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HomeMy WebLinkAbout1303-0120 APPLICATION ROOF PERMIT-NOC -CONTRACTDATE: 1 ) FEES DUE: r • :r . RECEIPT #: Permit #: 1. Location/Site Address: Plannin & Development Services Department Building & Code Regulation Division SCANNED 2300 Virginia Avenue �V Ft. Pierce, FL 34982-5652 �+11 Tel. 772-462-1553 St Lucie Courd f APP ICATION FOR ROOF PERMIT D D SEE REVERSE SIDE FOR INSTRUCTIONS h 2. Parcel ID Number: I25 (q- � 41j 1 _6 QQ 1- QaQ Office Use Only Section Township, Range Map Page Zoning Land Use Initials -.A Igo] 3. Description of Project or Work 4. Total Roof Area (square feet): 6. Type of Roof: [ fiberglass kctivi �/' of lar, � s icafmVI, (i DK� 5. Roof Pitch: 51 i a, Shin le [ ] Concrete Roof Tile [ ] Wood Shake / Shingle [ ] Tar & Gravel [ Product Approval required [ ] All Commercial Roofing req Approval attached ** Roof Mitigation per F.S. 553. 7. Owner Information�.j[/� Name: S l. Lucie [ n f m 41 Address: ol-SUO Vf K4 Uli OL City: �'�. �j QiCQ State: F �-- Zip: Phone: 9. Value of Construction: $ "Note Dry -in and Final Inspection Required. Ad, [ ] Modified Bitumen [ ] Other all types of Roofing Material (2 Sets) design by an Engineer or Architect (2 Sets) with Product will be required. 8. Contractor Information FL Reg/Cert #: C C e 0 s(Pa 3 I ule County Cert #: Business Name: f� ,,II Pre frCn ell Phone: -1 -'f (0 g -i V7 Q 17 I :final inspection may be retired per Product Approval. CONTRACTOR/OWNER'S AFFIDAVIT: I certify that 411 of the information contained in this application is correct and that all work will be done in com liance with all a able laws regulating construction and zoning. PRINT QUAL IERS/OWNERS N ME SIG TUR Q ALI ER STATE OF FLORIDA, COUNTY OF Jl . I fit i .Q ACKNOWLEDGED BEFORE ME nn�M�VnRUASPR( N DAY OF Wjip�IS.EEVS�ONALLJrKWWN GNATURE OF NOTARY TYPE OR COMMISSION NUMBER li li ( 5 ( k NOTICE TO OWNER: FAILURE TO RECORD A NOJ FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU ATTORNEY BEFORE RECORDING YOUR NOTICE OF i Revised 4/26/2010 _ 20J1, BY 1) AS IDENTIFICATION NAME OF NOTARY �' s z CH�TINE FISHER MY COMMISSION # EE1S1248 EXPIRES Decengw 08. 2011; E OF COMMENCEMENT MAY RESUL CE [TEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR INSTRUCTIONS - ' Please complete all information in the spa only) or typed. This roof permit application under a primary building permit. This apple alteration. Building activities involving strL through the regular building permit review includes: 1. Location/Site Address 2. Parcel ID Number 3. Description of Project or Work 4. Total Roof Area S. Type of Roof 6. Owner Information 7. Contractor Information 8. Value of Construction : provided. All information must be printed (use black or blue ink is to be used only for those activities that are not otherwise included -ation may not be used for any activity that includes structural ctural alteration, in addition to the roof work, must be permitted )rocess. The information to be provided with this application This application can be submitted to St. Lucie FL 34982. All permit applications must be fill accepted for processing after 4:30 P.M. For 462-1553, during regular office hours (8:00 A Upon issuance of this permit, required St. Lucie County Roof Permit Application rev. 3/l/2009 Indicate the street address or general location of the property where the building activity is taking place. Indicate the tax identification number of the property where the building activity is taking place. Completely describe the building activity to take place. Please indicate if tear -off or shingle over shingle etc. Indicate total roof area to be affected by this permit. Also indicate the pitch of the roof, expressed as a standard ratio, of run rise. Indicate the type of roof being repaired or resurfaced. Indicate the name and address of the owner of the property on which building activity is taking place. Indicate the State of Florida. registration number (if applicable), St. Lucie County contractor license number and the name of the business doing the work. Indicate the total value of the work to take place. Total cost of construction includes all material and labor costs associated with the building/construction activity. Construction value is used to determine the permit fee. St. Lucie County reserves the right to question and/or modify the indicated value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction. )unty Building and Zoning, 2300 Virginia Avenue, Fort Pierce, out completely before submission. No applications will be sistance in completing this application, please call (772) -. 