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Home My WebLink AboutSUBMITTED PAPERSI DATE: . ' — / "/ — /7 1 FEES DUE: \(IlA I RECEIPT #: �1C11 ` i� I Permit #! .k Irv: ry�;gay'_ ,:iY: �tix` <• _Y V '�S+.f '+ni.,�r-i:�l:�e`.i•i's'L4:254 & St. Lucie County Building Zoning •:f Y J •gyp^ ' J';L•i _4: i.� � ^ 2300 Virginia Avenue Ft. Pierce, FL 34992-5652 V` q ' Tel. 772-462-1553 APPLICATION FOR ROOF PERMIT st• -Luc e SEE REVERSE SIDE FOR INST C-nONS C�U%l t_/ 1. Location/Site Address: rtZC.c �d ce_, 3�/i�� 2. Parcel ID Number: 6;2,_ 6?0 /— O // /- 000 —� Office Use Only Section Townshi Range Map Page Zonin Land Use Initials 3. Description of Project or Work Activity: (a pq 4. Total Roof Area (square f t): ��CaOD S. Roof Pitch: 6. Type of Roof: Fiberglass Shingle [ ] Concrete Roof Tile [ ] Wood Shake / Shingle [ ] Tar & Gravel ( ] Modified Bitumen [ ] Other kJAI:(Y--A. or Florida - Product Approval required for all types of Roofing Material (2 Sets) [ J 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. Name:.. Address: / 5 r7'1 Li►�-�cc2� �l . City: E-Ai't.� State: Zip: 3y9 y7 Phone: 9. Value of Construction: $ Note Dry -in and Final Inspection Required Additional inspection may be required per Product Approval Contractor Information FL Reg/Cert #:. `7 County Cert Business Name: f, Fees Due: Receipt #: CONTRACTOR/OWNER'S AFFIDAVIT: I certify that allof the info tion contained in this application is correct and that. all work will be done incompliance wi pplicable laws regula ' cons_1ruction and zoning. PRINT QUALIFIERS/OWNERS NAME S NATURE OF QUALIFIER/OWNER STATE OF FLORIDA, COUNTY OF GG ACKNOWLEDGED BEFORE ME THIS ZZ DAY OF BY WHO IS PERSONALL KNOWN O ME OR HAS PRODUCED 'AS IDENTIFICATION ;=off'"Y: SHARON KAUFMAN SIGNATURE OF NO AR TYPE OR PRINT NAME OF NOTARY j N' '490bOMMISSION #FF052943 COMMISSION NUMBER !F..... • EXPIRES September 10, 2017 (407) 398.0153 FloridallotaryService.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. �� 04f 1412014 08:19 All Area Roof.^^ `I iX)772 464 6600 R.0011001 , Planning & ®eveloprnent Services Building & Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL, 34982 772-462-2165 or 772-462-2172 Fax: 772-462-6443 R00FINSPECTION AFFIDAVIT Re; Permit # . f —� q I, -„�11 �namef&c —... licensed as a(n)Contractor*/Engineer/Architect (Please pnse type) *FS468 Building Inspector *Generol, Building, Resldentlal or Roofing Contractor or any individual certified under 468 F.S. to moke such an inspection. On or about � ``/V / 5�,, 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 Hurricane Mitigation Retrofit Manual (Based on 553.844 F,S.) Signature and Seal RECEIVED STATE OF FLORI p COUNTY OF ' , 0Cif 1-7-7 AP11 14,114 License # u I � i Sworn to and subscribed before me this /"7... day of k' 20LV by Who is personally known to me or who has produced -...