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DATE: J FEES DUE: RECEIPT #: Permit #: Planning & Development Services Department C veO� ® Building & Code Regulation Division o c 2300 Virginia Avenue Ft Pierce, FL 34982-5652 Tel. 772462-1553 bc ��/1E® APPLICATION FOR REVERIE �ROOF PERMIT St LaUG/- 1. Location/Site Address: ��o� �e �!'4.`FhV�1ty 2. Parcel ID Number: /,3 - o�Q� � 0 / Co - cco-q 1 lee- Use Only 3. Description of Project or Work Activity: 4. Total Roof Area (square feet): .3 Q DD 'J5. Roof Pitch: JAI, - 12 6. Type of Roof: [ vrFiberglass Shingle [ ] Concrete Roof Tile [ ] Wood Shake / Shingle [ ] Tar & Gravel [ ] Modified Bitumen [ ] Other [ %,rProduct 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:,-,0-l(' � r Address: Z*q Q6 A ei-[-I e k�L4h City:4 eae- State: �l Zip: Phone: - -uva 9. Value of Construction: $ V95D FL Reg/Cert #: C CC 135'735 County Cert #: �` �a� Business Name:`.. / Oe-md-.nQ ,nj k C Phone: ' A&0: 1461 "Note Dry -in and Final Inspection Required. Additional inspection may be required per Product Approval. CONTRACTOR/OWNER'S AFFIDAVIT: I certify tha of the info tion contained in this application is correct and that all work will be done in comp 'ante wi 1 applicable laws regulating construction and zoning. �arn.e6 Aormo-o PRINT QUALIFIERS/OWNERS NAME SIGNA OF QUALIFIER/OWNER STATE OF FLORIDA, COUNTY O ACKNOWLEDGED BEFORE ME THIS _ DAY OF � 20hL„ BY 47%� WHO IS PERSONALLY KNOWN TO ME OR HAS PRODUCED AS IDENTIFICATION s4 y "�e,f•, Debra A. Dean �, � % , f 00M6(W0N iF DD859309 NA 1 F NOTARY TYPE OR P NAME OF NOTARY (sea1� ce �. '� ^ COMMISSION NUMBER °,` EXPIRES: 1 FEB, 09, 2013 '°��� VAYW,AARONNOTARY.wta 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 4/26/7010 JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 3699944 OR BC.?"-,1385 PAGE 1860, Recorded 05/02/2012 f-`,,03:22 PM Permit No..__..___________ Tax Folio No. ,50—=1-046-1= 7 NOTICE OF COMMENCEMENT STATE OF FLORIDA. COUNTY OF 5r Lu.c Ile THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Slalutes, the following information is provided in this Notice of Commencement. 1. Description of property: 4ADI'at,,ne5 t�QS IZs Gr.28(o9�O��J 2. General description of improvement: 3. Caner informal.-: and add: � l.:.a�CL � � � 7�„/ . 1 ,l��Q fJl trees a. Name and address Tit ♦ !l{O N r b. Interest in property 92LQn e(' c. Name and address of fee simple titleholder: a. col ae!: N a. Name and address:' k �ya%ilan �S(XSIInO �+l.C.`7%D S.)QhnS PWWV QJTWr-1 _ b. Phone number: 07-Ald", I �y e 5. Surely a. Name and address ^1A- b. Amcunl of bond 5 c. Phone number G ender N n. Name and address. b Phone nuo,k:er _ Persons umhm the Slale of Florida des!gnalee by Ovner unsr •.vnom notices or oine..r documents may be served as urov.dee by Section ? 1:1. 13(I)tap.. Florida Slatulrs a Name anal address -NA A a. In addition In himself a hersed. Owner designates to reeeve a copy of the Lienors Notice as pewded m Sect!wr 713 13i11(b). Florida Stalutes. R. Phone number of person or entity designated ly, owner . /m A.' .. 