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DATE: FEES DUE: RECEIPT #: e7 �f St. Lucie County Building & Zoning aC,qiw 2300 Virginia Avenue Ft. Pierce, FL 34982-5652 �, v�Q ® Tel. 772-462-1553 APPLICATION FOR ROOF PERMIT `�cie Coy, -- _ -- s SEE REVERSE SIDE FOR INSTRUCTIONS"� 1. Location/Site Address: �JP�C� lild0DL)V1VE 2. Parcel ID Number: I t' C a © In. 2 Office Use Only ownship Range Map Page Zoning Land Use Initials 3. Description of Projector Work Activity: .1pMF 4. Total Roof Area (square feet): QWQ 5. Roof Pitch: Q • rJ : I ,-I- 6. Type of Roof: [ ] Fiberglass Shingle [ ] Concrete Roof Tile [ ] Wood Shake / Shingle / [ ] Tar & Gravel [ ]Modified Bitumen [ ] Other `� - Rt [✓] N.O.A. or Florida - 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: L4 NfJ ©�I(�,rleti Address: st35 L-wSymccd -1ji�IvC City: YaO F i e,�(CE State: Zip: 2)LAg51 Phone: -'?2 3 ia 9. Value of Construction: $ C.Q. q b, Note Dry -in and Final Inspection Required Additional inspection may be required per Product Approval FL Reg/Cert #: C a Ci 13 VS q 5J County Cert #: �3n I I Business Name: sK . 7Rn 0 F l� rr%0 Fees Due: Receipt #: CONTRACTOR/OWNER'S AFFIDAVIT: I certify that all of the info ion mained in this application is correct and that all work will be ,1 done in compliance with all pli le laws regulating construction and zoning. PRINT QUALIFIERS/OWNERS NAME SIGNATeft OF QUALIFIER/OWNER STATE OF FLORIDA, COUNTY OF (CT `, AVIL ACKNOWLEDGED BEFORE ME THIS II DAY OF 20A , BY WHO PERSON LYrOM TO ME OR HAS PRODUCED AS IDENTIFICATION 1 ' _ o NOTARY PUBLIC -STATE OF FLORIDA Karen S. Nielsen SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY ' ;Comnussic(k0DD1000358 COMMISSION NUMBER-D OOO 3S�-�'••,,,,,,DT Expires: DUNE 12, 201C. 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. JOSEPH E. SMITH, CLERK OF THE CIRCUIT•COURT - SAINT LUCIE COUNTY FILE # 361146B OR BOOK j~ �'� PAGE 2187, Recorded 07/21/2011 at -_ 31 AM r AFTER RECORDING RETURN TO: J. A. TAYLOR ROOFING, INC. 302 NELTON DRIVE FORT PIERCE, FL 34902 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: 13c I - 3. OWNER INFORMATION: a. Name b.Address SQOS �WCsI h1Mt�TPiuP_. d. Name and address of fee simple titleholder (if other than owner; 4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: c. im. •rest in property d" 1r!Y D. SUKL I T3 NAMIM, AUIJKC00 wnu rnUnc nvmocn Amu ounu nmu— i �, 6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: 7. Persons within the State of Florida designated by Owner upon om notices or other documents may -! served as provided by Section 713.13 (1)(a) 7., Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: 0I A 8. In addition to himself or herself, Owner de ignates the following to receive a copy of the Lienors Noti is provided in Section 713.13 (1)(b), Florida Statutes: 114 NAME, ADDRESS AND PHONE NUMBER: rJ 9. Expiration date of notice of commenceme t (the expiration date is 1 year from the date of recording I ss a different date is specified) , 20_ WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE C OMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I SECTION 713.13. FLORIDA ST'ATI, ;, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MU: tE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CON .T WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMEND :NT. Sig ature of Owner of Owner's Authorized Officer/Director/Partner/Manager 4-"y 0-43-aInsI Print Name and Provide Signato; Title/Office State of Florida County of The foregoing instrument was acknowledged before me this By of ' . 