rowsa
(If a component is not used,identify as"NA") Zone 1:Z"oc @Lap f#Rows, w �_
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System Manufacturer: C'�,� Zone 2:�11 oc @ Lap,#Row —°s-3 ® oc
's _ r\q I� �� Zone 3;.�._."oc;@ Lap,#Rows3
Product Approval No.: y t 1_:1
Number of Fasteners Per Insulation Board:
Design Wind Pressures,From RAS 128 Or Calculations: Zone 1'-OftZol he 1:�_Z ne AE Zone
Zone 1':�J[ Zone 1: Zone 26L� Zone 3: Illustrate Components Noted an
d Details as Applicable:
Max. Design Pressure,from the specific product approval Woodblocking, (Gutter, Edge Termination, Stripping,
system: Flashing, Continuous Cleat, Kant Strip, Base Flashing,
Counterflashing, Coping,Etc.,
Deck: Indicate: Mean Roof Height, Pal rapet Height, Height of Base
Type: Flashing,Component Material,Material'Thickness,Fastener
Type,Fastener Spacing or Submit Manufacturers Details that
Gauge Thickness:_ \� Comply with RAS1111 and Chapter 16..
Slope: I D ��-
Anchor/Base Sheet&No.df Ply(s):
Anchor/.Base Sheet Fastener/Bonding Material. FT.
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Insulation Base Layer:
Base Insultation Size and Thickness: N-r" Parapet
Base Insulation Fastener/Bonding Material: Height
Top Insulation Layer:
Top Insulation Size and Thickness: �'-� FT.
Top Insulation Fastener/Bonding Material:
Mean
Base Sheet(s)&No.of Ply(s): N-i'An" Roof
Base Sheet Fastener/Bonding Material: Height
PIy.Sheet(s)'&No.of Ply(s),: `1
Ply SheetFastener/Bonding Material:
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Top Ply: C1V\X- P(\\r(1X'0.N 51yY�.ct..
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Top Ply Fastener/Bonding Material:
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