9 Expiration date of notice of commencement ((he expiration dale may not be before the completion of construction and final payment to the contractor, but will be 1 year of 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 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 penally of perjury, I declare that 1 have read the foregoing nolice of encement and that the f stated therein are true to the best of my knowledge and belief. (Sign lure of Owner or Owners or Lessee's Authorized Officer/Director PartnerfManagef) Signatory's TdlelOffice ____—_ T a inst ovdedged before me this A day of 7 I t _ Qb � (year) b� s ackn(naip9qof erson) _ (type of authority. ...e.g. officer, trustee, attorney in fad) f (name of party on behalf of whom instrument was executed). ��� _'_lta --- Signature of Nola bllc - Stale of Florida • v frrrrr4v Debra 4A. Dean Print, Type. a Stamp Commissioned Name of Notary Pudic Commission Number 2M of 7.S" t�4. SGCC�YAYa>JH F'j:6:73":9 t Personally Known ✓ or Producedldemif!cation �.�. oF•,• aPIRESr F[3. C9, 2013 -- n:rw� w-W.AARMNOTARCean Type of Identification Produced ST E If FLORIDA ST. LUCIE COUNTY THI TRI OR By Da Jr i Planning-& Development Services Building & Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL 34982 772-462-2165 or 772-462-2272 Fax:772-462-6443 ROOF INSPECTION AFFIDAVI'C Re: Permit # AJr.�,.7 I, licensed as a(A Contractoinspector Engineer/Architect (Please print name & circle license type) *FS46 u ing *General, Building, Resldentlul o ng Contractor r any IndIvidual certyled under 468 FS, to make such an Inspection. On or about a I did personally Inspect the roof dark nailing ( ate work at: �! (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.) License # STATE OF FLO A COUNTlOF 5 and sub r d before me this '✓ day of ! �� 2v b Who is personally !crown to a or who has produced as Identification. Notary Public, St9te to d Signature of Notary Commission Number: (seal) En 01/19/2011 Debra A. Dean :�'�j,I';�j r4�!uISSEt]ti�'DPa'�'g309 i1 o" Wy,"N.AARoNNorArNcom MAY 0 3 2012 TOO In XVd ZV:0T ZTOZ/SO/SO � CTOR I N 14;R EVALUATION REPORT Owens Corning One Owens Corning Parkways Toledo, OH 43659 EXTERIOR RESEARCH & DESIGN, LLC. Certificate of Authorization #9503 353 CHRISTIAN STREET, UNIT *13 OXFORD, CT 06478 PHONE: (203) 262-9245 FAX: (203) 262-9243 Date of SCOPE; This Evaluation Report is issued under Rule 9N-3 and the applicable rules and regulations governing the use of construction materials In the State of Florida, The documentation submitted has been reviewed by Robert Nieminen, P.E. for use of the product under the Florida Building Code and Florida Building Code, Residential Volume. The products described herein have been designed to comply with -the 2010 FHC and 2010.FBC Residential Volume sections rioted herein. GEScFaPTION: Owens (Corning Asphalt Roof Shingles LASELING: Each unit shall bear labeling in accordance with the requirements the Accredited Quality Assurance Agency noted herein. CONTINUED COMPLIANCE: This Evaluation Report is valid until such time as the named product(s) changes, the referenced Quality Assurance documentation changes, or provisions of the Code that relate to the product change. Acceptance of this Evaluation Report by the named client constitutes agreement to notify Robert Nieminen, 'P.E. if the product changes or the referenced Quality Assurance documentation changes. TrinitylERD requires a complete review of this Evaluation Report relative to updated Code requirements with each Code