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HomeMy WebLinkAboutSUBMITTED PAPERSOffice Use Only on I Townshi Ran a Ma Pa a Zonin Land Use Initials IV � J 0 3S YY1 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