The URL can be used to link to this page

Home My WebLink AboutSUBMITTED PAPERSI DATE: N 1 1 1 1 1 FEES DUE: I'), I Pd( I RECEIPT #: r►rinv-7 / I Permit #: 111) I—( )U 1 I 1. 2. 3. 4. 6. Planning & Development Services Department Building & Code Regulation Division SCANNi 2300 Virginia Avenue p Ft. Pierce, FL 34982-5652 St ay Tel. 772462-1553 uc,e APPLICATION FOR ROOF PERMIT /1 SEE REVERSE SIDE FOR INSTRICTIONS / \ ./1 — I . Location/Site Address: /--)U 1 `l' Y-r-4 '/��* ;•—'r . P—l-e—, ( C �, . 'S `1 `7J I Parcel ID Number: 1301— LI— — CLL Office Use Only Section Township Range Map Page I Zoning!And Use Description of Project or Work Activity:._ Total Roof Area (square feet):, 3 �LJ O Type of Roof: [�Xiiberglass Shingle [ ] Co )� 5. Roof Pitch: JF—' • / J ncrete 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. 1 Name: I - �_) Ulf (A % C. —=fi Address: e (T c�} r� City: 1 State: Zip: Phone: 9. Value of Construction: S �,r��C • �J`� ;9ntractor Information k Reg/Cert #: C C '30)_ (Pl -7 County Cert #: C_; 0 Business Name: Cell Phone: -?�)2`f —Mlyl �r **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 coM plicable relgmla ' construction and zoning. .cf 5 off, c��,5 P QUALIFIE OWNERS N (� GLIFIERIOWNER STATE OF FLORIDA, COUNTY OF LU ACKNOWLEDGED BEFORE METHISZ1 I DAY OF 20n BY D-) (/mot I 's rV CL&rd_S O IS PERSONALLY IQJOWN T' O ME OR HAS PRODUCED RT MY COMMISSION # DDS37776 SI ATURE OF NOVARY TYPE OR P NAME OF NOTARY ° �) EXPIRES: Novm3bc 12.2012 I400.3-NOTARY Fl. Notary D.Som t Mix. CO. MMAMMAMA 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 4/26/2010 01/1312011 16:07 (FAX). P.0011001 Public Works Department Code Compliance Division 2300 Virginia Avenue Fort Pierce, FL 34982 772-462-2172 Fax:772-462-6443 INSPECTION AFFIDAVIT Re: Permit # p I, ji nr . (a G LIJ�Ci , licensed as a(n)Contra ctor*/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 / t I did personally inspecf the roof deck nailing and/or I s-water-ndary-water karrl-er war (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.) Signature License # STATE OF FLORID COUNTY OF . ` Swornnd su scrib efo a me this � day of �U� 4l 2-g by �( ��,5 F(, ,Who is personally known to me or w as identification. Notary Public, State ofir ida Signature of Nota bt1—� Commission Numb r: En 09/17/09 A >r st <�`'�' -7011 JENMFER OBE}' MY COMMISSION 8 DD8J7776 E)TIRFS; Novw6a 12, 20il 1-W0.3-NOTARY hl Notary bisc t Assoc Co. JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 3549296 OR BOOK 32! PAGE 1283, Recorded 01/10/2011 at 1: PM NOTICE OF COMMENCEMENT The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713. Florida Statues the following information is provided in the Notice of Commencement. 1. DESCRHRION OF PROPERTY (Legal description and street address, if available) TAx FOLIO NuMBER:I,3O SUBDIVISION Dl4X Q-W) �_DLOCH_fLTRAcT r� IQT d13 Rt.DO umm� WW J /--,tin 12 / f/ /rI 1 // 7,0 li i -,✓ i — U P iS 2. GVIERALD ^,e r 3. OwNERINFORMATION: •Nova b.Add— Yea ROoIIng & d. Name and addnm arfs imply ddabddr Pfotbr tbs Over) 4. CONTRACTOR'S NAME, ADDRESS AND FHONB PFUNFIER: 3921 SUS Hin, C, 'OFT Pierce. FL 34982 5. SORETY'S NAME ADDRESS AND PHONE NUMBER 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 maybe served as provided by Section 