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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