HomeMy WebLinkAboutSUBMITTED PAPERSr
DATE: FE U RECEIPT #: Permit #: —�
Planning & Development Services Department
Building & Code Regulation Division
2300 Virginia Avenue
Ft Pierce, FL 34982-5652 SCANNED
Tel. 772-462-1553
APPLICATION FOR ROOF PERMIT C� BY
SEE REVERSE SIDE FOR INSTRUCTIONS St. Lucie County
1. Location/Site Address: /O r/ 4 LJ.14AI`c
Im
Parcel ID Number: 3�'`�
-7, /// "
(jy0-2 ` PG'cP - J
;2 -7
Iftrh e,v,e oL
Office Use
Only
Section
Township
Range_
Ma *age—
Zoning
L d Use
itials
3
3. Description of Project or Work Activity:
4. Total Roof Area (square feet): 5. Roof Pitch: dftO�1;1
6. Type of Roof: [ ��iberglass Shingle [ ] Concrete Roof Tile [ ] Wood Shake / Shingle
[ ] Tar & Gravel [a-*4odifted 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:C`� [� i s FL Reg/Cert #:
Address:-* xSiYS'� �'c_ County Cert #: ) / .,
City: S*:"/ �cic State: / ,a1'6 �S4usiness Name: �'As/��a,,'��jr �!/�••/�%�
Zip: 3 y Phone: 7`i�o�i+o� Cell Phone: 77.2
9. Value of Construction: S 3 $$So 0--
"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 applicable laws regulating construction and zoning.
PRINT QUALIFIERS/OWIYERS NAMES SIGNAT F QUALIFIER/OWNER
STATE OF FLORIDA, COUNTY OF J//�
ACKNOWLEDGED BEFORE ME TH�ISDAY OF ,ti '` 20�, BY �w J��-•! �r
WHZIS ERSONALL CNOWN !/TOME OR HAS PRODUCED As IDENTIFICATION
l
SIGNA OF NOTARY TYPE OR P NA E OF NOTARY (seaFDJW1
KY CARL COCNRAN
COMMISSION NUMBER
COMMISSION # DD98UN
XPIRES April 26, 2014
NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY R i�iil6e%om
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
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 3661469 OR BC-- 1352 PAGE 68, Recorded 01/03/2012 a` —:24 PM
AMTER aLCO"Mr-RETURN To: (— 7
Pr.RAW NIM"M L rh.,1,z- i,.-r.,a h.r.,,di., i„h.
NOTICE OF COMMENCEMENT J
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. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER
SUBDIVISION BLOCK TRACT LOTBLDG UNIT
2. GENERAL DESCRIPTION OF IMPROVEMENT: A
3. OWNER INFORMATION: a. Name p-6
b. Address N !O- 44R,
d. Name and address of fee simple titleholder (if other than owner)_
4. CONTRACTOR'S NAME, ADDRESS AN"HONE NUMBER.
in propedyOELr
S. SURETY'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 wham notices or other documents may be served as provided by
Section 713.13 (I)(a) 7., Florida Statutes:
NAME, ADDRESS AND PHONE NUMBER:
8. In addition to himself or herself Owner designates the followingto receive a copy of the Lienor's Notice as provided in Section
713.13 (I)(b), Florida Statutes:
NAME, ADDRESS AND PHONE NUMBER
9. Expiration date ofnotice of commencement (the expiration date is 1 year from the dame of recording unless a different date is
specified) _, 20_
/ � cg&�;ay R �,E w l s
Signature of Owr r or Print Name and Provide Signatory's TitldOmce
Owner's Authorized Of c r/Direetor/Parn r/Manager
State of Florida
County
The gang instrumentt was acknowledged before me this _9 day of � 20�..
BY� C IbS�y LG1 1 f as O= A-
nted name of�°° signing above) (Type of authority... erg. Owner, officer, trustee, attorney in fad)
For�PRS%✓i L r - i f
(Name of party on beh if of whom instrument was executed) Personally Known &--or produced the following type of ID:
' RICKY CARL COCHRAM
MY COMMISSION S DD986M
(edameofNotaryPublic) (Si-offNNototaryPubFic) 1I, EXPIRES April26,201♦
w
l � `(S7 Fb�Wallora ia.eom
Under penalties of perjury, 1 declare that I have read the foregoing and that the fads in it are true to the best of my knowledge and
belief (section 92.525, Florida Statutes).