5:00 PM), Monday through Friday. can be scheduled by calling (772) 462-1261. St. Lucie t,oun Board of County CommissiLuners 2300 Virginia Ave. it. Pierce, FL 34982-5652 elehpone: (772) 462-1700 Fax:'172)462-1704 PUR HASE ORDER Vendor: 21493 The Roof Authority Inc 6771 N Old Dixie Hwy Fort Pierce FL 34946 Please send invoices to: St. Lucie County Mosquito Control 2300 Virginia Ave. Ft. Pierce, FL 34982-5652 Description Requisition #: R1301503 Re -roof Ladies restroom @ Frederick Douglas Re -roof & drywall repair for ladies restroom Frederick Douglas Park as per quote dated on 2/14/13. -----------------READ CAREFULLY -------------- By the acceptance of this purchase order, the vendor specifically agrees to all of the term and conditions on the reverse side. The vend further agrees to indemnify the county for an liability arising out of the service provided the vendor under this Purchase Oder and to maintain insurance in the amounts required by the St. Lucie Risk Manager. B-13-184-7270-546100-700-MOSQCT 3q�k S,Ouct., of \Ie For additional information contact: Christine Thompson 462-169-5 thompsonc@stiucieco.org This order subject to all terms and conditions set forth on the reverse side PAGE: 1 PO Number: P1301469 I > (PO number must appear on all documents and packages) I Issue Date: 02/20/13 1 Delivery Date: 09/30/13 Ship these items to: Mosquito Control Mosquito Control 3150 Will Fee Road Fort Pierce FL 34982 Quantity 1.001 EA Unit Price 3,190.0000 Extended Price TOTAL: $3,190.00 3,190.00 Federal Employers Identification: 59-6000835 State Sales Tax Exemption: 85-8012622335C-9 Purchasing Director VENDOR COPY IRMS-TAND C;ONDITIC !S The following Terms and Conditions are applicable to this order entered INTERPRETATION: VENUE into by and between St. Lucie County (referred to as County) and Vendor All interpretations of this purchase order shall be governed by the laws of (referred to as Seller). the State of Florida. In the event it is necessary for either party to initiate legal action regarding this order, venue shall be in the Nineteenth MODIFICATIONS Judicial Circuit for St. Lucie County, Florida, for claims under state law No modifications of this order shall be binding upon County unless and the Southern District of Florida for any claims which are justiciable in approved in writing by an authorized representative of the St. Lucie federal court. County Purchasing Department. EXCUSABLE DELAYS The County may as its option grant additional time for any delay or failure to perform hereunder if the delay will not adversely impact the best interest of the County and is due to causes beyond the control of the Seller. Such grant must be in writing and made part of the order. DEFAULT In the event of default by the Seller, County may procure the articles or services covered by this order form other sources and hold the Seller responsible for any excess costs occasioned thereby. The following shall be considered a default: (1) Failure to make complete deliveries within the promised time. (2) Unauthorized substitution or delivery of goods deemed by the County to be inferior. (3) Inability to the Seller to fulfill the terms and conditions of this order. TERMINATION The County reserves the right to terminate this order in whole or in part for default (a) if Seller fails to perform in accordance with any of the requirements of this order or (b) if Seller becomes insolvent or suspends any of its operations or if any petition is filed of proceeding commenced by or against Seller under any State or Federal law relating to bankruptcy: arrangement, reorganization, receivership or assignment for the benefit of creditors. Any such termination will be without liability to the County except for completed items delivered and accepted by the County. Seller will be liable for excess costs of reprocurement. F.O.B. All materials must be shipped F.O.B. Destination. The County will pay no freight or express charges, except by previous agreement. If specific purchase is negotiated on the basis of F.O.B. shipping point, SELLER IS TO PREPAY SHIPPING CHARGES AND ADD TO INVOICE. Delivery must actually be effected within the time stated on Purchase Order, failing which the County reserves the right to cancel this order and purchase elsewhere. In case of default by the Seller, St. Lucie County may procure the articles or service covered by this order from other sources and hold the Seller responsible for any excess expense occasioned thereby. TERMS By accepting this order, the Seller agrees that payment terms shall be