HomeMy WebLinkAboutSUBMITTED PAPERSDATE: FEES DUE: RECEIPT #: Permit #:
Planning & Development Services Department
Building & Code Regulation Division
2300 Virginia Avenue
l,a ,fit• o�,'�;,�p�_ g
Ft. Pierce, FL 34982-5652 & F
Tel. 772-462-1553
APPLICATION FOR ROOF PERMIT L4cie co�
SEE RyVERSE SIDE, FOgINSTRUCTIONS `�nl, j/
1. Location/Site Address: &64p �AMe hers [NAV
2. Parcel ID Number: 3qI o • 60 3 • C(�Q b • Lim • J�
Office Use
Only
ownship
I Range
Map Page
Zoning
Land Use
Initials
3. Description of Project or Work Activity eigr C' 6 • O e) 4e4niel-
4. Total Roof Area (square feet): 5. Roof Pitch: 542
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
Name:K�r_eO 1 s �fa6109 'V l/Vlihi
Address: _Q 64F 9 Vwyelefs %ij69_ Y
City: 6_ r r eyeG State:
Zip: Phone: q( (p-'7959
8. Contractor Informmation
FL Reg/Cert #:
County Cert #:
Business Name: J
91 Phone: (Q�q-
Pic.
9. Value of Construction: $ �JOI Y>°h0�'�k1� 1bY OC (,p COm
**Note Dry -in and Final Inspection Required. Additional inspection may be required per Product Approval.
CONTRACTOR/OWNER'S AFFIDAVIT: I certify that all of th info ation contained in this application is correct and that all work will be
done in compliance ltth I applicable laws regulating construction and zoning.
, t r
7k4
PRINT ALIFIERS/OWNERS NAME SIGNATURE'OF QUALIFIER/OWNER
STATE OF FLORIDA, COUNTY OF 4,
i
ACKNOWLEDGED BEFORE ME THIS DAY OF 20�, BY
WHO ?PSALL KN IYN TO ME OR HAS PRODUCED AS IDENTIFICATION
n NOTARY PUBLIC -STATE OF FLORIDA
Karen S. Nielsen
[GNAT E O N TARY TYPE OR PRINT NAME OF NOTARY (sea • -Commission #DD1000358
COMMISSION NUMBER •......... Expires: JUNE 12, 2014
BONDED nMU ATLANTIC BONDING CO., INC.
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
Property Appraiser - St.Lucie Copp—tv, FL
— ,
Page 1 of 1
PROPERTY RECORD CARD
Alceo Vimini (TR) Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes
Exemptions Permits Home Print
Property Identification
Site Address: 6048 TRAVELERS WAY
ParcellD: 3410-503-0098-000-5
Q\\)3ClE`00G2
Sec/Town/Range: 10 :36S :40E
Map I: 34/1
Account #: 133217
Use Type: SF Res
PUD
Zoning: PUD
CitylCnty: St Lucie County
Ownership and Mailing
Legal Description
Owner: Alceo Vimini (TR) Barbara T Vimini JR) PALM GROVE S/D BLK D LOT 2 (0.12AC) (OR 1266-23: 1298-2880)
Address: 6048 Travelers Way
Fort Pierce FL 34982-4054
Sales Information
Date Price Code
11/23/1999 80000 00
9/21/1995 75000 00
Assessment 2012
Deed Book/Page 2012 Final: 68200
WD 1266/0023 Assessed: 68200
WD 0976 / 0396 Ag.Credit: 0
Exempt: 68200
Taxable: 0
Taxes: 426.1
BUILDING INFORMATION
Total Land and Building
Land Value: 10200 Acres: 0.12
Building Value: 58000
Finished Area: 1305 SgFt
Exterior Features
0010
View:
-
RoofCover:
SD - Dim Shingle
RoofStruct:
HP - Hip
Base
ExtType:
HC - HC
YearBlt:
1995
Frame:
Grade:
C - C
EffYrBlt:
1995
PrimeWall:
BS - CB Stucco
StoryHght:
0010 - 1 Story
No.Units:
1
SecWall:
Interior Features
BedRooms:
2
Electric:
MX - MAXIMUM
PrmintWall:
DW - Drywall
Ful[Bath:
2
HeatType:
FHA - FrcdHotAir
AvgHUFI:
1/2Bath:
0
HeatFuel:
ELEC - Electric
Prm.Flors:
CU - Carpet
%A/C:
100
%Heated:
100
%Sprinkled:
0
Special Features and Yard Items
Land Information
Type Y/S
Qty. Units Qua].
Cond. YrBlt.
