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3. Description of Project or Work Activity: S
4. Total Roof Area (square feet): 5. Roof Pitch: ri•,�' /,�
6. Type of Roof: [ 4iberglass Shingle [ ] Concrete Roof Tile [ ] Wood Shake / Shingle
[ ] Tar & Gravel [ ] Modified Bitumen [ ] Other
( vN.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
Nam��1flP..H 7 L
Address:
City: lkgbn f 11 _ State:
Zip: a `-j� �_ Phone: Si S a• l0 jq- 1 V
�d
9. Value of Construction: $
Note Dry -in and Final Inspection Required
Additional inspection may be required per Product Approval
8. Contractor Information
FL Reg/Cert #: (nMI326HS_
County Cert #:
Business Name: 0-4in KN " i Ale.
3 oo
Fees Due:
Receipt #:
CONTRACTOR/OWNER'S AFFIDAVIT: I certify that all of the inform on c ntained in this application is correct and that all work will be
done in compliance with all a ' li le laws regulating construction and zoning.
PRINT UALIFIERS/OWNERS NAME l 1 LSIGNATURE OF QUALIFIER/OWNER
STATE OF FLORIDA, COUNTY OF �1111 UCIr
ACKNOWLEDGED BEFORE ME 7TO
DAY OF 20[I,WHO PER ONALL KN WN ME OR HAS PRODUCED AS IDENTIFICATION
NOTARY PUBLIC -STATE OF FLORIDA
�SIGATIRE OF NOTARY TYPE OR PRINT NAME OF NOTARf. i Se eISBII
=C0mrus:>:enD11000358
COMMISSION NUMBER ...•° Expires: JUNE 12, 2014
SONDED 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.
10/20/20`-09:35 77246"""'17 JATAYLOR PAGE 01/01
�rs rg. ,Rd �'; �1'�a � :'�4 �i✓ ld �:'i r � r • .q:y s`j. �:•i,��. �.
r >�P—
I IS I M.P.
1
'�'l !(��1�� .• v � ( r!i' ` '�'�,• �'isi'�;',K�tii::f:Y�i'r'.:::.ti:.`'t!'t+Ss
ItrySigt'1':::1t,�.,, JMt�7=1"..•�lxh1 •:.trn.G". k'.'W'.
Public Works Department
Code Compliance Division
2300 Virginia Avenue
Ft. Pierce, FL 34982-5652
INSPET
RE: Permit # u -( •
���..Jicensed as a( Contractor .ngineer/Architect/
ilding Inspector*
' General, Building, Residential, or Roofing Contractor or any individual certified under 468 F.S. to make such an
inspection. All affidavits must include photographs of each plane of the roof with the permit # or address # clearly
shown marked on the deck for each inspection.
On or about �� i did personally inspect the roo
(Date 8a time)
� r
deck nrailin andlor secor�dar water �iarrier work at �- �-
(ctrcle one) (.tob Sitc 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.)
��1� 1 r �✓ J� ( rl / 1�
Signature & Seal License #
STATE OF FLOBIDA
COUNTY OF f=gj
Sworn to and subscribed before me thi5-2) day of A. 20Q_.
by Who is personally known ✓ or who has produced
as identification. NOTA.ItY PUBLIC -STATE OF FLORIDA
KaTm S. Nielsen
' Commission #DD1000358
','�_,••4`F,xpires: JUNE 12, 2014
• ti n N
Notary Public, State of Florida BoNDPT) MKII ATLANTIC BONDING co,,INC.
Signature of pt
Commission No.:
crr119/27/07
f-X. q&l�&043
(Seal)
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE # 3638978 OR BOO- '332 PAGE 2184, Recorded 10/19/2011 —1 1.0:18 AM
l
AFTER RECORDING RETURN TO:
J. A. TAYLOR ROOFING, INC.
102 MELTON DRIVE
!j FORT PIERCE, FL, 14982
J 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 (Lega�descnption and street address) TAX FOLIO NUMBER.
2. GENERAL DESCRIPTION OF IMPFVEMENT: Atry
3. OWNER INFORMATION: a. Name(-1R(�1 1Qj
b. Address -r r L c interestin
d. Name and address of fee simple titleholder (if other than owner)
4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: J. A. TAYLOR RnnFwr. 1INr`
5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND SONO AMOUNT:
6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: A
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: N f 14
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 oommencemer (the expiraiion date is 1 year from the date of redording 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 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.
