HomeMy WebLinkAboutSUBMITTED PAPERSDATE:
FEES
RECEIPT #:
Permit #:
C
1. Location/Site Address:
Planning & Development Services Department
Building & Code Regulation Division
2300 Virginia Avenue
Ft. Pierce, FL 34982-5652
Tel. 772462-1553
APPLICATION FOR ROOF PERMIT
SEE REVERSE SIDE FOR INSTRUCTIONS
2. Parcel ID Number: 3427-111-0002-000-5
St Scq��VF
Office Use
Only
Section
Township
Range
Map Page
Zoning
Land Use
Initials
3. Description of Project or Work Activity: Shingle Re -roof
4. Total Roof Area (square feet): 1600 5. Roof Pitch: 2:12
6. Type of Roof: [X] Fiberglass Shingle [ ] Concrete Roof Tile [ ] Wood Shake / Shingle
[ ] Tar & Gravel [ ] Modified Bitumen [ ] Other
[X] 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: Dana Heath
Address: 233 Camino Del Rio
City: Port St. Lucie State: FL
Zip: 34952 Phone: 772-919-5124
9. Value of Construction: $ 6,720
FL Reg/Cert #: CCC1330094
County Cert #: 28379
Business Name: RoofPro
Cell Phone: 772-215-6957
"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.
It7 Wt INt C rL �ySS�f lrro b
FRINT QUALIFIERS/OWNERS NAME SI OF QU IFIER/OWNER
STATE OF FLORIDA, COUNTY OF�fi-g (. f AM Cy
ACKNOWLEDGED BEFORE ME THISe�09 DAY OF /P/Iq i 20, BY�l �'lllV I C>K arI ��-U.9?7hi�
WHO IS PERSONALLY KNOWN ✓�TO ME OR HAS PRODUCED AS IDENTIFICATION
' +?'!"" CATHERINE FRANTANTONI
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY •': MY COMMISSION # EE212904
COMMISSION NUMBER �� .� EXPIRES March 21. 2016.
(407j�88QfS3 NomWAmsfta.c m
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 ',THE CIRCUIT COURT — SAINT LUCIE COUP:°
FILE # 3960123 OR BOOS 137 PAGE 1014, Recorded 05/30/2014 a L :53 PM
Permit No.
State of Florida County of St. Lucie
NOTICE OF COMMENCEMENT
Tax Folio No. 3427-111-0002-000-5
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter713, Florida Statutes,
the following information is provided in this Notice of Commencement.
Legal Description of Property: (and street address if available): ((T ' - ✓ L
i}lanish Takes Riverfront 231 Camino Del Rio, Port 4t T ude, EL 34952
General description of Improvement: Shingle.Re-rnnf
Owner information or Lessee information if the Lessee contracted for the Improvement
Name Tlann Rp.nth
Address ')zz rnXp;na I2el Ria, Part St Lucie, FL 34452
Interest in property: } 9900
Name and address of fee simple titleholder (if different from Owner listed above):
Contractor's Name: ROOfPTO
Contractor Address:1486-E Skees Road, West Palm Beach FL 33411 Phone Number: 561-249-0247
Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $
Name and address: Phone number:
lender Name: Phone Number:
Lender's address:
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 of
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 JOB SiTE BEFORE THE FIRST
INSPECTION. IF YOU 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 thWhaead tegoing notice of commencement and that the facts stated therein are true to the best of
errqy'Wni3w and belief.
r Lad A. DeSdw
(Sig atur Owner or lessee, or wner's or Lesse 's Authorized Officer/Director/Partner/Manager NOTARY(%
STATE OF FLORIDA
Al CotmMf FF0644153
(Signatory'sTitle/Office) 00 M 100MI17
Thgfo�regoing instrume t was acknowledged before me thi1s,1 day of� 2DL4
Byas�t "�' ' as QWe V for
N e of Person 1nJ n (X� ,, �Ty)pe of authority (e.g. officer, trustee) Party on behalf of whom instrument was executed
-L 1l.)tr��M f�/V Personally known_ or produced Identi at[on V
(Sign ureo Notary Public- State of Florida) yam/vlV�'/_����$e
(Print, Type, or Stamp Commissioned Name of Notary Public) Type of Identification produced R_ JJJ VV
STATE OF FLORIDA
ST. LUCIE COUNTY
THIS IS TO CERTIFY -THAT THIS ISA
TRUE AND CORRECT COPY OFTHE
ORIGINAL. „ It
B9
Date:
T
FNTY
f_ L_ D R. " [.. D R
Re: Permit#..i`'����—_o���
i
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
I, Dominick AQodiaQ , licensed as a(n)Contractor*/Engineer/Architect
r
(Please print name & circle license type) *FS468 Building inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 469 F.S. to make such an inspection.
