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Home My WebLink AboutSUBMITTED PAPERSDATE: I FEES 73v. eFT—R-EcEIPT #: __F_Permit�: Planning & Development Services Department Building & Code Regulation Division 2300 Virginia Avenue Ft Pierce, FL 34982-5652 St. Tel. 772-462-1553 UCk? CO(J/7t APPLICATION FOR ROOF PERMIT y SEE REVERSE SIDE FOR INSTRUCTIONS 5- Cl,,q ---; -3 1. Location/Site Address: 2. Parcel ED Number:* Ofrice Use conly I Section I Township I Ran2e I Map Pnee I Zoning I Land Use I Initials I �gzz I S&S I V06 3 ih QA_ �MEW_* 3. Description of Project or Work Activity: 4. Total Roof Area (square feet): 5. Roof Pitch: 6. Type of Roof. [—] Fiberglass Shingle Concrete Roof Tile Wood Shake/ Shingle [ I Tar & Gravel [ I Modified Bitumen I I Other I 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:� _F 4�ek,9?v I-11C Address: 15- 6�,4/ C14 �,V City: L202ELL�IZ0,27 State: 90A>4D,,� Zip: 5 ZI c7,57 — Phone: 772 77 9. Value of Construction: $ 16 00- sgo FL Reg/Cert #: OLI) )z County Cert #: Business Name: Cell Phone: ZZ .-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 tl-�s application is correct and that all work wiH be done in compliance with all applicable laws ulatmig constructiou �and zoning. QUALIVIERSIOWNERS NAME -SIGNATUROACIF QUAIHWR/0V09R_ el STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE FIAE THIS DAYOF 20—a BY Aie",Dov K - 4;1 e IS PERSONALLV)PigWN TO ME OR IAS PRO?CtEM 10 AS IDENTIFICATION ,640 JAA-, ,P- %fffAYUff 4ftiOfArV V_' i�R PRINT NAME dF NOYARV (seal) 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 C7612010 AUDREY 13 ijUmPHREY EE 061159 EXF)IRE& Njarch Co. 2015 iters 'Ovided Thru NOWY Public Undew I 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 PAL 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/l/2009 Planning & Development Services Department Building & Code Regulations 2300 Virgini2 Avenue Fort Pierce, Florida 34982 (772) 462-1553 OWNER/BUILLDER AFFIDAVIT DISCLOSURE STATEMENT F.S. 489.103 (7) EXEMPTIONS State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must provide direct, on -site supervision of the construction yourself You may build or improve farm outbuildings, a one -family or two-family residence or a commercial building at a cost of under $75,000.00. The building or residence must be for your own occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved your self within one year after the construction is complete, the law will presume that you built or substantially improved it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building; it is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinahces. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all appli ble laws, ordinances, building codes, and zoning regulations. Initi I understand that the building official and inspectors are not there to design or give advice on ho to n et the minimum code. Initial 42 %,r7 I understand that as an owner -builder that any contract disputes with sub -contractors and I must be handled in a civil court with the advice of an attorney. This department will not mitigate any contract disputes. Initial I understand that if I compensate any person or company for work performed they are required to be licensed in this jurisdiction. If for some reason they do not possess a license, I may be responsible and liable �forte cost of the license. lnitia��. I understand that if any person that is unlicensed and uninsured gets injured on my construction project - they may be entitled to workmen's compensation. I could be held liable- for all doctor, lawyer and relatedl,�nedi* cost, which could include loss of wages during recovery from their injury. Initia�� - To qualify for this exemption under this subsection, an owner must personally appear and sign the building permit application and initial the above. I hereby acknowledge that I have read and understand the above disclosure statement and that I further understand that any violation of the terms of the owner/builder exemption shall be reported by the Building and Zoning Department to the Florida State Department of Professional Regulation. Signed and acknowledged on this day of of 2017—. l,r- 0 �uilder Signature STATE OF FLORIDA COUNTY OF Thepregoing instrurifegonpTwa's-qcknowledged before me this 201 __& day of by k guff POV hois personally kno to me, or who has pro as i ?tfificantion. 7b A1L--23?