/�lL��41
�
Signature dFOwner or Print Name a rorNP vide Signatory's Title/Office
Owner's Authorized OfflcerlDirectorlPartnerfManager
State of Flo ida
County of �pit�} I IIC IF J
The foregoing ins ent was acknowledged before me this day of I'-)
) (-04-cfnk"r 20 11
By f fl , as LlUJ Er —
(Printed nam f person signing above) `(Type of authority... e.g. Owner, officer, trustee, attomey in fad)
For
(Name of party on behalf of whom instrument was executed) Perso ally Known ... �r�pS7fgjlp� ID:
--e,,//J t Ni rcu S. Nielsen
nr n S• I��SE C piresoJUNE12,2014
Printed Name of Notary Public ' Expires: Jl1NE 12, 2014
( rY ) (Signature of Notary ub Ic) BONDED 1TMUATLAYTICBONDING CO laa
Under penalties of perjury, I declare that I have read the foregoing and that the fads 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 OfficerlDlrectorlPartnerlManager who signed above:
By. �r By LTl a ru t �3 �1
(Signature) (Printed Name) Rcr oerJorzoortR�m,e�al
t
STATE Of FLORIDA
ST. LUCIE COUNTY
1 Fi 1
TRI
ORI
By:
Dat
MIAAM�MaDADE
QQUAW
BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT (BNC)
BOARD AND CODE ADMINISTRATION DIVISION
NOTICE OF ACCEPTANCE NOA
MIAMI-DADE COUNTY
PRODUCT CONTROL SECTION
11805 SW 26 Street, Room 208
Miami, Florida 33175-2474
T (786) 315-2590 F (786) 315-2599
Owens Corning Roofing and Asphalt, LLC
One Owens Corning Parkway mmm�
Toledo, OH 43659
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 ion and accepted
by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and othe reas ere allowed by
the Authority Having Jurisdiction (AHJ). N IF
This NOA shall not be valid after the expiration date stated below. The Miami -Dade Co duct Control
Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade Cou ) r rve the right
to have this product or material tested for quality assurance purposes. If this product aterial fails to
perform in the accepted manner, the manufacturer will incur the expense of such testin4g-VdJhe AHJ may
immediately revoke, modify, or suspend the use of such product or material within their jurt tion. BORA
reserves the right to revoke this acceptance, if it is determined by Miami -Dade ConinhwErbduct Control
Section that this product or material fails to meet the requirements of the applicable building
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: Oakridge® Shingle
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 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 NOA consists of pages 1 through 4.
The submitted documentation was reviewed by Alex Tigera.
NOA No.: 10-1015.01
MIAMIDADECOUIdTY Expiration Date: 02/03/16
FMIMM49i Approval Date:02/03/11
Page 1 of 4
ROOFING ASSEMBLY APPROVAL
Category
Roofing
Sub -Category:
Asphalt Shingles
Materials
Laminate
Deck Type:
Wood
SCOPE
This approves a roofing system using Owens Corning Oakridge® asphalt shingles manufactured by Owens
Corning as described in Section 2 of his Notice of Acceptance.
PRODUCT DESCRIPTION
Product Dimensions Test Product Description
Specifications
Oakridge® 13 '/a" x 39 3/8" TAS 110 A heavy weight, fiberglass reinforced
Manufacturing laminate asphalt shingle with continuous
Locations #1, 2, 3, 4 bead of sealant,
Oakridge® 13 '/V x 39 3/8" TAS 110 A heavy weight, fiberglass reinforced
Manufacturing laminate asphalt shingle with dashed bead of
Location #4 sealant.
MANUFACTURING LOCATION
1. Memphis, TN
2. Irving, TX
3. Savannah, GA
4. Jacksonville, FL
EVIDENCE SUBMITTED
Test Agency
Test Identifier
Test Name/Report
Date
PRI Construction Materials Technologies
OCF-153-02-01
TAS 100
09/22/10
PRI Construction Materials Technologies
OCF-152-02-01
TAS 100
09/21/10
PRI Construction Materials Technologies
OCF-158-02-01
TAS 100
11/10/10
PRI Construction Materials Technologies
OCF-151-02-01
TAS 100
09/27/10
PRI Construction Materials Technologies
OCF-150-02-01
TAS 100
09/21/10
Underwriters Laboratories
09NK14530
ASTM D 3462
12/31/09
Underwriters Laboratories
R2453
ASTM D 3462
10/11/10
Underwriters Laboratories
R2453
ASTM D 3462
11/03/10
Underwriters Laboratories
R2453
ASTM D 3462
10/11/10
Underwriters Laboratories
R2453
ASTM D 3462
10/11/10
Underwriters Laboratories
R2453
ASTM E 108
01/13/11
Underwriters Laboratories
R2453
ASTM E 108
10/11/10
Underwriters Laboratories
R2453
ASTM E 108
11/03/10
Underwriters Laboratories
R2453
ASTM E 108
10/11/10
Underwriters Laboratories
R2453
ASTM E 108
10/11/10
NOA No.: 10-1015.01
MIAJ APPRO COIiNTY
Expiration Date: 02/03/16
Approval Date:
02/03/11
Page 2 of 4
Underwriters Laboratories
09NK14530
TAS 107 (ASTM D 3161)
12/31/09
Underwriters Laboratories
OINK44201
TAS 107 (ASTM D 3161)
09/09/02
Underwriters Laboratories
IONK13947
TAS 107 (ASTM D 3161)
11/12/10
Underwriters Laboratories
R2453
TAS 107 (ASTM D 3161)
10/11/10
Underwriters Laboratories
03NK04954
TAS 107 (ASTM D 3161)
03/07/03
LIMITATIONS
l . Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory
for fire ratings of this product.
