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Home My WebLink AboutSUBMITTED PAPERSI, DATE: ' FEES DUE: RECEIPT t t Permit #:. _ - Planning & Development ServicesDepartment Building & Code Regulation Division e o 2300 Virginia Avenue s(j� Ft. Pierce, FL 34982-5652 V Tel.772-462-1553 APPLICATIONEFOR ROOFSPERNIIT `ucie CGU/�t1 I° Location/Site Address: � I 07 /�- SE REV �t �P��— 2. Parcel iD Number: / `7 ,J? Office Use Only Section Township Range I Map Pa a I Land Use Initials 3 p 3° Description of Project or Work Activity: 9 6° 9° Total Roof Area (square feet):. Type of Roof: [ Fiberglass Shingle [ ] Concrete Roof Tile ] Wood Shake / Shingle [ ] Tar & Gravel [ ] Modified Bitumen [ ] Other [ 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. Owner Information 8. Contractor Information � n� G Name: _/ lI 7Y'�n,& o /- L o-a FL Reg/Cert #: l Address:.)rf0/ Al. lf/fl County Cert #: g %� City: � djrtt N State: q Business Name: a l� -Z�C lip° Phone: 3 / Cell Phone: 7 7�" % Value of Construction: $ `�()d "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 application is correct and that all work will be done in compliance with all applicable laws regulating construction and zoning. &ZrZ %% CC/"ZD PRINT QUAL /OWNE J SIGNATURE 9FF QUALIFIER/OWNER STATE OF FLORIDA, COUNTY OF I (la P / ACKNOWLEDGED BEFORE ME THIS DAY OF 7� 20_,&BY ;WZHGPERSONAL�KN 0 ME OR H�A/SS P�RODUCED� ' A5 IDENTIFICATION •er o li sr'owrH n� ProS'§ffANI SI A OF NOTAR (TYPE OR RINT NAME OF NOTARY :: _ „ ; ..' > / 7� / �/ " • • EXPIRES April 05, 2014 COMMISSION NUMBER -7 (407) 39MI53 Floncla tarySeri:eec.cori 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 # 3919239 OR BI 3598 PAGE 2941, Recorded 01/28/2014 12:04 PM PERMITS: NOTICE OF COMMENCEMENT To be completed when construction value exceeds S2,soo.00 TAX FOLIO a 1423-802-0002-220-6 STATE OF FLORIDA COUNTYOF 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 STREET ADDRESS, IF AVAILABLE): 3407 N. A1A FORT PIERCE FL. 34949 SEC, 23 TOWN: 34S RANGE: 40E GENERAL DESCRIPTION OF IMPROVEMENT: RE -ROOF OWNER INFORMATION OR LESSEE INFORMATION, IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name: NORMAN H. PENNER OR JANET M. PENNER Address: 3401 N. AtA, FORT PIERCE FL. 34949 Interest In property; RESIDENCE Name and address of fee simple titleholder (If different from Owner listed above): CONTRACTOR'S NAME: GARY MARZO, 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: Persons within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) 7, Florida statutes: Name: Phone No.: Address: In addition to himself or herself, owner designates of tc receive a copy of the Lienor's Notice as provided In Section 713.13(1)(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 oonstrudion and final payment to the contractor, but will be 1 yearfrom the date of recording 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 Fog IMPROVEMENTS TO YOUR PROPERTY ANOTICE OF COMMENCEMENT MUST BERECORDED A.NOPOST n ON THE 1oBSFTE BEFORE THE FIRST INSPECTION IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING OMMENCIN WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. r penalty of perjury, I dare that I have read the foregoing and that the facts In It are true to the best of my knowledge and belief. tZ wY cu LYNN AI = S aturcofOwnerorlessee,orOwne rLessee's Authorized OHicer/Director/Partner/Manager/* e�t� p-*cd,COMMISSIONlEE17M3 'rjd EXPIRES: April 6,4016 Sig ory's Title/Office .1y 'hq pP" 60rdn1MYgzdW rf$sry" The foregoing Instrument w/asJ�n]ckknnowlleddgged before me this , CT / day of 2D� By: /✓t7✓�/A.ci! /C//.