Net 45 unless otherwise stated. INVOICING Seller must render original invoice in duplicate to the St. Lucie County Finance Department, 2300 Virginia Avenue, Fort Pierce, Florida 34982. TAX St. Lucie County is exempt from Federal and State sales, Use and like taxes. Sellers doing business with the County shall not be exempt from paying sales tax to their suppliers for materials to fulfill contractual obligations with the County, nor shall any Seller be authorized to use the County Tax Exemption Number is securing such materials. RESPONSIBILITY Responsibility will not be accepted for any goods delivered or services performed unless covered by a St. Lucie County Purchase Order and contract (if applicable). CONFLICT WITH CONTRACT In the event that an additional written contract exists between the County and the Seller for the sale and purchase of the item(s) subject to this purchase, the terms of the contract shall control. PURCHASE ORDER & CONTRACT NUMBER Purchase Order Number & Contract Number (if applicable) must appear on all invoices, packing slips, shipping notices, freight bills, and correspondence concerning this order. DELIVERIES Deliveries are to made during the hours of 8:00 A.M. to 12:00 P.M. and 1:00 P.M. to 5:00 P.M., Monday through Friday excluding holidays, unless otherwise stipulated. Failure to notify the County concerning the type of delivery will result in the billing to Seller of any add -on re -delivery, storage, or handling charges. INSPECTION All Goods delivered on this order are subject to inspection upon receipt by representative of the County. All rejected commodities shall remain the property of the Seller and will be returned at the Seller's expense. QUANTITIES Quantities specified in the order cannot be changed without prior written approval of the County. Goods shipped in excess of quantity designated may be returned at Seller's expense. PAYMENT CHANGES Payments will be made only to the company and address as set forth on order unless the Seller has requested a change thereto on official company letterhead, signed by an authorized officer of the company. ANTI -DISCRIMINATION Sellers doing business with the County are prohibited from discriminating against any employee, applicant, or client because of race, creed, color, national origin, sex, disability or age with regard to but not limited to the following: employment practices, rates of pay or other compensation methods, and training selection. LIABILITY-COPYRIGHT/PATENT/TRADEMARK Seller shall save and hold harmless St. Lucie County, its employees and agents from liability for infringement of any United States patent, trademark or copyright for or on account of the use of any product sold to County or used in the performance of this. order. INDEMNIFICATION/ INSURANCE Seller agrees to indemnify, save and hold harmless St. Lucie County, its employees and agents against any and all claims, damages, liability and court awards including costs, expenses and attorney fees incurred as a result of any act or omission by. the Seller, or its employees, agents, subcontractors or assignees, arising out of -;the services, provided under this Purchase Order. Seller agrees to maintain insurance sufficient to protect the interests of the County. OCCUPATIONAL SAFETY AND HEALTH The Seller agrees to furnish St. Lucie County with a current Material Safety Data Sheet (MSDS) on or before delivery of each and every hazardous chemical or substance purchased which is classified as toxic under Florida Statute 442. Appropriate labels and MSDSs shall be provided for all shipments. Send MSDSs and other pertinent date to: St. Lucie County Purchasing, 2300 Virginia Avenue, Fort Pierce, Florida 34982. PUBLICITY No endorsement by the County of the product and /or services will be used by Seller in any way, manner or form in product literature or advertising. G:FORMS\PO-BACK.DOC AUGUST 22, 2002 +Pat Search Images Maps Play YI\-_--=`e News Gmail Drive Calendar More Google oppenbornl(fstlucieco. orq I Pat Gaffne 0 Share f Gmail Move to Inbox More 3 of 3 Circles Notes pat(o)theroofauthorit Personal Travel More From: Pat Gaffney [mailto:pgaffn I mM1 Sent: Thursday, February 14, 2013 :il PM To: James Oppenborn Subject: Re: Frederick Douglas Par - Restroom Re -Roof & Drywall Repair Quote Just to be sure,that is the correct re 'troom in the attached pictures? Yes -the attached pictures from your proposal clearly show Frede ick Douglass park. You mention below the permit fee is Included in your quote. Does thisi include the time for permit preparation and submittal? +Pat Search