HomeMy WebLinkAboutSUBMITTED PAPERSDATE: S I awl i 3 FEES DUE: [3 LI RECEIPT #: aR 1 ;t N Permit
? - Planning & Development Services Department
Building & Code Regulation Division,
2300 Virginia Avenue
� / V�
Ft. Pierce, FL 34982-5652 g
Tel. 772-462-1553
APPLICATION FOR ROOF PERMIT �� �Uc% CoU I,
1 �\ SEE REVERSESIDE FOR INSTRUCTIONS n�y
1. Location/Site Address:
2. Parcel ID Number: " 4 W) ' SUR • 2A % 0 M • I
Office Use
Only
Section
TownshipRange
Ma Page
ZoningLand
Use
Initials
3. Description of Project or Work Activity: A Cn -t)ff
4. Total Roof Area (square feet): `'�'�2IAo 5. Roof Pitch:
6. Type of Roof: [%] 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:( 1 f 16;R0S_"s4tA lee fi TT FL Reg/Cert #: 13251g5
Address: "�(� Y i� L E County Cert #: 12
City: ®�(�-�1t�Y�F, State: Business Name. 1�
Zip: Phone: !Z' Phone•K IQ
9. Value of Construction: $ �p
**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 infor ation contained in this application is correct and that all work will be
done in compliance.4ith a applicable laws regulating construction and zoning.
1` I
_4164le
PRIN QUALIFIERS/OWNERS NAME SIGNATUR F ALIFIER/OWNER
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF 20, BY
WHO I PE N AL Y OWN TO ME OR HAS PRODUCED AS IDENTIFICATION
, 1 4Y NOTARY PUBLIC -STATE OF FLORIDA
SIGNATURE NO A11TYPE OR PRINT NAME OF NOTARY
" Karen S. Nielsen
�j kommission #UD1000358
COMMISSION NUMBER ? •.,,,,�•,,.•' Expires: JUNE 12, 2014
BONDED THRU 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
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 3837559 OR BOOP?" �?1 PAGE 926, Recorded 05/23/2013 at ':16 PM
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 #-. 3�10.503.012.32' 000,
State of Floddo, County of 6i , wo's , 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 LEGAL DESCRIPTION OF PROPERTY (AND STREET ADDRESS IF AVAILABLE):
Alm C-I%VF- 61D (dIK N 4a 22
2. GENERAL DESCRIPTION OF IMPROVEMENT: - _
3. ®OWNER INFORMATION or OLESSEE INFORMATION (if Lessee contracted for the improvement)
a. Name: CHI-%Z_L.E,s aLE.Sf%NTI
Address: L4'31a--V_;,AUQ)j1S L.1�j.r F0WPi1VCEL L-
b. Interest in property: CWNEI2
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
5. 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 MAY BE
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(1jib), Florida statues.
b. Phone number.
9. EXPIRATION DATE OF NOTICE OF COMMENCEMENT:
(THE EXPIRATION DATE IS ONE it) YEAR FROM THE DATE OF RECORDING UNLESS A DIFFERENT DATE IS SPECIFIEDI.
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 JOS SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OSTAIN 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 (SECTION 92.525, FLORIDA STATUTES
O
6. Q/�s (f /emsg .�
SIGNATURE OF R or LESSEE of OWNER'S AUTHORIZED OFFICER/DIRECTOR/PARTNER/MANAGER - SIGNAORY'S TITLE / OFFICE
THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS DAY OF 20.13, BY:
P11Q,rlar nnlce,n.1-rr
AS ' ( jn2Y FOR
NAME OF PERSON TYPE OF AUTTHH RITY NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED
❑PERS ALLY KN N OR Lr1PRODUCED IDE FICATION TYPE OF IDENTIFICATION PRODUCED
r-___v--�PS
NOTARY SIGNATURE / NOTARY PRINTED NAME / NOTARY SEAL
NOTARY PUBLIC -STATE OF FLORIDA
Karen S. Nielsen
ComnJsExpires:'°auNEiz°i014 STATE 0,F FLORIBA
'.€
BONDEDTIIAUATLWrlcnorNINDCU,nta ST. LUCIE COWNITY
THIS IS TO CERTIFYTHAT THIS IS A
TRUE AND CORRECT COPY OF THE
ORIGINAL.
