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Home My WebLink AboutSUBMITTED PAPERSDATE: a$ 1 FEES DUE: ,_ J RECEIPT #: g' 'ermit #: �y O d313 Planning &Development Services Department Building & Code Regulation Division �CAUNED 2300 Virginia Avenue BY e Ft. Pierce, FL34982-5652 st. i_ucie Count; Tel. 772462-1553 APPLICATION FOR ROOF PERMIT SEE REVERSE SIDE FOR INSTRUCTIONS 1. Location/Site Address: �(� �e1l�a�s �4✓� -�oC-� �ie(c.CG 'F 3�IgS� 2. Parcel ID Number: 1 `30 k \ 1 `— at log - D on — $ Office Use Only Section Township Range Map Page Zoning Land Use Initials 3. Description of Projector Work Activity: ias , cK oLAJ 9-doc;E 4. Total Roof Area (square feet): S -�Q \ , b O 5. Roof Pitch: 3 6. 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. 7. Owner Information 8. Contractor Information Name: 664A CWACAC D Address: 7o n Ll . L.11 e c`' . city: P i erc-e. State: f 10 c i A o, Zip: 3`-1`i S 1 Phone: (311oi ��tT aa�t� FL Reg/Cert #: County Cert #: Business Name: Cell Phone: 9. Value of Construction: $ 0)l`7(7poa "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. �C\an enOnr£jrA0 PRINT QUALIFIERS/OWNERS NAME SIGNATURE OF QUAIL] R/OWNER STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS aob*DAY + 20 DEANNA G WHO IS PERSONALLY KNOWN T OR HAS PRODUCED rlocihii1t3FH1AtEIQSlqlorida ��VC ' •_ My Comm. Expires Dec 16, 2016 o; ission # EE 858761 SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTAR =J rF OFF`�s�� _ ,1" „ mm on d Through National Notary Assn, COMMISSION NUMBER NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR EUPROVEM ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Revised 4/26/2016 ` INSTRUCTIONS Please complete all information in the space provided. All information must be printed (use black or blue ink only) or typed. This roof permit application is to be used only for those activities that are not otherwise included under a primary building permit. This application may not be used for any activity that includes structural alteration. Building activities involving structural alteration, in addition to the roof work, must be permitted through the regular building permit review process. The information to be provided with this application includes: 1. Location/Site Address 2. Parcel ID Number 3. Description of Project or Work Activity 4. Total Roof Area 5. Type of Roof 6. Owner Information 7. Contractor Information 8. Value of Construction Indicate the street address or general location of the property where the building activity is taking place. Indicate the tax identification number of the property where the building activity is taking place. Completely describe the building activity to take place. Please indicate if tear -off or shingle over shingle etc. Indicate total roof area to be affected by this permit. Also indicate the pitch of the roof, expressed as a standard ratio of run rise. Indicate the type of roof being repaired or resurfaced. Indicate the name and address of the .owner of the property on which building- activity is taking place. Indicate the State of Florida registration number (if applicable), St. Lucie County contractor license number and the name of the business doing the work. Indicate the total value of the work to take place. Total cost of construction includes all material and labor costs associated with the building/construction activity. Construction value is used to determine the permit fee. St. Lucie County reserves the right to question and/or modify the indicated value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction. This application can be..submitted, to .St., Lucie County Building and Zoning, 2300 Virginia Avenue, Fort Pierce,. FL 34982. All..permit applications must be filled out, completely before submission. No applications will be accepted for processing after 4:30 P.M. For assistance in'completing this application, please call (772) 462-1553, during regular office hours (8:00 AM.