The URL can be used to link to this page

Home My WebLink AboutSUBMITTED PAPERSDATE: FEESDUE: RECEIPT#:.1 Permit#: �I Planning & Development Services Department Building & Code Regulation Division 2300 Virginia Avenue `�� • Ft. Pierce, FL34982-5652 Tel.772-462-1553 �t r Q00 APPLICATION FOR ROOF PERMIT county SEE REVERSE SIDE FOR INSTRUCTIONS 1. Location/Site Address: Y�/_00 SDI ban L29.. i 690-6. AL. 2. Parcel ID Number: 13/3- 50O2- 0007-- DOD — Ll Office Use Only Section Township Range Map Page Zoning Land Use Initials 3. Description of Project or Work Activity: £ o F 4. Total Roof Area (square feet): 3D 5. Roof Pitch: �kw 2-- 6. Type of Roof: KFiberglass Shingle [ ] Concrete Roof Tile [ ] Wood Shake / Shingle [ ] Tar & Gravel [ ] Modified Bitumen [ ] Other [t,rroduct Approval required for all types of Roofing Material (2 Sets) [ ] All Commercial Roofing requires design by an Engineer or Architect (2 Sets) with Product Approval attached ** Roof Mitigation per F.S. 553.844 will be required. 7. Owner Information 8. Contractor Information Name: M,Vle W We)LAVEje FL Reg/Cert#: CG.61 032�9� Address:.2/,9S �4v'6,' 5, County Cert #: Enlr�2�oei1156 City: V640 State: leL Business Name: z�DfU4ZC - It 6AVA5 Zip: 3.2 2 Phone:'17 Cell Phone: 9. Value of Construction: S l ODD. "Note Dry -in and Final Inspection Required. Additional inspection may be required per Product Approval. CONTRACTOR/OWNER'S AFFIDAVIT: I certify that all of the information contained in this appl• ation is correct and that all work will be done in compliance wi%all applical)lg l9q re&Iating onstruction and zoning. MICH1461- ;e. 8mcoo(� PRINT QUALIFIERS/OWNERS NAME 8181KATURE OF QUALIFIER/OWNER STATE OF FLORIDA, COUNTY Of<Ej��7 Lk�s_ // \\ ACKNOWLEDGED BEFORE ME THIS ��DAY OF 20��BY a WH9Z PERSONALLY KI\OWN TO ME O111111R Hf1�PRODUCER� . L 1 1 1�rD8NTIFJ:C III SIGNATURE OF NOT71Y COMMISSION NUMBER_ .�. PR KT NA E 0 NOTARY _ ( � tvlY COMP�+S510N # Cf 083�3p ;,��,;:H ,:` EXPIRES; April 72, 2015 '• ° ;,(; Y„ Bonded Thru Nota _�� ry Public Underwriters NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYIN`G''TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Revised 4/26/2010 Feb 18 14 05:28p Martha Black , (� 1 77257 "1-781 P.1 Planning & Development Services Building & Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL 34982 772-462-2165 or 772-462-2172 Fax: 772-462-6443 ROOF INSPECTION AFFIDAVIT Re: Permit # S L (�? l goZ-0/ 0013 !, / llC�►��}EL , licensed as a(n) ntractor* Engineer/Archirtect (Please print name & circle license type) *F5468 Building Inspector *General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection. On or about .-2`9-e�?I did personally inspect the roof deck nailing (Date) work at: 7` 41&0 (Job site address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.) ,/ /, l '1-12Signature and Seal STATE OF FLORIDA COUNTY OF License # Sworn to and subscribed enfore me this day of —.. 20_LV:, / ICev Who is personally known to me ohas produced as identification. Notary Public, State of Florida Signature of Notary:X Commission Number: t 8Go ��rr J (Seal) En 01/19J2011 DIANNE L 13ROOKS •'c MY COMMISSION # EE6604t6 EXPIRES January 27.2017 t�07138'8-0153 Flondallopry9Mhp.00m RFrFIVFn MB 18 7.014 JOSEPH E. SMITH, CLERK OF Tur CIRCUIT COURT — SAINT LUCIE COUNTY FILE # 3925392 OR BOOK 3 PAGE 1056, Recorded 02/14/2014 at 1 2 AM Permit No. Tax Folio No.1313-502-0007-00014 NOTICE OF COMMENCEMENT 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. 1. Description of property: Lot 430, Holiday Pines, Phase 111; 4400 Redwood Drive, Ft. Pierce, FL 34951. 2. General description of improvement: roof replacement. 3. Owner information or Lessee information if the Lessee contracted for the improvement: a. Name and address: Mark W. Wolaver; 2185 70' Avenue SE Vero Beach, FL 32962. b. Interest in property: Owner. c. Name and address of fee simnle titleholder: Same. 4.a. Contractor: b. Contractor's phone number: 772- 6-62- 74SC9 5. Surety (if applicable, a copy of the payment bond is attached): N/A r 6.a. Lender: Everhome Mortgage; PO Box 6520319, Doraville, GA 30362; 888.492.8341 . 