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DATE: FEES #: Permit #: D� 1. Location/Site Address: Planning & Development Services Department Building & Code Regulation Division Sc 2300 Virginia Avenue Ft. Pierce, FL 34982-5652 APPLICATION FOR ROOF PEWMT "Cie cov .. _ SEE REVERSE SIDE 50R INS11RUCTION6, . I It 2. Parcel ID Number: 4001- COD) -coo _�i Office Use Only. Section I Township Range I Map Page I Zoning Land Use I Initials YMIYY 3. Description of Project or Work 4. Total Roof Area (square feet): 6. Type of Roof: [ ] Fiberglass Shingle [x] Concrete Roof Tile [ ] Wood Shake / Shingle [ ] Tar & Gravel [ ] Modified Bitumen [ ] Other ]4 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: OSq h FL Reg/Cert #: CC 3 ci Address:azo cmy Va11fu 61 ✓d -County Cert #: 9,.8 `f City:o-M RaOJ6 State: Business Name: km Jm . /Zip: Co Phone: Cell Phone:'J70- a (a( 44 19 C,9. Value of Construction: $ ,2 3, S O 4 "Note Dry -in and Final Inspection Required. Additional inspection may be required per Product Approval. CONTRACTOR/OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work iWi11 be done in compliance with all applicable laws regulating construction and zoning. ,Q PRINT QUALIFIERS/OWNERS NAME CSIGNATURE' F`QUALIFIER/OWNER STATE OF FLORIDA, COUNTY OF S / . Q� ACKNOWLEDGED BEFORE ME THIS /©T� DAY OF „Jc1,V e— 20�, BY !1 p OS /�n1iJ % 1Uf1o' E ONALLY WN O ME OR HAS PRODUCED AS IDENTI D00RINA L MELDAU ATURE OF NOTARY -TYPE OR PRINT NAME OF NOTARY r_ MY COMMISSION # DD 952450 EXPIRES: February 12, 2014 Bonded Thru Notary Public Qnderwdters COMMISSION NUMBER NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT INYOUR 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 # 3603101 OR BOOr 102 PAGE 2015, Recorded 06/22/2011 v--- {2:45 PM AFrER RECORDING -RETURN TO,'•'- t L 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. ``11�( ow - L DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER: gq;ls -W 1-W�j -9 SUBDIVISION BLOCK TRACT LOT BLDG UNIT I f1{ 2. GENERAL DESCRIPTION OF IMPROVEMENT: ECain 3. OWNER INFORMATION: a. Name Rofin ]!An b. Address 3 V c. interest in property d. Name and address of fee simple titleholder (if other than owner) �� " 4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: IlAn:6n tYtd , mme . 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND 13OND AMOUNT: 6. LENDER'S NAME, ADDRESS AND 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: NAME, ADDRESS AND PHONE NUMBER S. 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_. MWAW* Owner's Authorized OffIcer/Dlrector/Partner/Manager Print Name land Provide Signatory's Title/Offlce State of Florida County of a _ The foregoing instrument was acknowledged before me this SOT day of Ja yOt 20�. By nsa1w✓n/ S7,1V1 as OWAFer (Name of person) pp (Type of authority...e.g. Owner, officer, trustee, attorney in fact) For .riff Je e2A.r _ (Name of party on behalfof whoa mstmment was executed) Personally Knowtt-1'orproduced the following type of ID: �/ /J f / satY^�Pun o5•p•o Atelu.; IDS • �YJf?' �r+JftitJA �•///G4C/f✓ J f �/ Miss •Lc:uQaj:53 '';•:. (KI AYY (Printed Name of Notary Public) (Signature of Notary Public) 1 YNRl00 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). Signature(s) of Owner(s) or Owner(s)' Authorized Officer/Director/Partner/Manager who signed above: ALaf ` "GJ'trb?.:''.� ;i'� By ��' L�_ MY tX11I6tItiSltlNfOD852450 a�v.G&SOManRew EXPIRES:FebNt 12,2014 i Iryy ,Id, �• Banded ttuu Notary Pub% QndPrwftn STATE OF FLORIDA ST. LUCIE COUNTY THIS IS TO CERTIFY THAT THIS IS A TRUE AINO CORRECT C6pyOFTHE OR�IGINA{ .