713.13 (1) (a) T. Florida Statutes: NAME ADDRESS AND PHONE NUMBER: S. In addition to himself, of herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in Section 113.13 (1) (b), Florida Statutes: NAME ADDRESS AND PHONE NUMBER: 9. Expiration date of notice of commencement (the expiation date is I year from the date of recording unles a different date is specified): 20_ �YLI lZ.S JAe;Z( nt✓ Signature of Owner or Pilot Name sod Provide Signatory's Titk/Offiee Owner's Authorized Officer I ctor/Partner/Manager State of Florida County of The fo/r�yigo'ing^instrument was .�T11� Wedged before me this day of 20 By S /Yl I -e V ,r4 1 "C as t "`_�`� /��• L(name of person) (type of authority,.., e.g. officer, trustee, attorney in fact) d— (name of party on behalf of whom instrument was executed) 0.N.<. MER OBERT MY COUJOSSION a DD137776 EXP(RPS: Noradar 17. 2012 Notary signature serial M iJp0.)NDTMY nNary Di—Aavc Ca. Under Penalties of perjury, ) declare that 1 have read the foregoing and that the facts' t ere true to the best of y knowled and belief(Seclion 92.525, Florida Statutes). 1 J Re W14-07 (S.axrding) Signamre of Natural Person Signin ova) f ST, LK E COUNT T, jS1�TO(;FRTIF�THATTHISiSA tJr'_ thf1�!`�; L eTC,G?YQFTHE Ts oil iE! At SKIT E K 4 Dale; ► " � Q� W FILE COPY MM I� DADS MIAMI-DADE COUNTY, FLORIDA METRO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE (BCCO) 140 WEST FLAGLER STREET, SUITE 1603 PRODUCT CONTROL DIVISION MIAMI, FLORIDA 33130-1563 NOTICE OF ACCEPTANCE (NOA) (305) 375-2901 FAX (305) 375-2908 GAF Materials Corp. 1361 Alps Rd. Wayne, NJ 07470 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 of the Florida Building Code. DESCRIPTION: GAF -Elk Timberline Prestique 30 Shingle 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 revises NOA #07-0507.12 and consists of pages 1 through 5. The submitted documentation was reviewed by Alex Tigera../� C MIAM� DAD c NOA No.:08-1110.07 �JAPPROYE6T Expiration Date: 02/21/12 Approval Date: 03/04/09 Page 1 of 5 ROOFING SYSTEM APPROVAL Cateeory• Roofing Sub -Category: 07310 Asphalt Shingles Materials Dimensional Deck Tvpe: Wood 1. SCOPE This revises GAF -Elk Timberline Prestique 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 GAF -Elk Timberline 13'/4-x 393/8" TAS 110 Fiberglass reinforced heavy weight asphalt Prestique 30 roof shingle, with a laminate profile 3. EVIDENCE SUBMITTED: Test_ Agency Test Identifier Test Name/Report Date Underwriters Laboratories, Inc. ASTM D3462 05CA47541 11/10/06 Underwriters Laboratories, Inc. ASTM D3462 06CA31580 11/30/06 PRI Asphalt Technologies, Inc. ASTM D3462 GAF-101-02-02 11/02/05 Underwriters Laboratories, Inc. ASTM D3462 06NK05159 08/09/06 PRI Asphalt Technologies, Inc. ASTM D3462 GAF-098-02-02 11/08/05 Underwriters Laboratories, Inc. ASTM D3462 02NK41809 08/11/02 Underwriters Laboratories, Inc. ASTM D3462 03NK26444 10/17/03 Center for Applied Engineering ASTM D3462 257989 05/13/97 Underwriters Laboratories, Inc. TAS 107 OINK45803 04/13/94 Underwriters Laboratories, Inc. TAS 107 06NK05159 08/09/06 Underwriters Laboratories, Inc. TAS 107 04NK04273 02t20/O4 Underwriters Laboratories, Inc. TAS 107 05CA42840 11/11/05 Underwriters Laboratories, Inc. TAS 107 02NK41811 11/11/02 Underwriters Laboratories, Inc. TAS 