7. Persons within the State of Florida designated by Owner upon whom notices or other documents maybe served as provided by Section 713.13(1)(a)7., Florida Statutes: N/A 8.a, In addition to himself or herself, Owner designates N/A of N/A to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. N/A 9. Expiration date of notice of commencement (the expiration date may not be before the completion of construction and final payment to the contractor, but will be 1 year from the date ofrecording unless a different date is specified) . WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, 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 SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein r ttv to the best of my knowledge and belief. iK�� Mark W. Wolaver The foregoing instrument was acknowledged before me this 1 day of February, 2014, by Mark W. Wolaver. rint Tyne. or StamR Commissioned Name ofNotary Public Personally Know OR Produced Identification Type of Identification Produced tr fw� FR M O TOMLIN50M i r MY OOMMISSIOt14 EE V4425 EXPIRES: June29,2016 . 9a4M nuu Wzy Pubk Urdmn@en S`P'ATr 0f FcOMA ST- dal OWE C(��y�JI"�TY A r 4 1 mis IJ -ra CERT1rY 1 f'IHI 1 NlC tip A 1RUBAf p HIT Illy 0,;FI 0RIUIM .IN4ITFXtERK Data: O F!or-ida Building Code Online Pagel of 2 r33t�c— . 1��_-a: x.=�(:��.c�'Y�! vi..Z:P,'tIG2 �•�1�st�T._�`- _�_�_c..._ Il��.��:1: 100, ePl11T-.wq BCIS Home Log In User Registration Hct'ropics ; Submit Surcharge Slats E Facts Publications FBC Stan SCIS Site Map Links Search Busines "('0 Professir tal }�` Product Approval USER- Public User Regulation Frodnct aonmvat Ffenu > S[ ar 1.,olirattnnynar& > annucatinn I is > Application Detail ,ZEN''- FL 9 FL10674-116 �=�•_ Application Type Revision Code Version 2010 eye Application Status Approved v Comments Archived /`.__ Product Manufacturer V Owens Coming Address/Phone/Email One Owens Corning Parkway Toledo, OH 43659 (740)404-7829 greg. keeler@ otvenscoming.con Auttibrized Signature Greg Keeler greg.keeler@owenscorning.com Technical Representative Mel Sancrant Address/Phone/Email - 1 Owens Coming PKWY Toledo, OH 43659 (419) 376-8360 mel.sancrant@owenscornig.com Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance Method Florida Engineer or Architect Name who developed the Evaluation Report Florida License Quality Assurance Entity Quality Assurance Contract Expiration Date Validated By Certificate of Independence Referanced Standard and Year (of Standard) Equivalence of Product Standards Certified By % Roofing Asphalt Shingles Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer `• Evaluation Report - Hardcopy Received Roben ].M. Nieminen PE-59166 Underwriters Laboratories Inc. 09/26/2014 John W. Knezevich, PE Validation Checklist - Hardcopy Received FL10674 R6 COI Trinity ERD Cl - Nieminen.Ddf St*ndDrd yAar_ ASTM D3161, Class F 2006 ASTM 03462 2007 ASTM 0715S, Class H 2O07 http:l/www.#loridabuilding.org/pr/pr app_dt1.aspx?param=wGEVXQwtDgtBNbEYSV%2... 9/12/2012 FROM . -Florida Building Code Online <WED>Sep 12 no 12 I :23lST. 7'1 :22/No_ 930129�Vr< �' Page 2of2 Sections from the Code Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved Date Revised Method 1 Option D 02116/2012 02/21/2012 02/24/2012 04/03/2012 08/03/2012 Summary of Products j I FL Model, Number or Name Description Owens Corni=Tli b,laminated, starter, and hip &ridge �10674.1 Shingles andits of Use allation Instructions 0674 R6 ll er020612FINAL OC FL10674- I Papproved for use in HVHZ: No HVHZ: Yes As halt Shinales.odf lI Approved for use outside Impact Resistant: N/A Verified By: Robert J. M. Nieminen PE - 59166 Vesign Pressure: N/A Created by Independent Third Party: Yes s Other: Refer to ER, Section 5. Evaluation Reports FL 0674 R6 Ag. er020612FINAL OC FL10674- R6 As halt Shin a df Created by Independent Third Party:Yes ' rk "'it 1 rr 1 c :; o •n Na.th Mo+ma Srrr-�t Taflaba«�Ea�F .. 2�3g9 Fhona: b50-t87-1824 The State Of Florida Is an 01SM employer, [nnvright 2007-2010 State of Florida.:: PNvaty 5 amen[ :: dCCe«ibifity Statement :: Refund Statement under Florida law, email addresses are public records. If you do not want your e-mall address released In response to a Public -records request, do not send elec tunic mail to this entity. instead, contact he office by phone or by traditlonal mall. if you have any quitoors, please Contact 850.4B7.1395. .pursuant to Section 455-275(l), Florida Statutes, effective October 1, 2012, licenses licensed under Chapter 45S, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses art public record. if you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter 455, F.S•, please click rflLE• Product Approval Accepts: W9 FaN M 31 '= securitr iL�ttic> %,yllat�,mom t http://www.floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDgtBNbEY5V`/o2... 