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HomeMy WebLinkAboutSUBMITTED PAPERS. ) FEES DU RECEIPT #: Permit #: Planning & Development Services Department ® Building & Code Regulation Division SC © o 2300 Virginia Avenue q%V Ft. Pierce, FL 34982-5652 Tel.772-462-1553 UC% APPLICATION FOR ROOF PERMIT county SEE REVERSE SIDE FOR INSTRUCTIONS 1. Location/Site Address: _(QtO gq N� Prt2 PACI F-10, 0 FOET PlaCE P-1, 3 t-%0IS 1 2. Parcel ID Number: 130(-p - 111.0001 " 00113 I`C7 Office Use Section Township Range Map Page Zoning Land Use Initi Only 3. Description of Project or Work Activity: -I1NC1 LE E-r 1200P " `.''� X-) \.I (f'., 4. Total Roof Area (square feet): 00 5. Roof Pitch: 7 /I Z 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: sm L-, � A &M FL Reg/Cert #: C C C, 13 2 (v I -7 -j Address: U I q q M A& PAC I PI C 0 County Cert #: 15 .0y0 / gE'4S' City: VWT Plot W State: Business Name: ALL Ar2b-j4 (_OOi=J►Jt Zip: 3 C} 95 1 Phone: 913 4 Z,(p • 9124i Cell Phone: -I l - ,3� 0. 30(o 0 9. Value of Construction: $ I'j� 1 C )o "Oct "Note Dry -in and Final Inspection Required. Additional inspection may be required per Product Approval. CONTRACTOR/OWNER'S AFFIDAVIT: I certify that al f the information contained in this application is correct and that all work will be -r ( done in co a with p� " p� - le I s reg a 'ng construction and zoning. 6r! n PRINT QUALIFIERS/OWNERS NAME SIGNATURE OF QUALIFIER/OWNER STATE OF FLORIDA, COUNTY OF SrL�U C.! E ,` I r ACKNOWLEDGED BEFORE ME THIS 2S c,,,9-DAY OF ItN IRM 20 I mo, BY WHO IS PERSONAT,,LY KNOWN U/TO ME OR HAS PRODUCED AS IDENTIFICATION .. SI N TUR O A TYPE OR PRINT NAME OF NOTARY: ;. SONIA DESTAFNEY n "` MY COMMISSION #FF125420 COMMISSION NUMBER F D5 4� �' .. ' °'.?d EXPIRES May 21, 2018 NOTICE TO OWNER: FAILURE TO RECORD A.NOTICE OF COMMENCEMEN TW CE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. a.- Revised 4/26/2010 JOSEPH E. SMITH, CLERF- -7 THE CIRCUIT COURT - SAINT LUCIE C=Ia-? v FILE # 3998872 OR BOG 675 PAGE 2064, Recorded 09/29/2014 1:53 AM NOTICE OF COMMENCEME'I IT TO BE COMPLETED WHEN CONSTRUCTION VALUE EXCEEDS $2,500.00 PERMIT#: TAX FOLIO#: 0-t.F'.II1' W()I - OOO' O State of Florida, County of Indian River, the undersigned hereby gives notice that Improvement will be made to certain real property, and in accordance with chapter 713, Ronda statutes, the fallowing information is provided in this notice of Commencement. 1. LEGAL DESCRIPTION OF PROPERTY AND STREET ADDRESS IF AVAILABLE): U48-7 SPANISF} LPkt5 (AND ;PINSICN-AWI2L5S (olagq Alice DA-lFi�o 2. GENERAL DESCRIPTION OF IMPROVEMENT: 3. [DOWNER INFORMATION or ❑LESSEE G���1Z.. INFORMA a. Name: Srt"�/ E✓U -1-3TION (If Lessee contracted for the improvement) Addresses-1 MQY A(-IV-kM T-oQ--' P\ GE F- '-z't4 K1 b. Interest in property: c. Name and address of fee simple titleholder (if other than owner): 4. CONTRACTOR: a. Name: N( Address: 3AZ1 .S US T L�Ct�CL iqqp? b. Phone number: �17E_�Ilol I LOU)() S. SURETY COMPANY (If Applicable, a eapy of the payment bond is attached): a. Name & Address: b. Phone number. Bond amount: 6. LENDER/MORTGAGE COMPANY: a. Name & Address: b. Phone number: 7. PERSONS WITHIN THE STATE OF FLORIDA DESIGNATED BY OWNER UPON WHOM N0710ES OR OTHER DOCUMENTS MAYBE SERVED AS PROVIDED BY SECTION 713.13 (1) (a) 7., FLORIDA STATUTES: n W- R Arl11-- b. Phone number. fax number. B. IN ADDITION TO HIMSELF OR HERSELF, a. Owner designates of to receive a copy of the lienor's notice as provided in section 713.13(1) (b), Florida statues. b. Phone number: 9. EXPIRATION DATE OF NOTICE OF COMMENCEMENT. (THE EXPIRATION DATE IS ONE (1) YEAR FROM THE DATE OF RECORDING UNLESS A DIFFERENT DATE IS SPECIRED). 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 STATUES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT V.' 