HomeMy WebLinkAboutSUBMITTED PAPERSALL APPLICABLE INFO MUST BE COMPI_,' D FOR APPLIO'-4TIONrTO BE ACCEPTED
Date: a �5 Permit Numb ,-. J �5d ] — Gd S 3
'Cq/VN
�t..C4ot�
_ Co
t .
Building Permi►pplicatron
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address:
Legal Des
Property Tax ID #: _ 3 s-) q-- 5D5-- l`7i2o,. noo - t10 Lot No. 1
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Tear- 0,W; Ory 7;�r(.A dowrt MorJ1fi.ec(
Aaamonai worK to De errormea unaer tnis permit — cnecK an tmu apply:
11HVAC _ Gas Tank ❑Gas Piping 11 Shutters Q Windows/Doors
ti
Electric 0 Plumbing Sprinklers Generator ® Roof
Total Sq. Ft of Construction: �/15- S . Ft. of First Floor: �, % gro
Cost of Construction: $ �� Utilities: Sewer F Septic Building Height:
Name larch Hdr1S�r2S4-e ✓1
Address: q00 f '5, 1 ind 61 n /L'vef On
City: PT e State: rt
Zip Code: Sq o F2 Fax:
Phone No. 7Z2 q6e? — /,,9,1/7
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: WdIle e�
Company: 6_yri ,"Sz 0,4,4 CFI Dp
Address: 900 d
City: F= 7, 19i e r e e Stater(
Zip Code: 3t119.2 Fax:
Phone No. `JOT—Je5SD
E-Mail: A00 141ALi,6R 2 W 61n,AL n of0/h
State or County License: �' c r? ) 3 1 -7
1? 0 9
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
EER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the. Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
comm4cing work or recording your Notice of Commencement.
Signature of Owner/ Ag4nt/, Lessee
STATE OF FLORID��A/l
COUNTY OF ��-1-. 1. u-e_I'e
The forgoing instrument was acknowledged before me.
this X day of v 20 Zby 20/ 5—
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known
Type of Identificai
Commission No.
'-- OR Produced Identification
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of : 20__IA by
(Name of person acknowledging)
(Signature of Notary Public -State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
&011 °�e' Notary Public State of Florida
? o Solomon I{%al) Commission No.
c: o y Commission E 139903
" OF s, Expires 11/15/2015
Revised 07/ 15/2014
(Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:•
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip:. Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
I certify that no work'or installation has commenced prior to the issuance of a permit. _
St. Lucie County makes no representation that is granting a permit Will aui
which is in conflict with any applicable Home Owners Association rules, by; p t" t
i subject structure
`rict or prohibit such
Imay
structure. Please consult with your Home Owners Association and review I
apply. -
In consideration of the granting of this requested permit, I do hereby agrel4he
work
in accordance with the approved plans, the Florida Building Codes and St. I\ \
The following building permit applications are exempt from undergoing a fI '
')ns,
accessory structures, swimming pools, fences, walls, signs, screen rooms all
Isidential use
WARNING TO OWNER: Your failure to Record a Notice of Commi
,ling twice for
improvements to your property. A Notice of Commencement ( _ �_
_An the jobsite
�.
before the first inspection. If you intend to. obtain financing, consult with lender or an attorney before
commoocing work or recording our Notice of Commencement.
Signature of Owner/ Ag nt/, Lessee
Signature of Contractor icense Holder
STATE OF FLORIDA/
COUNTY OF
The forgoing instrument was acknowledged before me
this � day of jt 20 Zby 20 S!
STATE OF FLORIDA COUNTY OF S Lv c ( F
The: forgoing instrument was acknowledged before me
this .day of . 20 b
(Name of person acknowledging) (Name.of. person acknowledging)
(Signature of Notary Public- State of Florida) (Signature of Notary Public- Sta a of Florida )
Personally Known 1-;'_�OR-Produced identification Personally Known OR Produced Identification..
