HomeMy WebLinkAboutSUBMITTED PAPERSFEES DUE: RECEIPT
11. Location/Site Address:
Pernut #:
Planning & Development Services Departn
Building & Code Regulation Division
2300 Virginia Avenue
Ft Pierce, FL 34982-5652
Tel. 772462-1553
�,Jn hAPPLICATION FOR
,yROOF
nPERMIT
/ , 4 ,!AVERSE _
UC
2. Parcel 11D Number:
ent
Office Use
Only
Section
Township
Range
Ma Page
Zoning
Land Use
Initials
0
3. Description of Project or Work Activity: Od g
4. Total Roof Area (square feet): 5. Roof Pitch:
6. Type of Roof [ 4/Fiberglass Shingle [ j Concrete Roof Tile
0i'
[ j Wood Shake / Shingle
[ ] Tar & Gravel [ ] Modified Bitumen [ J Other
[ 4/Product 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
/� Q 8. Contractor Information p
14
Name- �%%/ �4 CCCC f'CC� �/'I� FL Reg/Cent #: 1/7
Address: Off% of %lf ✓Z/i� County Cert #:
City: Stater Business Name: C( ,ZD 127C
Zip: "% Phone: o• 7" 9�0 Cell Phone: 72 �7� 7 c�
9. Value of Construction: $ Z Y00 ,
co
_
"Note Dry -in and Final Inspection Required. Additional inspection may be required per Product Approval.
CONTRACTORIOWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be
done in compliance with all applicable laws regulating construction and zoning.
PIUNIT QUXLME T
WNERSNANX , ' 7 S1G&ATUpjyOF QU LIFIER/OWNER
STATE OF FLORIDA, COUNTY OFF �rPP
ACKNOWLEDGED BEFORE ME DAY OF 20� BY
WHO IS PERSONALLY KNOWN TO ME OR HAS PRODUCED AS IDENTIFICATION
ers ilpA wry ^ Gov Pro���ij�
SIGNAT OF NOT TYPE OR P NAME OF NOTAIIY : a? �'
l
l
COMMISSION NUMIiE � C ''}''F' • - ��" EXPIRES April 20'i4
(407) 398-0163 FloridaNnt9rySerlia:.cor!
NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING 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
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 3926092 OR BC 3604 PAGE 2956, Recorded 02/18/2014' 10:05 AM
NOTICE OF COMMENCEMENT
Tole completed wAen construction value exceeds $2,500.00
PERMIT /: TAX FOLIO a 1423-802-0002-230-9
STATE OF FLORIDA COUNTYOF
The undersigned hereby gives notice that Improvement will be made tocertain �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 STREET ADDRESS, IF AVAILABLE):
3405 N. AtA Fort Pierce Fl. 34957 SECTION: 23 TOWN: 34S RANGE 40 E
GENERAL DESCRIPTION OF IMPROVEMENT: RE -ROOF
OWNER INFORMATION OR LESSEE INFORMATION, IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name: JOHN & PAULA_HORNER
Address: 3405 N. FORT PIERCE FL.
Interest in property: RESIDENCE
Name and address of fee simple title holder (If different from Owner listed above):
CONTRACTOR'S NAME: GARY MAR20, INC. Phone No.: (772) 871-2489
Address: 861 A- SW LAKEHURST DRIVE .PORT SAINT LUCIE FL. 34983
SURETY COMPANY (if applicable, a copy of the payment bond Is attached):
Name and address:
Phone NO., Bond amount:
LENDER'S NAME: Phone No.:
Address:._
Parsons within the State of Florida designated by owner upon whom noUces or other documents may be served as provided by Stolen 713.13
(1) (a) 7, Florida statutes:
Name: Phone No.:
Address.
In addition to himself or herself, owner designates of tr
receive a copy of the Llenor's Notice as provided In Section 713.13(d)(b), Florida Statues.