'H YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. UNDER PENALTIES OF PERJURY. I DE91AFE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS IN IT ARE TRUE TO THE BEST OF MY KNOWLEDGEA BELIEF CTION 2.5 ,FLOfiIDASfATUTES .t�(\TAD SIGNATURE OF OWNER or LESSEE or OWNER'S AUTHORIZED OFFICER/DIRECTOR/PARTNER/MANAGER ()Lo lw SIGNATORY'S THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS 05 DAY OFF M • 20-d— BY: Steven Raber _ AS OL-o \2`r FOR YIIM$f It NAME OF PERSON TYPE OF A,�U,TTHO?!TY NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED ❑N LL PERS Y K O N R L /ROOOCED IDErjFIC6T1,ON WPE OF IDENTIFICATION PRODUCED 1°V NOT Y IGNATURE U(JNOTARY PRINTED NAME J NOTARY SEAL DESTAFNEEY COMMISSION MFF725420PIRES =j%�ONIA May 21, 201eFIOrIORNotatyS�rvka•�^ MIAMI- �s i$ MIAMI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 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) w.vw.miamidade.gov/economy GAF I 1361 Alps Road. Wayne, NJ 07470 FILE COPY 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 RER - 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. RER 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: GAF Royal Sovereign® Shingle 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 Official. This renews and revises NOA #12-0313.11 and consists of pages 1 through 4. The submitted documentation was reviewed by Alex Tigera. NOA No.: 12-1127.03 MIA Fjmi6 COUNTY Expiration Date: 04/22/18 Approval Date: 04/18/13 Page 1 of 4 Y ROOFING ASSEMBLY APPROVAL Category: Roofing Sub -Category: Asphalt Shingles Materials 3-Tab Deck Type: Wood SCOPE This approves GAF Royal Sovereign Shingle as manufactured by GAF as described in this Notice of Acceptance, designed to comply with the Florida Building Code and the High Velocity Hurricane Zone of the Florida Building Code. PRODUCT DESCRIPTION Product Dimensions GAF Royal Sovereign® Shingle 12" x 36" MANUFACTURING LOCATIONS 1. Savannah, GA. 2. Tuscaloosa, AL. 3. Tampa, FL. 4. Mt. Vernon, IN. 5. Mobile, AL. 6. Dallas, TX. 7. Myerstown, PA. 8. Fontana, CA. 9. Minneapolis, MN. EVIDENCE SUBMITTED Test Agency Center for Applied Engineering PRI Asphalt Technologies, Inc. PRI Construction Materials Technologies, Inc. Underwriters Laboratories, Inc. Test Product Description Specifications TAS 110 Fiberglas reinforced heavy weight asphalt roof shingle, with a 3-Tab profile Test Identifier TAS 100 ASTM D3462 TAS 100 TAS 100 TAS 100 TAS 100 TAS 100 TAS 107 TAS 107 TAS 107 TAS 107 TAS 107 ASTM D 3161 / TAS 107 ASTM D 3161 / TAS 107 Test Name/Revort Date 02/23/94 257966 03/21/97 GAF-105-02-01 11 / 14/05 GAF-182-02-01 02/07/08 GAF-3 3 2-02-01 01 / 17/ 12 GAF-3 76-02-01 10/ 15/ 12 GAF-153-02-01 11 /3 0/06 05CA48258 11/28/05 05CA47804 11/11/05 08NK02337 03/12/08 08NK12906 10/10/08 11CA47919 12/03/11 09CA41642 09/28/10 09CA3 8549 10/3 0/09 NOA No.: 12-1127.03 Expiration Date: 04/22/18 Approval Date: 04/18/13 Page 2 of 4 ASTM D 3462 ASTM D3462 09/12/06 ASTM D 3462 08NK02337 03/12/08 ASTM D 3462 09CA21715 05/20/09 ASTM D 3462 08CA61515 07/15/09 ASTM D 3462 11CA47919 12/03/11 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 9N-3 of the Florida Administrative Code. INSTALLATION 1. Shingles shall be installed in compliance with Roofing Applications Standard RAS-115. 2. Flashing shall be in accordance with Roofing Applications Standard RAS-115. 3. The manufacturer shall provide clearly written application instruction. 4. Exposure and course layout shall be in compliance with Detail "A", attached. 5. Nailing shall be in compliance with Detail `B", attached. LABELING 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.: 12-1127.03 Expiration Date: 04/22/18 Approval Date: 04/18/13 Page 3 of 4 c � h DETAIL A COURSE LAYOUT DETAIL B OVERALL DIMENSIONS AND NAILING PATTERN 36" END OF THIS ACCEPTANCE NOA No.: 12-1127.03 Expiration Date: 04/22/18 Approval Date: 04/18/13 Page 4 of 4