Building Code Administration
Form BCAD 104 - REV 080116
1335 Shotgun Road Sunrise, Florida 33326 (954) 635-2130 Fax: (954) 206-7227 CA9224
Page 1 of 2
ROOFING PERMIT APPLICATION
FOR OFFICE USE ONLY
INSTRUCTIONS: Submittals shall include the Attached FBC Sect. 1525
Application. Application must be typed or printed in ink. Submit original
application signed and notarized. Attach (2) two sets of hardcopy plans,
specs, product approvals, calcs and asbestos abatement report (REQUIRED).
For further assistance call (954) 635-2130.
Permit No.
File No.
1. BC Proj. Mgr:
Mobile: ( ) -
Email:
2. BC Project No.:
Asbestos Abatement report attached: Y N
3. Campus: North Central South DTC Cypress Coral Springs Miramar
Other:
4. Building No. / Location:
New Roof
Re-roof
Repair Roof / Waterproofing
Wood
Metal
Concrete
To Remain
OR
To be removed
6. Number of squares of each type: Pitched: Flat:
Mean Roof Height: Slope of Roof:
7.
Waterproofing system description:
Plans / Specs attached
8. Roof Covering Materials (Mark all boxes that apply)
Built-Up
Modified
Clay Tile
Standing-Seam Metal
Single-Ply
Cold Tar
Cement Tile Shingles
Composition
Other (describe):
9. Roof Mounted E
quipment:
A/C
Solar Ventilation None
10. Roofing system to be used: (Attach Specifications)
11. Est. Cost $ Est. Duration Days Est. Sq Ft.
12. Contracting Firm:
Address:
Qualifier Name:
License No.: Phone:
13. Architect / Engineer:
Address:
Qualifier Name:
License No.: Phone:
14. Present Insulation Value R,(IN):
15. Proposed Insulation Value R,(IN):
011818
REV 050818
6950 Cypress Rd. Suite 106, Plantation, FL 33317
REV 010419
954.766.2717
Fort Lauderdale Office · 1800 Eller Drive · Suite 600 · Fort Lauderdale, FL 33316 | O:954.766.2717 |·CA514
1335 Shotgun Road Sunrise, Florida 33326 (954) 635-2130 Fax: (954) 206-7227 CA9224
Page 2 of 2
This application is hereby made to obtain a permit to do the work and installations as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit and that all
work will be performed to meet the standards of all laws regulating construction in this
jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,
PLUMBING, SIGNS, WELLS, POOLS, ROOFS, FURNACES, BOILERS, HEATERS, TANKS,
AND AIR CONDITIONERS, etc…
OWNER/CONTRACTOR AFFIDAVIT: I certify that all the foregoing information is
accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning.
NOTICE: In addition to the requirements of this permit, there may be additional
restrictions applicable to this property that may be found in the public records of this
county, and there may be additional permits required from other governmental entities
such as water management districts, state agencies or federal agencies.”
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
16. Owner (or BC Project Manager):
Print Name of Owner (or PM)
Contractor / Qualifier:
Print Name of Contractor
Date:
Date:
________________________________
Owner or Program Manager Signature
STATE of FLORIDA, COUNTY of
Sworn to and subscribed before me this day of
, 20 , by .
_________________________________
Notary Signature
(SEAL)
Personally known OR produced identification
Type of identification produced
________________________________
Contractor (Qualifier) Signature
STATE of FLORIDA, COUNTY of
Sworn to and subscribed before me this day of
, 20 , by .
_________________________________
Notary Signature
(SEAL)
Personally known OR produced identification
Type of identification produced
Building Code Administration Use Only
BCAD Approval Signatures:
Recommended for Approval: __________________________Date: _______________
Application Approved by: _____________________________Date: _______________
6950 Cypress Rd. Suite 106, Plantation, FL 33317
Fort Lauderdale Office · 1800 Eller Drive · Suite 600 · Fort Lauderdale, FL 33316 | O:954.766.2717 |·CA514
click to sign
signature
click to edit
click to sign
signature
click to edit
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2OOF3YSTEM
2EQUIRED3ECTIONSOFTHE
0ERMIT!PPLICATION&ORM
!TTACHMENTS2EQUIRED
3EE,IST"ELOW
Low Slope Application A,B,C 1,2,3,4,5,6,7
Prescriptive BUR-RAS 150 A,B,C 4,5,6,7
Asphaltic Shingles A,B,D 1,2,4,5,6,7
Concrete or Clay Tile A,B,D,E 1,2,3,4,5,6,7
Metal Roofs A,B,D 1,2,3,4,5,6,7
Wood Shingles and Shakes A,B,D 1,2,4,5,6,7
Other As Applicable 1,2,3,4,5,6,7
1. Fire Directory Listing Page
2. From Product Approval:
Front Page
Specific System Description
Specific System Limitations
General Limitations
Applicable Detail Drawings
3. Design Calculations per Chapter 16, or if applicable, RAS 127 or RAS 128
4. Other Component of Product Approval
5. Municipal Permit Application
6. Owners Notification for Roofing Considerations (Reroofing Only)
7. Any Required Roof Testing/Calculation Documentation
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Master Permit No.___________________________________________________ Process No. _______________
Contractor’s Name______________________________________________________________________________
Job Address__________________________________________________________________________________
3ECTION"2OOF0LAN
Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimen-
sions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets.