20 11 By LN11k) 0 i 1a9 rnl as m1111.1E (Printed dame of person signing above) N (Type of authority... e.g. Owner, offic. ustee, attorney in fact) For he (Name of party an behalf of whom instrument was executed) Personally Known_ oNOTARY PUBLfOfs�ATF ""AD: V I I C (. F;rren ; ielseD )n)isziejUNr12,2014 (Printed Name of Notary Public) (Signature of Notary Public) ' Sxpirec: d l) VE 12, 2014 BONDED TaRU ATLANTIC 1102NIN GCaINC- Under penalties of perjury, I declare that I have read the foregoing and that the facts in it are true to the be, of my knowledge and belief (section 92.525. Florida Statutes). Signature(s) of Owner(s) or Owner's)' Authorized Officer/Director/Partner/Manager who ,;:�ned above: By: t%. By LYi✓A/ ��> Ie/C/lJ .._ (Signature) (Printed Name) oarj=007(11 rodm p) STATE OF ROM A ST. LUCIE COUNTY THIS IS m U M IFY THAT THIS IS A TRl OAI By: Dat SECTION 1525 IGH-V Oct Y vla NE ZONES UNIFORM PERMIT APPLICATION Flouilding Code Edition 2007 High -Velocity Hurricane Zone Uniform Permit Application Form. INSTRUCTION PAGE COMPLETE THE NECESSARY SECTIONS OF. THE UNIFORM ROOFING PERMIT APPLICATION FORM AND ATTACH. THE REQUIRED DOCUMENTS AS NOTED BELOW Required Sections of the Attachments Require Permit Application Form See�List Below. A,B,C 172,3,4,5,6;7 A,B,C 4,5,6,7 A,B;D 1,2,4,5,6,7 A,B;D,E 1,2,3,4,5,6;7 � IA,B,D ff.1,2,3,4,5,6,7A,B,D As Applicable ATTACHMENTS REQUIRED: n71..ireuice c3[y_u�����y.:�- y� rom Product Approval: Front Page Specific System Descrip-tibri Specific System Limitations General Limitations Applicable Detail Drawings HARVEY E. KOES• HEN Professional Engirdeer 32831 circle Port S: I 3G 952-3212 (77;.. ((( - . -. - • --...--..__..._ .1. .. .--....-. -3. Design Calculations per Chapter 16, or If Applicable, RAS 127 or RAS 128 4. Other Component of Product Approval 5. Municipal Permit Application 6. I Owners Notification for Roofing Considerations (Reroofing Only) 7. Any Required Roof Testing/Calculation Documentation 9nn7 FLORIDA BUILDING CODE COMMENTA ROOF ASSEMBLIES AND ROOFTOP STP,UCTURES• Ffdr ida BUildiTrg Code Edition 2007 Uniform Permit Application Form. ?ec•s't!lnn Master Permit No. Process No. Contractor's Name J . A• Job Address 910 5 VAS t WPOP P4G P I-t2C-E GL ¢q,s( ROOF CATEG RY ❑ Low Slope ❑ Mechanically Fastened Til.e ❑ Mortar/Adhesive Set Tile ❑ Asphaltic Metal Panel/Wiggle ❑ Wood Shingles/Shakes. Shingles i] •Pres&iptive BUR-RAS 150 ROOF TYPE HARVEY E. KOEI-INEN ❑ New Roof' P ofessional Engineer 32831 ( (Reroofing ❑ Reco'vering ❑ Repair ❑ Main€enar".lib5 Elyse circle ROOF SYSTEM Port St: Lucie; FL,34952-3212 INFORMATION (7i 2)i33-3r23S fax Low Slope Roof Area (SF} Steep Sloped Roof Area (SF) Tatar ZZd� 2;Z - µ Section. i _ Roof .Plan ( t� Sketch Roof Plan_ illustrate all levels and sections, roof drains, scuppers,'overflow scuppers and-"overfiow d-rains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and Location of parapets. f* N .2007 FLOP,IDP. BUILDING CODE COMMENTARY ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007. High -Velocity Hurricane Zone Uniform Permit Application Form. Section D (Steep Sloped Roof SystemA Roof System Manufacturer: 5 v Notice of Acceptance Number: Minimum -Design Wind Pressures, If Applicable (From RAS 127 or Calculations) 13d 5 .P1: -3o.4- P2: 51,0 P3: ^ 74A, HARVEY E. KOEHNEN Maximum Design Pressure Professional, Engineer.,328 (From the Product Approval Specific System): 7205 Ely_-;e:GircIe " (00 e Uo "b. C. FAtS-re P45 Port St:,Lucie, FL 34952-3� (772) 489-3035 fax Steep 51oped. Raof System Descri-potion ! I � vlii- Deck Type: Vowo00 Type Underlayment: >Y�ItS 3� FELT Roof Slope: 25 12 Insulation: Fire Barrier: A-rck;5 FK5d2 NOS io— C<p63, ly Ridge Ventilation? Fastener Type & Spacing: • (u!!tH 4 lfaLl�i6� W t+5t}�RS l Z O• G • yL�!