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Home My WebLink AboutSUBMITTED PAPERSDATE: FEES DUE: RECEIPT #: wmit #: /I l I L- Planning & Development Services Department • Building & Code Regulation Division 2300 Virginia Avenue SCANNED _- Ft. Pierce, FL 34982-5652 BY Tel. 772-462-1553 APPLICATION FOR ROOF PERMIT St Zug/� C°unto, SEE REVERSE SIDE FOR INSTRUCTIONS 1. Location/Site Address: q� 2. Parcel ID Number: VA 5 � S ob - 00 1- � - C) 3. 4. Otiice Use Only Ran a Ma Pa a Zonin Land Use Initials =ownsuip 1� l� Description of Project or Work Activity: 2 Q rY. e Total Roof Area (square feet): q t J 5. Roof Pitch: � "- L 6. Type of Roof: f:*berglass Shingle [ ] Tar & Gravel [ ] Concrete Roof Tile ] Modified Bitumen [ ] Wood Shake / Shingle I r r �] Product Approval required for all types of Roofing Material (2 Sets) Other [ ] 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: Address: City: �Q � Mate• Zip: 3Cf S Phone: G 2SY- %S Z- V17? FL Reg/Cert #: C County Cert #:(o� Business Name: Cell Phone:/J 9. Value of Construction: $i "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 a plic ble laws regulating construction and zoning. PRINT QUALIF ERSIOWNERS NAME GNATURE QUALII�IER/OWNER STATE OF FLORIDA, COUNTY OF / %� ACKNOWLEDGED BEFORE ME THIS DAY OF 2li/ V , BY =�_ SONALLY KNOWN TO ME OR PRODUCED >GL _D L AS IDENTIFICATION �- J `� Q Cal ► ID N-' SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY (seal) COMMISSION NUMBER 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 V2612010 ......... .DAWN MILC+NE r. MY COMMISSION # DD 852587 %�•., . EXPIRES: March 22, 2013 lih', d:•' Bonded Thru NotaryPubdc Undw'TAers L' INSTRUCTIon S Please complete all information in the space provided. All information must be printed (use black or blue ink only) or typed. This roof permit application is to be used only for those activities that are not otherwise included under a primary building permit. This application may not be used for any activity that includes structural alteration. Building activities involving structural alteration, in addition to the roof work, must be permitted through the regular building permit review process. The information to be provided with this application includes: 1. Location/Site Address 2. Parcel ID Number 3. Description of Project or Work Activity 4. Total Roof Area 5. Type of Roof 6. Owner Information 7. Contractor Information 8. Value of Construction Indicate the street address or general location of the property where the building activity is taking place. Indicate the tax identification number of the property where the building activity is taking place. Completely describe the building activity to take place. Please indicate if tear -off or shingle over shingle etc. Indicate total roof area to be affected by this permit. Also indicate the pitch of the roof, expressed as a standard ratio of run rise. Indicate the type of roof being repaired or resurfaced. Indicate the name and address of the owner of the property on which building activity is taking place. Indicate the State of Florida registration number (if applicable), St. Lucie County contractor license number and the name of the business doing the work. Indicate the total value of the work to take place. Total cost of construction includes all material and labor costs associated with the building/construction activity. Construction value is used to determine the permit fee. St. Lucie County reserves the right to question and/or modify the indicated value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction. This application can be submitted to St. Lucie County Building and Zoning, 2300 Virginia Avenue, Fort Pierce, FL 34982. All permit applications must be filled out completely before submission. No applications will be accepted for processing after 4:30 P.1VL For assistance in completing this application, please call (772) 462-1553, during regular office hours (8:00 AM - 5:00 PM), Monday through Friday. Upon issuance of this permit, required inspections can be scheduled by calling (772) 462-1261. St. Lucie County Roof Permit Application rev. 3/1/2009 Public Works Department Code Compliance Division 2300 Virginia Avenue Fort Pierce, FL 34982 772-462-2172 Fax:772-462-6443 INSPECTION AFFIDAVIT Re: Permit # "� LC 1 �,\'�- U ��) licensed as a(n)Contracto /Engineer/Architect (Please print name & circle license type) *F5468 Building 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 