�%t/ as V/i/�� for Name of person Type of authority (e.g. officer, trustee) Party on behalf of whom Instrument was executed Personally known produced identification el Not sSlgnature Type of identification produced (Print, Type, or Stamp Commissioned Name of Notary) T:\BLD\Bldg_Forms\New ApplicationsWormsWotice OTCommencement.Dacx Rev. 9115111 STATE OF FLORIDA ST, LUCIE COUNTY THIS IS TO CERTIFY THAT THIS I� TRUE ADD ORRECT COPY OrTH ORIGINA , 10 P i E. SPii T H, i-FRK Icy: JAM °�`�y 2�i Dot "d6(A r001 G6ry-)4 4-y--- LJ 1 -f I-rha, J1#10 Ix 111) lc WorUs Department Code cornpliaxaee Divisjlon Ft. Viet*ec, FL 34982-56321 INSk-ECTION AFFIDAVIT ie2.,9 crmsad as a(a) �anixactor /irctgineer/A hiteCd {Please priat n and cirdr: HOW15e tvv> F 46S $ttixding izispc ctpz w Gvri 4 13uildilip, icsidembalr or Reofing Cantrantor or any individ mi atrtifsed under 463 R-% to tneke such art insptmlmi. All affidavits tnt16L inolkl0 phowgr'aphs of each planar cf the ragtWIM tha permit d oraddmm # 4early shown marked at the ftok tbr1;Ath impmOon. Ou or abimt '7 % I did persGZYH ly inspect the t00T (Dgw corm) di ' in at�rPfoi `� trda� wtxder barrier "rk at (ctrnte a rc} (fAlmAddrm) Based upon -that txxmnhiation I have drlwrminad tho instajj,%tipra was done according to the Huxrzcanb Mitigation,Retrof t Manual (Based asp 553.844 FPS,) , i:L7,P43A STATE OF FJLOXID (�. Liaet> se # GC�TJI�'iY OF � Sworn to and sttbsci•ibed befaze miw thy, .day bg f -Nero is person liy laFown or wim has produced 61 as iderttification. Watttrp Public;, Stats tyPFlorids r �,s�r,aty R Prohpy 2 ' ,, Signatureafi`TtatS+-1 �-- - ` 1=XoiRES April 05, 2014 {tOiRtF11.9iQ�1Q.- i407)9B 151 FloddaNn!ery3er� ca•co�! aril9127107 RECEIVED APR 02 2014 TOO# 9GZ'0H 9Z8899bZdd 'OUI 9Oza72W Ka-e0 L£:8T tTOZ/ZO/VO Florida Bulling Code Online ' http://*ww.florida,iing.org/pr/pr app_dtl.aspx?param=... '' War, s ® e o . • t ci panda Departments BCLS Home I Login User Registration Hot Topics { Submit Surcharge { stats & Facts ; Publications { FBc Stafr { BCIS Site Map { Links { Search { . Businesg� product Approval ProfessiI USER: Public User Regulation Product Approval Menu > Product or AooliCation Search > Application List Application Detail o• . 'F FL.# ,FL97.77=R2'-.iF . Application Type Affirmation Code version0,�,ar� Applicatlon. Status Approved Comments Archived Product Manufacturer Owens Corning Address/Phone/Email One s Corning Parkway To 0 659 (- 0) 0 8 greg.k r�nrenscorning.com Authoriied Signature Greg Kee greg.keeler en corning.com Technical- Representative Address/Phone/Email NMI OA� QualityAssurance Representative Address/Phone/Email Category Roofing Subcategory Underlayments Compliance Method Testing Lab Quality Assurance Entity Quality Assurance Contract Expiration Date Validated By Certificate of Independence Referenced. Standard and Year (of Standard) Test Report PRI Construction Materials Technologies, LLC Underwriters Laboratories Inc. 03/08/2015 . Robert J. K Nieminen, PE Validation Checklist - Hardcopy Received FL9777 R2 COI PRI cert of independence.odf Standard AST D 1970 Year 2001 Equivalence of Product Standards 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 Evaluation or Validation Entity Yes ` No N/A 1-Of 2 9/23/20i3 9:55 AM Florida, Building Code Online http://www.floridal '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 . 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 Installation. Instructions FL9777 R2 II Install weatherlockmetal.pdf . FL9777 R2 II Technical Bulletin - WeatherLock over the entire deck2.pdf Verified By: Robert Nieminen 59166 Other: 1.) This Approval is not for use withiri HVHZ. 2.) Shall be Installed In accordance published installation Test Reports FL9777 R2 TR PRI WeatherLock Metal ASTM D1970.odf Instructions and FBC non-HVHZ requirements. 97,J7:2 -WeatherLock,(;"-f 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 Installation Instructions FL9777 R2 II install weatherlock G and MAT.odf FL9777 R2 II Technical Bulletin - WeatherLock over the entire deck2.Ddf Verified By: Robert Nieminen 59166 Other: 1.) This Approval Is not for use within HVHZ. 2.) . Test Reports . Shall be installed in accordance published Installation FL9777 R2 TR PRI NEI0240201 ASTM D1970.pdf fnstructlons and FBC non-HVHZ requirements. 