HomeMy WebLinkAboutSUBMITTED PAPERSDATE:. FEES DUE: RECEIPT #: ermit #:
Planning & Development Services Department
Building & Code Regulation Division
,COUNTY S
2300 Virginia Avenue CANNED
�F L 0 R- A�
Ft Pierce, FL 34982-5652 BY
Tel. 772-462-1553 St. Lude
APPLICATION FOR ROOF PERMIT County
SEE REVERSEADE FOR STR
IN JVNS
1. Location/Site Address: ;�q SS 'R Cyl f rryl C__ FT
2. Parcel ID Number: -70 o o 4 S — _740 - '7
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3. Description of Project or Work Activity: 4- P_Lpt, A cc-- koOF-
4. Total Roof Area (square feet): _720 5. Roof Pitch:
6. Type of Roof. J I Fiberglass Shingle [ I Concrete Roof Tile
I I Tar& Gravel I I Modified Bitumen
6,-(l
VfWood Shake/ Shingle
I I Other
[ I 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:
Address: 2_9 C-,'5 (S'6�T Fr4i�_
city: P;' — State: PZ
zip: ?qc h
KI P one: 466 - _7�j
9. Value of Construction:$
") __
FL Reg/Cert #: ' t�'(
County Cert #: ci',2L2��Ln
55-
Business Name: PAzWkl �wrji ��(k'
CellPhone: 221-791- C)5,-/, oe4o F-ftl
"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 apptication is correct and that aH work wifl be
done in compliange with all applicabl I regulating construction and zoning.
PRINT OUALIFTERSIOWNERS NANIZ
STATE OF FLOREDA, COUNTY OF M A e
ACKNOWLEDGED BEFORE ME THIS —La— DAY OF �)C(CM'3c�L 20 i_(,BV �WCkdt-1 1'�/ tl 6/ y
WHO IS P ONALLY KNOWN _1ZTO ME OR RAS PRODUCED —AS IDENTIFICATION
JAMES MORSE
SI &F OTARY
(seW COMMISSION # DD 934038
S GN TYPE OR PRINT NAME OF NOTARY EXPIRES: October 19,2013
COMMISSION NUMBER 6,�) Bonded Thru Nota(y Pub0c Underwriters
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 412fi/2010
INSTRUCTIO-..-
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 Indicate the street address or general location of the
property where the building activity is taking place.
2. Parcel ED Number Indicite the tax. identificatioi number of the property where
the building activity is taking place.
3. Description of Project or Work Activity Completely describe the building activity to take place.
Please indicate if tear -off or shingle over shingle etc.
4. Total Roof Area 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.
5. Type of Roof Indicate the type of roof being repaired or resurfaced.
6. owner Information Indicate the name and address of the owner of the property
on which building activity is taking place.
7. Contractor Information Indicate the State of Florida registration number (if
applicable), St. Lucie County contractor license number and
the name of the business doing the work.
8. Value of Construction 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.1VL 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 Perrait Application rev. 3/1/2009
Planning & Development Services
Building & Code Regulation Division
2900 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re- Permit# VIG
1, b,'e ��J- ke,-,,A (,�alsk , licensed as a( )' ontractor ngineer/Architect
(Please print name & circle license type) *FS�4�ai g Inspector
*General, Buildino, Residential 149�,any Individual certiped under468 F.S. to makesuch an inspection.
On or about I did personally inspect the roof deck naiLg
(Date)
work at: �Lii ?-4-AV?'tA4 "b(-afA-2,-zrxc,-- 1;� V— V49,
(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.)