Cycle. ADVERTISEMENT: The Evaluation Report number preceded by the words `'Trinity{ERD Evaluated" may be displayed in advertising literature. If any portion of the Evaluation Report is displayed, then it shall be done In its entirety, INSPECTION'. Upon request, a copy of this entire 'Evaluation Report shall be provided to the user by the manufacturer or Its distributors and shall be avallable for inspection at the job site at the request of the Building Official. This Evaluation Report consists of pages 1 through 6. Prepared by: Robert 3,M. Nieminen,- P.E. Florida Registration No. 59156, Florlda DCA ANE1983 The faWmlle seal appearing was authorked by Robert Nleminen, P.F. on 02106/2017, This does not serve as an electronically signed document. signed, sealed hardeoplea have been transmitted to the Product Approval AdmInWtmWr end to the named client CERTaFIcATION OF XINIDEFENVENCEt i_ TrinitylERd does not have, nor does It Intend to acquire or will it acquire, a•flnanclal Interest in any company manufacturing or distributing products it evaluates. 2. TrinitylERD Is not owned, operated or controlled by any company manufacturing or distributing products It evaluates. 3, Robert Nieminen, P,e. does not have nor will acquire, a financial interest in any company manufacturing or distributing products for which the evaluatlorl reports are being issued. 4, Robert Nieminen, P.E. does not have, nor will acquire, a financial interest in any other entity involved in the Approval process of the product. ❑0 /TO 73nHJ A-iJJnC f nM,1]1Q nn�nr r�r rn •vr �-r n-� i•rr. ,.+� no ITFUNiTY I ERE) ROOFING SYSTEMS EVALUA77ONC 1. -scope., Product Category: Roofing Sub -Category: Asphalt Shingles Compliance Statement: Owens Coming Asphalt Roof Shingles, as produced by Owens Corning, have demonstrated compliance with the following sections of the Florida Duilding Code and Florida Building Code, Residential Volume through testing in accordance with the following Standards. Compliance is subject to the Installation Requirements and Limitations / Conditions of Use set forth herein, 2. STANDARDS: ECQlp�l�1C Yea 1507.2.5, R905.2.4 Physical Properties ASTM D3462 2006 1507.2.7.1, R905.2.6.1 Wind Resistance ASTM D3161, Class F 200 1507.2.7.1, R905.2.6.1 Wind Resistance ASTM D7158, Class H 2007 3. REFERENCES: Entity Examination UL (CER1739) Physicals & Wind Resistance File R2453, Vol. 3' 02/15/2007 UL (TST1740) Physical Properties 06CA20263 04/18/2006 Miami -Dade (CER1592) FBC HVHZ Compliance 07.1116.22 02/14/2008 Miami -Dade (CER1592) F13C HVHZ Compliance 09-0915.12 12/16/2009 Miami -Dade (CER1592) FBC HVHZ Compliance 10-0817.09 10/27/2010 Miami -Dade (CER1592) FBC HVHZ Compliance 10-0817.10 10/27/2010 Miami -Dade (CER1592) FBC HVHZ Compliance 10-0817.08 10/27/2010 Miaml-Dade (CER1592) FBC HVHZ Compliance •10-0817.07 10/27/2010, Miami -Dade (CER1592) FDC HVHZ Compliance 11-0411.03 06/16/2011 Miami -Dade (CER1592) FBC HVHZ Compliance 11-0919,05 10/13/2011 UL (QUA1743) Quality Control Service Confirmation Exp. 09/26/2014 4. PRODUCT DESCRIPTYON: 4.1 Asphalt Shingles: 4,1.1 Classic® and supreme® are fiberglass reinforced, 3-tab asphalt roof shingles. 4.1.2 BerkshireO are fiberglass reinforced, 4-tab asphalt roof shingles. 