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HomeMy WebLinkAboutSUBMITTED PAPERS- 'I 5—AVE -- RECEIPT #: Permit #: M-11 Ft Pierce, FL 34982-5652 Planning & Development Services Department Building & Code Regulation Division 2300 Virginia Avenue SCANNED Tel. 772-"2-1553 st, Lucie County APPLICATION FOR ROOF PERMIT SMVERgSEIDE FPR INSTRWTIONS 1. Location/Site Address: 4 ev q &I 2. Parcel ED Number: -?p On �,t -3 Con - 7? Office Use I Section Township Rause Map Page Zoning I Land Use I Initials Only I -flkl-b I pt-m I to 3. Description of Project or Work Activity: lc(� 4. Total Roof Area (square feet): :2JDCDO 5. Roof Pitch: �3 6. Type of Roof- f 1-fiberglass Shingle Concrete Roof THe Wood Shake/ Shingle [ I 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 Inform * 8. Contractor Information !T?/" 1-7 Le Name: --F;;z vpe (Cz, sm 14-ik FLReg/Cert#: Add rea: Q:�( :� �?l '? S / 04 County Cert #: City: ges � — State: BusinessName: zip:--3�6�2 Phone: Cell Phone: 2— 'ZT e, a 01 9. Value of Construction: $ "Note Dry -in and Final Inspection Required. Additional inspection way be required per Product Approval. CONTRACTOR/OWNERISAFFMAVIT: I codify that all of the information contained in this application is correct and that all work will be done in compliance with applicab! [am regulatmg constructlon and zoning. NA71"�k QU UR 510F QUALIFIERIOWNER ]PRINT ALIF&RNOWNERS SICNAT X STATE OF FLORIDA, COUNTY OF / ACKNOWLEDGED BEFOR M[E Tins � DAY OF 20 BY 4 PF FaJ) WK RSO ALL JqWN �OMWE OR HAS Pl R(�16CZD AS IDENTIFICATION PE N V iWE �JVPRINT NAME OF NOTAItY (sea) SIGNATURE OF rTARY CON[MISSION 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. Reviud CM010 B. ISSI()N#EE EX RES'. Boll" ruNot pjb1if:t1 . rtdetwriters 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 ED 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.NL 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 JOSEPH E. SMITH- CLFRK OF THE CIRCUIT COURT AFrER RECORDING-RErURN TO: SAINT LUCIE COLJ FILE It 36619050! 1), ,t 03.0r; PN4 Or? B040K 3352 PAGE 1235 - 1285 Dc)(, Typei NC RECORDING� $1000 PERMIT NUMBER: 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. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER-3%Q5 -7-07006 -0(2,) -7 SUBDIVISION 1� -�j�-,'fv.,--BLOCK—:��TRACT—LOT—/�-)—BLDG—UNIT_ 2. GENERAL DESCRIPTION OF IMPROVEMENT: 3. OWNER INFORMATION: a. b. Address 'i ) cx',�- ) J/ "A d. Name and address of fee simple titleholder (if other than 4. CONTRA CTOR'S NAME, ADDRESS AND PHONE 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: 6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: c. interest in property e-*) 0) i 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: NAMEE, ADDRESS AND PHONE NUMBER: 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 (1)(b), Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: 9. Expiration date of notice of commencement (the expiration date is I year from the date of recording unless a different date is specified) 7_20 WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFFER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I SECTION 713.13, FL)ORIDA STATUTES. AND CAN RESULT IN YOUR PAYING TWICE FOR IM[PROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR Signature of Owner or 1-/ Owner's Authorized Ofricer/Director/Partner/Nlanager Print Name and Provide Signatory's Title/Office State of Florida County ofsa (ni L-LA ayof The for�going instrument was acknowledged before me this —20 KfdCr- 1 C J as d9 U),(IV (Name of person) (Type of authority ... e.g. Owner, officer, trustee, attorney in fact) A �-V, V % U- uJ 0 LU V- -J LU 0 Z (0 0 LU For X LLC . . - (r4ame of party on behalf of whom instrument was executed) Personally Known— or produced the following type of' ID- ck D,-�ver--,� A,5.