Phone number of person or entity designated by Owner:
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 of
recording unless a different date Is specHled):
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 I. SECTION 713,13. FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPRQVEMEN75 TO YOUR eQQPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
Under perialty of per ury,1 deda tre hat I have ad the foregoing and that the facts In It are true to the best of my knowledge and belief.
�e, /JUl
*� Owner or lessee, or Owners arlassee'e Authorized l>ffimr/Director/ParMer/Manager/AttOrney4n-fa0
Slimatory's Thle/Office ''yyrr
The f9regoing Instrument was Acknowledged before me this I day of 20 I ✓ 1
By: I as l W 1 K� for
�1 e f person n Type of authorhy (e.g. officer, trustee) Parry on behalf of whom Instrument was executed
Personalty known 4orproduced Identification 13
Type of Identification produced
(Prim, Type,-OrStamp Com?n9loned Name of Notary)
T:1BID1Btdg FormsWewApplicationalFannsWaticeOfCammencement.Doez MARY SWEARINGEN •, N""'!o;Notary Public - State
of Florida �v.9/ISIt I
My Comm. Expires Jun 7, 2016
Z.•, Commission # EE 183732
Bonded Through National NotaryAssn.
STATE OF FLORIDA
ST. LUCIE COUNTY
THIS IS TO CERTIFYTHATTHIS IS A
TRUE AND CORRECT COPY O THE
ORIGINAL oica—P
Ile U 'f FEBO v 2014
Date:
FloridairBuildiag Code Online i r • r.r,ng.org/pr/p.rr • r r. .r
� 3 ��• � T +� � �a,� � ., ,, r � s +� � `�' ,,;Y. ��rr..rgtt�c-, �Acau',r n��r� paPp u+�s , �{>31.:.
"r •. -r.
. 13CIS Home Log In User Registation Hot Topics, Submit Surcharge Stats & Facts Publications FBC Staff BCLS Site Map Unks Search
'us ne§ Product Approval
Protssj Vkal
'eI1
Llccnsc egtfi`cimtly Regulate (a:dy, - a
?-Application Detail
6FGfLfN�1ri5 ✓ .
Code Version0 1
•pApproved
Comments
ArchIved
Product Manufacturer
Address/Phone/Email
Authorized Signature
Technical Representative
Address/Phone/Email
Quality, Assurance Representative
Address/Phone/Email
Category
Subcategory
Compliance Method
Testing Lab
Quality Assurance Entity
Quality Assurance Contract Expiration
Date
Validated By
Certificate of Independence
Referenced. Standard and Year
)
Owens Corning
One Owens Corning Parkway
Toledo, OH 43659
(740)404-7829
greg. keel er@owenscornI ng.com
Greg Keeler
greg.keel6r@owenscornIng.com
Roofing
Underlayments
Test Report
PRI Construction Materials Technologies, LLC
Underwriters Laboratories Inc.
03/08/2015
Robert]. M. Nieminen, PE
Validation Checklist - Hardcopy Received
FL9777 R2 COI PRI cert of indeoendence.odf
Standard Year
ASTM D 1970 2001
Equivalence of Product Standard
Certified By
I affirm that there are no changes In the new Florida
Building Code whlch affect my product(s) and my
product(s) are In Compliance with the new Florida Building
Code.
Documentation from approved Eva n or Validation Entity Yes No N/A
1 Of 2 9/23/2013 9:55 AM
Floridz Building Code Online
http://www.florida Hng.org/pr/pr_app_dtl.aspx?param=...
Product Approval Method
Date Submitted
Date Validated
Date Pending FBC Approval
Date Approved
Method 1 Option B
02/01/2012
02/01/2012
03/31/2012
.7ummarIF Vr rrU UY
FL #
Model, Number or.Name
Description
9777.1
Weather Lock Metal
Weatherproofing Underlayment
Limits of Use
Approved for use In HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other: 1.) This Approval is not for use with] n-HVHZ. 2.)