Signatures) of Owner(s) or Owner(# Authorized Officer/Direetor/Partner(Manager who signed above:
�y:��r - .
y By C'.l2 DS i3v � • L1=W ( !j,,
' ) Trimted Name)
r«. oa�wPootpr.meme>
STATE OF FLORIDA
T LME COUNT TY
rl IS IS T6C -RTIFY THATTHIS IS A
RUE AND C00LOTGOPYOFTHEGHNAL
J C E
D pw Iy11"lcr! C"
Date:
Florida Building Code Online
Page 1 of 2
tY7�l ;` " 'turfl ll. 1
Publications FBC Staff BCIS Site Map Links Search
Product Approval Menu > Product or Application
Search > Application List > Application Detail
t
}.
FL #
FL10124-R4
Application Type
Revision
Code Version
2007
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
Florida Engineer or Architect Name who
developed the Evaluation Report
Florida License
Quality Assurance Entity
Quality Assurance Contract Expiration Date
Validated By
Certificate of Independence
Referenced Standard and Year (of Standard)
Equivalence of Product Standards
Certified By
GAF
1361 Alps Road
Wayne, NJ 07470
(973) 872-4421
lindareith@trinityerd.com
Beth McSorley
lindareith@trinityerd.com
Beth McSorley
1361 Alps Road - Bldg 11-1
Wayne, NJ 07470
(973)872-4421
BMcSorley@gaf.com
Roofing
Asphalt Shingles
valuation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
Evaluation Report - Hardcopy Received
Robert Nieminen
E
PE-59166
Underwriters Laboratories Inc.
05/17/2012
John W. Knezevich, PE
Validation Checklist - Hardcopy Received
FL10124 R4 C01 Trinity ERD CI - Nieminen.pdf
Standard
ASTM D3161 (Class F)
ASTM D3462
ASTM D7158 (Class H)
Year
2003
2004
2005
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquracBeVCbdMQ... 1 /4/2012
Florida Building Code Online
Page 2 of 2
Sections from the Code
Product Approval Method
Date Submitted
Date Validated
Date Pending FBC Approval
Date Approved
Date Revised
Summary of Products
Method 1 Option D
12/17/2010
02/08/2011
12/23/2010
02/10/2011
12/12/2011
FL #
Model, Number or Name
Description i9
10124.1
GAF Asphalt Roof Shingles
Fiberglass reinforced 3-tab, laminated, 5-tab and
hip/ridge asphalt shingles
Limits of Use
Installation Instructions
Approved for use in HVHZ: No
FL10124 R4 II er020211FINAL GAF FL10124-
R4 Asphalt Shin les. df
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Verified By: Robert Nieminen PE-59166
Design Pressure: N/A
Created by Independent Third Party: Yes
Other: Refer to ER, Section 5.
Evaluation Reports
FL10124 R4 AE er020211FINAL GAF FL10124-
R4 Asphalt Shin les. df
Created by Independent Third Party: Yes
Back Next
Contact Us :: 1940 North Monroe street. Tallahassee FL 32399
The State of Florida is an AA/EEO employer. Copyright 2007-2010 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement
Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not
send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions regarding DBPR's ADA web
accessibility, please contact our Web Master at webmaster(a)dbor.state.fl.us.
Product Approval Accepts:
Eok M
ek-11-T,
evdJ
http://www. floridabui lding. org/pr/pr_app_dtl. aspx?param=wGEVXQwtDquracBeVCbdMQ... 1 /4/2012
�TRINIlY' ERD
EVALUATION REPORT
GAF Materials Corporation
1361 Alps Road, Building 7-3
Wayne,NJ 07470
EXTERIOR RESEARCH & DESIGN, LLC.
Certificate of Authorization #9503
353 CHRISTIAN STREET, UNIT #13
OXFORD, CT 06478
PHONE: (203) 262-9245
FAX: (203) 262-9243
Evaluation Report 01506.01.08-116
F%-10124-114
Date of Issuance: 01/03/2008
Revision 6: 02/02/2011
SCOPE:
This Evaluation Report is issued under Rule 9N-3 and the applicable rules and regulations governing
the use of construction materials in the State of Florida. The documentation submitted has been
reviewed by Robert Nieminen, P.E. for use of the product under the Florida Building Code and
Florida Building Code, Residential Volume. The products described herein have been designed to
comply with the 2007 FBC and 2007 FBC Residential Volume sections noted herein.
DESCRIPTION: GAF Asphalt Roof Shingles
LABELING: Each unit shall bear labeling in accordance with the requirements the Accredited Quality
Assurance Agency noted herein.
