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HomeMy WebLinkAboutSUBMITTED PAPERSDATE: 't FEES DUE: 'i , RECEIPT #: i O'3 Permit #: Planning & Development Services Department ® Building &Code Regulation Division SCANNED � � 2300 Virginia Avenue B y - Ft. Pierce, FL 34982-5652 Tel.772-462-1553 St Lucie County APPLICATION FOR ROOF PERMIT SEE REVERSE SIDE FOR INSTRUCTIONS 1. Location/Site Address: 3 `1 E r OLnv�u* Ave -.\for- 443i, 2. Parcel ID Number: S4 I'q 51C0Q.1c iC,1I Office Use Only Section TownshipRange Ma Pa a�ZoningLand Use Initials 3. Description of Project or Work Activity: 4. Total Roof Area (square feet): ck ���j 5. Roof Pitch: 6. Type of Roof: [ dFiberglass Shingle [ ] Concrete Roof Tile [ ] Tar & Gravel [ ] Modified Bitumen ] Wood Shake / Shingle [ ] 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 Name: FL Reg/Ce: Address: qlq F F��� County CF City: pars- �.0 f� State: Business r Zip: By S`l Phone: *771- `ll t 603 . Cell Phont 9. Value of Construction: $ ] qW **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 j� done in compliance with all applicable laws regulating construction and zoning. 19`76 t6i �cl�.r►�'6 NT UALIFIERS/OWNERS NAME GNATURE OF QUALIFIER/OWNER PRI Q STATE OF FLORIDA, COUNTY OF Srf Lw1ilC_ __ ACKNOWLEDGED BEFORE ME THIS 7 DAY OF v WHO IS PERSONALLY KNOWN T OR HAS PRODUCED SIGNATURE OF NOTARY TYPE OR PRINT NAM] COMbIISSION NUMBER LIAL F&CP 1 20-3—,BY3Of�hJ� �Qar �0 1 iwy-HoN _06 „ No ary Public -State of Florida • : : • _ My Comm. Expires Dec 16, 2016 OF NOT % po; 00 0nmission # EE 858761 °lets �d Bonded Through National Notary Assn. 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 INSTRUCTION- ,' ? 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. rAll-p"erinit'applications;must;be.filldd .out.conipletely before submission. No applications will be accepted for,prgcessing after 4 30.P 1V�: For assistance iii completing this application, please call (772) 462-1553, during regular' office hours, (8:00 AlV1- 5:00 .FM)" Monday., through Friday: �. ,.. t.._ Upon issuance of this-perinit, required -inspections can be scheduled by calling (772)'.462-1261. St. Lucie County Roof Permit Application rev. 3/1/2009 .,St. Lucie 0, 'y Building & Zoning bepartment 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 your self 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 apphca ljq 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 how o meet the minimum code. Initial 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 liable for the cost of the license. Initial 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 L_ day of of 20. �wner/Builder Signature f STATE OF FLORIDA COUNTY OF S k . Lv c % 4, The foregoing instrument was acknowledged before me this -1 day of 2o_Q by '$ O'S�%Q 6, Qj'% Wd who is personally known to me, or who has produced %0 • LJ *,O 0 y O d as identifica Signature of NotaryType or Print Name of Notary Title: Notary Public Commission Number �-Vl L11 DEANNA GIVENS Notary Public - State of Florida My COMTSWI)eS Dec 16, 2016 Commission # EE 858761 Bowed Through National Notary Assn. J r—� 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 # (3 C 8 00%9 I, ✓ , licensed as a(n) ontractor /Engineer/Architect (Please print na e & circle license type) *FS4 ui ing Inspector *General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection. On or about 0 1� Ll 3 1 did personally inspect the roof deck nailing (Date) /� work at: 'S%/q 6 "ez-4 Ave -- (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 m+ost strigent). Signature and Seal STATE OF FLORIDA COUNTY OF v� Coe : /S/ ems© 6L-�' License # Sworn to