HomeMy WebLinkAboutSUBMITTED PAPERS' I rr-'P ) ��'< - (
DATE: FEES DUE: 0Cp I RECEIPT kermit #: (J
SCA/VtVeL)
Planning & Development Services Department BY
0 a N Building & Code Regulation Division St. Lu
2300 Virginia Avenue C'e COUn
Ft. Pierce, FL 34982-5652 9
Tel. 772-462-1553
APPLICATION FOR ROOF PERMIT IV 0 -r" ; C)
EE REVER E IDE FOR INSTRUCTIONS
1. Location/Site Address:? 1-so 194 -4�-
Ott
2. Parcel ED Number: �z' 3�6�5- 70 F, P4 -11
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lee Use
Only �
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3. Description of Project or Work Activity: JZ 40- _C, JZ6)0-P �- teit�l 'v/� a lel C-e�e
I-V
4. Total Roof Area (square feet): /900-49=4- 5. Roof Pitch: —41 —/a
f
6. Type of Rooh V Fiberglass Shingle
[ ] Tar & Gravel
I Concrete Roof Tile
[ I Modified Bitumen
I I Wood Shake/ Shingle
[ I Other
I I Product Approval required for all types of Roofing Material (2 Sets)
I 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&f�e 8.
Name: glf-kci'
Address: � I qc' I
City: State:
Zip: Phone:
I �I - b�s�—-q?w
9. Value of Constrnetion: S ':�' CX0
Contractor Information
FL Reg/Cert
County Cerl
Business Na
Cell Phone:
"Note Dry -in and Final Inspection Required. Additional inspection may be required per Product Approval.
CID CTOR/OWNER'S AFFIDAVIT: I certify that all of the inforrruition contained in this apptication is comet and that aH work will be
done i comp aul alp dilw I lating construction and zoning.
�t7j
17c C17
PRINT QUALIFIERNOWNERS NAM[E si V"UAUMRtOWNER
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME TMS 9 DAY OF
WHO IS PERSONAUY KNOWN TO AM OR HAS
2 0 / - � , B Y R i C, A/ , q ) ? J) / 9 1 --- -4 k, 1 1, , ( ( -
SIG'N-ATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
COMMISSION NUMBER 15�
ELLEN L. BOULETTE
NotarY Public - State ot Florida
My Comm. Expires SOP 25. 2015
Commission # EE 101180
B-on-red Through NbOngl .40tary "Sn
NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MXV7Z3M-r,1N-TMJ1fPAYING TWICE
FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
Reviwd 412612010
INSTRUCTIOfNS
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,
L JU9 2. All permit applications must be filled out completely before submission. No applications will be
,,�L
�e' —p- - P 1VL For assistance in completing this application, please call (772)
;c pt'CM '%ft"rw#.30
I ffict
462-1553, during regul*r-6, ce Pours (8:00 AM - 5:00 PM), Monday through Friday.
Upon issuance of this permit, r$'quired inspections can be scheduled by calling (772) 462-1261.
St. Lucie County Roof Permit Application rev. 3/l/2009
R�
Planning & Development Services Department
Building & Code Regulations
2300 Virginia Avenue
Fort Pierce, Florid2 34982
-1553
(772)462
OWNER/BUILDER 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 ordinances. 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 wor rs'
compensation for that employee, all as prescribed by law. Your construction must comply with all applica w
ordinances, building codes, and zoning regulations. Initial
al and inspectors are not there to design or give advice ?onho
I understand that the building offici Initia
the minimum code. Z�t
L'i
I understand that as an owner -builder that any contract disputes with sub -contractors and I must be handl-e. d
in a civil court with the advice of an attorney. Ibis department will not mitigate any contract disputes.
Initial
1 understand that if I compensate any person or company for work performed they are requir� to be
licensed in this jurisdiction. If for some reason they do not possess a license, I may be responsible and
Initial
cost of the license.