4.1.3 DurationO, Puration® Premium, Oakridge'9 and WeatherGuardO HP are fiberglass reinforced, laminated asphalt roof shingles. 4.2 HiRidge, lafrglherGuard� HP p & Ridge Shingles are fiberglass reinforced, hip andridge asphalt roof shines. 4.3 Starter Strip Plus and Starter Shingle Roll are starter strips for asphalt roof shingles. S. LIMITATItONS: 5.1 This Evaluation Report is not for use in the HVHZ. 5.2 Fire Classification •is not part of this Evaluation Report; refer to current Approved Roofing Materials Directory for fire ratings of this product. 5.3 Wind Classification; 5.8,1 Ali Owens Coming shingles noted herein are Classified in accordance with FBC Tables 1507.2.7.1 and R905.2.6.1 to ASTM D3161, Class F and/or ASTM D7158, Class H, indicating the shingles are acceptable for us in all wind zones up t0 Vasd ^ 150 mph (Volt _ 194 mph), Refer t4 Section 6 for installation requirements to meet this wind rating. Exterior Research and Design,Evaluation Report 037940.07.12 LLC. FLio674-R6 cerof,cate of Author1rotlon #9503 Date of issuance: 02/06/2012 Page 2 of 6 TRINIIY I ERD 5,3,z All Owens Corning hip & ridge shingles and Starter Strip Plus noted herein are Classified in accordance with FBC Tables 1507.2.7.1 and R905.2.6.1 to ASTM D3161, Class F, indicating the shingles are acceptable for us in all wind zones up to Vasa = 150 mph (Vint = 194 mph). Refer to Section 6 for installation requirements to meet this wind rating. 5.3.3 Classification by ASTM D7156 applies to exposure category B or C and a building height of 60 feet or less. Calculations by a qualified design professional are required for conditions outside these limitations. Contact the shingle manufacturer for data specific to each shingle. 5,3.4 Refer to Owens Corning published information on wind resistance and installation limitations. 5.4 All products In the roof assembly shall have quality assurance audit In accordance with the Florida Building Code and F,A.C. Rule 9N-3. 6. INSTALLATION: 6.1 Underlay►ment: 6.1.1 Undedayment shall be acceptable to ©wens Corning and shall hold current Florida Statewide Product Approval, or be Locally Approved per Rule 9N-3, per FBC Sections 1507.2,3, 1507.2.4 or R905.2,3, 6.2 Asphalt Shingles: 6.2.1 Installation of asphalt shingles shall comply with the manufacturer's current published instructions, using minimum four (4) nails per shingle in accordance with FUC Sections 1507.2 or R905.2, with the following exceptions: >} 8erkshiredO shingles. require minimum five (5) nails per shingle. > WeatherGuardO HP shingles require minimum six (6) nails per shingle. D Starter Strip Plus requires minimum fjve (5) nails per strip. Refer to Owens Coming. published information on wind resistance and installation limitations. 6,2,2 Fasteners shall be in accordance with the manufacturer's published requirements, but not less than FBC 1507.2.6 or R905.2.5. Staples are not permitted. 6.2.4 Where the roof slope exceeds 21 units vertical in 12 units horizontal, special methods.of fastening are required. Contact the shingle manufacturer for details. 6.2.5 Minimum Nailing — Classic@ & Supreme: � Aren Nro 1MA—Pa �Qr mvan y n d A"W pay WAOMS rloemwo7 Areal Vbntoi �Fr�oosuro Expadaldn Exterior Research and Design, LLC. Certificate afAuthbrlraGoa #9503 re dn11"OT as High NW Ad 0 r= Y Arta ptm Wom w viormpr9a Ar"I Wairtaa hrertae• 69J�' �xposun dYpoa7cidrY Evaluation Report 037940.02.12 FL10674-R6 Date of issuance: 02/06/2012 Page 3 of 6 OM Jcm InHJ 1"1JJf1Q nrNaw- 1Q 0074.i.