- c t�r)s e M A -Schu (Printed Name of Notary Public) (Siin+e of Notary Public) 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). Signature(s) of Owner(s) or Owner(ly A�thorized Officer/Director/Partner/Manager who signed above: By By: Rev. 0&30/2007(Recording) riunua iDununig t-uur, kinnne rdgt; I til Z- ounity Affairs', SOS Home I Log In user Registration Hot Topics Subrn1t Surcharge Stats & Facts Publications FBC Statr BGS Site Map 1 Unks Search A� Product Approval USER: Public User > ;.—j-T-jTX "-.T.T. FL # App ication Type Code Version Application Status its 7ATI—Arclirived Product Manufacturer Address/Phone/Emall Authorized Signature Technical Representative Address/Phone/Emall Quality Assurance Representative Address/Phone/Emall Category Subcategory Compliance Method Certification Agency Validated By > Application USt > Appli FL10674-R2 Revision 2007 Approved Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Product Approval Method FILE COPY ,pp,r r-y�, 4- (alu) - C, 0 Owens Corning One Owens Corning Parkway Toledo, OH 43659 (419) 248-7060 darrel.higgs@owenscorning.com Darrel Higgs darrel.hlggs@owenscorning.com Roofing Asphalt Shingles Certification Mark or Listing Underwriters Laboratories Inc. Robert 3. 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 Method 1 Option A Year 2003 2004 2003 2005 1995 2004 http://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqtBNbEY5V�/�2boQT... 8/28/2009 I'lullud 0ulluilig �-'Uuc unline ragr, /- o-L /- Date Submitted Date Validated Date Pending FBC Approval Date Approved 06/15/2009 06/16/2009 06/23/2009 08/11/2009 ummary of Products F FL Model, Number or Name Description inr7A I C)wpnr rnrnina ASphaLLJLQQfLgg.. 3-t2h 11minmiteri- rtarwr- and hip A ridge Shingles and Starters . L Limits of Use Certification Agency Certificate Approved for use In HVHZ: No FL10674 R2 C CAC AH] letter 10-06-08 and 06-09-09 Ted Berman. Approved for use outside HVHZ: Yes Impact Resistant: N/A Quality Assurance Contract Expiration Date Design Pressure: N/A 10/01/2010 Other: Refer to UL letter Installation Instructions FL10674 R2 II AHI letter 10-06-08 and 06-09-09 Ted Berman.Dd I Verifled By: Underwriters Laboratories Inc. Created by Independent Third Party: Evaluation Reports I Created by Independent Third Party: F--Next F Back Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399-2100 (850) 487-1824, Fax (B50) 414-8436 0 2000-2005 The State of Florida. All rights reserved. Cpovrlaht and DiSdaimpr Product Approval Accepts: W M-1 99 ME http://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqtBNbEY5V`/`2boQT... 8/28/2009 Q)100ft, t�L Underwriters L Laboratories Inc. October 6, 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 Coming Dear Mr. Mr. Berman: NDrtfibmok DiviSIM 333 Plinslen Road Northbrook IL 60062-2096 USA wmv.ul,c(xn tel: 1 847 272 SW tax 1 84 7 272 8129 Customer service: 1877 854 3577 This is to confirm that, Oakridge@ PRO 30TM with Surenail, Oakridge(V PRO 30TNI AR with Surenail, OakridgeO PRO 40Tm with Surenail, Oakridget PRO 40Tm AR with Surenail, OakridgeO PRO 50TM with Surenail, and Oakridges PRO 5OTm AR with Surenail, Duration, Duration Premium, Classict or Classic(g AR, Supreme(V or Supremeg AR, Prominencet or Prominence(K) AR, Oakridge(l) (Oakridge(ID PRO 30TM) or Oakridge(V (Oakridge(l) PRO 30Tm AR), Oakridge(l) PRO 40TM or Oakridge(V PRO 40Tm AR, Oakridge(& PRO 5OTm or Oakridgeg PRO 50'rm AR, Berkshire, WeatherGuard HP, Hip & Ridge with sealant, High Ridge, WeatherGuard HP and Berkshire Hip and Ridge shingles are Listed in accordance with ANSLIUL790-04, 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 firee to contact the writer. Very truly yours, Martin K. Rowan (Ext. 42349) Senior Project Engineer Fire Protection