HomeMy WebLinkAboutSUBMITTED PAPERSFEES DUE:
RECEIPT
ernit
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St. Lucie County Building & honing
® 2300 Virginia Avenue Ft. Pierce, FL 34932-5652 S
Te1.772-462-1553 \� ��%�/��
_ "�' APPLICATIO1oT FOR ROOF ]PERMI �t "Cie�Y O
SEE REVERS FOR IN�reUCTI CO
1. I.ocation/Site Address: � �lOf l ��i �vt��.. 4-'� �
r
2. Parcel ID Number: Bf-mb— Seb3 — Obk! 0 -try
Office Use
Only
Section
Township
Range
Map Page
Zoning
Land Use
Initials
3. Description of Project or Work Activity: YN!F-
4. Total Roof Area (square feet): 1 \.Cbl 5. Roof Pitch: 5
6. Type of Roof: [Fiberglass Shingle [ ] Concrete Roof Tile
[ ] Tar & Gravel [ ] Modified Bitumen
[ ] Wood Shake / Shingle
[ ] Other
>Q 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
V Roof rvilitigation per F.S. 553.844 wilt be required,
7. Owner Iniformatiop S.
l C� DZ A E.'tJ vaaaae: ^ Q
Zip: ASS P� � Pi> �t se: � 7a - g�- %3?6'
9. Value of Construction: $ Srlb . M
Mote Dry -in and Final inspe4ion Required
Additional inspection may be required per Product Approval
Contractor Information
F1
`eve=aae. C%-,a Tr:
.H uss* �v9 XT
Fees Due:
Receipt ##:
CONTPUCTOR/OWNER'S AFFIDAVIT: I certify that all of th . o 'on contained in this application is correct and that all work will be
done in compliance 'th all p ' abl a regulating cons etion and zoning.
��V l� UP►Q�
PRINT QUALIFIERS/OWNERS NA11� SI R -L I RE OF R/OW1
STATE OF KLORIDA, COT3NTY OF MPICLT1. N
ACKNOWLEDGED BEFORE l a1fE i rms _. TVF DAY OF BY'
HO L9 PERSONALL— KNOWN
OF NOTARY
CO-MMUSSION NUiMB124R
HAS PRODUCED AS I31ENT3}?ICA' ION
MY COMMISSION # DD 925080
-EXPIRES: September 29, 2013
Bonded Thru Notary Public Underwriters
•Nu _
NOTIC TG UINNER: £'�=^� I.+'= ti� v i 0.3i
FOR EVIPRO VENIENT5 TO YOUR PROPER t f, IF Y4W T I TO
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCI
NAME OF NOT 4R'j,,,' (seal)
111(le.5% tic
3V.,c ialEivT' YlAV'€ a T; ti `i R PA a'LNG TWICE
ICE
{{-��•r'��TT'_55`��4 _�i v' :�..LN 1 0NSiTLT iFyiLt LE 0R
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:. , .i1.''•° :• rsy COMMISS'' " 52013
PublicUnd^nvrilcrs
•; Dior }, ,,, n„ , ., , ry
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 3544040 OR BOOK 325,,,, -AGE 2197, Recorded 12/20/2010 at 09y"-',AM
Doc Tax: $294.00
This Document Prepared By and Return to:
Melissa Denison
St. Lucie Title Services, Inc.
800 Vicjinia Ave.,Suite 47
Fort Pierce, FL 34982
Parcel ID Number:
Ward
This In ent re, Made this 1 day of D eemb r L---� , 010 A.D. , tween
Frank Gast
of the Court of ward , State orida , tor, and
Kenneth Adzima
whose address is: 3500 S. Kanner #44, Stuart, FL 34994
of the County of Martin , State of Florida , grantee.
