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HomeMy WebLinkAboutSUBMITTED PAPERSPermit #: DATE: FEES L RECEIPT (� 9iiPlanning & Development Services Department Building & Code Regulation Division 2300 Virginia Avenue Ft. Pierce, FL 34982-5652 SCgNN" Tel. 772-462-1553 g Y - St APPLICATION FOR�ROOF PERMIT �Ucie Count SEE FfVERSE SIDE FORSTRUCTIONS 1. Location/Site Address: 1 0� 3��T �. C�� CZL- y 2. Parcel IDNumber: A`000 Z9 Office Use Only I Section I Township Range Map Page Zoning Land Use I Initials 3. Description of Project or Work Activity: 4. 11 7. Total Roof Area (square feet): ! - L Type of Roof: fiberglass 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. Owner Information 8. Contractor Information Name: LI'�E a I A ► LA LJ( (� Nt� FL Reg/Cert Address:.% N t✓ML S 8 . ✓l::) County Cerl City.-JI A- EN 009tate: P- Business Na Zip: Phone: -207 a 2- `I' Cell Phone: 9. Value of Construction: $10 f 0-00 4 v / ';;to CD **Note Dry -in and Final Inspection Required. Additional inspection may be required per Product Approval. CONTRACTOR/OWNER'S AFFIDAVIT: STATE OF FLORIDA, COUNTY I certify that all of the information contained in this application is correct and that all work will be done in compliance with all applicable laws- egulating colLstructiWand zoning. SIGNAtM OVQUALIFO'V ACKNOWLEDGED BEFORE ME THIS DAY OF Y KNOWN TO ME OR HAS COMML4SION NUMBER MKS IDENTIFI ON c `_ P/JC4OF NO Y (seal) �i / O►"v NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR ATTORNEY RFFORE RECORDING YOUR NOTICE OF COMMENCEMENT. RevbW C 7612010 , a' b//./ ��`� •v, '" UDF1EY g HUMPHREY MY COMMIS$lON 9 DD 0047 EXPIRE&. March 6, 2011 Undorwnters Notary �ub11tl INSTRUCTIONS 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.M. 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 St. Lucie Coui__,, Building & Zoning Department 2300 Virginia Avenue Fort Pierce, Florida 34982 (772)462-1553 OWNERBUILDER AFFIDAVIT DISCLOSURE STATEMENT F.S. 489.103 (7) EXEMPTIONS State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must provide direct, on -site supervision of the construction yourself. You may build or improve farm outbuildings, a one -family or two-family residence or a commercial building at a cost of under $75,000.00. The building or residence must be for your own occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved your self within one year after the construction is complete, the law will presume that you built or substantially improved it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building; it is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applic� I ordinances, building codes, and zoning regulations. Initia I understand that the building official and inspectors are not there to design or give advice on how the minimum code. Initial I understand that as an owner -builder that any contract disputes with sub -contractors and I must be handle in a civil court with the advice of an attorney. This department will not mitigate any contract disputes. Initial I understand that if I compensate any person or company for work performed they are required to be licensed in this jurisdiction. If for some reason they do not possess a license, I may be responsible and liabl cost of the license. Initial 1 I understand that if any person that is unlicensed and uninsured gets injured on my construction project - they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and related cost, which could include loss of wages during recovery from their injury. Initial To qualify for this exemption under this subsection, an owner must personally appear and sign the building permit application and initial the above. I hereby acknowledge that I have read and understand the above disclosure statement and that I further understand that any violation of the terms of the owner/builder exemption shall be reported by the Building and Zoning Depart t to the Florida State Department of Professional Regulation. Signed and acknowledged n this day of of 20 �. `OwnerBuilde igna e STATE OF FLORIDA COUNTY OF The f regoing instrument a acknowledged before me this day of 20_L, by L� who is personally known to me, or who has produced 1 0 as identifi :a ion. 4� Do) 0�. 