Type of Identificati Type of Identification
op5t` P&7Not Public State of Florida '_
Commission No. on q%al) Commission No. (Seal) A8
mmissun E 139903
Oi F1.�P Expires 1111512`016 as' _J, 2017
-/iA-F VFrI
Revised 07/15/2014 TA I
,ss�� CC _�`-� MY COMMISSION # EE878048
__t_5,-62A_�.\1_(aS l O' 1:YPI12FC9:uhn,srv94 01A47
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
(407) 388 0
VEGETATION
REVIEW
83 ► Fiorfdafttary
leMw.om
MANGROVE
REVIEW
SEA TURTLE
REVIEW
DATE
COMPLETE
INITIALS
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 #
I, JMF 6ftZM KI , licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about FbrCi '7 ao i S , I did personally inspect the roof deck nailing
(Date)
work at: 906't S 100AN fLlke2 Ott• PT P1LMC6
(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).
(:::::: 2-,�e
ature and Seal
STATE OF FLORID ,`
COUNTY OF
License #
Swor and subscribed before m this day of 20 >
by h Who is personally known to me or who has produced
as identification. n n
Notary Public, State of Florida
Signature of Notary:
Commission Number:
En 01/19/2011
ANGEIA M.
19Y COMNaSSION EE 033530
EXPIRES: April 12, 2015 ricers
,o;tdM Thru Notary
Treasure Harvey E. Ko+ 1 7205 Elyse Circle
C oast Professional #32831 P S L Florida 34952-8212
B uilding Architect#AR0009471 PHONE(772) 466-5509
E ngineers, Certified General Contractor 4CGCO24776 FAX(772) 489-3035
Inc. E-MAILhkoehnen@tcbeweb.com
Contractor `eDlif_zetZ<
Owner -ftA ► 15j 0S'MN Date
1obAddress gooq 5. 1000&-I QjVprL pa. 1'
BUILT UP _1 JA Ah00 t) M 3YS'C0PA `'f$ `' OP -rorZ I M r�O-DY
NEW ROOF RE -ROOF_ RECOVERING REPAIR AREA iv SQ+
ASCE 7-10 & FBC 2010 ENCLOSED BLDG _)�_ SEMI ENCLOSED BLDG OPEN
PART 2 -LOW RISE C&C SIMPLIFIED
RISK CAT 2/V =(GeEXPOSUREQf A = .4 Kzt =1.0/h = LD D 12 PITCH/MEAN PARAPET htr'
ROOF SYSTEM E o ai wa i NOA (3 -•6YZQ .62
ZONE B @ h=30 = X = PSFx0.6=_(o f
1 �'7
ZONE B @ h=30 = X = PSFx0.6=a=A_ `
ZONE B @ h=30 = X = PSFx0.6=-1o2•'1 a=¢ x4-'
MAX DESIGN PRESSURE PER NOA - 5Z•ti
DECK TYPE RL,I-NIV, THICKNESS
BASE SHEET PE ZS NO. OF PLIES Z
FASTENERS/BeNtBMG R-OF 04 tj kj,5 �t PcO 44.P .
ER SPACING FOR ANCHOR/BAS€ SHEET ATTACHMENT:
oil iahQn�
ield "o @Lap,#Rows @jam" a Perimeter: 11"oc @Lap,- # Rovrs 2 @ "o rner: ' � "oc@Lap;-WHEN 7711"
INSULATION BASE LAYER TYPE SIZE "
TYPE OF FASTENERS/OR BONDING MATERIAL
INSULATION TOP LAYER TYPE
TYPE OF FASTENERS/OR BONDING MATERIAL -
NUMBER OF FASTENERS PER INSULATION BOARD: Field ^
PLY SHEET NO. OF PLIES ^
TOP PLY Ac ff e1C k4• ffi NO.OF PLIES I
SURFACING M 0JOLIZke- DRIP EDGE SIZE�3 " x 3"
SIZE
Perimeter - Corner"
_TYPE OF FASTENERS/BONpING'-
_TYPE OF F".`_'"L FA&/BONDING 0,T W 04-D0,p
MATERIALS Gk 411
a
T reasure Harvey E. Koehnen
C oast Professional Engineer #32831
B u i Id i ng Architect #AR0009471
E ngineers, Certified General Contractor #CGCO24776
Inc.