CONTINUED COMPLIANCE: This Evaluation Report is valid until such time as the named product(s)
changes, the referenced Quality Assurance documentation changes, or provisions of the Code that
relate to the product change. Acceptance of this Evaluation Report by the named client constitutes
agreement to notify Robert Nieminen, P.E. if the product changes or the referenced Quality
Assurance documentation changes. TrinityJERD requires a complete review of this Evaluation
Report relative to updated Code requirements with each Code Cycle.
ADVERTISEMENT: The Evaluation Report number preceded by the words "TrinitylERD Evaluated" may
be displayed in advertising literature. If any portion of the Evaluation Report is displayed, then it
shall be done in its entirety.
INSPECTION: Upon request, a copy of this entire Evaluation Report 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 Evaluation Report consists of pages 1 through 4.
Prepared by: ,�,,�r,nrr.�,,,,
�,_.,..,
r
OZ
i{s
The Facsimile seal appearing was authorized
-= ----- _.- - �^� 5_A`� O'F r
by Robert Nieminen, P.E. on 02/02/2011
p'.,• -- p; ;�.
'�,�E+'•• ; ?„S!�-*s: ;'
Robert J.M. Nieminen, P.E. s� E. ,•
%U, t
This does not serve as an electronically signed
document. Signed, sealed hardcopies have be n
the Product Approval 0.dminist �-
transmittednd
Florida Registration No. 59166 Florida DCA ANE1983 .... .•�'
g ,to
d `
the named client
CERTIFICATION OF INDEPENDENCE:
t. TrinitylERD does not have, nor does it intend to acquire or will it acquire, a financial
interest in any company manufacturing or
distributing products it evaluates.
2. TrinitylERD is not owned, operated or controlled by any company manufacturing or distributing
products it evaluates.
3. Robert Nieminen, P.E. does not have nor will acquire, a financial interest in any company
manufacturing or distributing products for which
the evaluation reports are being issued.
4. Robert Nieminen, P.E. does not have, nor will acquire, a financial interest in any other
entity involved in the approval process of the
product.
TRINITY ERD
ROOFING SYSTEMS EVALUATION:
1. SCOPE:
Product Category: Roofing
Sub -Category: Asphalt Shingles
Compliance Statement: GAF Asphalt Roof Shingles, as produced by GAF Materials Corporation, have
demonstrated compliance with the following sections of the Florida Building Code and Florida Building
Code, Residential Volume through testing in accordance with the following Standards. Compliance is
subject to the Installation Requirements and Limitations / Conditions of Use set forth herein.
2. STANDARDS:
Section
Prooerty
Standard
Year
1507.2.5, R905.2.4
Physical Properties
ASTM D3462
2004
1507.2.5, 1507.2.10,
Wind Resistance
ASTM D3161, Class F
2003
R905.2.4.1, R90S.2.6.1
1507.2.10, R905.2.6.1
Wind Resistance
ASTM D7158, Class H
2O05
3. REFERENCES:
Entity
Examination
Reference
Date
PRI(TST 5878)
ASTM D3462
GAF-059-02-01
09/02/2004
PRI(TST 5878)
ASTM D3462
GAF-080-02-01
05/25/2005
UL(TST 1740)
ASTM D3462
93NK6295
11/29/1993
UL(TST 1740)
ASTM D3462
99NK43835
01/12/2000
UL(TST 1740)
ASTM D3462
01NK06632
02/02/2001
UL(TST 1740)
ASTM D3161
OINK9226
05/21/2001
UL(TST 1740)
ASTM D3161
01NK37122
12/18/2001
UL(TST 1740)
ASTM D3462
01NK37122
12/19/2001
UL(TST 1740)
ASTM D3161
02NK12980
04/10/2002
UL(TST 1740)
ASTM D3161
02NK30871
09/09/2002
UL(TST 1740)
ASTM D3161
03CA5367
03/11/2003
UL(TST 1740)
ASTM D3462
03NK26444
10/17/2003
UL(TST 1740)
ASTM D3462
04NK13850
06/07/2004
UL(TST 1740)
ASTM D3161
04NK13850
06/23/2004
UL(TST 1740)
ASTM D3161
04NK30546
03/10/2005
UL(TST 1740)
ASTM D3462
04NK22009
05/06/2005
UL(TST 1740)
ASTM D3161
04NK22009
05/09/2005
UL(TST 1740)