- 5:00 PM), Monday through Friday. Upon issuance of this permit, required inspections can be scheduled by calling ('172) 4624261. St. Lucie County Roof Permit Application rev. 3/1/2009 Planning & Development Services Department Building & Code Regulations 2300 Virginia Avenue Fort Pierce, Florida 34982 (772) 462-1553 - OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT F.S. 489.103 (7) EXEMPTIONS State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must provide direct, on -site supervision of the construction yourself. You may build or improve farm outbuildings, a one -family or two-family residence or a commercial building at a cost of under $75,000.00. The building or residence must be for your own occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved yourself within one year after the construction is complete, the law will presume that you built or substantially improved it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building; it is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial I understand that the building official and inspectors are not there to design or give advice on ho3k to meet the minimum code. Initial )6 I understand that as an owner -builder that any contract disputes with sub -contractors and I must be handled in a civil court with the advice of an attorney. This department will not mitigate any contract disputes. Initial I understand that if I compensate any person or company for work performed they are required to be licensed in this jurisdiction. If for some reason they do not possess a license, I may be responsible and Iiable for the cost of the license. Initial ?s I understand that if any person that is unlicensed and uninsured gets injured on my construction project - they may be entitled to workmen's compensation. I could be held liable for. all doctor, lawyer and related medical cost, which could include loss of wages during recovery from their injury. Initial_ To qualify for this exemption under this subsection, an owner must personally appear and sign the building permit application and initial the above. I hereby acknowledge that I have read and understand the above disclosure statement and that I further understand that any violation of the terms of the owner/builder exemption shall be reported by the Building and Zoning Department to the Florida State Department of Professional Regulation. Signed and acknowledged on this day of of 20 Owner/Builder SignaVC STATE OF FLORIDA COUNTY OF 5 Se - \.\v C �b The re .going instrument vas a knowledged before me this o�� day of �d► Y� , 20 J by c \ � G• V f d q O who is personally known to me, or who has produced 19 (5 as identifi at n. DEANNA GIVENS No ^y pl{blic - State of Florida Signature of Notary Type or Print Name of No ' My Expires Dec 1s, 2016 Title: Notary Public Commission Number �;- Commission # EE 858761 "..... Bonged Through Nalional Notary Assn, SLCPDSD Revised 07/22/2010 From: Richard Newland Fax: +1 (866) 610-8652' 0 0: Audrey Humphrey Fax: +1 (772) 462-1578 *Of 1 0310312014 11:29 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 # � p .. t>-"'-j licensed as a(n)Contractor*/Engineer/Architect (Please print name & circle license type) *FS468 Building Inspector *General, Building, Residential 5eaV Contr a any Individual certified under468 F.S. to make such an inspection. On or about I did personally inspect the roof deck nailing (Date) work at: (Job site address) Based upon that examination I have determined the installation was done according to the current edition of the Florida Existing Building Code Section 611 or the product approval submitted (whichever is most strigent). Signature and Seal License # STATE OF FLOT.DA, COUNTY OF, .f ' SworM to and subscribed befpre me this !'3 day of 2 by �� r✓i Who is personally known to me 4 who I pp5duced 'vBOi3tUN I as identification. '!#EE88370D Notary Public, State me—S8 Signature of Notary: Commission Number: En 01/19/2011 Me �;ii : ;7u0 . ' Bonded thiou;r....:. : cEte MISTY 808JUN MY COMMISSION #EE883700 EXPIRES MAR 13, 2017 60nded through 1st Stale lnsuiatice NOTICE OF ACCEPTAM Owens Corning Roofing and 2 One Owens Corning Parkway Toledo, OH 43659 SCOPE: This NOA is being issued under the The documentation submitted has bi Section to be used in Miami Dade C (AHJ)• This NOA shall not be valid after tb Section (In Miami Dade County) at to have this product or material to perform in the accepted manner, th immediately revoke, modify, or sus reserves the right to revoke this a, Section that this product or material This product is approved as including the High Velocity DESCRIPTION: Duration® and LABELING: Each unit shall bear a following statement: "Miami Dade C (NOA LLC MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 www.miamidade.eov/building/ dicable rules and regulations governing the use of construction materials. reviewed