Shall be Installed In accordance published installation
Installation. Instructions
FL9777 R2 II Install weatherlockmetal.pdf .
FL9777 R2 II Technical Bulletin - WeatherLock over the
entire deck2.pdf
Verified By: Robert Nieminen 59166
Test Reports
FL9777 R2 TR PRI WeatherLock Metal ASTM D1970.pdf
Instructions and FBC non-HVHZ requirements.
9777.2
Weatherlock G
Weatherproofing Underlayment
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other: 1.) This Approval is not for use within HVHZ. 2.) .
Shall be installed in accordance published installation
Installation Instructions
FL9777 R2 II Install weatherlock G and MAT.ndf
FL9777 R2 II Technical Bulletin - WeatherLock over the
entire deck2.odf
Verified By: Robert Nieminen 59166
Test Reports.
FL9777 R2 TR PRI NEI0240201 ASTM D1970.pdf
I nstructions and FBC non-HVHZ requirements.
9777.3
Weatherlock MAT
Waterproofing Underlayment
Limits 'of Use
Approved.for use in HVHZ: No.
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other: 1.) This Approval not for use in the HVHZ. 2.)
Shall be Installed in accordance with published installation
Instructions subject to FBC non-HVHZ requirements. 3.)
Installation Instructions
FL9777 R2 II Install weatherlock G and MAT.pdf
FL9777 R2 II Technical Bulletin - WeatherLock over the
entire deck2.1)df
FL9777 R2 II weatherlock mat 4i n deck taoe2.pdf
Verified By: Robert Nieminen 59166
Test Reports
FL9777 R2 TR PRI WeatherLock MAT ASTM D1970.pdf
Minimum slope 1:12. 4.) Shall not be installed over
existing roofing materials. 5.) Substrate shall be clean,.
smooth and dry.
Back N.-
Contact Us :: 1940 R^rt" ""onroe Street Tallahassee Fl. 32399 Phone: 850-487-1824 .
The State of Florida Is an AA/EEO employer. Copyright 2007-2010 State of Florkia ;:Privacy Statement:: Accessibility Statement ::Refund Statement
Under Florida law, email addresses are public records. If you do not want your a -mall address released in response to a public -records request, do not send
electronic mail to this entity. Irstead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. -Pursuant to
Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department wittran email address if
they have one. The emalis provided maybe used for official communication with the licensee. However email addresses are 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 -
Chapter455, FS., please click here .
Product Approval Accepts:
®
aCNI'ItYM L:rx:C :s '
z.of 2 9/2.3/2013 9:55 AM
MIAMI-acne
® MIAMI-DADE COUNTY
• PRODUCT CONTROL SECTION
BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT (BNC) 11805 SW 26 Street, Room 208
BOARD AND CODE ADMINISTRATION DIVISION Miami, Florida 33175-2474
T (786) 315-2590 F (786) 315-2599
NOTICE OF ACCEPTANCE (NOA) www.miRmidade.gov/building/
Iko Industries Ltd.
40 Hansen Rd. S.
Brampton, Ontario CANADA
L6W3H4
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials.
The documentation submitted has been reviewed and accepted by Miami -Dade County BNC - Product Control
Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction
(AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control
Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right
to have this product or material tested for quality assurance purposes. If this product or material fails to
perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may
immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BNC
reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control
Section that this product or material fails to meet the requirements of the applicable building code.
This product is approved as described herein, and has been designed to comply with the Florida Building Code
including the High Velocity Hurricane Zone of the Florida Building Code.
DESCRIPTION: Cambridge AR
LABELING: Each unit shall bear a permanent
following statement: "Miami -Dade County Pr6d
RENEWAL of this NOA shall be considered
change in the applicable building code negath
TERMINATION of this NOA will occur after t:
materials, use, and/or manufacture of the product
product, for sales, advertising or any other purpo:
with any section of this NOA shall be cause for tE
ADVERTISEMENT: The NOA number precede
the expiration date may be displayed in advertising
with the manufacturer's name or logo, city, state and
pntrol Approved", unless otherwise noted herein.