These tables Are For Reef Coverings
It
Roof coverings Installed on Buildings with ay
Mean Roof Height of 30' or Less Located in Exposures B, C or D 1 . I
1-able R301.2 [2j-o?� ASca 7-1c) c
COMPONENTS AND CLADDING WORST CAS.E DESIGN PRESSURE TPS 1 w-at
160 Exp B
Roof > 0 to 7 degrees
Zone -27.6
7degrees = 11/2 /12 pitch
Zone 2 -46.4
Zone - -69.8
Roof > 7 to 27 degrees
27 degrees = 6/'12 pitch
Roof > 27 to 45 degrees
45 degrees = 12/12 pitch
Roof > 0 to 7 degrees
7degrees = 11/2 /12 pitch
Zone 1
Zone 2
Zone 3
Zone 1
Zone 2
Zone 3
-25.3
-44,1
-65.1
160 Exp C
160 Exp CC-40.6
160 Exp D
(One story
. (Two story) (Two storyl
-33.4
-38.7
-45.9
-56.2
-65.0
-77.1
-84.5
-97.7
-115.9
- 30.7
- 35.5
-37,2
- 42
- 63.4
- 61.8
-64.9
- 73.3
-78.8
- 91.2
- - 95.7
- 108 ,;!
- 27.8 -33.7 -40.0 -40.1 -462
-32.4 -39.3 -45.4 -47,7 -53.8
- 32.4 -39.3 -45.4 - 47,7 -53.8
.150 Exp S
150 Exp C
150 Exp C
150 Exp D
150 Exp D
(one story-) (two story*) (one story*)
( two story)
Zone 1 -24.3
-29.6
-34.1
-35.8
-40.4
Zone 2 -40.8
-49A
-57.2
-60.0
h
-67.8 h
Zone 3 -61.4
-74.3
-86.0
-90.3
-102.0
Roof > 7 to 27 degrees Zone 1 -22,2 - 26.9 - 31.1
-32.7
- 36.9 ^ Iv
27 degrees = 6/12 pitch Zone 2 -38.7 - 46.9 - 54.2
-56.9
- 64.3
Zone 3 . -57,3 - 69.44 - 80.3
-84.3
- 95.2
Roof > 27 to 45 degrees Zone 1 - 24.3 �29.5 -34.1
-35.8
-40.4
45 degrees = 12/12 pitch Zone 2 - 28.4 34.4 -39.8
-41.8
-47.2
Zone 3 - 28A -34.4 39.8
-41.8
-47.2
One story. • = one story building with a maximum mean roof height of 15 feet
Two story* = two story building with a maximum mean roof height of 30 feet
If -allowed by the Miami Dade N.O.A or Florida Product Approval , any-system.that does not meet the
mihimum components and cladding pressures for the area that the building is
located per this form
may require a Florida licensed engineer to revise the fastener spacing
T C B E, Inc. 7205 Elyse Circle PHONE (772) 466-5509
Port Saint Lucie FAX (772) 489-3035
Florida 34952-8212 E-MAIL hkoehnen@tcbeweb.com
WEB SITE httD://www.tcbeweb.corr
Membrane Type: APP
Deck Type 1: Wood, Non -Insulated
Pit 2
Deck Description: 19/32" or greater plywood or wood plank
- -
aIVY Y
System Type E: Base sheet mechanically fastened. 9,
All General and System limitations apply.
Base Sheet: (Option #I) One ply of JM APP Base, PermaPly 28, G1asBase Plus or
Ventsulation mechanically fastened to the deck with U1traFast Fasteners and Metal
Plates at a 4" side lap 12" o.c. and two rows staggered in the center of the sheet
18" o.c.
(Maximum Design Pressure —45 psf., See General Limitation #9.)
(Option #2) Minimum two plies of PermaPly-28 or Ventsulation simultaneously
fastened to the deck lapped 4" and f ned with approved roofing nails and tin
caps 9" o.c. at the lap ,and two rows staggered in the center of the sheet 12" o.c.