and accepted by Miami -Dade County BNC - Product Control ity and other areas where allowed by the Authority Having Jurisdiction expiration date stated below. The Miami -Dade County Product Control /or the AHJ (in areas other than Miami Dade County) reserve the right ed for quality assurance purposes. If this product or material fails to manufacturer will incur the expense of such testing and the AHJ may ;nd the use of such product or material within their jurisdiction. BNC eptance, if it is determined by Miami -Dade County Product Control uls to meet the requirements of the applicable building code. herein, and has been designed to comply with the Florida Building Code Zone of the Florida Building Code. Premium nent label with the manufacturer's name or logo, city, state and Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be sidered after a renewal application has been filed and there has been no change in the applicable building cotnegatively affecting the performance of this product. TERMINATION of this NOA will o 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 nu6ber preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed n advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entir Y NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection t the job site at the request of the Building Official. This revises NOA # 11-0711.02 and ' nsists of pages 1 through 6. The submitted documentation was re iewed by Alex Tigera. NOA No.: 11-0919.05 MlAMM[fADECCXJN Y Expiration Date: 07/19/16 • • •. Approval Date: 10/13/11 Page 1 of 6 ROOFING ASSEMBLY APPR&AL CaCa-°ry' Rc Dfing Sub -Category: As halt Shingles Materials La ninate Deck Type: W od SCOPE This approves a roofing system usin Owens Corning Oakridge® asphalt shingles manufactured by Owens Corning as described in Section 2 of his Notice of Acceptance. PRODUCT DESCRIPTION Pr= Dimensions Test Product'Description Specifications Oakridge® 11 V4" x 39 3/8" TAS 110 A heavy weight, fiberglass reinforced Manufacturing laminate asphalt shingle with continuous Locations #1, 2, 3, 4 bead of sealant. OakridgeV 13 V4" x 39 3I8" TAS 110 A heavy weight, fiberglass reinforced Manufacturing laminate asphalt shingle with dashed bead of Location #1, 3,4 sealant. MANUFACTURING LOCATION 1- Memphis, TN j 2. Irving, TX 3. Savannah, GA 4. Jacksonville, FL EVIDENCE SUBNIITTED Test Test Identifier Test Name/Report Date PRI Construction Materials Technolo gies OCF-153-02-01 TAS 100 09/22/10 PRI Construction Materials Technolo 'es OCF-152-02-01 TAS 100 09/21/10 PRI Construction Materials Technolo 'es OCF-158-02-01 TAS 100 11/10/10 PRI Construction Materials Technolo 'es OCF-151-02-01 TAS 100 09/27/10 PRI Construction Materials Technolo' 'es OCF-150-02-01 TAS 100 09/21/10 PRI Construction Materials Technolo 'es OCF-165-02-01 TAS 100 01/07/11 PRI Construction Materials Technolo ies OCF-170-02-01 TAS 100 06/06/11 Underwriters Laboratories 09NK14530 ASTM D 3462 12/31/09 Underwriters Laboratories R2453 ASTM D 3462 10/11/10 Underwriters Laboratories R2453 ASTM D 3462 11/03/10 Underwriters Laboratories R2453 ASTM D 3462 10/11/10 Underwriters Laboratories R2453 ASTM D 3462 10/11/10 Underwriters Laboratories R2453 ASTM E 108 01/13/11 Underwriters Laboratories R2453 ASTM E 108 10/11/10 Underwriters Laboratories R2453 ASTM E 108 11/03/10 NOA Nio.:11-0411.03 MtAMFDADECOUMY Expiration Date: 02/03/16 Approval Date: 06/16/11 J Page 2 of 4 . Underwriters Laboratories Underwriters Laboratories Underwriters Laboratories Underwriters Laboratories Underwriters Laboratories Underwriters Laboratories Underwriters Laboratories Underwriters Laboratories Underwriters Laboratories LINIITATIONS 1. Fire classification is not p for fire ratings of this prod 2. Shall not be installed on ra 3. All products listed herein Code and Rule 9B-72 of th INSTALLATION R2453 ASTM E 108 10/11/10 R2453 ASTM E 108 10/11/10 09NK14530 TAS 107 (ASTM D 3161) 12/31/09 01 NK44201 TAS 107 (ASTM D 3161) . 09/09/02 IONK13947 TAS 107 (ASTM D.3161) 11/,12/10 R2453 TAS 107 (ASTM D 3161) 10/11/10 03NK04954 TAS 107 (ASTM D 3161) 03/07/03 IONK13947 TAS 107 (ASTM D 3161) 01/28/11 l 1CA15662 TAS 107 (ASTM D3161) 05/27/1 l of this acceptance; refer to a current Approved Roofing Materials Directory mean heights in excess of 33 ft. all have a quality assurance audit in accordance with the Florida Building lorida Administrative Code. l . Shingles shall be installed i r compliance with Roofing Application Standard RAS 115. 