,al application has been fled and there has been no
the performance of this product,
ttion date or if there has been a revision or change in the
Iss. Misuse of this NOA as an endorsement of any
automatically terminate this NOA. Failure to comply
ih and removal of NOA.
)rds Miami -Dade County, Florida, and followed by
If any portion of the NOA is displayed, then it shall
be done to its entirety.
INSPECTION: A copy of this entire NOA shall be provid o the user by the manufacturer or its distributors
and shall be available for inspection at the job site at the request of the Building Official.
This revises NOA# 10-0913.02 and consists of pages 1 through 4.
The submitted documentation was reviewed by Alex Tigera.
NOA No.: 11-0517.09
Expiration Date: 05/05/16
Approval Date: 07/07/11
Page 1 of 4
i
ROOFING ASSEMBLY APPROVAL
Category:
Roofing
Sub-Cateaorv:
Asphalt Shingles
Materials
Laminate
Deck Type:,
Wood
SCOPE
This approves a roofing system using Cambridge AR asphalt shingles manufactured by IKO Industries Ltd. as
described in Section 2 of his Notice of Acceptance.
PRODUCT DESCRIPTION
Product Dimensions Test
Specifications
Cambridge AR 13 3/4" x 40 7/8" TAS 110
MANUFACTURING LOCATION
l . Kankakee, IL
EVIDENCE SUBMITTED
Test Anency
PRI Construction Materials Inc.
FM Approvals
FM Approvals
FM Approvals
Product Description
A heavy weight, fiberglass reinforced
laminate asphalt shingle.
Test Identifier
Test Name/Reyort
Date
IKO-050-02-01
TAS 100
12/21 /09
3041689
ASTM D 3462
02/23/11
3036971
ASTM D 3161 -(TAS-107)
01/04/09
3042673
ASTM E 108
04/12/1 l
LIMITATIONS
I. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory
for fire ratings of this product.
2. Shall not be installed on roof mean heights in excess of 33 ft.
3. All products listed herein shall have a quality assurance audit in accordance with the Florida Building
Code and Rule 9B-72 of the Florida Administrative Code.
INSTALLATION
1. Shingles shall be installed in compliance with Roofing Application Standard RAS 115.
2. Flashing shall be in accordance with Roofing Application Standard RAS 115
3. The manufacturer shall provide clearly written application instructions.
4. Exposure and course layout shall be in compliance with Detail'A', attached.
5. Nailing shall be in compliance with Detail'B', attached.
NOA No.: 11-0517.09
Expiration Date: 05/05/16
Mie a�an; COUNTYExpiration
Date: 07/07/11
Page 2 of 4
LABELING
1. Shingles shall be labeled with the Miami -Dade Seal as seen below, or the wording "Miami -Dade County
Product Control Approved".
BUILDING PERMIT REQUIREMENTS
1. Application for building permit shall be accompanied by copies of the following:
1.1 This Notice of Acceptance.
1.2 Any other documents required by the Building Official or the applicable code in order to properly
evaluate the installation of this system.
NOA No.: 11-0517.09
Expiration Date: 05/05/16
Approval Date: 07/07/11
Page 3 of 4
DETAIL A
CAMBRIDGE AR COURSE LAYOUT
OF ROOF
30" Note: Roofing Cement not shown in this layout.
This drawing is for course layout only. See Detail B
_ __ _ _ _ _ _ _ _ _ _ for nailing and cement placement details.
20 THIRD COURSE
FIRSTCOURS 003/3
DETAIL B
CAMBRIDGE AR
40 7"
-71
13 4"
6 8'l 5 e" EXPOSURE
END OF THis ACCEPTANCE
NOA No.: 11-0517.09
MMI-DADECOUNTYM Expiration Date: 05/05/16
Approval Date: 07/07/11
Page 4 of 4