(Maximum Design Pressure —5�5 psf., See General Limitation #V7.)
(Option #3) Minimum two plies of PermaPly 28 or Ventsulation simultaneously
fastened to the deck with Ultrafast fasteners and Metal Plates spaced 9" o.c. in a
4" lap and 12" o.c. in two staggered rows in the center of the sheet.
(Maximum Design Pressure —52.5 psf., See General Limitation #7.)
Ply Sleet: (Opt' al) O r m pli f J A P a e P 4S t welded to base
t w ' nai ing ' sid ps a 6" end laps.
Membrane: One or more plies of APPeX 4.5M or APPeX 4.5M FR heat welded while
maintaining 4" side laps end laps. ^�
Surfacing: (Optional) Install one of the following for all systems that do not achieve
acceptable fire ratings through the use of FR membrane sheets. An coating, listed v`
P g g Y g, YY
below, used as a surfacing, must be listed within a current NOA.
1. 4001b./sq. gravel or 300 lb./sq. slag in a flood coat of approved mopping asphalt at
Maximum Design
Pressure:
MIAMI•DADE COUNTY
2. Karnak 97, Karnak 97 AF, Monsey Premium Long Life Aluminum Roof Coating
Asbestos Free or Monsey Prograde Aluminum, Grundy AL MB aluminum coating
at a rate of 1-1/2 gal./sq. Money Aquabrite, Gardner asphalt emulsion, APOC
Sunbright 400 or Henry 229 Aluminum Emulsion at 2'/2 gal./sq. or APOC 212
Aluminum Roof Coating at 3 gal./sq.
3. Grundy 20 F asphalt emulsion, Endure Asphalt Emulsion, APOC 302 or 302 AF
applied at 2'/z gal./sq. with optional 60 lbs./sq. of roofing granules embedded in
wet coating. .
See Fastening Options
NOA No.: 13-0529.02
Expiration Date: 06/14/16
Approval Date: 02/20/14
Page 17 of 18
ROOFING SYSTEM APPROVAL
Category: Roofing
Sub -Category: Modified Bitumen '
Materials: APP/SBS
?
�.
Deck Type: W od r2, l
Maximum Design Pressure:
TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT:
TABLE 1
Test
Product
Product
Dimensions Specification
Description
JM APP Base
39-3/8" x 48' 10" ASTM D6509
APP modified asphalt, fiberglass
reinforced, smooth surfaced base sheet.
APPeX 4S
39-3/8" x 32' 10" ASTM D6222
APP modified asphalt, polyester reinforced,
Type I Grade S
smooth surfaced membrane for use as a
Base and/or Ply Sheet only.
APPeX 4.5M
39-3/8" x 32' 10" ASTM D6222
APP modified asphalt, polyester reinforced,
Type I Grade G
mineral surfaced membrane.
APPeX 4.5M FR
39-3/8" x 32' 10" ASTM D6222
APP modified asphalt, polyester reinforced,
Type I Grade G
fire -retardant, mineral surfaced membrane.
Tricor M FR
39-3/8" x 34' 1" ASTM D6223
APP modified asphalt, polyester / glass
reinforced, granule surfaced membrane.
Tricor M FR CR
39-3/8" x 34' 1" ASTM D6223
APP modified asphalt, polyester / glass
reinforced, coated granule surfaced
membrane.
Tricor S
39-3/8" x 32' 10" ASTM D6223
APP modified asphalt, polyester / glass
reinforced, smooth surfaced membrane for ``•1
use as a Base and/or Ply Sheet only. N
PermaPly M
36" x 106' ASTM D4601
Type II asphalt impregnated and coated
`\v
1
glass fiber base sheet.
V-entsulatioi
x 36' A -TM D4899—H-cavy-dutyfiber-glu&g->fase
shee
Type II
impregnated and coated on both sides with
asphalt with or without fine mineral
stabilizer.
G1asBase Plus
36" x 106' ASTM D4601
Type II SBS and asphalt blend impregnated
and coated glass fiber base sheet with fine
mineral stabilizer.
