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HomeMy WebLinkAboutSUBMITTED PAPERSDATE: CJ �3 FEES DUE:13 , G Q RECEIPT #: 1 0� Permit #:1-6 O 6 03 a S U - - Planning & Development Services Department ® Building & Code Regulation Division C'9�lVFC 2300 Virginia Avenue BY Ft. Pierce, FL 34982-5652 t �UCie c Tel. 772-462-1553 coon ty APPLICATION FOR ROQF PERMIT EN it SEERERSE SIDE FOR INSTRUCT NS 1. Location/Site Address: 2. Parcel ID Number: 1© I - (nil%• C)C q( o - m ,1 Office Use Only Section Township Range Map Page Zoning Land Use Initials 3. Description of Project or Work Activity:Y• E- CS 4. Total Roof Area (square feet): 5. Roof Pitch: 6. Type of Roof: [ (Fiberglass Shingle [ ] Concrete Roof Tile [ ] Wood Shake / Shingle [ ] Tar & Gravel [ ] Modified Bitumen [ ] Other [ ,Al 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. Name: ffil ol pfwy cy \ Y" Address: �b�prr� C�►�Y�a �v1V City: State: L. Zip: Phone: �. 9. Value of Construction: $ S 4 k P" Contractor Informationrp FL Reg/Cert #: dZI dZ County Cert #: Business Name: Phone: **Note Dry -in and Final Inspection Required. Additional inspection may be required per Product Approval. CONTRACTOWOW ER'S AFFIDAVIT: I certify that all of the information contained in this application is,correct and that all work will be rdone in complian a with all applicable laws regulating construction and zoning. /r Alve PRINT QUALIFIV*S/dWF4ERS NAME SIGNA&URE OF QUALIFIER/OWNER STATE OF FLORIDA, COUNTY OF � / ACKNOWLEDGED BEFORE ME T7TO DAY OF 2 , BY WHO IS ONAL WN ME OR HAS PR UCED AS IDE DBXMIC-STATEOFFLQl3MA Karen S. When Commission#DD1UQ035QIGNA RE O NOTARY _TYPE OR PRINT NAME OF NOTARY (seal) 00:1)0"',,,,.�Xp1I eS: ,jjJrjF,' 12, 21�1 Q COMMISSION NUMBER 1 10493SI� BONDEDTHRUATLANTIC BOPIDINGCO.,LVO, 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 County, FL Page 1 of 1 Michael D Parker Jr Record: 1 of 2 Property Identification Site Address: 8404 SANTA CLARA BV Sec/Town/Range: 02 :34S :39E Map ID: 13/02N Zoning: RS-4 Ownership and Mailing Owner: Michael D Parker Jr Address: 8404 Santa Clara Blvd Fort Pierce FL 34951 PROPERTY RECORD CARD <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print �v1CIE CO ParcellD: 1301-608-0046-000-7 C� GiG Account #: 2037 rn Use Type: SF Res �.. City/Cnty: St Lucie County �! Legal Description LAKEWOOD PARK -UNIT 8- BLK 90 LOTS 3 AND 4 (MAP 13/02N) (OR 3507-1088) Sales Information Assessment 2012 Date Price Code Deed Book/Page 2012 Final: 94700 4/8/2013 88500 0001 WD 3507 / 1088 Assessed: 94700 1/16/2013 82000 0001 WD 3487 / 1452 Ag.Credit: 0 10/21/2010 100 0111 QC 3247 / 1116 Exempt: 50000 6/8/2006 100 01 WD 2602 / 0020 Taxable: 44700 2/27/2006 260000 00 WD 2498 / 0405 Taxes: 1098.61 10/11/2002 121000 00 WD 1596 / 1191 3/22/2000 112000 00 WD 1292 / 0269 2/24/1994 100 01 QC 0888 / 0417 12/6/1993 15700 00 WD 0873 / 2914 10/2/1991 15000 00 WD 0758 % 0555 10/1 /1987 10000 00 CV 0562 / 2771 1/1/1984 10000 00 CV 0422 / 0585 BUILDING INFORMATION Total Land and Building Land Value: 7700 Acres: 0.45 Building Value: 87000 Finished Area: 1665 SgFt Exterior Features View: - RoofCover: SA - Asph Shingle RoofStruct: HP - Hip 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: 3 Electric: MX - MAXIMUM PrmintWall: DW - Drywall FullBath: 2 HeatType: FHA - FrcdHotAir AvgHUFI: STD 1/26ath: 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 Qual. Cond. YrBlt. No. Use Type Type Measure Depth 1 0100-SF Res BI -Front Ft 150 130 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED http://www.paslc.org/pasle/pre.asp?prelid=130160800460007 5/3/2013 JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 3830875 OR \ 9K 3514 PAGE 2375, Recorded {°'_ (07/2013 at 10 :25 J NOTICE OF COMMENCEMENT TO BE COMPLETED WHEN CONSTRUCTION VALUE EXCEEDS $2,500.00 OR WHEN HEATING OR AIR CONDITIONING REPAIR OR REPLACEMENT EXCEEDS $7,500.00 PERMIT #: TAX FOLIO #: /30 {' 410 �- ©Q 4.600 - 7 State of Florida, County of . WCIE 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 prov ed In t is notice of Comm ncement. 1. LEGAL DESCRIPTION OF PROPERTY AN-D �TTREEETOADDRESSS TIFF AVAILABLE): Z4044 AA CjRfi GlVd' L p►Y-E,v,)000 Pfl�1C uni} ': � c�j j q 2. GENERAL DESCRIPTION OF IMPROVEMENT: 3. 