.insFP_H.,E kMITH,j.ERK I(
By:
Date: -
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[E
Re: Permit # I_aPq
I, licensed as �{ ontractor''� ngineerJArchitect
(Please rint name &circle license type) *FS468 Bui ine Inspector
*Generai, Building, Residential or Roofing Contractor or any individual certified under 458 F.S. to make such an inspection.
On or�about _, I did personally inspect the roof deck nailing.
(Date) /
work at: 4 �d
(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.)
F
Signa re and Seal
STATE OF FLOR
COUNTY OF
License #
Sworn t a �sub�sfcri ed efore me this _ daygf � 2o� by �uA:-- L4 Who is pees ally k own to me or who has produced
as identification.
Notary Public, Sta f Fl ri
Signature of Notary:
Commission Number: {Seal}
En 01/19/2011 NOTARX pLiBLIC•STATF OF FLORIDA
•91fi.•ren S. Nielsen
VCommission #DD1000358
Expires: JUidE 12, 2014
Property Appraiser - St.Lucie County, FL
Page 1 of 1
PROPERTY RECORD CARD
Charles J Colesanti Record: 1 of 1
<<Prev Next» Spec.Assmnt
Taxes Exemptions Permits Home Print
Property Identification
00G
Site Address: 436 PAUROTIS LN
ParcellD:
3410-503-0232-000-7
Sec/Town/Range: 10 :36S :40E
Map ID: 34/10B
Account #:
Use Type:
133351
SF Res
Zoning: PUD
City/Cnty:
St Lucie County
Ownership and Mailing
Legal Description
Owner: Charles J Colesanti Roseann
Colesanti
PALM GROVE S/D BLK
H LOT 22 (0.13 AC) (OR 3377-2463)
Address: 436 Paurotis Ln
Fort Pierce FL 34982-3942
Sales Information
Assessment 2012
Total Land and Building
Date Price Code Deed
Book/Page
2012 Final: 87700
Land Value: 12000 Acres: 0.13
4/6/2012 87000 0001 WD
3377 / 2463
Assessed: 87700
Building Value: 75700
6/19/1998 87000 00 WD
1158 / 0739
Ag.Credit: 0
Finished Area: 1658 SgFt
7/6/1995 88500 00 WD
0967 / 0881
Exempt: 75000
Taxable: 12700
Taxes: 735.88
BUILDING INFORMATION
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:
3
Electric:
MX - MAXIMUM
PrmintWall:
DW - Drywall
FullBath:
2
HeatType:
FHA - FrcdHotAir
AvgHUFI:
1/28ath:
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. YrBIt.
No. Use Type
Type
Measure Depth
1 0100-SF Res
BI -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/prc.asp?prclid=341050302320007 5/9/2013
C
BILE C®py
MIAMI.17jADE
BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT (BNC)
BOARD AND CODE ADMINISTRATION DIVISION
NOTICE OF ACCEPTANCE (NOA)
Owens Corning Roolang and Asphalt, LLC
One Owens Corning Parkway
Toledo, OH 43659
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.miamidade.eov/buildinu/
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: Oakridge® 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 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# 10-1015.01 and consists of pages 1 through 4.
The submitted documentation was reviewed by Alex Tigera.
NOA No.:11-0411.03
MIAMI•DMr=COUNW Expiration Date: 02/03/16
gami We' ' Approval Date: 06/16/11
Page l of 4
ROOFING ASSEMBLY APPROVAL
Category
Roofing
Sub_Category:
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 'A" x 39 3/8" TAS 110 A heavy weighs, 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
09/2I/10
PRI 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
M AMI- WDE COUNTY
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 9B-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 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
,...I
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.: 11-0411.03
CMILAM�1-DADECQUtdTY Expiration Date: 02/03/16
Approval Date: 06/16/11
Page 3 of 4
13-1 /4"
FI
1"---i 1- . 111
MIAMI•DADE COUNT v
,...l
DETAIL A
DETAIL B
3/8"
2"
OWENS CORNING OAKRIDGE
WITH CONTINUOUS OR DASHED SEALANT
END OF THIS ACCEPTANCE
5 5/8" EXPOSURE
NOA No.: 11-0411.03
Expiration Date: 02/03/16
Approval Date: 06/16/11
Page 4 of 4