HomeMy WebLinkAboutSUBMITTED PAPERSDATE: � a % t! FEES DUE: . d 6RECEIPT #: 5 Permit #:
Planning & Development Services Department
Building & Code Regulation Division S�q�
.�
2300 Virginia Avenue
_ .. NED
Ft. Pierce, FL 34982-5652
Tel.772462-1553 County
APPLICATION FOR ROOF PERMIT
SEE REVERSE 90E FOR ItJSTRUCTION�--
1. Location/Site Address: �/� 56 ff2�'�!`/�'J
2. Parcel ID Number:
7.
9.
Office Use
Only
Section
I Township
Range
I map Pa a
Zoning
Land Use
Initials
D
Description of Project or Work Activity: 2, o T �1
Total Roof Area (square feet): '7a70o 5. Roof Pitch: (oo 1 a c r�� e
Type of Roof: [Fiberglass Shingle [ ] Concrete Roof Tile [ ] Wood Shake / Shingle soap
[ ] Tar & Gravel [ ] Modified Bitumen [-,lj~ 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
Name:
/&Q "--- Cfv (>i' FL Reg/Cert #: &
Address: County Cert #: 9 7
61
City: U i State: Business Name:
_y
lip• Phone: �,`� ' /� Cell Phone: �7�� a�9
Value of Construction: $ 134 9'75-
**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
ry done in(compli a with all applicab la s regulating construction and zoning.
PRIIV[�'E! QU IERS/OWNERS NAME S TURE OF Q L IE OWNER
STATE OF FLORIDA, COUNTY OF 6f , 11) Cle
ACKNOWLEDGED BEFORE ME THIS DAY OF II'i 0, BY r-2nV l--X
IS PERSO
NALL KNOWN R HAS PRODUCED AS IDENTIFICATION
WII
tihoow$ Azov Pror8114AM
SIIGNAT F NOTARY TYPE OR P Y NAME OF NOTARY : a ¢WIT
COMMIS NUMBER �� C �2 C, "'•' EXPIRES April 05, 2014
4� co
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 # 3926093 OR BOOK 3 PAGE 2957, Recorded 02/18/2014 at ° -`15 AM
NOTICE OF COMMENCEMENT
To be completed when construction value exceeds SZ,SW W
PERMITM TAR FOLIO If 1423.602-0003-0013-1
STATE OF FLORIDA COUNTYOF. 151--w l?
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):
11 SOVEREIGN WAY, FORT PIERCE FL. 34949 QUEENS COVE UNIT 3 BLK 25 LOT 3 / SEC: 23 TWN: 34s R: 40E
GENERAL DESCRIPTION OF IMPROVEMENT. RE -ROOF
OWNER INFORMATION OR LESSEE INFORMATION, IF T
Name: ALAN W. COYLE OR MARLEE P. COYI
Address: 11 SOVEREIGN WAY, FORT PIERCE F
Interest In property: RESIDENCE
Name and address of fee simple title holder jlf different
LESSEE CONTRACNED FOR THE IMPROVEMENT:
Owner
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
LENDER'S NAME:
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)1, Florida Statutes:
Name: Phone No.:
In addition to himself or herself, owner designates
receive a copy of the Llenor'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 beforo 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 specified):
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under pen perjury, I re that a read the foregoing and that the facts In It are true to the best of my knowledge and belief.
Slgrretue of Owner or Lesse rOwner's or lessee's Authorized Officer/Director/Partner/Manager/Attorney-ir ft'r
MY COMMISSION t EE 17M
Signatory's Title/Office
EXPIRES: April 5,2016
{% �'sarrvaP Bandrd7lsu Budg3 NderySmiat
The foregoing inst,rn jwas acknowledged before me this., O day of 20
By:41as �lil{/ for
Nameofperso6f Type of authority (e.g. officer, trustee)) Party on behalf of whom Instrument was executed ,
Personally known 1� or produced Identification 13
N rys Signature Type of identification produced
(Print, Type, or Stamp Commissioned Name of Notary)
TABLD%Bldg_FormsiNew ApplicatiomWorensiNotice Of Comraencement.Doex Rev. 9115111
STATE 4F FLOPMA
ST, LUCIE COUNTY
THIS ISTOCERTIFYTYIATTHISISA
TRUIE AND CORI.ECT COPY OFTHE
UR1t7ii`II;L.s��
fvC.
Date:
w
L�]
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 4 /VO4` ' � /q.,J
licensed as (n)Contract Engineer/Architect
tPlease print nam circle license type) * c ing Inspector
`General, Building, Residential or Roofing Contractor or ony individual rertlfled under• 468 F.S. to make such an inspection.
On or about J 167-1 1 did personally inspect the roof deck nailing
(Date)
work at:
pb 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.)