5-1 e2� %;v Signature of Norc Type or nt Name of Not (Seal / Title: Notar, Pu Commission Number 0R� MD�� pq� p�OQ DES MaP xi ; :� BaAebSh Product Approval USER: Public User Product Approval Menu > Product or Application Search > Application List > Application History > Application Di FL # FL10674-RO Application Type New Code Version Now Application Status Approved Comments Archived Product Manufacturer Address/Phone/Email FILE COPY Authorized Signature -yu Gl Il bl Da►�' 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) 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 J. 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 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted 05/19/2008 Date Validated 05/19/2008 Date Pending FBC Approval 05/22/2008 Date Approved 06/24/2008 Date Revised 10/30/2008 Summary of Products FL # Model, Number or Name 10674.1 Owens Corning Asphalt Roofing Shingles Limits of Use Approved for use in HVHZ: No Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: N/A Other: Refer to UL letter Description 3-tab, laminated, and Hip and Ridg( Certification Agency Certificate FL10674_RO_C_CAC_AH.I letter 0 Quality Assurance Contract Expii 10/01/2010 Installation Instructions FL10674_RO_II_AH I letter OS-12-C Verified By: Underwriters Laboratoi Created by Independent Third Part Evaluation Reports Created by Independent Third Part 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 © 2000-2010 The State of Florida. All rights reserved. Privacy Statement I Copyright Statement I Accessibility Statement I Plug-in Software I Customer SE Product Approval Accepts: C�® `" tc•curitr�i• � iaa 7ru�t�C Nort br%* Division Underwriters U@ Laboratories Inc. May 12.2008 Mr. Ted Berman P.E. Senior Project Manager A&A Arnold & Associates, Inc. 1711 W 38th Place, Unit 1207 Hialeah, Ft, 33012-7077 Subject: Owens Corning Dear Mr. Mr. Berman: 333 PIWn,Peri HUW WAIL xoDk, k 60062 -20% USA www.ul.COM tei 1 847 272 88W fax: 1 847 272 8129 Custixrter service- 1 877 9A :3577 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(V PRO 30TM) or Oakridget (Oakridge® PRO 30TM AR), Oakridge® PRO 40TM or Oakridge® PRO 40TM AR, Oakridge* PRO 50TM or Oakridge® PRO 50TM AR, Berkshire WeatherGuard HP 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 2 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 i ;>r wur t; i:r a Sales wG 1 11 Underwriters UL Laboratories Inca May 12, 2008 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. Mr. Berman: MorOdwook Division 333 Plogsten Road NMmro It 602.20% USA www.ul.com tel: 1 847 272 8800 tax: 1 847 272 8129 Customer service: 1 8i7854 3577 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(k PRO 30TM) or Oakridge® (Oakridgeg PRO 30TM AR), Oakridge® PRO 40TM or Oakridge® PRO 40TM AR, Oakridge® PRO 50TM or Oakridge® PRO 50TM AR, Berkshire WeatherGuard HP 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 2 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 i .... :r.rxrnj ts,' e1J1 aJI11 ,e+t+; rri.@trrity. p!@C sip,t anP, irs:; !a.r,ge Property Appraiser - St.Lucie C-1rity, FL Page 1 of 1 PROPERTY RECORD CARD Pierre Lavigne Record: 1 of 1 <<Prev Next » Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification �vaIECO Site Address 323 NETTLES BV ParcellD: 4502-501-0509-000-9 '\X G� Sec/Town/Range. 02 :37S :41 E Account # �e 120097 Map ID'. 45/02H Land Use: City/Cnty Mob Homes St Lucie County �',► Zoning HIRD Ownership and Mailing Legal Description Owner: Pierre Lavigne Diane Lavigne NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 323N Address: PO Box 84074 ANDPRO-RATA SHARE IN COMMON ELEMENTS (OR 1071-235 More... Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 57000 Land Value: 42000 Acres 0.05 4/3/1997 53000 00 WD 1071 / 2351 Assessed: 57000 Building Value: 15000 2/1/1988 33300 00 CV 0574 / 1935 Ag.Credit: 0 Finished Area: 432 SgFt 6/1/1986 111 01 CV 0510 / 2690 Exempt: 4/l/1980 20500 00 CV 0333 / 1089 Taxable: 5/1 /1976 7500 00 CV 0253 / 2595 Taxes 1184.71 BUILDING INFORMATION Exterior Features View: RoofCover - RoofStruct: ExtType MHH - MHH YearBlt: 1988 Frame, Grade: PKMB - PKMB EffYrBlt: 1988 PrimeWall: StoryHght: 0010 - 1 Story No.Units 1 SecWall Interior Features BedRooms 0 Electric: - PrmintWall: FullBath: 0 HeatType FHA - FrcdHotAir AvgHt/FI: STD 1/2Bath: 0 HeatFuel: ELEC - Electric Prm.Flors: - %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;ce Measure TSRG - TRV SSR GD S 1 231 AV AV 1988 1 0200-Mob Homes BI -Unit 1 DEK1 - TRV DECK S 1 231 AV AV 1988 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=450250105090009 1 /4/201 1