DynaFast 180 S
39-3/8" x 49'2" ASTM D6164
SBS modified asphalt, polyester reinforced,
smooth surfaced sheet.
DynaFast 180 HW
39-3/8" x 49'2" ASTM D6164
SBS modified asphalt, polyester reinforced,
smooth surfaced sheet.
DynaFast 250 HW
39-3/8" x 32' 10" ASTM D6164
SBS modified asphalt, polyester reinforced,
smooth surfaced base sheet.
NOA No.: 13-0529.02
Expiration Date: 06/14/16
Approval Date: 02/20/14
Page 2 of 18
Q
WOOD DECK SYSTEM LIMITATIONS: fit: E
1 A slip sheet is required with Ply 4 and Ply 6 when used as a mechanically fastened base or anch
sheet.
GENERAL LIMITATIONS:
3.
4.
5.
J7
Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials
Directory for fire ratings of this product.
Insulation may be installed in multiple layers. The first layer shall be attached in compliance'with
Product Control Approval guidelines. All other layers shall be adhered in a full mopping of
approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq., or mechanically
attached using the fastening pattern of the top layer
All standard panel sizes are acceptable for mechanical attachment. When applied in approved
asphalt, panel size shall be 4' x 4' maximum.
An overlay and/or recovery board insulation panel is required on all applications over closed cell
foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet
shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip
mopped 8" ribbons in three rows, one at each side lap and one down the center of the sheet allowing
a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be
placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall
be at a minimum rate of 12 lbs./sq.
Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf.
Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of
275 lbf., as tested in compliance with Testing Application Standard TAS 105. If the fastener value,
as field-tested, are below 275 lbf. insulation attachment shall not be acceptable.
Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based
on a minimum fastener resistance value in conjunction with the maximum design value listed within
a specific system. Should the fastener resistance be less than that required, as determined by the
Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered
Engineer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing
shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and
calculations in compliance with Roofing Application Standard RAS 117.
Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these
areas. Fastener densities shall be increased for both insulation and base sheet as calculated in
compliance with Roofing Application Standard RAS 117. Calculations prepared, signed and sealed
by a Florida registered Professional Engineer, Registered Architect, or Registered Roof Consultant
(When this limitation is specifically referred within this NOA, General Limitation #9 will not
be applicable.)
8. All attachment and sizing of perimeter nailers, metal profile, and/or flashing termination designs
shall conform to Roofing Application Standard RAS 111 and applicable wind load requirements.
9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e.
field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for
enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and corners).
(When this limitation is specifically referred within this NOA, General Limitation #7 will not
be applicable.)
10. All products listed herein shall have a quality assurance audit in accordance with the Florida
Building Code and Rule 61 G20-3 of the Florida Administrative Code.
END OF TIHS ACCEPTANCE
NOA No.: 13-0529.02
Expiration Date: 06/14/16
Approval Date: 02/20/14
Page 18 of 18
JOSEPH E. SMITH. CLERK OF THE CIRCUIT CC.�_,_
SAINT LUCIE COUNTY
F!LE # 4018455 01-062015 at 12:59 PM
OR BOOK 3705 PAGE 612 - 612 Dec Type. NC
RECORDING: $10.00
CE OF COMMENCEMENT
HO MO.3S/9 .sos - o.9-DIw i,
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.
I('.
Legal Description of Property: (and street address if available):
3 y9r-2
General description of improvement. WEG!- (cRay_( Aw ?m&r &oii`(( `rd7+gCu Ipaol
Owner i
Name
Address
or Lessee information if the Lesseg contracted for the improvement:
; E nl i4_A rl S,l d S rc N
Interest in property: .0 W ff(: C_
Name and address of fee simple titleholder (if different from Owner listed above):
Contractor's Name: _ SUNR/5E CITY CNOo R oprNG
Contractor Address:`80c> VIIe6divA AVC SuIM (ol FT P/treir 3y4Ya Phone Number:
Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $
Name and address:
Lender Name: - — Phone Number:
Lender's address:
number:
-7a
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 Number:
In addition to himself or herself, Owner designates
Lienor's Notice as provided in Section 713.13(1) (b), Florida Statutes.