=T7r` rn •77 7Tn7 /Tn — A 6.2.6 Minimum Nailing — Berkshire& SOW gap 1 LElndlelArd01 Dui sv� ,• • avr, • •�Ow 1` 6.2.7 Minimum Nailing — Duraljonp & Duration@ Premium: 4 Nan MUM Faqu#madf 4 davar �A,Ytdd�ios8un�ll� B r r afpu.b•vpmfadb wvNdt 6Kpv �P"fin 6.2.8 Minimum Nailing — dakridge@: 4IM Pmom it Bowlkpmf* ryaBy 6b/a"dposub walww'146v9pdtF CUvbl Frpasfci6nde6SI4Fv1� Exterior Research and Design, I.I.C. CaWflapt9 ofAuthoflZatfan #9505 QfTRR'INITYIERD 6 N-A ri iY°�rimM POt1GEEI inema[WOWNa. IAnwmvD• � An��p/bl•b • • • t�WRnpRua. mares m"vn�a SWErpmm f136a wDryoiwe V4PdO.dOt, Ow* Gavel S,Spulp.decVaa+I_ 6 NMI MOM Esgowa� aon6 d�vos r r Nally 65Ar VKPpyum 8pasi6/YPR1P• Ciav� d�•Os7ddndi66lYCtE6 Evaluation Repoli 037940,02.22 FL10674-P-6 Date of Issuance: 02/06/2012 Page 4 of 6 nn 19.n -In44.i nnrnavrr nn�j_ .nr Y7' 1rn trrn QOTPJNITY IERD 6.2.9 Minimum Nailing - WeatherGuard@ HP: I*- 6.3 Hip &Ridge Shingles: 6.3.1 Installation of nerkshireo Hip and Ridge Shingies,. High Ridge, Hip & Ridge with SealanC and WeatherGuard® HP Hip and Ridge Shingles shall comply with the manufacturer's current published instructions, using four (4) nails per shingle. Refer to Owens Corning published information on wind resistance and installation limitations, including the use of hand -sealing for wind warranties. 6.3.2 Fasteners shall be in accordance with the manufacturer's published requirements, but not less than FBC 1507.2.6 or R905.2.5. Staples are not permitted. 6.3.3 Minimum Nailing - Berkshire* Hip & Ridge and High Ridge: 6.3.4 Minimum Mailing - Hip & Ridge with Sealant: ern 4 2 - rgh W •NaFuis3 ng a tem •iro• Shingi�----• nd 2" 2„ F01:4 V �v Sr11Hp 12., ' nl" sit 6"Exposure Dlstanve• 12 , lexterior Research and D"19n, LLC. ceiWflcate ofAuthorrzat/an #9503 nn Jr±n -Inl-t.l 1-IJJf"IC fl�'1RH]1Q Fla. 2 TaPVlev, 5WIM9111 " B H> 11 TPPLUMANd T� C PIadO 1 1 1 1 a i r I 1 1 1 - ¢ -� Evaluation Report 037940.02.12 FL10674-R6 Date of II9SUance. 02/06/2012 Page 5of6 007{,{,OC T70 Cn •7T 7Tr27 /Tr] )r n rTRINITYIERD 6.3.5 Minimum Nailing — WeatiierGuard@ HP Nip and Ridge: Fig. C Hip & Ridge Shingle Fastening ropvlow N9ff6 Nolte 7" r x s ptposvre 7. LASELYNG: 7.1 Each unit shall bear a permanent label with the manufacturer's name, logo, city, state and logo of the Accredited Quality Assurance Agency noted herein. 7.2 Asphalt shingle wrappers shall indicate compliance with one of the required, classifications. detailed In FBC Table 1507.2.7.1 / R905.2.6.1. 8.. BUILDING PERMIT REQUIREMENTS: As required by the Building official or Authority Having Jurisdiction in _order. to properly, evaluate the installation of this product. 9. MNUFACTURING PLANTS - Co . nWCt the named QA entity for Information on which plants produce products covered by Florida Rule 9N-3 QA requirements. 10. . QUAtaTv ASSURANCE EIV7•'ITY: Underwriters laboratories — QUA1743; (414) 248-6409; Karen. buchmannOuf 9gra - END OF EVALUATION REPORT - EXterlor Research and Design, LLC. Certifleate of AuthorlZatfor, #9508 Evaluation Report 037940.02.12 FL10674-RG Date of Issuance: 02/06/2012 Page 5of6 nn inn -Inn r I 1 r rrr, fl/lRN\IfT