a d sub cribed before me this _ h day of S 20a by �C . Who is personally known to me or who has produced as identification. Notary Public, State of Flori Signature of Notary: __ <A Commission Number: (Seal) En 01/19/2011 ICHRAK ZAKAS Notary Public - State of Florida My Comm. Expires Mar 9, 2014 ,ifFOFIF11 , Commission # DD 969337 •h4pIN� RECEIVED SEP 09 2013 FILE COPY MAW MIAMI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) 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) www.miamidade.sov/sera Owens Corning Roofing and Asphalt, LLC One Owens Corning Parkway Toledo, OH 43659 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 PERA - 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. PERA 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:. Oakridge®, TruDefinition Oakridge®, and TruDefinition Oakridge® Artisan Colors 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 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 revises NOA#11-0411.03 and consists of pages 1 through 4. The submitted documentation was reviewed by Alex Tigera. MIAMI•DADE COUNTY 1 NOA No.: 12-0430.01 Expiration Date: 02/03/16 Approval Date: 03/28/13 - Page 1 of 4 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub -Category: Asphalt Shingles Materials Laminate Deck Type: Wood SCOPE This approves a roofing system using Oakridge®, TruDefinition Oakridge®, and TruDefinition Oakridge® Artisan Colors asphalt shingles manufactured by Owens Corning as described in Section 2 of his Notice of Acceptance. PRODUCT DESCRIPTION Product Dimensions Test Specifications Oakridge®, 13 '/4" x 39 3/8" TAS 110 TruDefinition Oakridge®, and TruDefinition Oakridge® Artisan Colors \ Manufacturing Locations #1, 2, 3, 4 Oakridge®, 13 '/4" x 39 3/8" TAS 110 TruDefinition Oakridge®, and TruDefinition Oakridge® Artisan Colors Manufacturing Location #1, 2, 3, 4, 5 MANUFACTURING LOCATION 1. Memphis, TN 2. Irving, TX 3. Savannah, GA 4. Jacksonville, FL 5. Atlanta, GA EVIDENCE SUBMITTED Product Description A heavy weight, fiberglass reinforced laminate asphalt shingle with continuous bead of sealant. A heavy weight, fiberglass reinforced laminate asphalt shingle with dashed bead of sealant. Test Agency Test Identifier Test Name/Report Date PRI Construction OCF-153-02-01 TAS 100 09/22/10 Materials Technologies OCF-152-02-01 TAS 100 09/21/10 OCF-158-02-01 TAS 100 11/10/10 OCF-151-02-01 TAS 100 09/27/10 OCF-150-02-01 TAS 100 09/21/10 OCF-165-02-01 TAS 100 01/07/11 OCF-170-02-01 TAS 100 06/06/11 OCF-177-02-01 TAS 100 12/05/11 NOA No.: 12-0430.01 M�•DADE couNrr Expiration Date: 02/03/16 Approval Date: 03/28/13 Page 2 of 4 OCF-178-02-01 . TAS 100 ? 02/02/12 Underwriters 09NK14530 ASTM D 3462 12/31/09 Laboratories R2453 ASTM D 3462 10/11/10 R2453 ASTM D 3462 11/03/10 R2453 ASTM D 3462 10/11/10 R2453 ASTM'D 3462 10/11/10 R2453 ASTM E 108 01/13/11 R2453 ASTM E 108 10/11./10 R2453 ASTM E 108 11/03/10 R2453 ASTM E 108 10/11/10 R2453 ASTM E 108 10/11/10 09NK14530 TAS 107 (ASTM D 3161) 12/31/09 OINK44201 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 I ICA15662 TAS 107 (ASTM D 3161) 05/27/11 11CA65092 ASTM D 3462 / TAS 107 (ASTM D 3161) / ASTM E 108 02/14/12 I ICA40912 ASTM D 3462 / TAS 107 (ASTM D 3161) / ASTM E 108 11/30/11 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 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 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.: 12-0430.01 Expiration Date: 02/03/16 Approval Date: 03/28/13 Page 3 of 4 FIR: 1" 13-1 /4" T DETAIL A DETAIL B E END OF THIS ACCEPTANCE S 5 5/8" EXPOSURE NOA No.: 12-0430.01 Expiration Date: 02/03/16 Approval Date: 03/28/13 Page 4 of 4 0