HomeMy WebLinkAboutSUBMITTED PAPERSDATE:' 1 I. ) I I ` I FEES
RECEIPT
E;
1 Planning & Development Services Department
COUNTY Building & Code Regulation Division S(;gNNED
2300 Virginia Avenue By
Ft. Piers 772 3498 -5352 �t. �GCie COulltTel.y
APPLICATION FOR ROOF PERMIT
SEE REVERSE SIDE FOR INSTRUCTIONS , n� w
1. Location/Site Address:�J 1 hJOIU �i IQr A U e_ r-i-. PI 2rc2, FL VS Yg,
2. Parcel ID Number: ?j y O 3 - 501- 0,35 ` bQQ1
Office Use
Only
Section
Townshi
Range
Ma Page
42ning I
Land Use
I Wtials
6s 9un
E
a �tsl�
_3 I
PY)
I W1
3. Description of Project or Work Activity: at - 60
4. Total Roof Area (square feet): 13 ) U 5. Roof Pitch: Z l Z
6. Type of Roof: [V/] Fiberglass Shingle [ ] Concrete Roof Tile [ ] Wood Shake / Shingle
[ ] Tar & Gravel [ ] Modified Bitumen [ I Other
[ ] Product Appfoval..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: darn 5 4 M " V Par'
Address: 551 I 6Oyq S I Inoi �VQ
City: F f. P I err— -State: F L
Zip: 3LP$a Phone: 112•uItG•4QUIP
9. Value of Construction: $ $ , Rb0.6;
FL Reg/Cert #: CCC 13S a %u I q
County Cert #: a 5 u Lll
Business Name: &h•1Goo goo i-i n. j Tac.
Cell Phone: - q06 5 - I SSto
"Note Dry -in and Final Inspection Required. Additional inspection may be required per Product Approval.
CONTRACTOR/OWNER'S AFFIDAVIT:
PRINT QUALIFIERS/OWNERS NAME
I certify that all of the information contained in this application is correct and that all work will be
done in compliance with all applicable la,V
,y regulating construction and zoning.
SIGNATURE OF QUALIFIER/OWNER
STATE OF FLORIDA, COUNTY OF S ` . " [.l t7
ACKNOWLEDGED BEFORE ME THIS DAY OF u IV 20 (� , BY e e. %weer
WHO IS PERSONALLY KNOWN TO ME OR HAS PRODUCED AS IDENTIFICATION
A0 01" l' • De`ti u e. / L�E'1� =�39a-0153
ISE C KREBS
SIGNATURE OF NOT Y TYPE OR PRINT NAME OF NOTARY (seal) MISSION # EE078203
COMMISSION NUMBER G C 7 p?o3 RES March 27,2015
,idaNpteryServke com
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 426/2010
AFTER RECORDING -RETURN TO: I JOSEPH E. SMITH, CLERK,, JHE CIRCUIT COURT
SAINT LUCIE COUNTY
FILE # 3609768 07/14/2011 at 04:26 PM
OR BOOK 3308 PAGE 1022 - 1022 Doc Type: NC
RECORDING: $10.00
PERMIT NUMBER:
NOTICE OF COMMENCEMENT
The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713,
Florida statutes the following information is provided in the Notice of commencement. 1. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER: 3L///
O3' 15Di. Ooam' oco
SUBDIVISION BLOCK(2) TRACT LOT Y 4-5 BLDG UNIT
2. GENERAL DESCRIPTION OF IMPROVEMENT: K f- Ko o}
3. OWNER INFORMATION: a. Name -1Q,m e -s
b. Address 51, 2)" S j U1,laer INVe- F+. Pitca- c. interest in property
d. Name and address of fee simple titleholder (if other than owner)
4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: Lee. Pod M er
oo wea ltln 1)r. r+ Piero-, P it 3 Q Q 81
5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: n /0,
6. LENDER'S NAME, ADDRESS AND PHONE NUMBER:
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:
NAME, ADDRESS AND PHONE NUMBER:
8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in Section
713.13 (1)(b), Florida Statutes:
NAME, ADDRESS AND PHONE NUMBER:
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is
specified) , 20
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED PAPROPER PAYMENTS UNDER CHAPTER 713 PART I SECTION 7I3.13, 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 IMPEND TO OBTAIN FINANCING, CONSULT WITH YOUR
C--r— 0
of Owner or Print Name and Provide Signatory's Title/Office
Authorized Officer/Director/Partner/Manager
State of Florida
County of %. 1. t tGl
The foregoing instrument was acknowledged before me this _day of 7w t_► , 20_.
13y Gi mt S L • , as 0
(Printed name of person signing above) (Type of authority... e.g. Owner, officer, trustee, attorney in fact)
For
(Name of party on behalf of whom instrument was executed) Personally Known or produced the following type of ID:
: „''..Aq- DENISE C KREBS
NO.
•'c MY COMMISSION # EE078203
(Printed Name of Notary Public) (Signature ofNotary Pu lic) (Se 3 4,}0,7") , EXPIRES March 27, 2015
(?g07)39a01S3 FbrldallotaryServke.com
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).