inspect the roof dec n ilk andjir (Date) (circle those that apply) secondary water barrier work at: rI `-'S N�-\ C (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 re STATE OF FLO—�,ID.A COUNTY OF Tom' - Lki ACC /2;Z 7 S3S License # RECEIVE JAN 0 5 2011 Public Works St. Lucie Courity, FL Sworn to and subscribed before me this Z4 day of 20J by Who is pe 3D a iy known towe or who has produced as identification. Notary Public, State of Florida / Signature of Notary: l Commission Number: �i ~ 71 i VVE®(Seal) En 09/17/09 JAN D q 7011 St. ,i: f.. . NOTARY PUBLIC - STATE OF FLORIDA Shana Mikel Weiner -Commission #DD631591 Expires: JAN. 21, 2011 BONDLL 11,UIJ%NT1C BONDING CO., INC. Florida Building Code Online Page l of 2 i�C.�-�. BCIS Home Log In User Registration Hot Topic, Submit Surcharge Stats & Facts Publications FBC Stall BCIS Site Map Links Search 1� Product Approval USER: Public User Product Approval Menu > Product or Application Search > Application List > Application Detail FL # FL10674-R3 Application Type Revision Code Version 2007 Application Status Approved Comments Archived Mn Product Manufacturer Owens Coming Address/Phone/Email One Owens Coming Parkway Toledo, OH 43659 (419) 248-7060 darrel.higgs@owenscorning.com Authorized Signature Darrel Higgs darrel.higgs@owenscorning.com Technical Representative Address/Phone/Email 0 Quality Assurance Representative Address/Phone/Email 0 Category Roofing Subcategory Asphalt Shingles Compliance Method Certification Mark or Listing Certification Agency Underwriters Laboratories Inc. Validated By Robert J. M. Nieminen, PE Validation Checklist - Hardcopy Received Referenced Standard and Year (of Standard) Standard Year ASTM D3161, Class F 2003 ASTM D3462 2004 ASTM D6381, Gass H 2O03 ASTM D7158, Class H 2O05 TAS 107 1995 UL 2390, Class H 2O04 Equivalence of Product Standards Certified By http://www.floridabuilding.org/pr/pr app dtl.aspx?param=wGEVXQwtDgtBNbEY5V%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 # Imodel, 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 AHl 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 AHl 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 32399-2100 (850) 487-1824, fax (850) 414-8436 Q 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: C] ® --,-- c UritN t.�•t•a http://www.floridabuilding.org/pr/pr_appdtl.aspx?param=wGEVXQwtDgtBNbEY5 V %2... 12/8/2010 U` Underwriters Laboratories Inc.-„ 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: Northbrook Division 333 Pfingsten Road Northbrook, IL 60062-2096 USA www.ul.com tel: 1 847 272 8800 fan: 1 847 272 8129 Customer service: 1 877 854 3577 This is to confirm that, Oakridge® PRO 30TM with Surenail, Oakridge® PRO 30TM AR with Surenail, OakridgeO PRO 40TM with Surenail, OakridgeO 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® (OakridgeO 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 ANSI/UL790-04, 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. UL 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. Property Appraiser - St.Lucie County Fl- Page 1 of 1 PROPERTY RECORD CARD Helen Spranklin JR) Record: 1 of 1 Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification ,o%IE CO Site Address: 98 El Mar Dr ParcellD: 4511-500-0057-000-0 oy Account # 123142 y� Sec/Town/Range 11 :37S :41 E Map ID 45/11 Land Use: SF Res HIRD Zoning: HIRD CitylCnty St Lucie County Ownership and Mailing Legal Description Owner Helen Spranklin JR) BEACH CLUB COLONY -SECTION ONE E 41.98 FT OF LOT 28 (OR Address: 98 El Mar Dr 1898-2586; 2565-726) Jensen Beach FL 34957-2523 Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final 101700 Land Value 60000 Acres 0.07 4/26/2006 100 01 WD 2565 / 0726 Assessed 101700 Building Value 41700 5/5/2003 100 01 QC 1898 / 2586 Ag Credit 0 Finished Area. 864 SgFt 9/1/1978 34000 00 CV 0296 / 1076 Exempt 50500 9/1/1971 19000 00 CV 0195 / 1180 Taxable 51200 Taxes: 1268.59 BUILDING INFORMATION L 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 Bed Rooms: 2 Electric: AV -AVERAGE FullBath 1 HeatType FHA - FrcdHotAir 1/213ath. 0 HeatFuel ELEC - Electric %A/C: 100 %Heated: 100 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt No Land Use SDSF - SITE DEV S-F Y 1 1 AV AV 2001 1 0100-SF Res PrmintWall DW - Drywall AvgHt/FI Prm.Flors: CU - Carpet %Sprinkled 0 Type f,/1e cz C�epth 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.pasic.org/prc.asp?prclid=451150000570000 12/22/2010