1KOWNER INFORMATION or ❑LESSEE INFORMATION (If Lessee contracted for the Improvement) a. Name: Mio_ Tu. h'RALEIz- Address: -64OLI Sf\am Cl1NrFl (i l4i For} Pieym,Fu sggSI b. Interest in property. O'W WBi t, c. Name and address of fee simple title holder (if other than owner): N/A 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: o. Name & Address: _N/A b. Phone number: 7. 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: a. Name & Address: _N/A b. Phone number: fax number: B. 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 (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 51TE 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 BELIEF ISECTION 92.52/5�,,FLORIDA STATUTES / �I L ks '44'k OL SIGNATURE OF OWNER or LESSEE or OWNER'S AUTHORIZED OFFICER/DIRECTOR/PARTNER/MANAGER rl 1►o hAP 1 Pf)�rKF'Iz SIGNATORY'S TITLE/OFFICE THE FOREGOING INS T MENT WAS ACKNOWLEDGED BEFORE ME THIS _ DAY OF 20f.� BY: NAME OF PERSON TYPE OF ALITFjORITY NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED ❑PERSO LLY KNOW PRODUCED IDENTIFICATION TYPE OF IDENTIFICATION PRODUCED NOTARY SIGNATURE NOTARY PRINTED NAME NOTARY SEAL NOTARY PUBLIC•STATE OF FLORIDA +" Karen S. Nielsen f�{Commission#DD1000356 'i*,.$ Expires: JUNE 12, 2014 BONDS 17TAU ATLANTTCBONDTND CQ,IR0. STATE OF FLORIDA ST. LUCIE COUNTY THIS TRUI CRIG 06/04/2013 08:49 7724680 JA TAYLOR ROOFING PAGE '01/01 Planning & Development Services Building & Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL 34982 772-462-2.16S or 772-462-2172 Fax: 772-462-6443 ROOF INSPECTION AFFIDAVIT Re: Permit # 30 Ilicensed as a Contractor" Engineer/Architect (Please rint name & circle license type) F nspector *General, oullding, Residential r Roofing Contractor or any individool certified under 46S F.S. to make SUch on inspection. on or about I did personally inspect the roof deck nailing (Date) work at: ' I (job site address) Based upon that examination 1 have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553_844 F.S.) Signatu and Seal STATE OF FL O COUNTY OF Sworn t a d subscribe before me this do of �j 20� by ' e Who is per pally k own to me or who has produced as Identification. Notary Public, State of I da_ Signature of Notary: Commission Number: (Seal) GSTATE of FLORIDA Karen S. Nielsela En 0111912011 r _Commission#1)D1000358 "-....I, Expires: JUKE 12, 2014 BONPED'aMU ATLATIC BONPFi6 Co., INC, License # RECEIVED JUN 0 42013 r� �QIIItIi'4' DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.gov/economy Owens Corning Roofing and Asphalt, LLC 1 Owens CorningParkway 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 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: Supreme AR 3 Tab 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 renews NOA#07-1116.12 and consists of pages 1 through 4. The submitted documentation was reviewed by Alex Tigera. NOo NO.:: 03/20/18 Expiration Date: 03/20/18 Approval Date: 03/07/13 Page 1 of 4 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub -Category: Asphalt Shingles Materials 3-Tab Deck Tyne: Wood SCOPE This approves Owens Corning Supreme AR as manufactured by Owens Corning described in Section 2 of this Notice of Acceptance. PRODUCT DESCRIPTION Product Dimensions Test Product Description Specifications Supreme AR 12" x 36" TAS 110 A heavy weight, fiberglass reinforced asphalt shingle. MANUFACTURING LOCATION 1. Atlanta, GA. 2. Jacksonville, FL. 3. Irving, TX. 4. Memphis, TN. 5. Medina, OH. EVIDENCE SUBMITTED Test Agency Test Identifier Test Name/Report Date Underwriters Laboratories, Inc. 02NK45241 ASTM D 3462 12/05/97 05CA53426 12/02/05 02NK45241 TAS 107 11/14/02 03NK04954 03/20/03 04CA52475 03/23/05 06CA03524 03/30/06 04NK40618 11/12/04 Underwriters Laboratories, Inc. R2453 Reference 01/09/03 PRI Asphalt Technologies, Inc. OCF-067-02-01 TAS 100 11/12/02 OCF-076-02-01 02/24/04 OCF-094-02-01 08/29/06 . OCF-095-02-01 09/22/06 NOA No.: 12-1204.03 MIAMI•DADE COUNTY Expiration Date: 03/20/18 Approval Date: 03/07/13 Page 2 of 4 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 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 ,...• 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.: 12-1204.03 MIAMI•DADE COUNTY Expiration Date: 03/20/18 Approval Date: 03/07/13 Page 3 of 4 DETAIL A DETAIL B 3n 3,, 55„ NAILS ADHESIVE STRIPE 8 81099 EXPOSURE 5" 1 " 8 END OF THIS ACCEPTANCE 1" 12" NOA No.: 12-1204.03 MIAMI•DADE COUNTY Expiration Date: 03/20/18 J Approval Date: 03/07/13 Page 4 of 4