2. Flashing shall be in accordance with Roofing Application Standard RAS 115 3. The manufacturer shall pro de clearly written application instructions. 4. Exposure and course layoutihall be in compliance with Detail'A', attached. 5. Nailing shall be in compliance with Detail'&, attached. LABELING 1. Shingles shall be labeled with -the Miami -Dade Seadl as seen below, or the wording "Miami -Dade County Product Control Approved".1 BUILDING PERNIIT 1. Application for building 1.1 This Notice of Ac 1.2 Any other docum evaluate the insta MIAMUMDE Coin ..• shall be accompanied by copies of the following: required by the Building Official or the applicable code in order to properly )n of this system. NOA No.: 11-0411.03 Expiration Date: 02/03/16 Approval Date: 06/16/11 Page 3 of 4 13-1 /4" 3/8" OWENS CORNING OAKRIDGE WITH CONTINUOUS OR DASHED SEALANT 2"1 w 1'" END OF THIS ACCEPTANCE m 5 5/8" EXPOSURE NOA No.: 11-0411.03 MM MMDECQUNffM Expiration Date: 02/03/16 Approval Date: 06/16/11 Page 4of4 ROOFING ASSEMBLY APPRO Category: Roofing Sub -Category: Asphalt Sk Materials Laminate Dec` Wood SCOPE AL This approves a roofing system usin4 Owens Corning Duration® and Duration® Premium asphalt shingles manufactured by Owens Corning as escribed in Section 2 of his Notice of Acceptance. PRODUCT DESCRIPTION Product Duration® Manufacturing Locations #1, 2 Duration® Premium Manufacturing Location #1, 2, 3, 4 Duration® Manufacturing Location #1, 2, 3 Duration® Premium Manufacturing Location #1, 2, 3 MANUFACTURING LOCA 1. Jacksonville, FL 2. Memphis, TN 3. Savannah, GA 4. Irving, TX Dimensions Test _Product Description Specifications 13 %4" x 39 3/8" TAS 110 A heavy weight, fiberglass reinforced four tab asphalt shingle with continuous bead of sealant. 1 %a" x 39 3/8" TAS 110 A heavy weight, fiberglass reinforced four tab asphalt shingle with large nail area with continuous bead of sealant. 13 %4" x 39 3/8" TAS 110 A heavy weight, fiberglass reinforced four tab asphalt shingle with dashed bead of sealant. 1 %4" x 39 3/8" TAS 110 A heavy weight, fiberglass reinforced four tab asphalt shingle with dashed bead of sealant. NOA No.: 11-0919.05 Expiration Date: 07/19/16 Approval Date: 10/13/11 i Page 2 of 6 EVIDENCE SUBMITTED Test Agency PRI Asphalt Technologies, Inc. Underwriters Laboratories, Inc. LIMITATIONS 1. Fire classification is not pat for fire ratings of this prodw 2. Shall not be installed on roo: 3. All products listed herein s Code and Rule 9B-72 of the INSTALLATION Test Identifier Test Name/Report Date OCF-157-02-01 TAS 100 10/26/10 OCF-102-02-01 TAS 100 11/12/07 OCF-156-02-01 TAS 100 10/26/10 OCF-163-02-01 TAS 100 12/10/10 OCF-164-02-01 TAS 100 12/10/10 OCF-098-02-01 TAS 100 02/22/07 OCF-099-02-01 TAS 100 02/26/07 OCF-102-02-01 TAS 100 11/12/07 OCF-172-02-01 TAS 100 05/26/11 07CA39536 TAS 107 11/11/07 03NK04954 TAS 107 03/28/03 03NK04954 TAS 107 03/11/03 IONK13947 TAS 107 11/12/10 07CA02026 ASTM D 3462 01/26/07 11CA15662 TAS 107 05/27/11 of this acceptance; refer to a current Approved Roofing Materials Directory mean heights in excess of 33 ft. tall have a quality assurance audit in accordance with the Florida Building 'lorida Administrative Code. I. 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 hall be in compliance with Detail W, attached. 5. Nailing shall be in compliance with Detail W, attached. LABELING 1. Shingles shall be labeled wi Product Control Approved" BUILDING PERMIT REQU 1. Application for building 1.1 This Notice of Ac 1.2 Any other docutn evaluate the insta the Miami -Dade Seal as seen below, or the wording "Miami -Dade County MiAMI-DADS COUNTY shall be accompanied by copies of the following: required by the Building Official or the applicable code in order to properly n of this system. NOA No.: 11-0919.05 MIAMMADECOUNTYM Expiration Date: 07/19/16 • • • Approval Date: 10/13/11 j Page 3 of 6 FIRST c NOA No.: 11-0919.05 WMAMMADECOUNWM Expiration Date: 07/19/16 Approval Date: 10/13/11 Page 4 of 6 (SEALANT MAY BE DETAIL B TION & DURATION PREMIUM OR DASHED. NOT SHOWN IN THE DETAIL DRAWINGS) Z m d. � T 7 O CO c 70 NOA No.: 11-0919.05 Expiration Date: 07/19/16 Approval Date: 10/13/11 Page 5 of 6 surewwo 1=7W F MAXIMUM SLOPE 21:12 -X� SLOPE GREATER THAN 21:12 OF THIS ACCEPTANCE NOA No.: 11-0919.05 Expiration Date: 07/19/16 Approval Date: 10113111 Page 6 of 6