luj-
LO-W'
Signature and Sea[
STATE OF FL"&P"7'q
COUNTY OF
C �7-1 Q T-11 1 -9
License #
sworr Woand subscribed before me this &—dayof 'D&�ZWS&7 ZoLt
by U446L (A1j11C—W. Whais 2ersonally known to me or who has produced
as identification -
Notary Public, State of Florida
Signature of Notary; -1�
Commission Numbef(---f-
En 01/19/2011
(S'Ew JAMES MOME
��15-11ON 0 DD 934038
EXPIRES: octobot 19,2013
eon&-d Thru Notmy Pubk Vnde—tv'
E
RECEWED
JAN 0 9 2012
%A-orks
C'("-tY, F=L
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 36S7383 OR BOOK 33, PAGE 1393, Recorded 12/16/2011 at 01 PM
ArTER RPCQRD1NG-RMRNT0-
EEEHIT Nukl= I- T`�k1;,,i-
NOnCE OF COMNMNCEMENT
The undersigned hereby given notice that improvement will be made to certain real property, and in accordiunce with Chapter 713,
Florida statute* the following information is pmvided in the Notice of commencement
1. DESCRIPTION OF PROPERTY (Ltgal description rind street address) TAX FOLIO NUMBER.- /3;:2 -7pl-OD113 D--1
SUBDIVLSION------BLOCI�--TRACT----LOT----�BLDG-UNIT
AA- �% - , I r I- r1i 1 -41 1 7- A n. - .-- - I -- -- —
2.GEN'ERALDESCRIMONOFVMOVF.MENT; rCWk Vc- r%
3, OWNER INFORMATION: n
It. Address a4j-4;,'S- R-C�L 'INJ. 5�1175-7 t� inwrest in properly -ija
-Itd
d Name and address offee simple titleholder (if other thin owner
4. CONTRAC-17OR'S NAME, ADDRESS AND PHONE NTMER: /C��Id W,-Lk�-
35aO S"I kw.� Ih 6 " A 4 e �\ e, I —T, 3. C�� , "- --�14 CKf 1-i
5. SUnTY'S NAME, ADDRESS AND PHONE NUMBER A.4&ft6ND AMOUNT.
6. LENDER'S NAME, ADDRESS A" PHONE N-0"ER:
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)(&) 7., Florida Statutes:
NAME, ADDRESS AND FRONT, NUMBER:
8. In addition to himself or herself, Ovvriu designates the following to receive a copy of the Lienor's Notice as provided in Section
713.13 (1)(b), Florida Stinutes;
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) 2c�_
d"I / �, - t,�4? / VA&) L�Jt-,ACc-YL, ilk", 04
Signature of Ownstir or Print Name and Prorvidie Signatory's TitletOMce
O�uer's Authorized OMcer/Direclor/Partner/Manager
State of Florida
County of -�� -
The fr�Ming instrument -as acknowledged
before mir this
By -L ya ii lfJ eav ea-
(Nante of person)
(Type of authority ... e.g. 6wner, officer, trustet, attorney in faro
For vi (-- f-t
(Name of party on behalf of whom instrument was executed or produced the following type of ID:
AMAr. R T- BuRGESS
-1 NOTARY PUSLIC
STATE OF FLORIDA
Pctb[kme otary Public)
. � - LA- C5`:�>
(Signature ofrotary Public) I S Or Comrr,# EE088W9
'WW' EXPIrOs &12J2015
Under penalties of peri declare that I hav�
read the fbmgoing and that the facts in it are true to the best of my knowledge and
belief (section 92-525, Florida Statutes)
By:
Sigristure(s) of Owner(s) or Owriejr(s)' Authorized 01111cer/DirtaortPartner/Marnager who signed above:
STNTE OF FIOR�DA
�,T. LUCIE COUNTY
. ,, , � I A T T U I 4Z I C, A
THI
TRI
OR
By
D1
F!LE COPY
MIAMI-
67QUWW
DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY
AFFAIRS (PERA)
BOARD AND CODE ADMIMSTRATION DIVISION
NOTICE OF ACCEPTANCE (NOA)
Green River Log Sales, Ltd.
P.O. Box 515
Sumas, WA. 98295
MIAMI-DADE COUNTY
PRODUCT CONTROL SECTION
11805 SW 26 Street, Room 208
Miami, Florida 33175-2474
T (786) 315-2590 F (786) 315-2599
wvm.miamidade.eov/pera
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials.
The documentation submitted has been reviewed and accepted by Miami -Dade County PERA - Product Control
Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction
(AHI).
This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control
Section (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. PERA
reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control
Section 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: Green River Cedar Shakes and Shingles
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and
following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein.
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 renews NOA# 06-1107.01 and consists of pages I through 3.
The submitted documentation was reviewed by Alex Tigera.
NOA No.: 11-1018.06
MLAMMADECOUIM Expiration Date: 11/30/16
�F;3JA;($D;3=0§JU1-M 15�p� Approval Date: 11/17/11
Page I of 3
ROOFING ASSEMBLY APPROVAL
Cateeory:
Roofing
Sub-Cateeory:
Wood Shingles and Shakes
Materials
Wood
Deck Tvipe:
Wood
SCOPE
This approves roofing system using wood shingles and shakes as manufactured by Green River Log Sales, Ltd. As
described in Section 2 of this Notice of Acceptance, designed to comply with the Florida Building Code and the
High Velocity Hurricane Zone of the Florida Building Code.