107 03CA35209 10/17/03 Underwriters Laboratories, Inc. TAS 107 04CA13850 08/30/04 Center for Applied Engineering TAS 100 257989 04/01/97 PRI Asphalt Technologies, Inc. TAS 100 GAF4044-02-01 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 PRI Asphalt Technologies, Inc. TAS-100 ELK-083-02-01 10/16/02 ELK-084-02-01 10/15/02 ELK-085-02-01 10/14/02 ELK-086-02-01 10/24/02 ELK-087-02-01 10/21/02 ELK-088-02-01 10/16/02 ELK-107-02-01 10/09/03 ELK-108-02-01 10/09/03 ELK-109-02-01 10/09/03 MIAMI-DADE COUNTY NOA No.:08-1110.07 •Ezpiration Date: 02/21/12 Approval Date: 03/04/09 Page 2 of 5 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 9B-72 of the Florida Administrative Code. . 5. INSTALLATION 5.1 Shingles shall be installed in compliance with Roofing Application Standard RAS 115. 5.2 Flashing shall be in accordance with Roofing 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. 6. LABELING 6.1 Shingles shall be labeled with the Miami -Dade Seal or the wording "Miami -Dade County Product Control Approved". MIAMFDADE COUNTY ,...� 7. BUILDING PERMIT REQUIREMENTS 7.1 Application for building permit shall be accompanied by copies of the following: 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 8.4 Baltimore, MD 8.5 Myerstown, PA 8.6 Ennis, TX 8.7 Tuscaloosa, AL 8.8 Dallas, TX MtAMEDADE C 7 NOA No.:08-1110.07 "JAPPROVED F Expiration Date: 02/21/12 Approval Date: 03/04/09 Page 3 of 5 DETAIL A MIAMMD�IDE COIMTY NOA No.:08-1110.07 APPROVED Expiration Date: 02/21/12 Approval Date: 03/04/09 Page 4 of 5 1: 1: L. 1/2" F DETAIL B Front Side (Maximum Slope 12:12) Front Side (Maximum Slope 21:12) Tab Sealant 1" 2" Back Side END OF THIS ACCEPTANCE Release Tape 1 Release Tape 3" 3/8" NOA No.:08-1110.07 Expiration Date: 02/21/12 Approval Date: 03/04/09 Page 5 of 5 Property Appraiser - St.Lucie Count- FL Page 1 of 1 PROPERTY RECORD CARD Charles Jardine Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification � \,�3CIE CO Site Address: 7501 Banyan St ParcellD. 1301-601-0151-000-5 Sec/Town/Range 14 :34S :39E Account #: 450 Map ID: 4N Land Use SF Res Zoning: RS- RS-4 City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner: Charles JardinNNIMMMOWNWle LAKEWOOD PARK UNIT 1- BLK 8 LOT 23 (MAP 13/14N) (OR 952- Address: 7501 Banyan St 2483) Fort Pierce FL 34951-2163 Sales Information Assessment 2010 Final Total Land and Building ;- Price Code Deed Book/Page 2010 Final 72800 Land Value 8100 Acres 0.22 4/25/1995 76500 00 WD 0952 / 2483 Assessed 72800 Building Value 64700 8/6/1993 4500 01 WD 0855 / 0379 Ag.Credit 0 Finished Area: 1701 SgFt 4/1 /1988 6300 01 CV 0584 / 2395 Exempt 47800 1/1/1987 1000 01 CV 0573 / 1003 Taxable 25000 4/1/1986 0 01 CV 0498 / 2401 Taxes 706.05 BUILDING INFORMATION Exterior Features View RoofCover SA - Asph Shingle RoofStruct HP - Hip ExtType HD+ - HD+ YearBlt 1993 Frame - Grade D+ - D+ EffYrBlt 1993 PrimeWall BS - CB Stucco StoryHght 0010 - 1 Story No Units 1 SecWall Interior Features BedRooms: 3 Electric MX - MAXIMUM PrmintWall: DW - Drywall FullBath: 2 HeatType FHA - FrcdHotAir AvgHt/FI STD 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 Type =as;,r- F,e_ai 1 0100-SF Res BI -Front Ft 75 125 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?prcIid=130160101510005 1 / 11 /2011