Sign re(s) of Owner(s) or Owner(s) horized Oi icer/Director/Partner/Manager who signed above:
By: ABy .S /— f 9 ;77
(Signature) (Printed Name)
Tj40@ICE — `- "
COUNTY
F LORI D A
Re: Permit # l i D7 01 `7 I
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
-*55 -�
I, Ut Ad i ea- , licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.s. to make such an inspection.
On or about C6—1 — 11 , 1 did personally inspect the roof deck nailing
(Date)
work at: 6!51 6iil.p tC be. F. Pi er� fL..
(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.)
Ccc_ 139-$i ig
Signature and Seal License #
DENISE C KREBS
= •= My COMMISSION # EE078203
STATE OF FLORIDA p ;F EXPIRES March 27, 2015
COUNTY OF %' - LIA d e.. (407) 399.0153 FloddallofarySGrvlOe.com
Swor to and sub cribed before me this day of 20L� '
by �0 _ �q . C Who is personally known t e or who has produced
as identification.
Notary Public, State of Flor da Signature of Notary: 0
'
Commission Number: E E 0-7 % a 0S (Seal)
En 01/19/2011 c
� 11
WS % 20
p0g1i� +e v�'r
S2 LUG G
M I A M IflADE MIAMI=DADE COUNTY, FLORIDA
METRO-DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE OFFICE (BCCO) 140 WEST FLACLEit STREET, SUITE 1603
63
PRODUCT CONTROL DIVISION 1ViIAMI, FLORIDA 33I30- 09
(305) 375 2901 FAX (305) 375-2908
NOTICE OF ACCEPTANCE (NOA)
GAF Materials Corporation
1361 Alps Road.
Wayne, NJ 07470
SCOPE:
This NOA is being issued under :the applicable rules and repUMverning the use of construction materials.
The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted
by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by
tie Authority Having Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami Dade County Product Control
Division (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. BORA reserves the right
to revoke this acceptance, if it is determined by Miami Dade County Product Control Division 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 ofhe Florida Building Code.
DESCRIPTION: GAF-EikTimberline Prestique Lifetime
LABELING: Each unit shall bear a permanent label with the manufacturefs 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
in 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 #07-1120.15 and consists of pages I through 5.
The submitted documentation was reviewed byAlex Tigera.
NOA Ho.-.08-1110.11
Expiration Date: 04/22113
Approval Date: 03/04/09
Page 1 of 5
J 73
. IWOMG ASSEMBLY APPROVAL
I
Category
Roofing
Sub -Category:
07310 Asphalt Shingles
Materials
Dimensional
Deck Tyne:
Wood
1. SCOPE
q This approves GAF -Elk Timberline Prestique Lifetime as manufactured by GAF maeriols Corp described
in Section 2 of this Notice of Acceptance.
2. PRODUCT DESCRIPTION
Product Dimensions
Test
Product Description
GAF -Elk Timberline 13'/4 x 30;
Specifications
TAS 110
Fiberglas reinforced heavy weight asphalt
Prestique Lifetime
roof shingle, with a laminate
profile
3. EVIDENCE suBNTITED:
Test Agency
Test Identifier
Test Nam_e/Reaort
Date
Center for Applied Engineering
PA 100
02/23194
Underwriters Laboratories, Inc.
ASTM D 3462
ASTM. D3462
09/13/06
PRI Asphalt Technologies, Inc.
ASTM D 3462
GAF -I 02-02-02
11/02/05
Underwriters Laboratories, Inc.
PA 107
Modifed ASTM D 3161
04/13/94
Center for Applied Engineering
ASTM D3462
03/18/97
PRI Asphalt Technologies, Inc.
TAS 100
GAF-045-02LOI -
01/13/04
PRI Asphalt Technologies, Inc.
GAF-102-02-01
11/14/05
Underwriters Laboratories, Inc
TAS 107
04NK0427.3
02/20/04
Underwriters Laboratories, Inc Modified ASTM D3161
05CA42KO
11/11/05
PRI Asphalt Technologies, Inc.
TAS 100
-',
ELK-083-0201
10/16/02
ELK-084-02:,.O1
10/15/02
ELK-085-02-'01
10/14/02
ELK-086-02�01
10/24/02
ELK 087-0201
10/21/02
ELK-088-02'-01
10/16/02
ELK-107-02 01
10/09/03
ELK-108-02,1-01
10/09/03
ELK 109-02LOI
10/09/03
Underwriters Laboratories, Inc
TAS 107
02NK4181*1
11/11/02
Underwriters Laboratories, Inc
ASTM D 3462
02NK41809
08/11/02
Underwriters Laboratories, Inc
TAS 107
03CA35209
10/17/03
Underwriters Laboratories, Inc
ASTM D 3462
03NK26444
10/17/03
Underwriters Laboratories, Inc
TAS 107
04CA13850
08/30/04
Underwriters Laboratories, Inc.
ASTM D 3462
05CA04091
02/07/05
Underwriters Laboratories, Inc.
