HomeMy WebLinkAboutSUBMITTED PAPERSDATE: FEES DUE RECEIPT #: _ Ermit #: '
P1anning & Development Services Department
Building & Code Regulation Division
2300 Virginia Avenue N
Ft. Pierce, FL 34982-5652 SCANNED
Tel. 772-462-1553 BY
APPLICATION FORiMI ROOF PERT St. Lucie Cni.inty
SEE REVERSE SIDE FOR1. Location/Site Address 1 Q0 tYr
2. Parcel ID Number: cC)ZA n - C-)C)C)1
Office Use
Only
Section
TownshipRange
Ma Page
ZoningL
d Use
Initials
3. Description of Project or Work Activity:
4. Total Roof Area (square feet): �i C 5. Roof Pitch:
6. Type of Roof: qAFiberglass Shingle [ ] Concrete Roof Tile [ ] Wood Shake / Shingle
[ ] Tar & Gravel [ ] Modified Bitumen [ ] Other
[ ] 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: �,"Q co.c�C1. FL Reg/Cert #: CCC-
Address: County Cert
City: ,�— . ' ��o �. State: � Business Name:
Phone: Z l Cell Phone:
9. Value of Construction: $ '-R 410 (f,
"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 will be
done in compliance with all laws regulating construction and zoning.
PRINTnV1FIER OW —HERS NAME SIGNATURE OALIFIER/OWNER
STATE OF FLORIDA, COUNTY OF CAQWAW-O
ACKNOWLEDGED BEFORE ME THIS Cl DAY OF Qt rrQGr 20 l 0 , BY wes ICU L'(jn�
WHO IS PERSONALLY KNOWN _TO ME OR HAS PRODUCED AS IDENTIFICATION
✓�,�n • rYa M . t it i re l' NOTARY PUBLIC - STATE OF FLORIDA
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY (seal) Shana Mikel Weiner
COMMISSION NUMBER OO 03 ( Jq ( Coznmissim #DD631591
''•.,, ` Fpires: JAN. 21, 2011
BONDn, t.;:;1 .'SLINTIC 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.
Revised 4/26/2010
Public Works Department
Code Compliance Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2172 Fax:772-462-6443
INSPECTION AFFIDAVIT
Re: Permit #��(_ �� `�.- O�.\(:A'
I, LG licensed as a(n)Contract /Engineer/Architect
(Please print na &circle license type) *F5468 _§mWing Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about - - I did personally inspe�tthe roof deck nailing and/or .
(Date) (circle those that apply)
secondary water barrier work at: r< Ua /`_.''/ ,/ —\ G' —4 Q
(Job site 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.)
Sign e
STATE OF FLORIDA
COUNTYOF 3rnnrn!
License #
Sworn to and subscribed before me this 4 day of sJ PT�,ctJFl2�,,i 2011
by V<`�IC-ul UJO C Who is personally known to me or who has produced
as identification.
Notary Public, State Tf,qorida I,/�
Signature of Notary; 1 by t.4 tom/
Commission Number: QUD31 :jCj I
En 09/17/09
JAN 0 5 2011
Public Works
St. Lucie County, F1_
NOTARY PUBLIC • STATE OF FLOM DA
Sham Mikel Weiner
(Seal) = Corm=sion #DD631591
°•••,,.... Expires: JAN. 21, 2011
BONDED I";IU ATLANTIC BONDING CO., INC.
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 3544750 OR BOt 255 PAGE 1016, Recorded 12/22/2010 09:36 AM
PERMITNUMBER:
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. DESCREMON OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER: cc'N'q-Opil 3
2.
3.
b.
4.
and address of fee sim{ le titleholder (if other
C.
5. S - NAME DRESS AND ONE ER AND BOND 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 NUNOM-
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 (1Xb), Florida Statutes:
NAME, ADDRESS AND PHONE NUMBER:
9. Expiration date of notice of commencement (the expiration data is I year from the date of recording unless a different date is
specified) 20;
By-Thi,-i 46oaNICti as
(Name of person) (Type of authority...e.g. Owner, officer, trustee, attorney in fact)
For
(Name of parry on behalf of whom instrument was executed) Personally Known or produced the following type of ID: _
NOTARY PUBLIC -5TA EOPF,OKI;,.