- JY1SE✓ �,ti�y H CLERK( Date: Property Appraiser - St.Lucie Cr a,;y, FL Page 1 of 1 z PROPERTY RECORD CARD Rosalynn Stuart (TR) Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification �V13CIECOG Site Address: 13203 NW HARBOUR RIDGE BV ParcellD: 4425-604-0021-000-4 Sec/Town/Range: 26 :37S :40E Account #: 119171 f� Map ID: 44/26S Land Use: SF Res Zoning: PUD City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner: Rosalynn Stuart (TR) Geralyn M Pasi (TR) HARBOUR RIDGE -PLAT 5- DEWBERRY VILLAGE UNIT 17 AND Address: 3650 Cook Valley Blvd SE THAT PART OF GOLF COURSE TRACT LYG ELY OF UNIT 17 Grand Rapids MI 49546 More... Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 218800 Land Value: 100000 Acres: 0.02 12/14/2007 100 01 WD 2929 / 0106 Assessed: 218800 Building Value: 118800 4/20/2000 245000 00 WD 1295 / 0970 Ag.Credit: 0 Finished Area: 1778 SgFt 11/30/1995 225000 00 WD 0986 / 2925 Exempt: 3/30/1990 100 01 WD 0690 / 2405 Taxable: 3/30/1990 100 01 WD 0690 / 2403 Taxes: 4547.58 4/1/1988 198900 00 CV 0585 / 2386 BUILDING INFORMATION (Inl) 0 e oia Exterior Features 1 View: RoofCover: CS - Conc Shingle RoofStruct: HP - Hip ExtType: HB+- HB+ YearBlt: 1988 Frame: - Grade: B+ - B+ EffYrBlt: 1988 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 AvgHt/Fl: 1/213ath: 1 HeatFuel: ELEC - Electric Prm.Flors: CU - Carpet %A/C: 100 %Heated: 100 %Sprinkled: 0 v Special Features and Yard Items Land Information Type Y/S Qty. Units Qua]. Cond. YrBlt. No. Land Use Type Measure Depth SWAY - RES POOL AVG Y 1 288 AV AV 1988 1 0100-SF Res GFC -Site 1 PA01 - POOL DK-AVG Y 1 275 AV AV 1988 ENC2 - POOL ENC-AVG Y 1 563 AV AV 1988 DWC - Driv-Concret Y 1 720 AV AV 1988 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. http://www.pasle.org/pre.asp?prelid=442560400210004 7/5/2011 ENGINEERING & TESTING CORPORATE OFFICE ? federal engineed ngandtesting.com 250 S.W. 13th Avenue "LE Copy. �� Phone: (954) 784-2941 Pompano Beach, FL 33069 1(800) 848-1919 Fax: (954) 784-7875 7) 0 0.14 DATE: 6/23/11 Job Order No.: 11-1206 CLIENT: Heaton Roofing, Inc. ADDRESS: P.O. Box 1143, Palm City, FL 34991 PROJECT: Ross Stuart Residence Sloped Wood Deck ADDRESS: 13202 Harbour Ridge Blvd. Palm City, FL ASCE 7-05 DESIGN PRESSURE CALCULATIONS Proiect Information: Height = 15' Length = 93' Width = 36' Design Calculations: Sloped Wood Deck Exposure: C Category: II Slope: 6:12 Basic Windspeed: V=140mph Importance Factor: I=1.0 KZ = 0.85 Velocity Pressure: q = 0.00256*[(0.85)(1.0)(1.0)(140)2(1.0)] = 42.6 psf Width of Pressure Coefficient: 0.1(36') = 3.6' 0.4(15') = 6.0' } use: 3'6" Effective Wind Tributary Area: <10ft2 External Pressure Coefficient: 1) GCP 1 = -0.9 2) GCP2 = -1.7 3) GCP3 = -2.6 FDOT Accredited Internal Pressure Coefficients 1) GCPi = 0.18 Q Quality A Assurance Since 1989 CMEC Accredited 1 � . 0 Page 2 6/23/11 Sloped Wood Deck Ross Stuart Residence 13202 Harbour Ridge Blvd Palm City, FL Design Pressures: 1) Field 2) Perimeter 3) Corners P1 = 42.6*(-0.9 — 0.18) _ -46.0 psf P2 = 42.6*(-1.7 — 0.18) _ -80.1 psf P3 = 42.6*(-2.6 — 0.18) _ -118.4 psf Based on N.O.A. #10-0804.15, the following are our recommended tile attachment requirements using Polypro AH-160 roof tile adhesive: Attachment Requirements: Tile System: Moment Based Aerodynamic Multiplier: 0.289 ft' (Table 2 - Direct Deck Attachment) Restoring moment due to gravity: Mg = 7.32 ft. lb (Table 3) Attachment resistance expressed as a moment: Mf = 118.9 ft-lb (Table 6) Single Large Patty Foam Adhesive Set 1) Field: Mr, = (46.0*0.289) — 7.32 ft. lb = 6.0 ft. lb. < 118.9 ft. lb = PASS 2) Perimeter: Mr2 = (80.1 *0.289) — 7.32 ft. lb =15.8 ft. IN < 118.9 ft. lb = PASS 3) Corners: Mr3 = (118.4*0.289) — 7.32 ft. lb = 26.9 ft. lb. < 118.9 ft. lb = PASS System is acceptable as approved with polyfoam PolyPro (Single Large Paddy) Page 3 6/23/11 Sloped Wood Deck Ross Stuart Residence 13202 Harbour Ridge Blvd Palm City, FL Notes: Corners and perimeter area dimension shall not be less than a = 3'6" All work shall be in compliance with the local building code product control notice of acceptance and manufacturer specifications and Florida Building Code 2007. Wind load calculations based on ASCE 7-05 and information provided by client. All work shall be inspected by our field engineer or city inspector to verify compliance with specifications. Sincerely, Keith LeBlanc, P.E. OAS 3 Federal Engineering & Testing Florida Reg. No. 59394 BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Entegra Roof Tile, Inc. 1289 NE 91h Ave Okeechobee, FL. 34972 MIAMI-DADE COUNTY, FLORIDA METRO-DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130-1563 (305) 375-2901 FAX (305) 375-2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing 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 the 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 High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Plantation Roof Tile LABELING: Each unit shall bear a pennanent 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 renews NOA No. 09-0803.02 and consists of pages 1 through 5. The submitted documentation was reviewed by Alex Tigera. NOA No.: 10-0804.15 Expiration Date: 12/08/15 M AMMADecounmr Approval Date: 10/20/10 �twlierj;vzPage 1 of 5 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub Category: Roofing Tiles Material: Concrete 1. SCOPE: This renews a roofing system using Entegra "Plantation" concrete roof tile, as manufactured for Entegra Roof Tile, Inc. in Okeechobee, FL as described in Section 2 of this Notice of Acceptance. For the locations where the pressure requirements, as determined by applicable Building Code, does not exceed the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION: Manufactured by Test Product Applicant Dimensions Specifications Description Plantation Tile Length: 16'/2" Flat concrete roof tile for direct deck or Width: 13" TAS 112 batten nail -on. Trim Pieces Length: varies Accessory trim, concrete roof pieces for Width: varies TAS 112 use at hips, rakes ridges and valley Thickness: varies terminations 3. LIMITATIONS: 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test in accordance with TAS 106 may required, refer to applicable building code. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4. INSTALLATION: 4.1 Entegra Roof Tile, Inc.'s Plantation Flat Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118,119, & 120 4.2 Data For Attachment Calculations NOA No.: 10-0804.15 Expiration Date: 12/08/15 MIAMI-DADE COUNTY Approval Date: 10/20/10 Page 2 of 5 Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight-W (Ibf) Length4 (ft) Width-w (ft) Plantation Tile 11.6 1.375 1.08 Table 2: Aerodynamic Multi liens - � 0 Tile % (ft 3) � (�) Profile Batten Application Direct Deck Application Plantation Tile 0.267 0.289 Table 3: Restoring Moments due to Gravity - M (ft-lbf) Tile Profile 3":12" 4":12" 5":12" 6".. :12 72:12"or greater Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Deck Deck 