----_--- as identiflcation. Notary Public, State of Fto4d Signature of Notary: t"FLQ�-� Commission Number:NARdN }(A ` 0p'MAN ty. ;p } MY COMMISSION En 01/19/2011 . .,...: '. N 'WFF082943 1 ,or n°,, EXPIRES Septeinber 10, 2017 (407) 39a.01gg Fioridallota so N rvicq, ,0M JOSEPH E. SMITH, CLERle - THE CIRCUIT COURT - SAINT LUCIE COM7-7,,, FILE # 3934651 OR BOC�___%i12 PAGE 2227, Recorded 03/17/20141:26 PM Permit No. Gate of Ronda County of a. tude NOTICE OF COMMENCEMENT Tax Folfo No.,2-wa-Cv0/-6 a It - o as -e Theundersigled herebygivesnotice that improverhent will be made to ocrtdn real property, and in aawdaneewtth Chapter713, Florida salu thefollowinginformationisprWdedintfisNott®ofQmunax nest. tes �Description ofR�perty (arid street address If available): /rie•±&A(e kg �SytLs� _d& 7 - Genera! desulption of lmprovtarxnt /leMas s L>�. �;� c � '�Jpn S �a,2p p� Vww uwmattOn or emnatfon If the lessee contracted for the improvernerd: Name Hf/i0tAt Faaress J.7.7i VLer-ALu, axo '�)9 ftrP >� rr4ri7 Interest in property. 9! ,v Name and address of fee simple titleholder (f efferent from Owner listed abovet- Contractor R1one Number suetyrOf arp)irabl% acopy of the payment bond is attached): Amount of done: $ Name and address one number Lander Name: Fhone Number - Lender's address: F ersonswithin the Sate orRorlda designated by Owner upon whim notices or other do_nw tsrmy be served as provided by ax:tfon 713.21)(a)7 floridaStatutes . Name: FfionsNumber: Address In addition to himself or hersd(, Owner designates of to receive a copy of the Uenors Notice as provided in Section 713.13(1) (b), Florida 3ehrte3 Rhone number of pan= or entity designated by owrie : B(Prelondateofnatfce0feommen0ament: (the expiration datemW not be before the completion of constntid1lon and firral payment to the contractor, but will be 1 year from the date of recording unlessadifferent dateiss)ecified) WAFdANGTOCtM492ANypgyMt3JT5MA0Et3YTHEONAlSiA MT6 EDWRkTICNOF7FENOTICEOFCOMMBJC8WWAFEOCNSCUM IMFFCPERPA1rMaMl.MMQ'oPiM71a PAFU" MMCN 71al3, fl.CRCASFANfB$ ANDQWIM LTINXMPA}1NGiWCEFDR IMFR JEMe9=)`CIUtFF0Pff0YANOTiCEOFC MMe4MwEpirMUSrEEFTIMf ANDPOSII UqNejoBSTEEM;F _1M INSUMOM N• IFIvOU BVOTOWRIN RNANONGt CONSJLTMHiOURLMDB;aMATfL� NWWQE OMMeVdMWCFdCOR flfiSl FEMUNGYOURNOiiLEOFCOMMBJC9NBV•t: UnderperAofpedury, I dedare that I have read the foregoingnotiee of ooameneenent and that tha factsstated therein amtrue to the best of nN>andbel{ef. (Signature of Owner or lessee, or Owner's or Lessee's A e /M Authorized OHtcer/Director/Partneranagr' ..!.VZ. • /� ��.�� SHARON KAUFMAN r" MY COMMISSION #FF052943 nyd (Signatoryslitle/Office) - ��; EXPIRES September 10.2017 Q (407139e•01. FlarldsNolwySenice.com The foregoing Instrument w�asadmowiedgedbefore methis�dayof r Zo/ By 1�� p�-e-L ' as.... fad. Name of Person Typeof authority"(eg officer, trustee) Party on behalf ofwFom Instrument wa MCUted PLrsonaily lvawn or produced IdentificationL� (9 ureofNotary Rrbi ds) (Print, Type, or aamp Commisdoned Name of Notary Public) Type of Identification produced L STATE OF FLORIDA ST. LUCIE COUNTY THIS IS TO CERTIFY THATTHiSISA TRUE AND CORRECT COPY OF THE pi" Qk"' ORIGINAL �' •��r�55J H �" '(+�IITH, ERIG 3�//JO• ' aate K'E I��✓��d \Y S _ z M®D�ADE 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 r (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) www.inlainidRgt.gov/biiilding/ Tamko Building Products, Inc. 220 West Fourth