�� �" Shana Mikel vvel.rl :r
a"YYl!» i 1 . V� i° I(YC f )g x) ✓ cC 2 in- IN�2l tt QiC� CGMIT issinri # DD63" 1.5,1
(Printed Name of Notary Public) (Signature of Notary Public) Expires: Jt1N. 21, 2011
aoNt" "'" ATLNnC BONDINGCO., INC.
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).
RECEIVED
JAN 0 5 2011
Public Works
St. Lucle County, FI
Florida Building Code Online
Page 1 of 2
�"
mmunity Affairs
80S Home Log In User Registration Hot Topics Submit Surcharge Stats @ Facts Publications FBC Staff BCIS Site Map Links Search
' Product Approval
USER: Public User
Product Approval Menu > Product or Application Search > Application List > Application Detail
FL # FL10674-113
Application Type Revision
Code Version -
Application Status Approved
Comments
• Archived
Product Manufacturer
Address/Phone/Email
Authorized Signature
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category
Subcategory
Compliance Method
Certification Agency
Validated By
Referenced Standard and Year (of Standard)
Equivalence of Product Standards
Certified By
Owens Corning
One Owens Corning Parkway
Toledo, OH 43659
(419)248-7060
darrel.higgs@owenscorning.com
Darrel Higgs
darrel.higgs@owenscorning.com
Roofing
Asphalt Shingles
Certification Mark or Listing
Underwriters Laboratories Inc.
Robert]. M. Nieminen, PE
Validation Checklist - Hardcopy Received
Standard
ASTM D3161, Class F
ASTM D3462
ASTM D6381, Class H
ASTM D7158, Class H
TAS 107
UL 2390, Class H
Year
2003
2004
2003
2005
1995
2004
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtBNbEY5 V%2... 12/8/2010
Florida Building Code Online
Page 2 of 2
Product Approval Method
Date Submitted
Date Validated
Date Pending FBC Approval
Date Approved
Summary of Products
Method 1 Option A
07/07/2010
07/07/2010
07/11/2010
08/10/2010
FL #
IModell, Number or Name
Description
10674.1
Owens Corning Asphalt Roofing
3-tab, laminated, starter, and hip & ridge
Shingles and Starters
Limits of Use
Certification Agency Certificate
Approved for use in HVHZ: No
FL10674 R3 C CAC AHJ letter 6-15-10 Ted
Approved for use outside HVHZ: Yes
Berman. df
Impact Resistant: N/A
Quality Assurance Contract Expiration Date
Design Pressure: N/A
06/15/2011
Other: Refer to UL letter
Installation Instructions
FL10674 R3 II AHJ letter 6-15-10 Ted Berman.odf
Verified By: Underwriters Laboratories Inc.
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
Back Next
Department of Community Affairs
Florida Building Code Online
Codes and Standards
2555 Shumard Oak Boulevard
Tallahassee, Florida 31399-2100
(850) 487-1824, Fax (850) 414-8436
O 2000-2010 The State of Florida. All rights reserved.
Privacy Statement I Copyright Statement I Accessibility Statement I Plug-in Software I Customer Service Survey I Contact Us
Product Approval Accepts:
�� Credlt�i4rFdE
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtBNbEY5 V%2... 12/8/2010
Underwriters
Laboratories Inc.
June 15, 2010
Mr. Darrel P. Higgs
Owens Corning World Headquarters
One Owens Corning Parkway, 2A
Toledo, OH 43659
Our Reference: R2453
Subject: Shingle Starter
Dear. Mr. Higgs:
Northbrook Division
333 Pfingsten Road
Northbrook, IL 60062-2096 USA
www.ul.com
tel: 1 847 272 8800
fax: 1 847 272 8129
Customer service: 1 877 854 3577
This is to confirm our phone conversation that, Owens Coming's Starter Strip Shingle, is now
known as "Starter strip PLUS" Shingles.
These products have met with ANSI/UL790 Class A, ASTM D3462, CSA 123.5 and ASTM
D3161 Class F.
These products have been tested and meet the criteria for these standards and are covered by
UL's Follow -Up Service Program for File R2453.
If you should have any questions, please feel free to contact the writer.
Very truly yours,
Martin K. Rowan (Ext. 42349)
Senior Project Engineer
Fire Protection Division
An independent organization working for a safer world with integrity, precision and knowledge.
Northbrook Division
U�Underwriters 333 Pfingsten Road
Laboratories Inc., Northbrook, IL 60062-2096 USA
www.ul.com
tel: 1 847 272 8800
fax: 1 847 272 8129
Customer service: 1 877 854 3577
June 15, 2010
Mr. Ted Berman P.E.