- Adhesive Type: Type Cap Sheet: d,,� Mean Roof Height: Roof Covering: , - v C.F11AP Type & Size Drip d, I Edge: L-&P 2007 FLORIDA BUILDING CODE COMMENTARY 15-59 M 1 A-M I -DAD& BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION _NOTICE OF ACCEPTANCE (NOA) Drexel Metals Corporation 204 Railroad Drive Ivyland, PA 18974 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 Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: DMC 5-V 26Ga. Steel Panel over Plywood deck 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- nay-be-displayed-in-advertising-liter-ature:—I-f-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 NOA consists of pages 1 through 5. The submitted documentation was reviewed by Alex Tigera. APPROVED i • :Vl_'. E. KOEHNEN Profc-< �A,:-nai Engineer 32831 7205 Elyse Circle Port St. Lucie, FL 34952-3212 (772) 489-3035 fax NOA No.: 08-0507.05 Expiration Date: 06/26/13 Approval Date: 06/26/08 Page 1 of 5 ROOFING SYSTEM APPROVAL: Category: Roofing Sub -Category: Metal, Panels (Non -Structural) Material: Steel Deck Type: Wood _ Maximum Design Pressure-121.75 psf TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: Test Product Product Dimensions Specifications Description DMC 5-V 26Ga. Length: 120" TAS 110 Corrosion resistant, galvanized steel or Steel Panel Height: 1/2" galvalume metal panel. Width: 26" (24" coverage) Thickness 26 ga EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date Akzo Nobel Coatings, Inc. Lab Form ASTM G 153 PRI Asphalt Technologies, Inc. AKZC-001-02-01 ASTM B 117 10/08/02 AKZC-001-02-02 AKZC-001-02-03 AKZC-001-02-04 AKZC-001-02-05 Architectural.Testing 58641.02-122-44 TAS 100 09/22/05 Architectural Testing 58461.01-122-44 TAS 125 09/23/05 Hurricane Test Laboratory, --Inc. 0287=05-12-07- -TAS-125 07/2-3/07 PRI Asphalt Technologies, Inc. DMC-0030-02-01 TAS 100 04/02/08 NOA No.: 08-0507.05 H AMi•oaoE eouwrr Expiration Date: 06/26/13 MM Approval Date: 06/26/08 Page 2 of 5 APPROVED ASSEMBLIES: System: DMC 5-V, 26ga. Steel Panel Deck Type: Wood-, Non -insulated Deck Description: New Construction 19/32' or greater plywood or wood plank. Slope Range: 2": 12" or greater Maximum Uplift See Table A below Pressure: Deck Attachment: In accordance with applicable Building Code, but in no case shall it be less than 8d annular ring shank nails sFaced 6" o.c. In reroofing, where the deck is less than 19/32" thick (Minimum' /32") The above attachment method must be in addition to existing attachment. Underlayment: Minimum underlayment shall be an ASTM D 226 Type 11 installed with a minimum 4" side -lap and 6" end -laps. Underlayment shall be fastened with corrosion resistant tin -caps and 12 gauge 1 '/4" annular ring -shank nails, spaced 6" o.c. at all laps and two staggered rows 12" o.c. in the field of the roll or any approved underlayment having a current NOA. Fire Barrier Board: Any approved fire barrier having a current NOA. For class A or B fire rating, install minimum'/4" thick Georgia Pacific "Dens Deck" (with current NOA) or minimum 4mm thick of Tritex, RockRoof (with current NOA) or 5/g" water resistant type X gypsum sheathing with treated core and facer. Valleys: Valley construction shall be in compliance. with Roofing Application Standard RAS 133 and with the current published installation instructions and details in DMC Association of Regional Manufacturers Installation Manual. Metal Panels and Install the "DMC 5-V 26 gauge Steel Metal Panels" including flashing Accessories: penetrations, valleys, end laps and accessories in compliance "DMC Association of Regional Manufacturers" current, published installation instructions and in compliance with the minimum requirements detailed in Roofing Application Standard RAS 133. Panels shall be secured along the top of the V's with approved corrosion resistant #9-hex-head-self-drilling-screws-.