No. Use Type
Type
Measure Depth
1 0100-SF Res
HAOS-Site
1
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED
http://www.paslc.org/paslc/pre.asp?prclid=341050300980005 5/24/2013
06/03/2013 11:58
7724688�19�
JA TAYLOR ROOFIK
J
PAGE 04/05
DATE: , n / 12-1 1 )FEE$ DUE: - I RECEIPT #: 1 Permit #: i n . , ,• .t. 21
Planning & Development Services Department �
Building & Code Regulation Division
2300 Virginia Avenue
Ft. Pierce, l: L 34982-5652
Tel.772-462-1553
,A.PPLICATION FOR ROOF PERMIT
1. Location/Site Addr(
2. Parcel ID Number:
Office Use
Only
Section
Township
Range
Map Pa a
Zoom
Land Use
I llultials
M6
1 KU
3. Description of Projector Work Activity-7-4 lgrr kjj:�&'nqle) f��/i WyGY
4. Total Hoof Area (square feet): !02 �w 5. Roof Pitch: S: /2
6. Type of Roof: [V Fiberglass Shingle [ ] Concrete Roof Tile [ ] Wood Shake I Sbingle
[ ] Tar & Gravel [ ]' Modified Bitumen ( ] Other
[ 1l/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.
1. Owner Information 8. Contractor Information
Name: �eo It 8F1&rg. _ l►Y7ra FL Reg/Cert
Address; Wg ? revelers Wigy ..... County Cert #:
r StateIlusiness Name: City: Ell/A��
Zip; Phone: - C Phone:
9. Value of Construction: $ (DALE for br G as 1 • Com
**Note Dry -inn and )Final inspection Required. Additional inspection way be required per Product Approval.
CONTRACTOR/OWNEWS AFFIDAVIT: I certify that all of th info atian contained in this application is correct and that all work will be
done in compliance ih l applicable laws regulating construction and zoning.
Zia
PRINT ADFIURSIOwNERS NAME SIGNATVR F QUAL1g[U�VwNlGR
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME TiIIS PAYOF mnyZO , BX
WHO 15fP 5 ,ALL KN AWN 7O ME OR HAS PRODUCED AS IDENTIFICATION
C NOTARY PUBLIC -STATE OF FLORIDA
IC,NA'1' E O NOTARY TYPE. OR PRINT NAME OF NOTARY (spa l�>lxe S. Nielsen
Commission#Dp100035B
COMMISSION NUMBER
.;; �.•' Expires: NNE 12, 2014
801VDE0 THRIIATLANTlC lioNptti(; C0.,ING
NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAYRESULT 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 OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 3838752 OR BOOK :•,- PAGE 1107, Recorded 05/29/2013 at `�,LO AM
NOTICE OF COMMENCEMENT
"J TO BE COMPLETED WHEN CONSTRUCTION VALUE EXCEEDS $2,500.00
OR WHEN HEATING OR AIR CONDITIONING REPAIR OR REPLACEMENT EXCEEDS $7,5W.OQ
PERMIT # TAX FOLIO #:,3410. 503'06 -J% OW - V
State at ftorlda, County of , 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.
1 EN�TEADDRESS IF AVAILABLE):
1-'Alm�51) nIK(AND-2
2. GENERAL DESCRIPTION OF IMPROVEMENT:---,_ _ �-
3. ]OWNER INFORMATION or []LESSEE INFORMATION (If Lessee contracted for the improvement)
a. Name: ,Q6r /,z^e V1'rr711L)
Address (aDygTiz2UBIe/S Lt% - r7' *3'i9�2
b. Interest in properly: m &jne I
c. Name and address of fee simple title holder (if other than owner):
4. CONTRACTOR:
a. Name: J. A. TAYLOR ROOFING, INC.
Address: 302 MELTON DRIVE, FORT PIERCE, FL 34982
b. Phone number: 772-466-4040
S. SURETY COMPANY (IF Applicable, a copy of the payment bond Is attached):
a. Name & Address: _N/A
b. Phone number. Bond amount:
6. LENDER/MORTGAGE COMPANY:
a. Name & Address: _N/A
b. Phone number.
7. PERSONS WITHIN THE STATE OF FLORIDA DESIGNATED BY OWNER UPON WHOM NOTICES OR OTHER DOCUMENTS MAYBE
SERVED AS PROVIDED BY SECTION 713.13 (1) (a) 7., FLORIDA STATUTES:
a. Name & Address: _N/A
b. Phone number fax number.