ASTM D3462
05NK27924
02/10/2006
UL(TST 1740)
ASTM D3161
05NK27924
02/11/2006
UL(TST 1740)
ASTM D3161, ASTM D3462
06CA18077
06/05/2006
UL(TST 1740)
ASTM D3161, ASTM D3462
06CA18074
06/16/2006
UL(TST 1740)
ASTM D3161, ASTM D3462
06CA35251
10/18/2006
UL(TST 1740)
ASTM D3462
06CA31603
12/01/2006
UL(TST 1740)
ASTM D3161, ASTM D3462
06CA41095
12/27/2006
UL(TST 1740)
ASTM D3161
07NK05228
03/13/2007
UL(TST 1740)
ASTM D3161
06CA31611
04/04/2007
UL(TST 1740)
ASTM D3161
06CA61148
04/09/2007
UL(TST 1740)
ASTM D3161, ASTM D3462
07CA31742
11/08/2007
UL(TST 1740)
ASTM D3161, ASTM D3462
08CA06100
03/13/2008
UL(TST 1740)
ASTM D3161, ASTM D3462
07CA55908
04/01/2008
UL(TST 1740)
ASTM D3161, ASTM D3462
09NK06647
08/01/2009
UL(TST 1740)
ASTM D3161,ASTM D3462
09CA27281
08/27/2009
UL(TST 1740)
ASTM D3161, ASTM D3462
10CA13686
05/15/2010
UL(TST 1740)
ASTM D3161, ASTM D3462
10NK11951
10/30/2010
UL(TST 1740)
ASTM D3161, ASTM D3462
10NK12070
11/04/2010
UL (QUA 1743)
Quality Control
Inspection Report, File No. R21
12/07/2010
UL (QUA 1743)
Quality Control
R3915
Current
Exterior Research and Design, LLC. Evaluation Report 01506.01.08-R5
Certificate of Authorization #9503 FL1O124-R4
Revision 6: 02/02/2011
Page 2 of 4
TRINITY ERD
4. PRODUCT DESCRIPTION:
4.1 Royal Sovereign is a fiberglass reinforced, 3-tab asphalt roof shingles.
4.2 Camelot, Camelot II / Camelot 30, Capstone, Country Mansion, Country Mansion II, Grand
Canyon, Grand Sequoia, Grand ate, Grand Slate II Timberline ArmorShield II, Timberline
Natural Shadow, Timberline HD / Timberline Prestique 30,'Timberline Prestique 40 / Timberline
Cool Series, Timberline Ultra HD Tim er ine FfesFiqu Lifetime, and Timberline Majestic /
Timberline Majestic 30 are fiberglass reinforced, laminated asphalt roof shingles.
4.3 Slateline is a fiberglass reinforced, 5-tab asphalt roof shingle.
4.4 Seal -A -Ridge, Seal -A -Ridge Armorshield, Ridglass 8, Ridglass 10, Ridglass 12 and Timbertex Hip
and Ridge are fiberglass reinforced, hip and ridge asphalt roof shingles.
4.5 ProStart Starter is a starter strip for asphalt roof shingles.
5. LIMITATIONS:
5.1 This Evaluation Report is not for use in the HVHZ.
5.2 Fire Classification is not part of this Evaluation Report; refer to current Approved Roofing
Materials Directory for fire ratings of this product.
5.3 Wind Classification:
5.3.1 All GAF shingles noted herein are Classified in accordance with FBC Tables 1507.2.10 and
R905.2.6.1 to ASTM D3161, Class F or ASTM D7158, Class H, indicating the shingles are
acceptable for us in all wind zones up to 150 mph. Refer to Section 6 for installation
requirements to meet this wind rating.
5.3.2 Classification by this method applies to buildings less than 60 feet high and with Wind Exposure
B and C only in an Occupancy Category of I or II.
5.3.3 For buildings falling outside the constraints in 5.3.1 or 5.3.2, calculations by a qualified design
professional in accordance with UL2390 / ASTM D7158 / ASCE 7 may be conducted for the
specific project with data for the specific shingle. Contact the shingle manufacturer for data
specific to each shingle.
5.3.4 All GAF hip & ridge shingles noted herein have been evaluated in accordance with ASTM D3161,
Class F. Refer to Section 6 for installation requirements to meet this wind rating.
5.5 All products in the roof assembly shall have quality assurance audit in accordance with the
Florida Building Code and F.A.C. Rule 9N-3.
6. INSTALLATION:
6.1 Underlayment:
6.1.1 Underlayment shall be acceptable to GAF Materials Corporation and shall hold current FBC
Approval, or be Locally Approved per Rule 9N-3, per FBC Sections 1507.2.3 and/or 1507.2.4.