S n�ture andJ eal
CC- 00 r� �'
License #
STATE OF FLORIDA ��)7
COUNTY OF �L
Sworn t nd subs[bed before me this —Z� day of Ila 20
by who is personal IYY(,.WP to me or who has roduced
as identification-
' ,..
i
Notary Public, State of Florida
Signature of Notary! Commission Number: 5 i5_ 0 (Sear
En 01/19/2011AA
; ,
MY COMMISSION #FF09950
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(am) M-0153 Florldallota eerylae.com
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FILE C®PY
COl1NTY
BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT (BNC)
BOARD AND CODE ADMINISTRATION DIVISION
MIAMI-DADE COUNTY
PRODUCT CONTROL SECTION
I I805 SW 26 Street, Room 208
Miami, Florida 33175-2474
T (786) 315-2590 F (786) 315-2599
NOTICE OF ACCEPTANCE (NOA) www.miamidade.goy/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 label with the manufacturer's name or logo, city, state and
following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no
change in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any
product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure 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 Off cial.
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
MiAthi•uAraF couHTr Expiration Date: 05/05/16
Approval Date: 07/07/11
Page 1 of 4
i
ROOFING ASSEMBLY APPROVAL
Cateeory
Roofing
Sub-Cateeory:
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 Aizency
PRI Construction Materials Inc.
FM Approvals
FM Approvals
FM Approvals
Product Description
A heavy weight, fiberglass reinforced
laminate asphalt shingle.
Test Identifier
Test Name/Report
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
04/12/11
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
Mia�anan; [ouNrr 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
--------------
30"— Note: Roofing Cement not shown in this layout.
i This drawing Is for course layout only. See Detail B
r_ for nailing and cement placement details.
THIRD COURSE
{------ SECOND COURSE
FIRST COURSE
DETAIL B
CAMBRIDGE AR
40 7},
B
it
9 3 4"
6
8
END OF THIS ACCEPTANCE
w
58" EXPOSURE
NOA No.: 11-0517.09
Expiration Date: 05/05/16
Approval Date: 07/07/11
Page 4 of 4
Florida Building Code Online http://*ww.floridabuild >rg/pr/pr app_dtl.aspx?param=...
N p y�q•
e
Ffolil Deparimesrt� BCIS Home I Log In ; User Registration Hot Topics. } Submit Surcharge ; stats & Facts Publications FBC Staff BCIS Site Map Links Search j .
Busin
Pres
ofessiI Product Approval
USER: Public User
Regulation
��'�1�,1,1� Product Approval Menu > Product or Application Search > Application List > Application Detail '
o FL.# FL9777-R2
Application Type Affirmation
Code Version 2010
Applicatlon. Status Approved
Comments
Archived
Product Manufacturer Owens Corning
Address/Phone/Email One Owens Corning Parkway
Toledo, OH 43659
(740)404-7829
greg. kee l er@owe nscorn l n g. cb m
Authorized Signature Greg Keeler
greg.keel6r@owenscornIng.com
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Underlayments
Compliance Method Test Report
Testing LabPRI Construction Materials Technologies, LLC
Quality Assurance Entity Underwriters Laboratories Inca
Quality Assurance Contract Expiration Date 03/08/2015 .
Validated By Robert J. M. Nieminen, PE
Validation Checklist Hardcopy Received
Certificate of Independence FL9777 R2 COI PRI cert of indeoendencexdf
Referenced. Standard and Year (of Standard) Standard Year
ASTM D 1970 2001
Equivalence of Product Standards
Certlfled By
I affirm that there are no changes In the new Florida
Building Code which 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 9/23/2013 9:55 AM
Florida Building Code Online
http://www.floridabuildi rg/pr/pr app_dtl.aspx?param=...
Product Approval Method
Date Submitted
Date Validated
Date Pending FBC Approval
Date Approved
Method 1 Option B
02/0112012
02/01/2012
03/31/2012
auuuuor IF yr
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 within 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.odf
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.odf
FL9777 R2 II Technical Bulletin - WeatherLock over the
entire deck2.pdf
Verified By: Robert Nieminen 59166
Test Reports.
FL9777 R2 TR PRI NEi`0240201 ASTM D1970.pdf
Instructlons 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.)
Installation Instructions
FL9777 R2 II install weatherlock G and MAT.pdf
FL9777 R2 II Technical Bulletin - WeatherLock over the
entire deck2.pdf
FL9777 R2 II weatherlock mat 4i n deck tape2.Ddf
Verified By: Robert Nieminen 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 NeiSt
Contact Us:: 1940 North Monroe Street Tallahassee FL 32392 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. If you do not want your e-mail address released in response to a public -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 emails provided may be 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, F.S., please click here .
Product Approval. Accepts:
RE
'2.of 2
9/23/2013 9:55 AM