9.777.3 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.) Installatiorl Instructions FL9777 R2 II Install weatherlock G and MAT.Ddf FL9777 R2 II Technical Bulletin - WeatherLock over the entire deck2.pdf FL9777 R2 II weatherlock mat 41 n deck tape2.pdf Verified By: Robert Nleminen 59166 Shall be installed in accordance with published installation instructions subject to FBC non-HVHZ requirements. 3.) 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 Neict Contact Us :: 1940 North Monroe Street. Tallahassee FL 32399 Phone: 850-487-1824 . The State of Florida is an AA/EEO employer. Copyright 2007=2010 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement Under Florida law, email addresses are public records. Ifyou do not want your e-mail address released in response to a pubic -records request, do not send electronic mail to this entity. Instead, 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 with an email address if they have one. The emalls provided may be used for official communication with the licensee. However email addresses are public record. Ifyou 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,.RS., please click her€. Product Approval -Accepts: eC tic sdcun 2.of 2 03/2013 9:55 AM MIAMI•QADE MM MIAMI-DADS 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.miamidade.aoy/huilding/ 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:'CA' "iii�iridgeT7C r LABELING: Each unit shall bear a permanent label with the manufacturer' ame or logo, city, state and following statement: "Miami -Dade County Product Control Approved", ugk^jerwise noted herein. RENEWAL of this NOA shall be considered after a renewal application h fl and there has been no change in the applicable building code negatively affecting the performance o is Q ct. TERMINATION of this NOA will occur after the expiration date or if there has been a. s or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an a orseil of any product, for sales, advertising or any other purposes shall automatically terminate this NO . . re omply with any section of this NOA shall be cause for termination and removal of NOA, ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, an fo o the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, the shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to 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 l through 4. The submitted documentation was reviewed by Alex Tigera. NOA No.: 11-0517.09 MIAM4DADE COUNTY Expiration Date: 05/05/16 • , Approval Date: 07/07/11 Page 1 of 4 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub -Category 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 Product Description Specifications Cambridge AR 13 3/4" x 40 7/$" TAS 110 A heavy weight, fiberglass reinforced laminate asphalt shingle. MANUFACTURING LOCATION l . Kankakee, IL EVIDENCE SUBMITTED Test Auency Test Identifier Test Name/Report Date PRI Construction Materials Inc. IKO-050-02-01 TAS 100 12/21/09 FM Approvals 3041689 ASTM D 3462 02/23/11 FM Approvals 3036971 ASTM D 3161 •(TAS-107) 01/04/09 FM Approvals 3042673 ASTM E 108 04/12/11 LIMITATIONS 1. 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 Approval 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". MIAMI•DADE COUNTY ,...• 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 NoteRoofing Cement not shown in this layout. This drawing is for oourse layout only. See Detail for nailing and oement placement details. /THIRD COURSE SECOND COURSE AMEN FIRST COURSe--Mmmmm DETAIL B CAMBRIDGE AR 40 B" 13 4" . 6 8n 7u la END OF THIS ACCEPTANCE EXPOSURE NOA No.: 11-0517.09 Expiration Date: 05/05/16 Approval Date: 07/07/11 Page 4 of 4