Exterior Research and Design, LLC. Evaluation Report 01506.01.08-R5
Certificate of Authorization #9503 FL10124-R4
Revision 6: 02/02/2011
Page 3 of 4
l
,� TRINITY ERA
6.2 Asphalt Shingles:
6.2.1 Installation of asphalt shingles shall comply with the manufacturer's current published
instructions, but not less than four (4) fasteners per shingle in accordance with the
requirements of FBC Section 1507.2 or FBC Residential Volume Section R905.2, with the
following exceptions:
v Camelot, Camelot II / Camelot 30, Grand Slate II and Country Mansion II require minimum
five (5) fasteners per shingle
6.2.2 Fasteners and fastener placement shall be in accordance with manufacturer's current published
installation instructions.
6.2.3 Where the roof slope exceeds 20 units vertical in 12 units horizontal (166-percent slope),
special methods of fastening are required. Contact GAF Materials Corporation for details.
6.3 Hip Sr Ridge Shingles:
6.3.1 Installation of Ridglass 8, Ridglass 10 and Ridglass 12 asphalt shingles shall comply with the
manufacturer's current published instructions with a minimum two (2) fasteners per side and
asphalt roofing cement.
6.3.2 Installation of Seal -A -Ridge and Seal -A -Ridge Armorshield asphalt shingles shall comply with
the manufacturer's current published instructions with a minimum two (2) fasteners per
shingle.
6.3.3 Installation of Timbertex Hip and Ridge asphalt shingles shall comply with the manufacturer's
current published instructions with a minimum two (2) fasteners per shingle and beads of
Sonneborn NP1 Gun Grade Polyurethane Sealant or Henkel PL Roofing and Flashing Sealant.
7. LABELING:
Each unit shall bear a permanent label with the manufacturer's name, logo, city, state and logo of the
Accredited Quality Assurance Agency noted herein..
8. BUILDING PERMIT REQUIREMENTS:
As required by the Building Official or Authority Having Jurisdiction in order to properly evaluate the
installation of this product.
9. MANUFACTURING PLANTS:
Contact the named QA entity for information on which plants produce products covered by Florida Rule
9N-3 QA requirements.
10. QUALITY ASSURANCE ENTITY:
Underwriters Laboratories - QUA1743
(847) 664-3281
- END OF EVALUATION REPORT -
Exterior Research and Design, LLC. Evaluation Report 01506.01.08-115
Certificate of Authorization #9503 FL10124-R4
Revision 6: 02/02/2011
Page 4 of 4
Property Appraiser - St.Lucie County, FL
Page 1 of 1
PROPERTY RECORD CARD
Wynne Building Corp
Record: 1 of 6
<<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print
Property Identification
Site Address:
157 Camino Del Rio
ParcellD: 3427-111-0002-000-5 \�,���CIE��G2
Sec/Town/Range:
27 :36S :40E
Account #: 115459 ye
Map ID:
Land Use: PRKG/MOBILE
Zoning:
AR-1
AR-1
City/Cnty: St Lucie County '
Ownership and Mailing
cription
Owner:
Wynne Building Corp
ALL THAT PART LYING E ANDN OF ST LUCIE RIVER AND
Z?s
Address:
8000 S US Hwy 1 Ste 402
1 (218.217 AC) (OR 254-1990, 2013)
Port St Lucie FL 34952
Sales Information
Assessment 2011 Final Total Land and Building
Date Price
Code Deed
Book/Page 2011 Final: 12541200 Land Value: 4620700 Acres: 218.22
1/1/1900
0
! Assessed: 12541200 Building Value: 7920500
Ag.Credit: 0 Finished Area: 19828 SgFt
Exempt:
Taxable:
Taxes: 255159.49
BUILDING INFORMATION
Exterior Features
View:
RoofCover:
-
RoofStruct:
-
ExtType: MHPK - MH Parks YearBlt:
1983
Frame:
-
Grade: C - C
EffYrBlt:
1983
PrimeWall:
-
StoryHght: 0010 - 1 Story
No.Units:
610
SecWall:
-
Interior Features
BedRooms: 730
Electric:
-
PrmintWall:
FullBath: 0
HeatType:
AvgHUFI:
1/2Bath: 0
HeatFuel:
-
Prm.Flors:
-
%A/C: 0
%Heated:
0
%Sprinkled:
0
Special Features and Yard Items
Land Information
Type Y/S Qty.
Units Qual. Cond.
YrBlt. No.
Land Use Type
Measure Depth
CURB - CEMENT CURB Y 1
650 GD AV
2001 1
2800- 130 -Site
610
PRKG/MOBILE
ASP1 - ASP1 HIGH Y 1
277848 AV AV
1983
2800
2
530 Acres
PRKG/MOBILE
36.5
3
2800 500 -Acres
31.6
PRKG/MOBILE
More...
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=342711100020005 01 /03/2012