Images Maps Play You New Googie oppenbornj(a)stlucieco.orq Gmail j COMPOSE Inbox Starred Important Sent Mail. Drafts Circles Notes oatAtheroofauthorit• • • Personal ` Travel More Gmail Drive calendar More - f Pat Gaffney O 1 — Share Move to Inbox A i More, 3 of 3 6771 Date: 2-14-13 Submitted to: St. Lucie County - Purchasing Attention: Mr. James Oppenborn Phone:462-1713 — e-mail: i We are pleased to submit the following follows. We agree to provide all labor, i million dollars. Work Scom: 1. Tear off and remove existing metal and legally dispose of debris. *'he toof ►uthority, Inc. "Your Quality Leader" State License # CC C056933 h Old Dixie Highway, Fort Pierce, FL 34946 772) 468-7870 9 Fax (772) 468-2247 www.theroofauthority.com 06j PROPOSAL<Y 0-1 Name: FredVomn 'Ik Douglas Park Res tr Roof Area RE: Re -Roof & sal for your consideration on the above referenced premises as d, tools, equipment, and the proper insurance in excess of four underlayment and related metal flashings down to the existing wood deck 2. Visually inspect existing wood substrate and replace all deteriorated plywood with 5/8"CDX plywood utilizing approved fasteners. 3. Furnish and install one ply of approved 30 b. Roofing felt utilizing approved 11/4" stainless steel barbed roofing nails and tin -tags to meet code requirements. 4. Shop fabricate and install .032 prefinished aluminum eve and gable metal flashings utilizing approved stainless steel fasteners to meet code requirements. 5. Furnish and install approved 30 year di approved stainless steel fasteners to meet 6. Tear out and remove one {l} area of dama€ 7. Furnish labor & material to install new dry 8. Clean up and cart away all roofing and dr; 9. Furnish TRA's five year Weathertightness Quotation: For the Sum of. Two Thousand Nine Hi Alternate Ouote: Furnish and install one {1} ply of felt with 30 year dimensional shin Quotation: For the Sum of. Three Thousand One F shingles {standard color} including all related trim utilizing requirements. drywall @ interior of Women's restroom and legally dispose of debris. 11 to match existing at one {1} damaged drywall area. Il installation related debris. rranty. Thirty Five Dollars {$2,935.00} ed self -adhering modified underlayment in lieu of 301b. s {standard color} dred Ninety Dollars {$3,190.00} EXCLUSIONS Page 2 of 4 TRA specifically excludes the following owner's expense: ■ Concrete, lightweight, steel, wo( UNIT PRICES ■ Replacement of plywood decking (if nee( ■ Re -nailing of the plywood, if necessary w ■ Additional work (if needed), beyond the $65.00 per man-hour. The work will be accomplished and guarar which are made a part of this Proposal and notifies the owner that these items must be addressed by others and will be at or any other form of deck replacement, other than that specifically noted herein. - $2.50 per square foot (Minimum '/2 sheet per location) be additional $20.00 per square. of our contract will be charged at material cost plus 25% and labor rate of in accordance with TRA's Standard General Conditions and Limited Warranty, ;ement, and incorporated herein by reference. YOUR SIGNATURE BELOW All labor and material necessary to perform the above work will be furnished for the sum of Dollars ($00.00), (IF TAX EXEMPT, CERTIFICATE REQUIRED UPON EXECUTION OF THIS PROPOSAL AND AGREEMENT), payable at TRA's office in lort Pierce, Florida, in full, upon completion of the work. If the entire job is not completed within any calendar month, progress payment for all labor and/or materials on the job by the last day of each month are due no later that the tenth (1 Ot") day of the (succeeding month until the time final payment, upon completion, is due. Prior to initiation of any action, the parties a€ either chosen by agreement between the partii is not resolved by mediation, any claim or cc action by an employee or agent of TRA, sl Construction Industry Arbitration Rules of tl issue written findings of fact and conclusions proceedings. The judgment of the Arbitratc binding on both parties, except for errors of 1 mediation will be shared equally or as award( all costs of litigation. ;e to participate, in good faith, in a minimum half -day mediation with a mediator or as assigned by the American Arbitration Association. In the event the dispute troversy arising out of or relating to this Agreement or breach thereof, or to any 1 be settled by arbitration in accordance with the Federal Arbitration Act and American Arbitration Association. However, the arbitrator shall be required to f law. Moreover, the parties shall split the cost of keeping