Senior Project Manager
A&A Arnold & Associates, Inc.
1711 W 38th Place, Unit 1207
Hialeah, FL 33012-7077
Subject: Owens Corning
Dear Mr. Berman:
This is to confirm that, Oakridge@ PRO 30TM with Surenail, Oakridge® PRO 30TM AR
with Surenail, Oakridge® PRO 40TM with Surenail, Oakridge® PRO 40TM AR with
Surenail, Oakridge® PRO 50TM with Surenail, and Oakridge® PRO 50TM AR with
Surenail, Duration, Duration Premium, Classic® or Classic® AR, Supreme® or
Supreme® AR, Prominence® or Prominence® AR, Oakridge® (Oakridge® PRO 30TM)
or Oakridge® (Oakridge® PRO 30TM AR), Oakridge® PRO 40TM or Oakridge® PRO
40TM AR, Oakridge® PRO 50TM or Oakridge® PRO 50TM AR, Berkshire, WeatherGuard
HP, Hip & Ridge with sealant, High Ridge, WeatherGuard HP and Berkshire Hip and
Ridge shingles are Listed in accordance with ANSUUL790-04, Class A (ASTM E 108,
Class A), ASTM D3462-04, ASTM D3161-03b Class F, ASTM D7158-05 and/or
UL2390-041, ASTM D 6381-03 Class H and Dade County Protocol TAS 107-95. Hip
and Ridge type shingles secured with 4 nails, Berkshire secured with 5 nails,
WeatherGuard HP secured with 6 nails and all other shingles secured with 4 nails.
All the products have been tested and meet the criteria for these standards and are covered by
UL's Follow -Up Service Program for File R2453.
If you should have any questions, please feel free to contact the writer.
Very truly yours,
Martin K. Rowan (Ext. 42349)
Senior Project Engineer
Fire Protection Division
An independent organization working for a safer world with integrity, precision and knowledge.
Property Appraiser - St.Lucie County, FL
Page 1 of 1
PROPERTY RECORD CARD
Tom J Branch
Record: 1 of 1
<<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print
Property Identification
VUCIE CO
Site Address
100 El Mar Dr
ParcellD:
4511-500-0056-000-3 -.6-
Sec/Town/Range
11 :37S :41 E
Account #
��
123141
Map ID:
45/116
Land Use:
SF Res
k�k
Zoning:
HIRD
City/Cnty.
St Lucie County
Ownership and Mailing
Legal Description
Owner:
Tom J Branch Katherine S Branch
BEACH CLUB COLONY -SECTION ONE LOT 28-LESS E 41.98 FT -
Address:
11913 Waterwood Dr
(OR 1701-2087: 3200-1205)
Boca Raton FL 33428
Sales Information
Assessment 2010 Final Total Land and Building
Date
Price Code
Deed
Book/Page
2010 Final 121300 Land Value 60000 Acres: 0.1
4/4/2010
100 0130
WD
3200 / 1205
Assessed: 121300 Building Value. 61300
4/15/2003
199000 00
WD
1701 / 2087
Ag.Credit: 0 Finished Area: 1554 SgFt
3/26/2002
148000 00
WD
1510 / 2627
Exempt:
12/29/1997
119000 00
WD
1119 / 0827
Taxable.
5/28/1991
135000 01
WD
0741 / 0765
Taxes: 2521.14
5/1/1978
36000 00
CV
0287 / 0988
BUILDING INFORMATION
Exterior Features
View:
RoofCover.
TG - Tar & Gravel
RoofStruct
GA - Gable
ExtType:
HD+ - HD+
YearBlt
1971
Frame
Grade
D+ - D+
EffYrBlt:
1980
PrimeWall:
BS - CB Stucco
StoryHght
0010 - 1 Story
No.Units:
1
SecWall:
Interior Features
BedRooms:
2
Electric.
AV -AVERAGE
PrmintWall
DW - Drywall
FullBath:
1
HeatType:
FHA - FrcdHotAir
AvgHUFI:
1/2Bath:
0
HeatFuel:
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
YrBlt. No Land Use
T<
Measure Depvl
SDSF - SITE DEV S-F
Y 1
1 AV AV
2001 1 0100-SF Res
217 -Unit
1
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED
http://www.paslc.org/prc.asp?prclid=451150000560003 12/22/2010