8. IN ADDITION TO HIMSELF OR HERSELF,
a. Owner designates _N/A 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 (I I YEAR FROM THE DATE OF RECORDING UNLESS A DIFFERENT DATE IS SPECIFIED),
WARNING TO OWNER:
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATIOH 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 PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS IN IT ARE TRUE TO THE BEST OF MY
KNOWLEDGE AND ELIEF (SECTION 92.525, FLORIDA STATUTES
�RIMANAGER ATURE O OWNER or LESSEE or OWNER'S AUTHORIZED OFFICER/DIRECTOR/PART- SIGNAORY'S TITLE / OFFICE
THE FFDREGOING INS UMENT WAS ACKNOWLEDGED BEFORE ME THIS ��DAY OFXYX _1 20� BY:
71111,
AS_&,/fie✓ FOR
NAME OF PERSON TYPE OF AUTHORITY NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED
❑PERSONALLY KNOW OR ❑PRODUCED IDENT FI TION TYP OF IDENTIFICATION PRODUCED
e
NOTARY SIGNATURE / NOTARY PRINTED NAME / NOTARY SEAL
NOTARY PUBLIC -STATE OF FLORMA
Karen S. Nielsen
`Commission #DD1000358+� r+-
Expires: J1TNE12,2014 " `" `' .;.� A
BoM THRU ATLANTIC BONDING Ca, INa S•
��fli dF FOR"
61.
TO
TRU
OR11
Dy
INAI
i
06/21/2013 08:16 772467,1-7 JA TAYLOR ROOFTNG� PAGE 01/01
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 #j,�A (JCLU
I� licensed as a ontract � /Engineer/Architect
(Please 1print name & circle license type) *FS468 Building Inspector
*General, oullding, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about 1 did personally inspect the roof deck nailing
(Date)
work at: _ /l�X Y ?.y bL6ss]
(lob sitee
addre
Based upon that examination I have determined the installation was done according to the -Hurricane
Mitigation Retrofit Manual (Based on 553.844 F.S.)
r�
Signature and Seal
STATE OF FLORID
COUNTY Of
License #
Sworn t a d subscrib d before me this d�aa of , 2011
by
Who��bnally k wn to me or who has produced
as identification.
i
Notary Public, ate" to
signature of Notary:
Commission Number: (Seal)
&A
En 01/19/2011 NOTpgy pTjBLjc_sTATi; OF FLOWDA
Karen S. Nielsen
= Commission # 01000358
,
r Expires: JOE 12, 2014
BONDED 'RMU ATLANUC B0DPMG Co, WC-
f�' `lD2- 6 d �ECEIVED JUN 2'12013
CHANGE OF SUB -CONTRACTOR FORM
DATE:
MASTER PERMIT NUMBER:
QUALIFIER). AM REQUESTING A CHANGE OF SUB -CONTRACTOR
FROM I LA— l�I-L) YY1 t?,1�#) TO AR Ut1 SDI IM' "1 k2 J 5
FOR THE PROJECT LOCATED AT 1 S 4 i 1 VV A-1 P U tZ`(' Lf rtl" L�,
(Project Street Address 6f Pmpedy Tax ID #)
BUSUMS QUALIFIER (Name of the individual shown on Contractor's Licensc)
ORIGINAL SIGNATURES ARE REQUIRED
AWRAC&TOWSSIGNATURE PRINT NAME DATE
ST. LUCIE COUNTY PUBLIC WORKS
r x BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: ` s G a 2
State of Florida Certification Number (If applicable): C� �`l_(� �J 01 L
have agreed to be the
(Company Name/Individual Name)
V\U b 11(1 S, sub -contractor for Rbi VA l _u S`nm
(Type oftrade) (Primary Contractor)
for the project located at lag i l \Q. �4 fL} Le_ Tra`t
(Project Street Address br Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the
above mentioned project, I will immediately advise the Building and Zoning Department
of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINALGNATURES ARE REQUIRED
yhtr Lu ism 6-14-13
SIG T — PRINT NAME DATE
Business Name: Y t/
Address: "(C(
City/State/Zip: Sa _ 9Lc Est. \ �t-j CI ` L4
Phone: q�) A "_ -M q -�g email: �JC\�1� .� 1U l� Cc) a cm,
OFFICE USE ONLY:
PERMIT # ISSUE DATE
aJIf1ehS1oP1S ..C6►ti
MIAMI•DADE
BUILDING AND NE
BOARD AND CODE
NOTICE OF ACCE
Owens Corning Roofing and Asphalt, LLC
One Owens Corning Parkway
Toledo, OH 43659
DEPARTMENT (BNC)
MIAMI-DADE COUNTY
PRODUCT CONTROL SECTION
11805 SW 26 Street, Room 208
Miami, Florida 33175-2474
T (786) 315-2590 F(786)315.2599
www.miam id a d e. eov/bu i Id i ng/
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 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. BNC
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: OakridgeD 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 fled 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# 10-1015.01 and consists of pages i through 4.