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Low Slope Mechanically Fastened Tile Mortar/Adhesive Set Tiles
Asphaltic Shingles Metal Panel/Shingles Wood Shingles/Shakes
Prescriptive BUR-RAS 150
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New roof Repair Maintenance Reroofing Recovering
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Low Slope Roof Area (SF)______ Steep Sloped Roof AREA (SSF)______ Total (SF)______
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3ECTION#,OW3LOPE!PPLICATION
Fill in specific roof assembly components and identify
manufacturer
(If a component is not used, identify as “NA”)
System Manufacturer:______________________________
Product Approval No.:______________________________
Design Wind Pressures, From RAS 128 or Calculations:
P1:____________ P2:_____________ P3:_____________
Max. Design Pressure, from the specific product
approval system:__________________________________
Deck:
Type:________________________________________
Gauge/Thickness:_____________________________
Slope:_______________________________________
Anchor/Base Sheet & No. of Ply(s): ___________________
Anchor/Base Sheet Fastener/Bonding Material:
_________________________________________________
Insulation Base Layer: _____________________________
Base Insulation Size and Thickness: _________________
Base Insulation Fastener/Bonding Material:
_________________________________________________
Top Insulation Layer: ______________________________
Top Insulation Size and Thickness: __________________
Top Insulation Fastener/Bonding Material:
______________________________________________
Base Sheet(s) & No. of Ply(s): _______________________
Base Sheet Fastener/Bonding Material:
_________________________________________________
Ply Sheet(s) & No. of Ply(s): _________________________
Ply Sheet Fastener/Bonding Material:
_________________________________________________
Top Ply: _________________________________________
Top Ply Fastener/Bonding Material:
_________________________________________________
Surfacing: _____________________________________
Fastener Spacing for Anchor/Base Sheet Attachment:
Field: ____” oc @ Lap, # Rows ____ @ ____” oc
Perimeter: ____” oc @ Lap, # Rows ___ @ ____” oc
Corner: ____” oc @ Lap, # Rows ____ @ ____” oc
Number of Fasteners Per Insulation Board:
Field _____ Perimeter _____ Corner _____
Illustrate Components Noted and Details as Applicable:
Woodblocking, Gutter, Edge Termination, Stripping, Flashing,
Continuous Cleat, Cant Strip, Base Flashing, Counterflashing,
Coping, Etc.
Indicate: Mean Roof Height, Parapet Height, Height of Base
Flashing, Component Material, Material Thickness, Fastener
Type, Fastener Spacing or Submit Manufacturers Details that
Comply with RAS 111 and Chapter 16
Parapet
Height
Mean
Roof
Height
FT.
FT.
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Roof System Manufacturer: ___________________________________________________________________________
Notice of Acceptance Number: _________________________________________________________________________
Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations):
P1: _____________ P1: _____________ P1: _____________
Roof Slope:
_______: 12
Ridge Ventilation?
___________________
Mean Roof Height: ___________
Type Underlayment:
Deck Type:
Insulation:
Fire Barrier:
Fastener Type & Spacing:
Adhesive Type:
Type Cap Sheet:
Roof Covering:
Type & Size Drip
Edge:
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3ECTION%4ILE#ALCULATIONS
For Moment based tile systems, choose either Method 1 or 2. Compare the values for M
r
with the values from M
f
. If the M
f
values
are greater than or equal to the M
r
values, for each area of the roof, then the tile attachment method is acceptable.
Method 1 “Moment Based Tile Calculations Per RAS 127”
(P1:____ x O ____ = ____) – Mg: ____ = M
r1
____ Product Approval M
f
__________
(P2:____ xO ____ = ____) – Mg: ____ = M
r2
____ Product Approval M
f
__________
(P3:____ xO ____ = ____) – Mg: ____ = M
r3
____ Product Approval M
f
__________
Method 2 “Simplified Tile Calculations Per Table Below”
Required Moment of Resistance (M
r
) From Table Below _______ Product Approval M
f
_______
*Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and
Appeals.
For Uplift based tile systems use Method 3. Compared the values for F’ with the values for Fr. If the F’ values are greater than or
equal to the Fr values, for each area of the roof, then the tile attachment method is acceptable.
Method 3 “Uplift Based Tile Calculations Per RAS 127”
(P1:____ x L ____ = ____ x w: = ____) – W: ____ x cos r ____ = F
r1
____ Product Approval F’ __________
(P2:____ x L ____ = ____ x w: = ____) – W: ____ x cos r ____ = F
r2
____ Product Approval F’ __________
(P3:____ x L ____ = ____ x w: = ____) – W: ____ x cos r ____ = F
r3
____ Product Approval F’ __________
M
r
required Moment Resistance*
Mean Roof Height
Roof Slope
15c 20c 25c 30c 40c
2:12 34.4 36.5 38.2 39.7 42.2
3:12 32.2 34.4 36.0 37.4 39.8
4:12 30.4 32.2 33.8 35.1 37.3
5:12 28.4 30.1 31.6 32.8 34.9
6:12 26.4 28.0 29.4 30.5 32.4
7:12 24.4 25.9 27.1 28.2 30.0
7HERETO/BTAIN)NFORMATION
$ESCRIPTION 3YMBOL 7HERETOFIND
Design Pressure P1 or P2 or P3
RAS 127 Table 1 or by an engineering analysis pre-
pared by PE based on ASCE 7
Mean Roof Height H Job Site
Roof Slope r Job Site
Aerodynamic Multiplier O Product Approval
Restoring Moment due to Gravity M
g
Product Approval
Attachment Resistance M
f
Product Approval
Required Moment Resistance M
g
Calculated
Minimum Attachment Resistance F' Product Approval
Required Uplift Resistance F
r
Calculated
Average Tile Weight W Product Approval
Tile Dimensions L = length W = width Product Approval
All calculations must be submitted to the building official at the time of permit application.