Division An indepesideni of ganizailkip working foi if safe I iv*ti4 wil'i itilj:ai if V. pioO,.ic n and knowledge [CATIONS1 __GTQBY ONL'NE cERT1F TGDY.R19380 Prepared Roofing Accessories Prepared Roofing Accessories See General Information for Prepared Roofing Accessories OWENS CORNING 1 OWENS CORNING PKY TOLEDO, OH 43659 USA R19380 Asphaft underlayment accessories, "WeatherLDck@G", "WeatherLock Cold Climate", "WeatherLock&Mat", "WeatherLock@P", "WeatherLock@PM", "Start -- Shingle", self -adhered or nail down for use in the installation of Class A asphalt glass fiber mat shingles and Class C asphalt organic felt shingles. "Weather-Lock(gVetal" self -adhering modified bitumen membrane for use in the installation of Class C metal shingles. "WeatherLock FLEX", self -adhering modified bitumen membrane, for use in the installation of Class A asphalt glass fiber mat shingles and Class C asphalt organic felt shingles. "Fiberglas Reinforced Felt". An asphalt saturated organic felt for use in the installation of this manufacturer's Class A asphalt glass fiber mat shingles and Class C asphalt organic felt shingles. "Fiberglas Reinforced Felt" can also have the adjunct statement - Also Classified in accordance with ASTM D6757. Last Updated on 2008-07-29 Ouestions? Notice of Disclaime Pace Tog Copyright nc NOR Underwriters Laboratories In .�� The appearance of a company's name or product in this database does not in itself assure that products so identified have been manufactured under UL's Follow -Up Service. Only those products bearing the UL Mark should be considered to be Listed and covered under UL's Follow -Up Service. Always look forthe Mark on the product. UL permits the reproduction of the material contained in the Online Certification Directory subject to the following conditions: 1. The Guide Information, Designs and/or Listings (files) must be presented in their entirety and in a non-misieading manner, without any manipulation of the data (or drawings). 2. The statemenr "Reprinted from the Online Certifications Directory with permission from Underwriters Laboratories Inc." must appear adjacent to the extracted material. In addition, the reprinted material must include a copyright notice in the following format: "Copyright @ 2008 Underwriters Laboratories Inc.@" An indeptnJent viot king lot j, saler viol id with inleofily, p r e t: 1 5 1 o it a i, ! k 1, 0 Property Appraiser - St.Lucie County, FL Page I of I PROPERTY RECORD CARD Frederick J Smith Record: 1 of 1 <<PrLv N2xt >> Taxes Exemptions Permits Home Print Property Identification 0 Site Address: 8185 14th Hole Dr ParcelID: 3425-707-0043-000-7 \X 148010 Sec/Town/Range 25:36S :40E MaplD� 34/25S Account* Land Use: Mob Homes Zoning: PUD City/Cnty� St Lucie County Ownership and Mailing Legal Description Owner Frederick J Smith Audrey 0 Smith LINKS AT SAVANNA CLUB (PB 40-39) BLK 34 LOT 10 (OR 1615-187) Address: 8185 14th Hole or Port St Lucie FL 34952 Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 70800 Land Value: 13000 A.cres 0.19 11/14/2002 01 LE 1615/0187 Assessed: 70800 Building Value: 57800 9/30/1997 4000000 02 WD 1106/1324 Ag.Credit: 0 Finished Area: 1796 SqFt Exempt: 45800 Taxable: 25000 Taxes. 672.5 BUILDING INFORMATION Exterior Features View: RoofCover. - RoofStruct - ExtType: MHA - MHA YearBIt: 2002 Frame: - Grade: SAVL-SAVL EffYrBIt: 2002 PrimeWall- - StoryHght: 0010- 1 Story No Units 1 SecWall - Interior Features BedRooms: 0 Electric: - PrmlntWall: FullBath� 0 HeatType: FHA - FrcdHotAir AvgHt/Fl 1/26ath: 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 YrBIt No Land Use Type Measure Depth CNC2 - CONCRETE LOW Y 1 1264 AV AV 2002 1 0200-Mob Homes N -Flat 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=342570700430007 1/4/2012