I understand that if any person that is unlicensed and uninsured gets injured on my construction pro t-
kmen's compensation. I could be held liable for all doctor, lawyer and relatePi,
they may be entitled to wor g recovery from their injury. initial —8-"
cost, which could include loss of wages durin
To qualify for this exemption under this subsection, an owner must personally appear and sign the building
permit application and initial the above.
ec
�o 4,
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 owneribuilder exemption shall be reported by the Building and
7 � and d on
Zoning Department to the Florida State Department of Professional Regulation. Signed and acknow edged on this
_/,�7 day of of 20
0 /Bud�o
'I ture
Own U* igna e
STATE OFFLOAR�_
COUNTY OF NA
by
Signature
Title: Nol
SLCPDSD Revised 07/22/2010
rl�jJ Oda, of _3��CN , 20J,
'144=onally known to me, or who has
as identification.
yk 0�-Y - -
ot Seal) AWELAMMUFF
or Print e of Notary 11
--*cm # EE OM
commission Number
EXPIRES: April 12,2015
...... Borlded Thru Notary Public UO(IMAItam
. , - I
JOSEPH E. SMITH, CLERK OF TF17 nIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 3663023 OR BOOK 335� AGE 1015, Recorded 01/09/2012 at 12: ?M
Permit No
State of Florida County of St. Lucie
NOTICE OF COMMENCEMEN
I I �,; L5 - - 7-,'
Tax Folio No. 2 7
rhe undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713 Florida Statutes,
?— ��i I -
the following information is provided in this Notice of Commencement. 4--
Legal Description of Property: (and street address it avai ble):
1u) '-WW 1074
General description of Improvement:LO Sk� i ia S4L f"If 40
-j 3 7 5'
Owner information or Lessee Information if the Lessee contracted for the Improvement:
Name Acc 6 AA43
Address
interest in property:
Name andaddressoffee simple titleholder (if different from Owner listed above):
r's Name:
r Address:
Phone Number: —
el> IVA) �e /t- & 4, zeeot-,
Surety (if applicable, a copy of the payment bond is attached): Amount of bond:
Name and address: —Phone number:
�ender Namw Phone Number:_
'-ender's address:
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
jnjj(1)(a)7., Florida Statutes;
Name: Phone Number:_
in addition to himself or herself, Owner designates to receive a copy of the
Lienor's Notice as provided in Section 713.13(l)(b), Florida Statutes.
Phone number of person or entity designated by owner:
Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to the
contractor, but will be 1 year from the date of recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND P05TED ON THE JOB SITE BEFORE THE FIRST
1NSPECTiON. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
t.
Onder penalty j peTijury, I decla that e read the foregoing notice of commencement and that the facts stated therein are true to the best of
.Ty kno g
(Signat,o of Owflier or Lessee, or Owner's or Lessee's Authorized officer/Director/Partner/Manager
(Signatory's Title/Office)
The foregoing instrument was acknowledged before me this day 2 ok?--
of
fo
Type of authority (e.g.officer,trustee) Party on behalf ofwhorn instrument was executled
ELLEN L. BOULETTE P nally known_Lor produced Identification
.b State
20
y P lid I'.. S.' 25;80
E-P
'o" - EE '0'
(Signature of Notary Public - State of Florida) Notary Public - State of Florida
(Print, Type, or Stamp Commissioned Name VY Expires Sep 25, 20 e of Identification produced
No
=C
in
salon as EE 101180
Bonded Through National Notary Assn.
�,7
(;I
By
Dat,
711�
71
t—A. IAM I D DE
MIANII-DADE COUNTY
PRODUCT CONTROL SECTION
13 tj ILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT (BNQ
11805 SW 26 Street, Room 208
B(C)ARD A IEA,'),�,iiNIS'I'RA*T'iONL)IVISION
Miami, Florida 33175-2474
P'li
N�)
T'f786)315-2590 F(786)315-2599
r[ C9PTfC%Fr,0
0 0,
ff
iv%v%i,,iiiiinii(IR(ILgoy/btiildiiig/
OLEovveris Corning o nd Al��, L,I,('
olle0wens Corning Parkway
Toledo, OH 43659
SCIOPE:
Th� is NOA is being issued Linder the applicable rules and regulations governing the use of construction materials.