Phone number of person or entity designated by owner:
to receive a copy of the
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 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 I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE 10B SITE BEFORE THE FIRST"
INSPECTION. IFYOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of
my knowlgdge and belief./
(Signature of Owner or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager
� +ter ✓t e;� -
(Signatory's Title/Office)
The foregoing instrument was acknowledged before me this, o2-4 day of , 20
Byy� Ci rP n t� �# 11 n. t� ✓1 as V_ for . .
Name of Person - — Type of authority (e.g. officer, trustee) Party on behalf off whom instrument was executed
` NANCY C. DEVINE Personally known ✓or produced Identification
(Signature o1potary Public - State of Florida) {� n��;Q RY RU B LIC
(Print, Type, rStamp Commissioned Name
of N
gNII�JI�IN EXPIRES SEPT 17, 2�1yge of Identification produced
:
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Planning & Development Services
Building &'Code Regulation.Division
2300 Virginia Avenue
Fort Pierce, Fl— 34982
Phone:(772)462 2172 Fax:(772)462-6443
PROPERTY INFORMATION
Address: 9009 S Indian River Dr
City / State / Zip: Fort Pierce, FI 34950
Parcel #: 3519-505-0002-000/6
Zoning: RE-2
APPLICATION INFORMATION
Permit Number: 1501-0053
Permit Type: ROOF - MODIFIED BITUMEN
REVIEW COMMENTS
Page 1
Owner(s):
Karen Hansjosten / Karen Hansjosten (Tr)
/ Susan L Macdonald (Tr)
Jurisdiction: SAINT LUCIE COUNTY
Lot#: 1 Block:
Stories:
CONTRACTOR INFORMATION
Contractor Name:
Roderick J Waller
Business Name:
Sunrise City Community Housing Development Org
Inc
Business Addr:
800 Virginia Ave Ste 61
City / State / Zip:
Fort Pierce, FI 34982
REVIEWS AND COMMENTS
ReviewTvoe Status Reviewed By
DOCUMENTS MISSING PENDING Deanna Givens
1/6/2015 Comment: NEED 2ND PAGE WITH BOTH SIGNATURES.
FRONT COUNTER REVIEW COMPLETE Deanna Givens
Comment:
Automatic Sprinkler System? No
Fax Number: 772-907-0420
Date Started
1/612015
1/6/2015
Email: Rodwallerl@Gmall.Com
Date Completed Date Released
1/6/2015 1/6/2015
PLANS EXAMINER REVIEW INCOMPLETE Dave Johnson 1/8/2015
Comment: UPLIFT DESIGN PRESURE ON ROOFING MATERIAL DOES NOT MEET REQUIRED DESIGN PRESURE FOR
1/8/2015 THIS LOCATION. FASTENER DENSITIES WILL NEED TO BE INCREASED FOR PERIMERTER AND CORNER
ZONES. SEE NOTE 7 OF GENERAL LIMITATIONS ON PRODUCT APPROVAL. R301.2.1 FBC
1/8/2015 Comment: COMMENTS EMAILED TO CONTRACTOR MAILED TO OWNER
z.
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 # 5L.C. ^ 1501 _ 0053
I, , ) ff , licensed as a( Contractor /Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building Residential r Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about fEB % - a015S , I did personally inspect the roof deck nailing
(Date)
work at: 1009 S /NOIAN RIdL-YL DK
(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).
Slgnature an Seal
STATE OF FLO� I^DA
COUNTY OF � U%Ak LIJP e-
CRC 1330 a73
License #
Sworn to and subscribed before me this lDi-h_ day of FC13rUCA-r 20 S
by 3e-WY0C��11'151<`I Who is personally known to me or who has produced
F t)t '%rACrlver6 CACAn 6C— as identification.
Notary Public, State of Flori a___NICOLE ORTADO
Signature of Notary: 1. NOTARYPUBUC
Commission Number: F 119003E� (Seal) STATE OF FLORIDA
. Canm# FF1I30=
En 01/19/2011 Expires uytmg
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