a written record of all may be entered in any court having jurisdiction thereof and shall be final and ✓, which shall be appealable. The parties agree that all expenses of arbitration or by the arbitrator. The successful party shall also be entitled to attorney fees and Due to the extreme price volatility regard}ng petroleum products, the price quoted in this proposal is valid only for orders placed and paid within the next 30 ays. If there is an increase in the price paid by The Roof Authority, Inc. for asphalt, polyisocyanurate, steel or other materials, including transportation charges, the amount of this proposal/contract shall be similarly increased to reflect the increased costs to obtain the materials. BUYER HEREBY APPROVES AND ACCEPTS THIS I ROPOSAL AND AGREEMENT. TOGETHER WITH TRA'S STANDARD GENERAL CONDITIONS AND LIMITED WARRANTY I NAME: DATE: THE ROOF AUTHORITY, INC. Christopher A. Long, President Florida License CC C056933 JOSEPH E.. SMITH, CLERK OF THE 9IRCUIT COURT — SAINT LUCIE COUNTY r FILE # 3808845 OR B1;` 3493 PAGE 6,,Recorded 03/08/2013 at 49 AM SCANNED BY 25� g �� r..(�DO � . 000 • r cat LucieCoHOW Permit No, Tax folio No. + State of Florida County of St. Lucie The undersigned hereby gives notice that improvement wil be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Corn encement. Legal Desyip2 n =and(reet address If available): le): General description of Improvement: l.S r0 Or71 /1Q.✓t � t Ott. Owner Inform to of Lessee in mats If the Lessee co i fretted for the Improvement; Name Address famn L Interest in property: go - Name and address of fee simple titleholder (if different frorp Owner listed above): ` Contractor'sName:M0 a.f ILI.Ir. .y C ContractorAddress:.u1� tY RArirte Phone Number. + l 3YQ�lG Surety (if applicable, a copy of the payment bond is attached): Amount of bond: 0114 Name and address: Phone number: Lender Name: fJ I Phone Number: Lender's address: Persons within the State of Florida designated by Owner u on, whom notices or other documents maybe served as provided by Section 713.13(1) (a)7., "0 Qi a Statutes: Name: Phone Number: Address: In addition to himself or herself, Owner designates I Of to receive a copy of the Llenor's Notice as provided in Section 71 .13(1) (b), Florida Statutes. Phone number of person or entity designated by owner: I Expiration date of notice of commencement: (the expiration dale may not be before the completion of construction and final payment to the contractor, but will be 1 year from the date of recording unl7s a different date Is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTERTHE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SrrE BEFORE THE FIRST INSPECTION. IF YOU INTENDTO OBTAIN FINANCING, CONSUm WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. E Under penalty of perjury, I declare that I have re d the foregoing notice of commencement and that the facts stated therein are true to the best of j my knowled and bel� U nature o Owner or Less , o nets or Lessee's Aut orizeii Officer/Director/Partner/Manager (. Coa1lq�/'Z.- CAS lC Pr. /S i�o \cN� }��c f (Sianafnn/c Titlelrlffirel . The foregoing Instrument was acknowledged before me this day of� /(�„ 20 % � /� ( ( By yh dn� ©/ as,�l1[�o L4' for l�At� �Os[J. LO jl a Irnljmt {E Name of Per n Type of 'utl rity (e.g. officer, trustee) Party on behalf of w! om lost ment was executed E ovally known_or/produced Identification_. 1 ( ignatureofNotary ublic-State ofFlodda) y�(+:' I Cj�R13!in1E'ri HER (Print, Type, or Stamp Commissioned Name o�ir,<:S.{� .x �E Iti?:T4i of Identification produced i EXPIRE ;.'•iccm:::.r :xi, 2015 I<U7 3YW1l0 FUCG6)t5 .:50.91M.:om r J4 1. OR BOOK 3493 PAGE 7 1 Page 1 of 1 Full Legal Deserlption 19120 35 41 E 112 OF GOUT LOT 8-LE6S S 338 FT AND LESS THAT PART MPDAF: FROM NW CDR OF E 1/2 OF GOVT LOT 8 RUN S 00 22 48 ALG W LI OF E 1/2 OF GOVE LOT 8 360.53 FT TO POS: TH N 89 53 54 E 344.36 FT, TH S 1817 34 E 103.71 FT, TH S 4210 15 E 127.46 FT, TH N 89 5219 E 278.61 FT TO MEAN HIGH WATER LI OF ATLANTIC OCEAN, TH S 16 30 E MEANDERING ALG HIGH WATER LI 30.15 FT, TH S 20 41 16 E 93.03 FT, TH S 19 43 54 E 69.74 FT, TH S 20 26 57 E 67.69 FT, TH S 23 36 01 E 72.23 FT, TH S 22 26 00 E 65.84 FT, TH S 18 31 E 50.09 FT, TH S 69 52 19 W 895.31 FT TO W LI OF E 112 OF GOVT LOT 8, TH N 00 22 48 W ALG W LI 613.36 FT TO POB AND N 100 FT OF THAT PART OF GOVT LOT 7 AND N 100 FT OF THAT PART OF W 1/2 OF GOUT LOT 8 LYG E OF A1A (RD R/W) (8.45 AC) (MAP 25119SX) STATE OF FLORIDA ST, LUCIE COUNTY r1416 19 TO CFRTIFY THAT TMIR it A http://www.paslc.org/paslc/legal.asp 1 3/6/2013