The submitted documentation was reviewed by Alex Tigera.
NOA No.: 11-0411.03
Expiration Date: 02/03/16
Approval Date: 06/16/11
Page 1 of 4
ROOFING ASSEMBLY APPROVAL
Cateeor-v:
Roofing
Sub-Cateeory:
Asphalt Shingles
Materials
Laminate
Deck Type:
Wood
SCOPE
This approves a roofing system using Owens Corning Oakridge® asphalt shingles manufactured by Owens
Corning as described in Section 2 of his Notice of Acceptance.
PRODUCT DESCRIPTION
Product Dimensions Test Product Description
Specifications
Oakridge® 13 ''/4" x 39 3/8" TAS 110 A heavy weight, fiberglass reinforced
Manufacturing laminate asphalt shingle with continuous
Locations #1, 2, 3, 4 bead of sealant.
Oakridge® 13 %4" x 39 3/8" TAS 110 A heavy weight, fiberglass reinforced
Manufacturing laminate asphalt shingle with dashed bead of
Location #1, 3,4 sealant.
MANUFACTURING LOCATION
1. Memphis, TN
2. Irving, TX
3. Savannah, GA
4. Jacksonville, FL
EVIDENCE SUBMITTED
Test Agency
Test Identifier
Test Name/Report
Date
PRI Construction Materials Technologies
OCF-153-02-01
TAS 100
09/22/10
PRI Construction Materials Technologies
OCF-152-02-01
TAS 100
09/21/10
PRI Construction Materials Technologies
OCF-158-02-01
TAS 100
11/10/10
PRI Construction Materials Technologies_
OCF-151-02-01
TAS 100
09/27/10
PRI Construction Materials Technologies
OCF-150-02-01
TAS 100
09/21/10
PZtI Construction Materials Technologies
OCF-165-02-01
TAS 100
01/07/11
PRI Construction Materials Technologies
OCF-170-02-01
TAS 100
06/06/11
Underwriters Laboratories
09NK14530
ASTM D 3462
12/31/09
Underwriters Laboratories
R2453
ASTM D 3462
10/11/10
Underwriters Laboratories
R2453
ASTM D 3462
11/03/10
Underwriters Laboratories
R2453
ASTM D 3462
10/11/10
Underwriters Laboratories
R2453
ASTM D 3462
10/11/10
Underwriters Laboratories
R2453
ASTM E 108
01/13/11
Underwriters Laboratories
R2453
ASTM E 108
10/11/10
Underwriters Laboratories
R2453
ASTM E 108
11/03/10
NOA No.:
11-0411.03
h IAMI-DADE Coi
Expiration Date: 02/03/16
Approval Date: 06/16/11
Page 2 of 4
Underwriters Laboratories
R2453
ASTM E 108
10/11/10
Underwriters Laboratories
R2453
ASTM E 108
10/11/10
Underwriters Laboratories
09NK14530
TAS 107 (ASTM D 3161)
12/31/09
Underwriters Laboratories
OINK44201
TAS 107 (ASTM D 3161)
09/09/02
Underwriters Laboratories
IONK13947
TAS 107 (ASTM D 3161)
11/12/10
Underwriters Laboratories
R2453
TAS 107 (ASTM D 3161)
10/11/10
Underwriters Laboratories
03NK04954
TAS 107 (ASTM D 3161)
03/07/03
Underwriters Laboratories
1ONK13947
TAS 107 (ASTM D 3161)
01/28/11
Underwriters Laboratories
11CA15662
TAS 107 (ASTM D-3161)
05/27/11
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 911-72 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 DetaiM, 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
APPROVE�
BUILDING PERMIT REQummENT5
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.: 11-0411.03
Expiration Date: 02/03/16
Approval Date: 06/16/11
Page 3 of 4
s
FIR:
1 1 "-- 11
13-1 /4"
MIAMI•DADE COUNTY
�uwmwsrmbj
DETAIL A
DETAIL B
OWENS CORNING OAKRIDGE
WITH CONTINUOUS OR DASHED SEALANT
—39 3/8"
211
5 5/8" EXPOSURE
END OF THIS ACCEPTANCE
NOA No.: 11-0411.03
Expiration Date: 02/03/16
Approval Date: 06/16/11
Page 4 of 4