On or about �%, ) E- / y , I did personally inspect the roof deck nailing
(Date)
work at: 233 Camino Del Rio Port St. Lucie
(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,)
b --� (_�
Signature and Seal
---CCC1330094.._.-_____
License #
STATE OFFLO A i
COUNTY OF 04 lionew
Sworn to and subscribed before me this day of —S—U1,r 20H ;.
bylkb UN21 CA::: jq �; s>-17? ftm . Who is personally known to me or who has produced ,a
as identification. r
Notary Public, State of and
Signature of Notary: 1, 4jq- L :--AI6
Commission Number: (Seal)
En 01/19/2011
RECEIVED JUL 18 2014
CATHERINE FRANTANTONI
•'3 MY COMMISSION 4 EE212W '{ ;
EXPIRES Malch 21. 2010 .'
(407)328415i Amw9aosvm
e
1'+llAM
�'+'' T t
FILE COPY
MIAMI-DADE COUNTY
PRODUCT CONTROL SECTION
It 805 SW 26 Street, Room 208
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 33175-2474
BOARD AND CODE ADMINISTRATION DIVISION T (786)315-2590 F (786) 31525-99
NOTICE OF ACCEPTANCE (NOA) www.miamidade.gov/economy
GAF
1361 Alps Rd.
Wayne, NJ 07470
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 Timberline HD®, Timberline Natural Shadow°, and Timberline° American Harvest®
Shingles
]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 noteddherein.
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 revises NOA 4 11-1122.04 and consists of pages 1 through 6.
The submitted documentation was reviewed by Alex Tigera.
NOA No.: 13-0419.04
Expiration Date: 02/21/17
Approval Date: 07/11/13
Page 1 of 6
ROOFING ASSEMBLY APPROVAL
Category:
Roofing
Sub-Cateeorv:
Asphalt Shingles
Materials
Laminate
Deck Type:
Wood
SCOPE
This approves GAF Timberline IMP, Timberline® Natural Shadow , and Timberline® American Harvest® Shingles as
manufactured by GAF as described in Section 2 of this Notice of Acceptance.
PRODUCT DESCRIPTION
Product
Dimensions
Test
Product Description
Specifications
GAF Timberline HD®
131/4 'x 393/8"
TAS 110
Fiberglass reinforced heavy weight asphalt
Manufacturing
roof shingle, with a laminate profile
Locations #1, 2, 3; 4, 5, 6, 7, 8
GAF Timberline® Natural
131/4"x 393/8"
TAS 110
Fiberglass reinforced heavy weight asphalt
Shadow®
roof shingle, with a laminate profile
Manufacturing
Locations #1, 2, 3, 4, 5, 6, 7, 8
GAF Timberline® American
13`/4 x 393/8"
TAS 110
Fiberglass reinforced heavy weight asphalt
Harvest®
roof shingle, with a laminate profile
Manufacturing
Locations #2, 5, 6, 7, 9
MANUFACTURING LOCATION
1. Tampa, FL
2. Michigan City, IN
3. Mobile, AL
4. Baltimore, MD
5. Myerstown, PA
6.' Ennis, TX
7. Tuscaloosa, AL
8. Dallas, TX
9. Fontana, CA.
NOA No.: 13-0419.04
Expiration Date: 02/21/17
Approval Date: 07/11/13
Page 2 of 6
EVIDENCE SUBMITTED
Test Agenev
Test Identifier
Test Name/Report
Date
Underwriters Laboratories, Inc.