Witnesseth that the GRANTOR, for and in consideration of the sum of
--------------------------TEN DOLLARS ($10)------------------------- DOLLARS,
and other good and valuable consideration to GRANTOR in hand paid by GRANTEE, the receipt whereof is hereby acknowledged, has
granted, bargained and sold to the said GRANTEE and GRANTEE'S heirs, successors and assigns forever, the following described land, situate,
lying and being in the County of St. Lucia State of Florida to wit:
Lot 6, Block A, Palm Grove Subdivision, according to the map or plat
thereof, as recorded in Plat Book 31, Pages 4, 4A through 4D,
inclusive _-oF *she Public 3eeez4p of St L cia ounty,_FJA=ida.,-----,
The p op rty here
the Gan or. The
FL 33 14
and the grantor
In Witness*
Prte� Ntte
Wa \\
rant the till d, and will d end-Ehe-sful
has h unto sst-his�iand seal th y anO Y.e_e�rst ebo w
E. Gast
s: 4 15 S.W. 72nd Way, Davie,
(Seal)
Printed Name : -!�!�Fj,-FhyW J1 lVq- L
Witness
STATE OF Florida
COUNTY OF St. Lucie
The foregoing instrument was acknowledged before me this 16th day of December ,by
Frank E. Gast
he is personally known to me or he has produced his Orida driver 1 s lcense )identification.
Printed Name:
Notary Public
My Commission Expires:
11200 1.— Genuated by 0 Di,plq 5ynemt 1-, 2010 (863)763.5555 Fmm FLWD•1
09/13/2010 15:49
7724626443 SLC INSPECTIONS PA(*—
t111b1
Public Works Department
Code CImpliance Division
2300 Vi1I`Iginia Avenue
Fort Piece, Fl. 34982
443
772-46?-2172 Fax: 772-46Z-6/-
zlp "
INSPECTION AFFI AVIT
Re: Permit # 0/�v 0
licensed as a(n)Contractdr*/Engineer/Architect
(Please print name'& circle license type)
*F5468 Building Inspector
=General, Building, Residentiol or Roofing contractor or any individual certlfred under 468 F.S. to make such an inspection.
On or about �� �a" !d I did personally inspect the roof deck nailinli; and or
(Date) (circle those that apply)
(secondari
w er barrier work at:
(Job site address)
Based upon that examination I have determined the in�tallation was done according to the
Hurricane Mitigation Retrofit Manual (Based on 553.84.4 F.S.)
Signature
License #
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this day of
a 2010
by , who is personally known c ME or :vho has produced
as identification.
Notary Public, State of Flori
signature of Notary:
Commission Number:
En 09/17/09
(Seal)
ROY FRAMPTON
: • .° : Notary Public - State of Florida
/„I111„ My Comm. Expires Jun 4, 2013
Commission # DO 896434
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE # 3544626 OR BOOK 3255 AGE 811, Recorded 12/21/2010 at 04:0
NOTICE OF COMMENCEMENT
The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713,
Florida Status the following information is provided in the Notice of Commencement �,
I. DESCRU1ngN of PRDPZRTY (Legal description and street address, if avaiiable) TAx roLIo Nubmza: ]\O—�O� Cb�n OW '
h- t�i93\�
2. GENERALDFSCIPfIONOFZQROVViWW: ► 1 _ n
& Tnt""tknpropcm -
it Name end address of fea simpka ddrhetdar (if other than Omer) _
4. CONTRAC[OR'S MAMA ADDRESS AND PRONE MMER:
5. SURETY'S NAME, ADDRESS APRONE NUMER AND BOND AMOUrfr: i��-
ND +—SAS—OGWN
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 PRONE NUMER:
S. In addition to himself or herself; Owner designates the following to receive a copy of the Lienor's Notice at provided in Section
713.13 (1) (b), Florida Statutes:
NAME, ADDRESS AND PHONE mimkR:
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_
4t..
nure f Owner o Print Name and Provide Signatory's Title/OIIIce
/bwner's Authorized Officer/Dlrector/Partner/Manager
State of Floride
Ccuntyof S't. Lucie
The foregoing instrument was acknEledged before me this _ day of C • 20 1 [1
By ,'01 ptt�.as CSL- wWS-9.
(name ofperson) (type of authority,... e.g. officer, trustee, aromey in fact)
For L�r
(name of party on behalf of whom instrument was executed)
_ Personally (mown or produced th tification.
ry,�� yy01MEM.KO a�
fit'• ""kr MY COWNGSI0N t925
29, 2013
•� BonGdtN°NotaYpuba°undue (Signature of Notary Public)
•'
Under Penalties ofperjury, I declare that I have read the foregoing and th facts in it are true to the best ofmy knowledge and
belief (Section 91525, Florida Statutes),
lenatu n r aer(s)'*uthorizedOtDcerlDirector/ Parmer/Managerehosigned above:
By By
Rar.at- (SAeeordur�
STATE OF FLORMA
ST. LklE COWY rarac rc ►
IWE
TRU
OR
BY:
�, a
11/25/2008 10:55 7724626448 rl SLC CODE COMP
I
HIGH -VELOCITY HURRICANE ZONES
PAGE 01/05
�v
SECTION R4402.14
HIGH -VELOCITY. HURRICANE ZONES — UNIFORM PERMIT APPLICATION
Florida Building Code Edition 2004 .