TlLe documentation submitted has been reviewed by Miatrii-Dade County Product Control Section and accepted
by tht Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by
tht—_ ALIthority Having Jurisdiction (AHJ).
Th, is NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control
Ser—tiDn (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
ininediately 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
SectiDn that this product or material fails to meet the requirements of the applicable building code.
Th is product is approved as described herein, and has been designed to comply with the Florida Building Code
including the 14igh Velocity Hurricane Zone of the Florida Building Code.
DESCRIPTION: Oakridge@ Shingle
LABELING: Each unit sliall 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
prodLiCt, for sales, advertising or any other purposes sliall automatically terminate this NOA. Failure to comply
with any section of this NOA shall be cause for termination and removal of NOA.
ADVERTTSEMENT: The NOA number preceded by the words Mianii-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 eiltiret�,-
INSPE CTION: A copy of this entire NOA shall be provided to the User by the manufacturer or its distributors
and sliall be available for inspection at thejob site at the request of the Building Official.
Thi5 NOA consists of pages 1, through 4.
The submitted documentation vlas reviewed by, Alex Tigera.
NOA No.: 10-1015.01
Expiration Date: 02/03/16
Approval Date: 02/03/11
Page I of 4
VOOFLN�G ASSEMBLY APPROVAL
j�j�o ry
Ajiterials
p � � �Te.
SCOPE
Roofing
Asphalt Shingles
Laminate
Wood
Ths approves a roofing system using Owens Corning OakridgelD asphalt shingles manufactured by Owens
Ccning as described in Section 2 of his Notice of Acceptance.
IPIODUCT DESCRI[PTION
Product Dimensions Test Product Description
Specifications
(>a1ridge@ 13 1/," x 39'/8" TAS 110 A heavy weight, fiberglass reinforced
A,faujacturing laminate asphalt shingle with continuous
Locotions # 1, 2, 3, 4 bead of sealant.
0;akridge@ 13 'A" x 3 93/8,, TAS 110 A heavy weight, fiberglass reinforced
1W a-rufacturing laminate asphalt shingle with dashed bead of
Loc4tion #4 sealant.
NIANUFACTURING LOCATION
I , Memphis, TN
2, Irving, TX
3, Savannah, GA
4. Jacksonville, FL
EVIDENCE SUBMITTED
Test Aaency
Test Identifier
Test Name/Report
Date
PR_l Construction Materials Technologies
OCF-153-02-01
TAS 100
09/22/10.
PR_1 Construction Materials Technologies
OCF-152-02-01
TAS 100
09/21/10
PRJ Construction Materials Technologies
OCF-158-02-01
TAS 100
11/10/10
PRI Construction Materials Technologies
OCF- 151-02-01
TAS 100
09/27/10
PRI Construction Materials Technologies
OCF- 150-02-01
TAS 100
09/21/10
Underwriters Laboratories
09NK14530
ASTM D 3462
12/31/09
Underwriters Laboratories
R2453
ASTM D 3462
10/11/10
Uqderwriter� Laboratories
R2453
ASTM D 3462
11/03/10
Underwriters Laboratories
R2453
ASTM D 3462
10/11/10
Underwriters Laboratories
R2453
ASTM D 3462
10/11/10
Undenk,riters Laboratories
R2453
ASTM E 108
01/13/11
Under-writcrs Laboratories
R_') 4 5 3
ASTM E 108
10/111,10
Undenvriters Laboratories
R-2453
ASTM E 108
11 /031/ 10
Underwriters Laboratories
R2453
ASTM E 108
10/11/10
UT1deM:rIters Laboratories
R2453
ASTME 108
10/11/10
NOA No.., 10-1015.01
MIAMI-DADE COUNTY
Expiration Date: 02/03/16
Approval Date: 02/03/11
Page 2 of 4
Ujide-l-writers Laboratories
Ljrldenvriters Laboratories
Uriderwriters Laboratories
Undet-writers Laboratories
Uriderwriters Laboratories
UJUITATIONS
09NK14530
TAS 107 (ASTM D 3 16 1)
01, NK44201
TAS 107 (ASTM D 316 1)
IONK13947
TAS 107 ( ASTM D 316 1)
R22453
TAS 107 (ASTM D 316 1)
03NIK04954
TAS 107 (ASTM D 316 1)
12/31/09
09/09/02
11/12/10
10/11/10
03/07/03
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 33 ft.
