HomeMy WebLinkAboutSUBMITTED PAPERSDATE:,-1 /74!J IFEESDUE:IVI I RECEIPT #: �' i 7 - Permit #:
St. Lucie County Building & Zoning
2300 Virginia Avenue Ft. Pierce, FL 34982-5652 C
' Tel.772-462-1553
APPLICATION FOR ROOF PERMIT /'c •
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SEE REVERSE SIDE F`OR IFTRUCTIONS I.00/nt
1. Location/Site Address: /q9 . a/)"-wal"
v
2. Parcel ID Number: % 3/� - 7!>/ -z�a'5& -7- 40JJ --Q
Office Use
Section
Township Ran a
Ma Page
ZoningLand
Use
Initials
Only
3. Description of Project or Work Activity:
4. Total Roof Area (square feet): Y06
6. Type of Roof: [ I erglass Shingle
[ ) Concrete Roof Tile [• ] Wood Shake / Shingle
[ ] Tar & Gravel [ ] Modified Bitumen f 1 Other
[ 0,9.'O.A. or Florida - 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 8.
Nance:
Address:.OQ5-/ Ji1.
V
City: Z l/`e. �� State• �.
Zip: Q7 c7 Phone:
9. Value of Construction: $ J % jo, 66
Note Dry4n and Final Inspection Required
Additional inspection may be required per Product Approval
Contractor Information
FL Reg/Cert #:. C 00,1'A a(.011 %
County Cert #: �1 / —7 CO
Business Name:
Fees Due:
Receipt #:
CONTRACTORIOWNER'S AFFIDAVrr: I certify that all of the info 'on contained in this application is correct and that. all work will be
done incompliance with applicabl laws re g g ro situ 'on d zoning.
PRINT QUALIFIERS/OWNERS NAME GNATURE OF QUALIFIER/OWNER
STATE OF FLORIDA, COUNTY OF fL (,L &,
ACKNOWLEDGED BEFORE ME THISDAY OF 201� BY
/►t
WHO IS PERSONALLY KNOWN V TO ME OR HAS PRODUCED
AS IDENTIFICATION
SHARON KAUFMAN
,__
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
�.
M agtv IMISSION #FF052943
7P ,=
°•.,'a•,Frvo„
EXPIRES September 10, 2017
COMMISSION NUMBER
(407)398.0153
FlorldallotarvService.com
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-
JOSEPH E. SMITH, CLER;'- THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE # 3926609 OR BO', 605 PAGE 1341, Recorded 02/19/2014 01:19 PM
NOTICE OF COMMENCEMENT
Permit No. Tax Folio
Sete of Florida County of a. Woe
Theundersigted herebygivesnotice that improvement will bemadeto certain real property, and in awwdanoa Wth Chapter 713, FAorida 3atute$
the fdiowirng information Isprovfdad In this Notim of Cbmmehcenent.
G (pnd C RI addressJf avlable): 1 y Q
LAf-aF n pp �� ti cam% Gc1a '�lP� Fl �44,Si
%rleraldescription oftmp►wement: Lvio Po IC FSzt T .. P�1r, �4_ t.r �efia.�( vt
Owr er Infonaition r
Name
Address
Interest In property..
Nameandaddressof
Oxtracto's Names
If the lessee contraded for the improvement:
Of different from Owner
Rrety Of applicable, a copy of the payment bond is dtn3dned): Amount of t10f �
Name and address Fhone
Lander f bmw. Fthare Number -
Lender's address:
Nrsorswithin the State orFiorida designated by Owner upon whom noticesor other do=nentsmay maybe
served asprovided by Stjction
3(1) (a)7., FioridaStatutes
Name Ffnone Number:
Address
In addition to H mself or herself. Owner designates or
lleno's Notice as provided In Section 71313(1) (b), Roida.3atuteS
Rhone number of person or entity designated by omier
to receive a copy of the
15 ration dateof notimofoommeneement: (the expiration date may not be before the completion of construction and final payment to the
centrado(, but will be 1 year from the date of recording urnie*me different datelsspedfled)
WAFTANGMOME2MypAMi3 MMACEUMEOJVNIdi MI( EE)OF?ATiCNOFTFENCrnCFOF00MMt3JCHVIBdTAFEIJON9C8U)
IMFFCPERPA)`MMMUNCE Cl*Pi1R71APAREI,SBC1CN71a13,RioRcAswurmANDOwFE9jLTjNNC) RFAWNGTWICEFaR
IMFFb7nalsiraIDIOMBIXE Z(Y.ANOdtFOFmkmmBJ®m31rmusr EFEm0 ANDPOt3F a4REmBam 71-ERFLST
INSP8MMIF10UINFBdDT005MINRNANONQ00NsA.TWrTHlt]MLENURORANAT7CRtE W F�OOMMBJO
FECNGWCTdCOR C�INGINU iNOiiCEOFOOMMEVO3v Ml
Under pity of peJu y, I dacha that I stone read the foregoing notim of commencement and that the fads stated therein are true to the best of
my knowledge and belief.
Lessee, or Owner's
SHARON KAUFMAN
MY COMMISSION MFF05294q
EXPIRES September 10, 2017
—v allote
The foregoing irtdLull a5a•ot53 Floridryservlce com
Instrument , Z0�
B' 6•['ffNam• % for A7lJit-P/�
1�Fflolda)�
me of Person F
Type of authorit (eg. officrs, trustee) Party on behalf of whom instnunernt was -.Ad
�t Personally ionown or produced ldeMifiraticn j89TatureofNotaryRrblic-Stal
(Rirnt, Type, or Stamp Cbmmisdoned Naas of Notary public) Typeor Identification produced_
STATE OF FLORIDA
S T. LUCIE Ci LIN I Y
THIS IS TO CERTIFYTHAT AT THIS IS A
T`FRIJE A ;(h�R-ECT COPY OF THE
URIlai£dn _.
JO E I1 E. SMITH. PLERK
e. — Deputy t. 101A
Date: 4
�MIAMI•QADE
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.miamidade.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 wit he Florida Building Code
including the High Velocity Hurricane Zone of the Florida Building Code.
DESCRIPTION: Cambridge AR
LABELING: Each unit shall bear a permanent label with the manufacturer's n o city, tty, state and
following statement: "Miami -Dade County Product Control Approved", unless oth ise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been f1 'an ere has been no
change in the applicable building code negatively affecting the performance of this pr ct.
TERMINATION of this NOA will occur after the expiration date or if there has been evisi or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an a nt of any
product, for sales, advertising or any other purposes shall automatically terminate this NO tl a to comply
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, and followed by
the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it 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 1 through 4.
The submitted documentation was reviewed by Alex Tigera.
NOA No.: 11-0517.09
MIAMI•DADE 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
Specifications
Cambridge AR 13 3/4" x 40 7/8" TAS 110
MANUFACTURING LOCATION
1. Kankakee, IL
EVIDENCE SUBMITTED
Test Agency Test Identifier
Product Description
A heavy weight, fiberglass reinforced
laminate asphalt shingle.
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
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 913-72 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".
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 Bailding 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
- Note: Roofing Cement not shown in this layout
This drawing is for course layout only. See Detail B
------ for nailing and cement placement details.
- ®r//".� • •
SECOND COURSE
MOMM/1 M M
=so= 0M
FIRST COURSE
DETAIL B
CAMBRIDGE AR
40 e„
13 4"
6 3u
8VA
END OF THIS ACCEPTANCE
W
5` EXPOSURE
NOA No.: 11-0517.09
Expiration Date: OS/OS/16
Mu►rtt•oanE couNrr Approval Date: 07/07/11
Page 4 of 4