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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