3 - All products listed lierein shall have a quality assurance audit in accordance with the Florida Buildirig
Code arid Rule 913-72 of the Florida Administrative Code.
INWALLATION
1. Shingles shall be installed in comptiatice with Roofing Application Standard RAS 115.
!. Flashing shall be in accordance with Roofing Application Standard RAS 115
J. The manufacturer shall provide clearly written application instructions.
i. EXPOSUre and course layout shall be in compliance with Detail W, attached.
5. Nailing shall be in compliance with Detail'B', attached.
LABELING
1. Shingles shall be labeled with the Miami -Dade Seal as seen below, or the wording "Miami -Dade County
Product Control Approved".
-DADE C UNTY
BUILDING PERMIT RE, QUIREMENTS
1. Application for buildingpermitshall 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.
fig MME�40—NO-17=74 NOA No.: 10-1015.01
MIAMI-DADE COUNTY EKpiration Date: 02/03/16
M_ =77 . . .... Approval Date: 02/03/11
Page 3 of 4
DETAIL A
—EDGE OF ROOF
nWFN,; ('.ORNjN(. nAKRIDGE
I G�l 12"
FIRST (
DETAIL B
OWENS CORNING OAKRIDGE
WITH CONTINUOUS OR DASHED SEALANT
39 3/8"
1 1-
13- 114
8
END OF THis AcCMANCV,
MIAMt-D
5 5/8" EXPOSURE
NOA.N'o.: 10-1015-01
Expiration Date: 02/03/16
Approval Date: 02/03/11
Page 4 of 4
Property Appraiser - St.Lucie County 17T,
Page I of I
Richard J Melville
Record: 1 of I
Property Identification
Site Address:
8150 14th Hole Dr
Sec/Town/Range:
25:36S :40E
Map ID:
34/25S
Zoning:
PUD
PROPERTY RECORD CARD
Prev Next >> Spec.Assmnt Taxes Exemptions Permits Home Print
Ownership and Mailing
Owner: Richard J Melville Grace Melville
Address: 8150 14th Hole Dr
Port St Lucie FL 34952-3330
\)3CIE oo
ParcelID: 3425-707-0054-000-7
Account#: 148021
Land Use: Mob Homes
City/Cnty: St Lucie County Auk
LINKS AT SAVANNA CLUB (PB 40-39) BLK 34 LOT 21 (OR 3175-
1995) - —AM
Sales Information
Assessment 2011 Final
Total Land and Building
Date Price
Code
Deed
Book/Page
2011 Final:
64900
Land Value: 13000 Acres: 0.18
2/24/2010 61500
0116
LE
3175/1995
Assessed:
64900
Building Value: 51900
2124/2010
0116
LE
3175/1993
Ag,Credit:
0
Finished Area: 1677 SqFt
10/24/2002
01
LE
1606/2001
Exempt:
9/30/1997 4000000
02
WD
1106/1324
Taxable:
Taxes:
1320.44
BUILDING INFORMATION
Exterior Features
View:
RoofCover:
-
RoofStruct: -
ExtType: MHA - MHA
YearBlt:
2002
Frame: -
Grade: SAVL-SAVL
EffYrBIt:
2002
PrimeWall: -
StoryHght: 0010- 1 Story
No.Units:
I
SecWall: -
Interior Features
BedRooms: 2
Electric:
-
PrmlntWall:
FullBath: 0
HeatType:
FHA - FrcdHotAir
AvgHt/Fl:
1/213ath: 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
CNC2 - CONCRETE LOW Y 1
885 AV AV
2002 1 0200-MobHomes
N -Flat I
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED
De0h
http://www.paslc.org/prc.asp?prclid=342570700540007 01/09/2012