Street Joplin, MO 64802 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 terial fails to perform in the accepted manner, the manufacturer will incur the expense of such testm d the AHJ may immediately revoke, modify, or suspend the use of such product or material within thei ion. BNC reserves the right to revoke this acceptance, if it is determined by Miami -Dade Coun Control Section that this product or material fails to meet the requirements of the applicable building e. This product is approved as described herein, and has been designed to comply with the Flori u ` ing Code including the High Velocity Hurricane Zone of the Florida Building Code. TJL DESCRIPTION: TAMKO Roof Shingles LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state n )> 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 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 revises NOA # 10-0831.05 and consists of pages 1 through 4. The submitted documentation was reviewed by Alex Tigera. NOA No.: 11-0223.11 Expiration Date: 12/01/15 Approval Date: 05/12/11 Page 1 of 4 ROOFING ASSEMBLY APPROVAL Catesory Roofing Sub-Cateeorw Asphalt Shingles Materials Laminate Deck Type: Wood SCOPE This approves Tamko Heritage 30, Heritage, Heritage 50, Heritage Premium, Heritage XL, and Heritage Woodgate Asphalt Shingles, manufactured by Tamko Building Products, Inc, as described in this Notice of Acceptance. PRODUCT DESCRIPTION Product Dimensions Test Specifications Heritage 30 and Heritage 13 '/a " x 39 3/8" TAS 110 Heritage XL and Heritage 13 '/a " x 39 3/8" TAS 110 Woodgate Heritage 50 and Heritage 13 '/ " x 39 3/8" TAS 110 Premium MANUFACTURING LOCATION 1. Dallas, TX 2. Tuscaloosa, AL EVIDENCE SUBMITTED Product Description A heavy weight, dimensional asphalt shingle. A heavy weight dimensional asphalt shingle. A heavy weight, dimensional asphalt shingle. Test Agency Test Identifier Test Name/Report Date Underwriters Laboratories, Inc TAS 107 04CA44252 02/25/05 ASTM D3462 02NK33813 09/23/02 ASTM D3462 03CA14536 01/15/04 PRI Asphalt Technologies, Inc. TAS 100 TAP-129-02-01 05/23/05 TAS 100 TAP-130-02-01 05/23/05 TAS 100 TAP-131-02-01 05/23/05 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 913-72 of the Florida Administrative Code. C .� ouNn 1 NOA No.: 11-0223.11 Expiration Date: 12/01/15 Approval Date: 05/12/11 Page 2 of 4 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. 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 Building Official or the applicable code in order to properly evaluate the installation of this system. NOA No.: 11-0223.11 Expiration Date: 12/01/15 Approval Date: 05/12/11 Page 3 of 4 DETAIL A HERITAGE 30, HERITAGE, HERITAGE XL, HERITAGE WOODGATE, HERITAGE561 AND HERITAGE PREMIUM All dimensions are in inches. 5TH COURSE 4TH COURSE 3RD COURSE 2ND COURSE 1ST COURSE DETAIL B HERITAGE 30, HERITAGE, HERITAGE XL, HERITAGE WOODGATE, HERITAGESO, AND, HERITAGE PREMIUM 13-1/4" x 39-3/8" LAMINATED SHINGLE All dimensions are in inches 39-3/9' ►I 6-1/9' END OF THIS ACCEPTANCE MIAM!•DADE COUNTY -� 113 114" 62AA NOA No.: 11-0223.11 Expiration Date: 12/01/15 Approval Date: 05/12/11 Page 4 of 4