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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