High Velocity Hurricane Zone Uniform Permit Applioation Form.
INSTRUCTION PAGE
COMPLETE THE NECESSARY SECTIONS OF
THE UNIFORM ROOFING PERMIT
APPLICATI'ON FORM . AND ATTACH THE, .
REQUIRED DOCUMENTS AS NOTED BELOW:
Roof System Required Sections of the . Attachments
.
Penrit A lica4ion Form
Required
See List Below •
Low Slope Application
A,B,C
Prescriptive BUR-RAS 150
A,B,C
4,5,6,7'
Asphaltic Shingles
A,B,D
1,2,435,6,7
Concrete or Clay Tile
A,S,D,E
Metal Roofs
j A,B,D
1,2,;3,4,5,6,7
Wood Shingles and
Shakes
A,B,D
'1,2,4,5,6,7
Other
_
As Applicable
1,2,3,4,5,6,7
ATTa(�,'FlIVIRMTS !:�EQL1l.RED:
1.
Fire Directory listing Page
2.
From Product Approval:
Front page
Specific System Description
Specific System Limitations
General Limitations
Applicable Detail Drawings
3.
Design Calculations per Section R4403, or If Applicable, RAS 127 or
-RAS-128
4, ;Other Component Product Approvals _I
I
5 Municipal Permit Application
6. 1 Owners Notification for Roofing Considerations (Reroofing Only)
7. 1 Any Required Roof. Testing/Calculation Documentation
•
0
44.20R FLORIDA BUILDING CODE — RESIDENTIAL
11/25/2008 10:55 7724626448 Si_C CODE COMP PAGE 02/05
HIGH -VELOCITY HURRICANE ZONES
Florida- Building Code Edition 2004
High Velocity Hurricane Zone Uniform Penit•Application Form
Section A LGeneraf. Information9
Master Permit No. Process No.
Co•ntractor's Name �LG��Z.\ pP, �py�-�9�3C6 SE&-"j S
Job Address no'r1iNC�tr �•�.�\�Ze.
ROOF CATEGORY
❑ Low Slope ❑ Mechanically F.astened'Tils ❑ Mortar/Adhesive SetTile
Asphaltic ❑ Metal PanellShingles ❑ Wood ShingleslShiakes"
Shirigles
❑ Prescriptive BUR-RAS 150
' ROOF TYPE
❑ New Roof Reroofing ❑ Recovering ❑ Repair ❑.• Maintenance"
ROOF SYSTEM wbRMAtION
Low SIPpe Roof Area (SF) Steep Sloped Roof Area "(5F) Total NSF)
Section -B (Roof Plan)
Sketch Roof Plan: Illustrate all levels, and sections,,roof-drains, scuppers, overflow
scuppers and overflow .drains. Include dimensions of sections and level's, clearly
identify dimensions of elevated pressure zones and location of parapets,
JL
.. .. ; ..... ... .. ;.. 1. In .'1 _.'...._: ..I.. ..... »{.I .,4 .L.J.. .� '.'.—i�i•_l i_ ' • —1.. �.J_.
.• _
i
.
t
FLORIDA BUILDING CODE — AESIDENTIAL
44.21 R
11/25/2008 10:55 7724626448 SLC CODE CO"IP - PAGE 04/05
HIGH -VELOCITY HURRICANE ZONES
Florida Building Code Edition 2004
High Velo ' 'Hurricane Zone Uniform Permil.A llcalion Form.
Section D (Steep Sloped Roof SVstem)
Roof System Man Ufa cturer:.'GFhjF
Product Approval Number:
Minimum Design Wind Pressures,.lf Applicable (Fro�m'RAS 1.27 or Calculations):
P1 P2: P3:
Maximum Design Pressure
Product Approval Specific System:
Method of the attachment.