2. Shall not be installed on roof mean heights in excess of 33 ft.
3. 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.
INSTALLATION
1. Shingles shall be installed in compliance with Roofing Application Standard RAS 115.
2. Flashing shall be in accordance with Roofing Application Standard RAS 115
3. The manufacturer shall provide clearly written application instructions.
4. Exposure and course layout shall be in compliance with Detail W, attached.
5. Nailing shall be in compliance with Detail W, attached.
LABELING
1. Shingles shall be labeled with the Miami -Dade Seal as seen below, or the wording "Miami -Dade County
Product Control Approved".
MIAMI•DADE COUNTY
,u 5
BUILDING PERMIT REQUIREMENTS
1. Application for building permit shall be accompanied by copies of the following:
1.1 This Notice of Acceptance.
1.2 Any other documents required by the Building Official or the applicable code in order to properly
evaluate the installation of this system.
NOA No.: 10-1015.01
Expiration Date: 02/03/16
Approval Date: 02/03/11
Page 3 of 4
13-1 /4"
FIRS
DETAIL A
DETAIL B
OWENS CORNING OAKRIDGE
WITH CONTINUOUS OR DASHED SEALANT
39 3/8"
1 "--,-1 I� 11" i r -.-2" -- 1211
END OF THIS ACCEPTANCE
5 518" EXPOSURE
NOA No.: 10-1015.01
Expiration Date: 02/03/16
Approval Date: 02/03/11
Page 4of4
Property Appraiser - St.Lucie County, FL
Gary Austin Record: 1 of 1
Property Identification
Site Address:
302 SMALLWOOD DR
Sec/Town/Range:
03 :36S :40E
Map ID:
34/03S
Zoning:
CG
Ownership and Mailing
Owner:
Address:
Sales Information
Date Price
8/15/1994 40000
6/1/1973 26600
Gary Austin Donna Austin
PO Box 427
Altoona FL 32702
Page 1 of 1
PROPERTY RECORD CARD
«Prey Next» Spec.Assmnt Taxes Exemptions Permits Home Print
CIE
ParcelID: 3403-805-0156-000-5 cn? oy
Account #: 39609
Land Use: SF Res
City/Cnty: St Lucie County !/
Legal Description
RUHLMAN S/D BLK 8 LOTS 12 AND 13 (0.29 AC) (OR 915-2065)
Assessment 2011 TRIM
Total Land and Building
Code Deed Book/Page 2011 TRIM:
49300
Land Value: 9400 Acres: 0.29
00 WD 0915 / 2065 Assessed:
49300
Building Value: 39900
00 CV 0215 / 2228 Ag.Credit:
0
Finished Area: 1248 SgFt
Exempt:
Taxable:
Taxes:
1030.72
BUILDING INFORMATION
Exterior Features
View:
RoofCover:
FS - Fibrglss Shg
RoofStruct:
GA - Gable
ExtType: HD -HD
YearBlt:
1972
Frame:
Grade: D - D
EftYrBlt:
1977
PrimeWall:
WS - Wood/Sheath
StoryHght: 0010 - 1 Story
No.Units:
1
SecWall:
Interior Features
BedRooms: 2
Electric:
MX - MAXIMUM
PrmintWali:
PF - PF
FuliBath: 1
HeatType:
FHA - FrcdHotAir
AvgHUFI:
1/213ath: 1
HeatFuei:
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
SWAV - RES POOL AVG Y
1
450 AV AV
1977
1 0100-SF Res
230 -Sq Feet
12632
PA01 - POOL DK-AVG Y
1
382 AV AV
1977
DWC - Driv-Concret Y
1
600 AV AV
1972
FNW6 - WOOD FEN 6' Y
1
120 AV AV
1995
THIS INFORMATION IS BELIEVED TO BE CORRECT AT
THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT
WARRANTED.
Depth
http://www.paslc.org/prc.asp?prclid=340380501560005 8/30/2011