9/12/2012 <WED>SEP 72 2072 77: 23/ST. I:22 /No. 330Y239022 P 3 Florida Building Code Online Page 1 of 2 •.+r-16�.• .•. .'Cf ', ,:.., Gi. l i i{,I.;,{C;Y_ ! - i�� R �� ,_ F�F.'i x`�.•Jtcy � �-d i�.�� :1�.�.y., F1: f. t.�� . �k:>- �a,ida lrjp(r1. -en,ECiS Home Log In User Registration Ho: Topic , Submit Surchorge Stats & Fact Publications FSC Staff eC1S Site Map Links Search Business"X) L Product Approval Professign a� USER: Public user Regulation Pmrh, . Annmval 14�o > ProAua nr AO-11,atton Soard, > Aoclication List > Application Detail I 7a, FLU ffi FL5259-R15 Application Type Revision Code Version 2010 Application Status Approved Comments Archived _. Product Manufacturer t POLYGLASS USA Address/Phone/Email 150 Lyon Drive Fernley, NV 89408 (570) 384-1230 Ext 242 jaklns@polyglass.com Authorized Signature James Akins jakins@polyglass.com Technical Representative Steve Wadding Address/Phone/Email 150 Lyon Drive Fernley, NV 98408 (602) 363-7139 stevew@polyglass.com Quality Assurance Representative James Akins Address/Phone/Email 555 Oakridqe Road Humboldt Industrial Pkwy Hazleton, PA 18201 (800) 894-4563 lakins@polyglass.com Category --Roofing Subcategory �� Underlayments Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who Robert Nieminen developed the Evaluation Report Florida license PE-59166 Quality Assurance Entity UL LLC Quality Assurance Contract Expiration Date 11/30/2012 Validated By John W. Knezevlch, PE -" Validation Checklist - Hardcopy Received Certificate of Independence FL5259 R15 COI Trinity ERD CI - Nieminen.odf Referenced Standard and Year (of Standard) Standard Year ASTM D1970 2001 ASTM D226 2006 ASTM D6164 2005 http://Www.floridabuilding-or,/prlpr app_dtl.aspx?param=wGEVXQwtDgvbSgAaZp3Crk.-. 9/12/20I2 FROM Florida Building Code Online, <WED)SEP 72 2072 77:23lST. ll:22/tVo. 9301299022 P 4 Page 2 of Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Date Submitted Date Validated [late Pending F8C Approval Date Approved Date Revised Summary of Produevc ASTM D5222 2002 ASTM G154 2005 ASTM G15S 2005 FM 4474 2004 FRSA/TRI07320 2005 TAS 103 1995 Method 1 Option D 04/23/2012 04/25/2012 04/28/2012 06/11/2012 08/17/2012 FL # Model, Number or i Description Name I.5259.1 Polyglass Roof Roofing underlayments If Underlayments Limits of Use Installatlon Instructions Approved for use in HVHZ: No FL5259 R15 II er042212FINAL POLY LASS UNDERLAYMENTS FL5259 Approved for use outside i1115.odf HVHZ: Yes i Verified By: Robert Nleminen PE-59166 ' impact Resistant; N/A Created by Independent Third Party: Yes i Design pressure! +N/A/-622.5 Evaluation Reports � Other: 1.) The design pressure in this ;application relates to one particular FL5259 R15 AE er042z12FINAL POLYGLASS UNDERLAYMENTS FL5259 R15.odf underlayment system for use under Created by Independent Third Party: Yes fi foam -on file systems. Refer to ER Section 5.5.2 for other systems and maximum design pressures. 2.) Refer Ito ER Section 5 for other limits of use. S rcY next .nta^t t<:: 19aQ North �Qnroe Stree• '�Ihhaccoc = a�zeo phone: 850-<87-18 d The State of Flo. ida is an WEED employe.^. Cowrloht 2nn7.7ntn State of Florida,;-. privacy Grate_ment ;; F Kdbility Ct>tomoat ;; Aotund ct t•m fit Order Merida raw, er.,au addresses are oubi:c records. If you do not want your a -mall address released In response to a public -records request, do no% send eiectmnic mail to this entity. instead, contact the office by phone cr by tradico: al mall. If you have any questions, please contact esb.497.1395. •Fursuant to Section 455.275(t), Florida statutes, effective oCober 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address If they have one. The entails provided may he used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a pesoaal address, please provide the Department with an email address which can be made available to the public To Cetermine If YOU are a licensee under Chapter 555, F.5_, pleam dick here_. Product jAppre"l Accepts: "N 1W � _� ram'°'" � - ncedntvsuenuu� ,'�tCti 1 1 ft, V.As:ga http://www.floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDgvbSgAaZp3Crk... 9/12/2012