Steep Slop'ed' Rdof System Description
Deck Type: (�
ype Underlayment:
Roof. Slope:'
'lnsuiati on:
Ridge Ventilation?,\11reBa
pacing: 1% O.C.-U 1y(o R h
e:
p Sheet:of Covering:
Mean Roof Height:
Type & Size drip
dge
FLORIDA BUILDING CODE — RESIDENTIAL
44MR
� � I
M I A M I•DADE
BUILDING CODE COMPLIANCE OFFICE (BCCO)
PRODUCT CONTROLDIVISION
NOTICE, OF ACCEPTANCE (NOA
GAF Materials Corp.
1361 Alps Rd.
Wayne, NJ 07470
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 the BCCO and accepted by the Building Code and Product
Review Committee 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 BCCO (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. BCCO reserves the right to revoke this acceptance, if it is determined by BCCO
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.
DESCRIPTION: Timberline 30
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 renews and revises NOA #05-1115.09 and consists of pages 1 through 4.
The submitted documentation was reviewed by Alex Tigera
NOA No.:06-1211.02
Expiration Date:.02/21/12
C71 Approval Date: 02/08/07
Page 1 of 4
ROOFING SYSTEM APPROVAL
Category: Roofing
Sub -Category: 07310 Asphalt Shingles
Materials Dimensional
Deck Type: Wood
1. SCOPE
This revises GAF Timberline 30 as manufactured by GAF Materials Corp described in Section 2 of this
Notice of Acceptance.
2. PRODUCT DESCRIPTION
Product Dimensions Test Product Description
Specifications
Timberline 30 131/4'x 39%" TAS 110 Fiberglass reinforced heavy weight asphalt
roof shingle, with a laminate profile
3. EVIDENCE SUBMITTED:
Test Agency Test Identifier Test Name/Report Date
Underwriters Laboratories, Inc. TAS 107 01NK45903 04/13/94
Center for Applied Enguieering TAS 100 257989 04/01/97
Center for Applied Engineering ASTM D3462 257989 05/13/97
PRI Asphalt Technologies, Inc. ASTM D3462 GAF-101-02-02 11/02/05
PRI Asphalt Technologies, Inc. TAS 100 GAF-044-02-01 01/13/04
PRI Asphalt Technologies, Inc. TAS 100 GAF-101-02-01 11/09/05
PRI Asphalt Technologies, Inc. TAS 100 GAF-116-02-02 03/23/06
Underwriters Laboratories, Inc. TAS 107 04NK04273 . 02/20/04
Underwriters Laboratories, Inc. Modified ASTM D3161 05CA42840 11/11/05
Underwriters Laboratories, Inc. TAS 107 06NK05159 08/09/06
Underwriters Laboratories, Inc. ASTM D3462 06NK05159 08/09/06
4. .LIMITATIONS
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 ft.
4.3 All products listed herein shall have a quality assurance audit in accordance with the Florida
Building Code and Rule 913-72 of the Florida Administrative Code.
5. INSTALLATION
5.1 Shingles shall be installed in compliance with Roofing Application Standard RAS 115.
5.2 Flashingshall be mi accordance' with Roofnig Application Standard RAS 115 -- -
5.3 The manufacturer shall provide clearly written application instructions.
5.4 Exposure and course layout shall be in compliance with Detail 'A', attached.
5.5 Nailing shall be in compliance with Detail 'B', attached.
NOA No.:06-1211.02
Expiration Date: 02/21/12
Approval Date: 02/08/07
Page 2 of 4
6. LABELING
6.1 Shingles shall be labeled with the Miami -Dade Logo or the wording "Miami -Dade County
Product Control Approved".
7. BUILDING PERMIT REQUIREMENTS
I j hpplic tio!: for buildiiio permiE .,hnl.' be acconipanicd by copies of the followiocy:
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. MANUFACTURING PLANTS
8.1 Tampa, FL
8.2 Michigan City, IN
8.3 Mobile, AL
DETAIL A
NOA No.:06-1211.02
Expiration Date: 02/21/12
Approval Date: 02/08/07
Page 3 of 4
J
v
1;
1;
DETAIL B
Front Side (Maximum Slope 12:12)
J.TJ/O
1 11
6 fasteners �2 � ' 2
1 ��
,1�.
'4
a..
5-5
--_1
L
1/2"
F
Front Side (Maximum Slope 21:12)
Tab Sealant
1° rLn
Back Side
END OF THIS ACCEPTANCE
Release
Tape
91
Release
Tape
91
3/8"
NOA No.:06-1211.02
o Expiration Date: 02/21/12
Approval Date: 02/08/07
Page 4 of 4