PRODUCT DESCRIPTION
Product Dimensions Test
Specifications
Cedar Plus Shakes Widths = 411 to TAS 110
14"
Length = 24"
Cedar Plus Shingles Widths = T' to TAS 110
14"
Length
16", 18" or 24"
MANUFACTURING LOCATION
I . Mission, BC, Canada
EVIDENCE SUBMITTED
Test Aeency Test Identifier
PRI Asphalt Technologies GRLS-002-02-01
PRI Asphalt Technologies GRLS-00 1 -02-01
Product Description
Fire retardant and preservative tapered or
non -tapered cedar.
Fire retardant and preservative treated cedar,
with both faces sawn.
Test Name/Report Date
TAS-100 10/16/06
TAS-100 10/16/06
LIMITATIONS
1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory
for fire ratings of this product.
2. Shall not be installed on roof mean heights in excess of ft.
3
This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with
applicable Building Code
4. 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.
NOA No.: 11-1018.06
Expiration Date: 11/30/16
Approval Date: 11/17/11
Page 2 of 3
INSTALLATION
1. Green River Log Sales Ltd. Cedar Plus Shake, Cedar Plus Shingle"and its components shall be installed in
strict compliance with Roofing Application Standard 130.
Fastener Pull Through Resistance
Description
Maximum Pull Force (lbs)
Cedar Plus Shingle 16"
92
Cedar Plus Shingle 18"
105
Cedar Plus Shakes
196
LABELING
1. Shingle/Shake Bundles shall be labeled with the Miami -Dade Sea] as seen below, or the wording "Mianii-
Dade County Product Control Approved".
I
BUILDING PERMIT REQUIREMENTS
1. Application for building permit shall be accompanied by copies of the following:
1. 1 This Notice of Acceptance.
1.2 Any other documents required by the Building Official or the applicable code in order to properly
evaluate the installation of this system.
END OF THIS ACCEPTANCE
NOA No.: 11-1018.06
WMIAMI-DADE COUNTY Expiration Date: 11/30/16
Approval Date: 11/17/11
Page 3 of 3
Property Appraiser
St.Lucie Count-,
T
ti7PROPERTY
rL
Page I of I
RECORD CARD
Edward M Albert Record: I of I
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Spec,Assmnt Taxes
Exemptions Permits Home Print
Property Identification
C I E C,0
Site Address: 2955 Bent Pine Dr
ParcelID:
1327-701-0043-340-7
` . Y_
Sec/Town/Range: 27 :34S :39E
Account#:
133652
Map ID: 13/27S
Land Use:
SF Res
Zoning: PUD
City/Cnty:
St Lucie County
Ownership and Mailing
Owner:
Edward M
Albert Kimbedee
H Albert
Address:
2955 Bent
Pine Dr
Fort Pierce FL 34951-2925
Sales Information
Date
Price Code
Deed
Book/Page
3/26/2002
115000 00
WD
1512/2539
4/1212000
0 04
WD
1299/2255
4/12/2000
93000 04
WD
1299/2250
4/23/1996
81000 00
WD
1010/2233
2/10/1995
81000 00
WD
0941/1685
6/23/1992
62900 00
WD
0797 / 031 E
Legal =Description
MONTE CARLO COUNTRY CLUB -UNIT THREE- (UNIT 2955
T
77 P To
TOWNHOUSES AT WHIPPOORWILL RUN) THAT PART OF S670 FT
Assessment 2011 Final Total Land and Building
2011 Final: 64600 Land Value: 8000 Acres: 0.02
Assessed: 64600 Building Value: 56600
Ag.Credit: 0 Finished Area: 1710 SqFt
Exempt: 39600
Taxable� 25000
Taxes: 623.66
BUILDING INFORMATION
Exterior Features
View:
RoofCover:
DS - Cedar Shingl
RoofStruct:
GA - Gable
ExtType:
TH - Townhouse
YearBIt:
1991
Frame:
Grade:
C-C
EflYrBIt:
1991
PrimeWall:
BS - CB Stucco
StoryHght.
0010- 1 Story
No.Units:
I
SecWall:
Interior Features
BedRooms:
2
Electric:
MX - MAXIMUM
PrmlntWall:
DW - Drywall
FullBath:
2
HeatType:
FHA - FrcdHotAir
AvgHt/Fl:
1/213ath�
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. YrBIt.
No. Land Use
Type
Measure Depth
I 0100-SF Res
BI -Site
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/pre.asp?prclid=132770100433407 11/8/2011