-%1g;30y. Z-7JI- -v- 74 STi in a� e lof JK IT= P, :)f Notary— M P e "al ,�tary Title: Notary"Public Commission Number AUDRENt B HUMPHREY SLCPDSD Revised 07/22/2010 MISSION # EE 061159 My COM h6 20`15 EXPIRES: Marc Bonded Thru NotarY Public underwriters 4- 01.0 Vy ICOPI MIAM� bWAAW 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 (305) 375-2901 FAX (305) 375-2908 NOTICE OF ACCEPTANCE (NOA) GAF Materials Corporation 1361 Alps Road. 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 Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) 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 Miami -Dade County Product Control Division (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. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division 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 Royal Sovereign Shingle 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 revises NOA #09-0413.12 and consists of pages I through 4. The submitted documentation was reviewed by Alex Tigera. NOA No.:09-0825.06 Expiration Date: 04/22/13 Approval Date: 10/07/09 Page I.of 4 ROOFING ASSEMBLY APPROVAL Cateeory: Roofing Sub-Cateeory: 073 10 Asphalt Shingles Materials 3-Tab Deck Type: Wood 1. SCOPE This approves GAF -Elk Royal Sovereign Shingle as manufactured by GAF Materials Corp described in Section 2 of this Notice of Acceptance. 2. PRODUCT DESCRIPTION Product Dimensions GAF -Elk Royal 12" x 36" Sovereign 3. EVIDENCE SUBMITTED: Test A2ency Center for Applied Engineering PRI Asphalt Technologies, Inc. PRI Asphalt Technologies, Inc. Underwriters Laboratories, Inc. Underwriters Laboratories, Inc. Underwriters Laboratories, Inc. Center for Applied Engineering Underwriters Laboratories, Inc. Underwriters Laboratories, Inc. Test Product Description Specifications TAS 110 Fiberglas reinforced heavy weight asphalt roof shingle, with a 3-Tab profile Test Identifier Test Name/Report Date TAS 100 02/23/94 TAS 100 GAF-105-02-01 11/14/05 TAS 100 GAF- 182-02-01 02/07/08 TAS 107 Modifed ASTM D 3161 03/24/08 Modified ASTM D3161 05CA48258 11/28/05 05CA47804 11/11/05 08NK02337 03/12/08 08NK12906 10/10/08 ASTM D 3462 ASTM D3462 09/12/06 ASTM D 3462 08NK02337 03/12/08 257966 ASTM D3462 03/21/97 ASTM D 3462 09CA21715 05/20/09 ASTM D 3462 08CA61515 07/15/09 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. 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 '13', attached. NOA No.:09-0825.06 Expiration Date: 04/22/13 Approval Date: 10/07/09 Page 2 of 4 6. LABELING 6.1 Shingles shall be labeled with the Miami -Dade Sea] as seen below or the wording "Miami - Dade County Product Control Approved". 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 Savannah, GA GAFMC I Brampton Road P.O. Box 7329 Savannah, GA 31418 Ph: (912) 966-8800 8.2 Tuscaloosa, AL GAFMC 4602 Stillman Blvd. Tuscaloosa, AL. 35401 Ph: (800)-945-5545 8.3 Tampa, FL GAFMC 5138 Madison Ave. Tampa, FL 33619 8.4 Mt. Vernon, IN GAFMC 901 Givens Road Mt. Vernon, IN. 47620 8.5 Mobile, AL GAFMC 2400 Emogene Street Mobile, AL. 36660 8.6 Dallas, TX GAFMC 2600 Singleton Blvd. Dallas, TX. 75212 NOA No.:09-0825.06 A=0UNTWY Expiration Date: 04/22/13 W192091114 Approval Date: 10/07/09 Page 3 of 4 DETAIL A DETAIL 13 —3611 m END OF TMS ACCEPTANCE NOA No.:09-0825.06 MLAAMHAD iOU� Expiration Date: 04/22/13 I F! 3; 12; Loll; 30, 1 =16 Approval Date: 10/07/09 Page 4 of 4 Property Appraiser - St.Lucie C-linty, FL Page I of I I I 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 ParcelID: 115459 Sec/Town/Range. 27:36S:40E Account# Mapl[D� 34/27N Land Use� PRKG/MOBILE Zoning� AR-1 City/Cnty: St Lucie County A�k Ownership and Mailing Legal Description Owner: Wynne Building Corp 27 36 40 ALL THAT PART LYING E ANDN OF ST LUCIE RIVER AND Addressi 8000 S US Hwy 1 Ste 402 W OF US 1 (218.217 AC) (OR 254-1990, 2013) Port St Lucie FL 34952 Sales Information Assessment 2011 Final Total Land and Building Date Price Cade 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 SqFt Exempt: Taxable: Taxes: 255159.49 BUILDING INFORMATION Rd Exterior Features View: RoofCover - RoofStruct - ExtType: MHPK - MH Parks YearBlt: 1983 Frame - Grade C-C EffYrBlt 1983 PrimeWaIL - StoryHght� 0010- 1 Story No Units: 610 SecWalL - Interior Features BeclRooms: 730 Electric: - Prm1ntWall: FullBath: 0 HeatType: AvgHt/Fl- 1/2Bath: 0 Healffuel� - Prm.Flors: - %A/C: 0 %Heated: 0 %Sprinklecl� 0 Special Features and Yard Items Land Information Type Y/S Oty 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?prclld=342711100020005 1/6/2012