ASTM D3462
I ICA48924
10/24/11
Underwriters Laboratories, Inc
ASTM D3462
1 OCA21994
04/22/11
Underwriters Laboratories, Inc
ASTM D3462
1 OCA28717
07/26/11
Underwriters Laboratories, Inc.
ASTM D3462
OSCA47541
11/10/06
Underwriters Laboratories, Inc.
ASTM D3462
06CA31580
11/30/06
PRI Asphalt Technologies, Inc.
ASTM D3462
GAF-101-02-02
11/02/05
Underwriters Laboratories, Inc.
ASTM D3462
06NK05159
08/09/06
PRI Asphalt Technologies, Inc.
ASTM D3462
GAF-098-02-02
11/08/05
Underwriters Laboratories, Inc.
ASTM D3462
02NK41809
08/11/02
Underwriters Laboratories, Inc.
ASTM D3462
03NK26444
10/17/03
Center for Applied Engineering
ASTM D3462
257989
05/13/97
Underwriters Laboratories, Inc.
TAS 107
OINK45803
04/13/94
Underwriters Laboratories, Inc.
TAS 107
06NK05159
08/09/06
Underwriters Laboratories, Inc.
TAS 107
04NK04273
02/20/04.
Underwriters Laboratories, Inc.
TAS 107
05CA42840
11/11/05
Underwriters Laboratories, Inc.
TAS107
02NK41811
11/11/02
Underwriters Laboratories, Inc.
TAS 107
03CA35209
10/17/03
Underwriters Laboratories, Inc.
TAS 107
04CA13850
08/30/04
Center for Applied Engineering
TAS 100
257989
04/01/97
PRI Asphalt Technologies, Inc.
TAS 100
GAF-044-02-01
01/13/04
PRI Asphalt Technologies, Inc.
TAS 100
GAF-098-02-01
11/08/05
PRI Asphalt Technologies, Inc.
TAS 100
GAF-101-02-01
11/09/05
PRI Asphalt Technologies, Inc.
TAS 100
GAF-116-02-02
03/23/06
PRI Asphalt Technologies, Inc.
TAS-100
ELK-083-02-01
10/16/02
ELK-084-02-01
10/ 15/02
ELK-085-02-01
10/14/02
ELK-086-02-01
10/24/02
ELK-087-02-01
10/21 /02
ELK-0 8 8-02-01
10/ 16/02
ELK-107-02-01
10/09/03
ELK-108-02-01
10/09/03
ELK-109-02-01
10/09/03
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.
NOA No.: 13-0419.04
runMroEcourm Expiration Date: 02/21/17
Approval Date: 07/11/13
Page 3 of 6
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 sliall 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".
MIAMI-DADE COUNTY
,...� 1
BUILDING PERMIT REQUIImMENTS
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.
MIAMNDADE COUNTY
APPROYEDI
NOA No.: 13-0419.04
Expiration Date: 02/21/17
Approval Date: 07/11/13
Page 4 of 6
DETAIL A
COURSE LAYOUT
NOA No.: 13-0419.04
MraMIOADEcourrrr Expiration Date: 02/21/17
Approval Date: 07/11/13
Page 5 of 6
f
133,4�'
DETAIL B
OVERALL DIMENSIONS AND NAILING PATTERN
39-3/811
(1m)
( 58-445mm_
6-1 " - 9-1/2"
(1-2H,mt1
— --� -�-
14-1/2"-17-1/2" —
--0-1 5mm)
6-1g, -
(tes-2� tee)41—
ENHANCED NAILING PATTERN - six nails per shingle*
"required by some local codes and required for enhanced wind coverage on certain products.
See limited warranty for details.
These shingles MUST be nailed a nominal 6" (152mm) from bottom of
of shingle, above the cut outs, as shown. Nails must not be exposed.
END OF THIS ACCEPTANCE
Nail guide line
5314" - 6-114"
(146mm-159mm)
from boilom of shingle
Self seal
adhesive
on back
NOA No.: 13-0419.04
Expiration Date: 02/21/17
Approval Date: 07/11/13
Page 6 of 6