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