ASTM D 3462
06NK17056
-10/17/06
koA;.No.-.08-1110.11
Expiation Date: 04/22113
Approval Date: 03/04/09
Page 2 of 5
4. LD41TATIONS
1=
4.1 Fire classification is not part of this acceptance; refer to a current Approved'. Roofing Materials
Directory for fire ratings of this product.
4.2 Shall not be installed°on roof mean heights in excess of 33 &
4.3 All products listed herein shall have a quality assurance audit in accordance with the Florida
Building Code and Rule 9B-72 ofthe Florida Administrative Code.
5. INSTALLATION
5.1 Shingles shall be installed in compliance with Roofing Application Standard RAS 115.
5.2 Flashing shall be in accordance with Roofing Application Standard RAS 115
53 The manufacturer shall provide clearly written application instructions.
5.4 Exposure and course layout shall be in compliance with Detail W, attached.
" 5.5 Nailing shall be in compliance with Detail B', attached.
1 4:
6. LABELING
6.1 Shingles shall be labeled with the Miami -Dade Product Control Approved Seal or the wording
"Miami -Dade County Product Control Approved". j
OMIAMI-DAED)C COUNTY
7. BUILDING PERM T REQUIREMENTS '
71 Application for building permit shall be accompanied by copies of the following.
7.1.1 This Notice of Acceptance.
7.1.2 Any other- documents required by the Building Official or_the applicable code in
order to' properly evaluate the installation of this system.
8. DIANUFACPURING PLANTS
&I Tampa, FL
8.2 Michigan City, IN
83 Baltimore, MD
8.4 Ennis, TX
8.5 Mobile, AL ;
8.6 Myerstown, PA r
8.7 Tuscaloosa, AL
i
NOA No.:08-1110.1 I
Vzpiration Date: 04/22/13
Approval Date: 03/04/09
Page 3 of 5
DETAIL A
COURM LAYOUT
NOA No.:08-1110.11
Expiration Date: 04=13
Approval Date: 03/04/09
Page 4 of 5
,
l 1
i
DETAIL B-13-1/4" X 39-3/8" '
OvERALL DIMENSIONS AND NAnmG PATTERN'
39-318°
Release
Tape
6 fasteners 72 7—
or
4
82" 7"
4El--
Front Side (Maximum Slope 12:12)
39-3/8"
Release
I
I
.15 71 (TI-
Front Side (Maximum Slope 21:12)
Tab Sealant
1" 2"
Back Side
END OF THIS ACCEPTANCE
APPROVES
Tape
3/8"
1:
i
- i
i
i
i
s
NOA No.:08-1110.11
Expiration Date: 04/2,2113
Approval Date: 03/04/09 ;
Page 5 of 5
i
i
i
s
NOA No.:08-1110.11
Expiration Date: 04/2,2113
Approval Date: 03/04/09 ;
Page 5 of 5
Property Appraiser - St.Lucie County FL
Page 1 of 1
l
PROPERTY RECORD CARD
James L Hart Record: 1 of 2
«Prev Next» Spec.Assmnt
Taxes Exemptions Permits Home Print
Property Identification
CIE
Site Address: 351 BaysingerAv
ParcellD: 3403-501-0238-000-1
Sec/Town/Range: 03 :36S :40E
Account*: 38872
Map ID: 34/03N
Land Use: SF Res
Zoning: RS-3
City/Cnty: St Lucie County
Ownership and Mailing
Legal Description
Owner: James L Hart Mary A Hart
REGINA PALMS S/D BLK
10 LOTS 4 AND5 (0.34 AC) (OR 431-1940)
Address: 351 Baysinger Ave
Fort Pierce FL 34982-7095
Sales Information
Assessment 2010 Final
Total Land and Building
Date Price Code Deed
Book/Page 2010 Final: 78400
Land Value: 15000 Acres: 0.34
5/1/1984 6000 01 CV
0431 / 1940 Assessed: 78400
Building Value: 63400
3/1/1984 6000 01 CV
0426 / 2206 Ag.Credit: 0
Finished Area: 1316 SgFt
3/1/1976 1000 00 CV
0250 / 2175 Exempt: 50000
Taxable: 28400
Taxes: 794.7
BUILDING INFORMATION
Exterior Features .
View:
RoofCover:
FS - Fibrglss Shg
RoofStruct:
HP - Hip
ExtType:
HC- - HC-
YearBlt:
1984
Frame:
Grade:
C- - C-
EffYrBlt:
1984
PrimeWall:
WS - Wood/Sheath
StoryHght:
0010 -1 Story
No.Units:
1
SecWall:
BT -12in Brick
Interior Features
BedRooms:
3
Electric:
MX - MAXIMUM
PrmintWall:
DW - Drywall
FullBath:
2
HeatType:
FHA - FrcdHotAir
AvgHt/Fl:
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 Qual. Cond.
YrBit. No. Land Use
Type
Measure Depth
DWC - Driv-Concret
Y 1
720 AV AV
1984 1 0100-SF Res
210 -Front Ft
100 150
FNW5 - WOOD FEN 5' Y 1 100 AV AV 1999
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED
hq://www.pasle.org/pre.asp?prelid=340350102380001 7/15/2011