-of-sufficient-length-to-penetrate through.the-- sheathing a minimum of 3/16" with self sealing washers. See Detail A herein. The fasteners are to be placed at a spacing listed in Table A below starting 3" from panel end. TABLE A MAXIMUM DESIGN PRESSURES Roof Areas Field Perimeter and Corner Maximum Design Pressures -60 sf -121.75 sf Maximum Clip Spacing 16" o.c. 8" o.c. 1. Extrapolation shall not be allowed NOA No.: 08-0507.05 MAHMME COUNTY Expiration Date: 06/26/13 Approval Date: 06/26/08 Page 3 of 5 LDUTATIONS 1 The maximum designed pressure listed herein shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and corners). 2. Panels may be rolls formed in continuous lengths from eave to ridge. Maximum lengths shall be as described in Roofing Application Standard RAS 133 - 3. All panels shall be permanently labeled with the manufacturer's name and/or logo, and the following statement: "Miami -Dade County Product Control Approved" or with the Miami -Dade County Product Control. Seal as seen below. All clips shall be permanently labeled with the manufacturer's name and/or logo, and/or model. MIAWDADE COUNTY 4. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 5. - 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. 6. Panels may be jobsite roll formed with machine model #RF 6272 from DMC Association of Regional Manufacturers. NOA No.: 08-0507.05 MIAWDADEC0UNTY Expiration Date: 06/26/13 • ' Approval Date: 06/26/08 Page 4 of 5 See Table A Overlap PROFILE DRAWINGS DETAIL A W1 Coverage Minimum #9 Hex screws with self washers. END OF THIS ACCEPTANCE HARVEY E. KOEHNEN Professional Engineer 32831 rig 7205 Elvoe Circle Port Et. Lucia, FL 34952-3212 (772) 489-3036 fax NOA No.: 08-0507.05 C�MUU41-DADECOUNTY Expiration Date: 06/26/13 Approval Date: 06/26/08 Page 5 of 5 07/29/2011 10:06 77246K3 JATAYLOR PAGE 01/01 RR: Permit # Public Works Department Code Compliance Division 2300 Virginia Avenue Ft, -Pierce, FL 34982-5652 INSPECTION AFFIDAVIT �T _,liceontrtcto nscd as a(t ngincer/13,iclyitect/ (please print name and circle license type) I?S 468 Building Inspector* * General, Building, Residential, or koohng Contractor or any individual certired undor 4681±.5. to snake such an inspection. All afl!davits must include photographs of each plane of the roof with the permit S or address # clearly shown marked on the deck for each ilnspecticBi, On or about T } \V, r�,` W. '1 I I did'persottaaly ilaspect the roe ate 8�tirrtc,)....� eck >tailir� / conddry water hart' cr orlc at �----_ a, (job Site Address) Rased upon that examination I have doternlined'the installation was done accorditig to the Hurric n itigation Retrofit Manual (Based on 553.844 P.S.) Signature & Seal License # STATE OF FLOM COUNTY OF SAl t11(ahf, Sworn to and subscribed before me this=30--day of , 209j- jlJl 2 g 2011 �,, Who is personally known, or who has produced Public vyorlcS bY��i,°► St. Lucie L.©unty, FL NOTARY PYJI3U STATE OF FLORIDA 1.1t"Fitren S. Nielsen Notary Public, State of Florida ��,�,�", Co�n,rrN:tssi,ona�DD12, 2013 �-°Expires: ,T'im11;12, 2014 / BONDSD TRRT1 AT.t.Atarrc BONDING, CO., INC. Commission No.:j 1QQ� as identification. cml 9/27/07 (Seal)