1 Deck Deck 1 Deck Plantation Tile 6.85 7.79 6.75 7.67 6.61 1 7.52 6.44 7.32 6.26 N/A Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-lbf) For Nail -On Systems Tile Profile Fastener Type Direct Deck (Min 15/32" plywood) Direct Deck (Min. 19/32" plywood) Battens Plantation Tile 2-10d Ring Shank Nails 38.1 17.2 1-10d Smooth or Screw Shank Nail f30.9 7.3 9.8 4.9 2-10d Smooth or Screw Shank Nails 14.0 18.8 7.4 1 #8 Screw 30.8 30.8 18.2 2 #8 Screw 51.7 51.7 24.4 1-10d Smooth or Screw Shank Nail Field Clip) 24.3 24.3 24.2 1-10d Smooth or Screw Shank Nail Eave Clip) 19.0 19.0 22.1 2-10d Smooth or Screw Shank Nails Field Clip) 35.5 35.5 34.8 2-10d Smooth or Screw Shank Nails Eave Clip), 31.9 31.9 32.2 2 110d Ring Shank Nails' 50.3 65.5 48.3 1 Installation with a 4" the headlap and fasteners are located a minimum of 2'/z" from the head of tile. NOA No.: 10-0804.15 h+ar+wAne COUI r Expiration Date: 12/08/15 "' • • Approval; Date: 10/20/10 Page 3 of 5 Table 5: Attachment Resistance Expressed as a Moment Mf (ft-lbf) For Two Pa Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Plantation Tile Adhesive 31.3 2 See manufactures component approval for installation requirements. 3 Flexible Products Company TileBond Average weights per patty 13.9 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. Table 6: Attachment Resistance Expressed as a Moment - Mf (ft-lbf) For Single Patty Adhesive Set System Tile Profile, Tile Application Minimum Attachment Resistance Plantation Tile Pol Pro'"' 118.9 Pol Pro"" 40.4 4 Large paddy placement of 45 grams of Pol ProTm. 5 Medium paddy placement of 24 grams of Pol ProT'". Table 7: Attachment Resistance Expressed as a Moment - Mf(ft-lbf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance See specific mortar manufacturer's Notice of Acceptance. 5. LABELING 5.1 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as seen below or following statement: "Miami -Dade County Product Control Approved". 5.2 Entegra Roof Tile, Inc.'s Plantation Roof Tile bears the following markings: USA "E" USA, "E", Entegra "E", where the E is a stylized logo. 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable Building Code in order to properly evaluate the installation of this system. 7. MANUFACTURING LOCATIONS 7.1 Okeechobee, FL NOA No.: 10-0804.15 Expiration Date: 12/08/15 Approval Date: 10/20/10 Page 4 of 5 w + Q j PROFILE DRAWING PLANTATION FLAT CONCRETE TILE END OF THIS ACCEPTANCE NOA No.: 10-0804.15 Expiration Date: 12/08/15 Approval Date: 10/20/10 Page 5 of 5 Jul 15 11 03 : 23p Heatoai Roofing 772221_2.299 F.1 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 CR) Re: Permit # licensed as a n)Contractor /Engineer/Architect Please print name & circle license type) `*FS468 ul Ing Inspector *General, Building, Residential or RRVing contractor or any individual certified under 468 F.S. to make such an Inspection. On or about 7 1 did personally inspect the roof deck nailing (Date) work at: lie, 1-44e_�Zy (%//.T�� Job site address) Based upon that examination l have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.) igna�Gre and Seal STATE OF FLORIDA COUNTY 0FS,1`y; License # rh Sworn to and subscribed before me this day of 20_1j, by / 4cc,4i•.✓ Who is personally know to me or who has produced as identification. Notary Public, State of Flor' Signature of Notary:1 commission Number: }7) el;r_� (Seal �' ' . ; CORNALMELDAU MY COMMISSION h DD 952450 is EXPIRES: Fobraary 12, 2014 En 01/14/2011 ty;6` Bonded fiN Notary Public Undenwhers