HomeMy WebLinkAboutpermit applicationALL APPLICA LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1Q IZv 1� Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT tOCA'110 :
Address:��2Z
Legal Description:
Property Tax ID #: Lot No. �� l
Site Plan Name: Block No.1�
Project Name:
Setbacks Front _ Back: Right Side:(----<, Left Side:
DETAILED DESCRIPTION OF WORK:
-D A3 Gc`�cL�,r IZk
CONSTRUCTION WFORMATION:
liana war toorm under this permit — check a _app y:
HVAC 11 Gas Tank OGas Piping _ Shutters �indows/Doors
U Electric 0 Plumbing ❑Sprinklers El Generator 0 Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: S Utilities: jh2Sewer Septic Building Height:
OWNER/L=
'CONTRACTOR:
Name���t`c�
Name: Et-`\ l
Addres •
Company
Citv:> L c �C� State LF
Zip Code: � i�rZ Fax:
Phone Nc__M 23 - q2 I
Address: ��,�G �i �✓�7✓� SCP
CO: L:: ( l _(CSC_ State:
Zip Code: 3�C1� 3 Fax:1Z•Z `Ft
PhoneNo7 2-'24L)—i- —1Ii,o5
E -Mail:
Fill in fee simple Title Halder an next page I if different
E -Mail. C-�e cUD"z qrho6k -
from the Owner listed above)
State or County Licen e:
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address;
COUNTY OF a
Address:
The for Ding instrument was acknowledgeefore me
this I dayof (0 �_t 201 by
City:
Zip: Phone
State:
City:
Zip: phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Produced b r '-
Address:
(Signature of Notary Pu State of Florida J .-
City:
Zip: Phone:
�'c�-
�F y F. ('J .1.1
City:
Commission No.
Zip: Phone:
REVIEWS
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and Installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commen rgj;orcling your Notice of Commencement.
n
Si ure a else e7CantraRor as Agent or Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF a
COUNTY OF
The for Ding instrument was acknowledgeefore me
this I dayof (0 �_t 201 by
The forgoing instrumenT was acknowledged before me
this _ day of 20_ by
\\
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced b r '-
Produced
(Signature of Notary Pu State of Florida J .-
(Signature of Notary Public- State of Florida J
�'c�-
�F y F. ('J .1.1
Commission No. (sea{)
Commission No.
REVIEWS
FRONT
ZONING SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
MAW MIAMI-DADE COUNTY
1® PRODUCT CONTROL SECTION
11805 SW 26 Strm Room 208
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 33175-2474
BOARD AND CODE ADMINISTRATION DIVISION T(786)315-2590 F(786)315-2599
NOTICE OF ACCEPTANCE (NOA) www.mtamidade.eov/economy
DAB Door Company, Inc.
12195 NW 9816 Avenue
Hialeah Gardens, FL 33018
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 RER-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. RER 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.
DESCRIPTION: Hurricane Master@ Model 824/811 Steel Sectional Garage Door 16'-2" Wide with
Winslow Lite Option (DP +36.0, 44.0 PSF)
APPROVAL DOCUMENT: Drawing No. 02-21, titled "24 GA. Roll Formed Steel Sectional Garage
Door", dated 09/10/2002, with last revision K dated 03/09/2015, sheets 1 through 5 of 5, prepared by AI-
Farooq Corporation, signed and sealed by Javad Ahmad, P.E., bearing the Miami -Dade County Product
Control renewal stamp with the Notice of Acceptance number and expiration date by the Miami -Dade County
Product Control Section.
MISSILE IMPACT BATING: Targe and Small Missile Impact Resistant
LABELING: A permanent label with the manufacturer's name or logo, manufacturing address, model/series
number, the positive and negative design pressure rating, indicate impact rated if applicable, installation
instruction drawing reference number, approval number (NOA), the applicable test standards, and the
statement reading `Miami -Dade County Product Control Approved' is to be located on the door's side track,
bottom angle, or inner surface of a panel.
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 NOA renews NOA # 14-0814.10 and consists of this page I and evidence pages E-1 and E-2, as well as
approval document mentioned above.
The submitted documentation was reviewed by Carlos M. Utrera, P.E.
NOA No. 15-0304.01
ntnrn DE o Expiration Date: July 21, 2020
I Approval Date: April 23, 2015
15
e4'►� Page 1
DAB Door Comaanv, Inc.
NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED
A. DRAWINGS
1. Drawing No. 02-21, titled "24 GA. Roll Formed Steel Sectional Garage Door", dated
09/10/2002, with last revision J dated 11/07/2014, sheets 1 through 5 of 5, prepared by Al-
Farooq Corporation, signed and sealed by Javad Ahmad, P.E.
B. TESTS "Submitted under NOA # 11-0414.12"
1. Test Report on Uniform Static Air Pressure Test, Loading and Forced Entry Test per FBC,
TAS 202-94, of "DAB 824 Sectional Residential Garage Door" prepared by Hurricane
Engineering & Testing Inc., Report No. HETI-07-4200, dated 05/02/2007, signed and sealed
by Candido F. Font, P.E.
2. Test Report on Large Missile Impact Test per FBC, TAS 201-94 and Cyclic Wind Pressure
Test per FBC, TAS 203-94, of "DAB 824 Sectional Residential Garage Door", prepared by
Hurricane Engineering & Testing Inc., Report No. HETI-1 1-3204, dated 01/20/2011, signed
and sealed by Candido F. Font, P.E.
3. Test Report on Tensile Test per ASTM E8-08 of "Sectional Residential Door (skin)",
prepared by Hurricane Engineering & Testing Inc, Report No. HETI-11-T100, dated
01/21/2011, signed and sealed by Candido F. Font, P.E.
"Submitted under NOA # OS -0228.02"
4. Test Report on Large Missile Impact Test and Cyclic Wind Pressure Test, of "Sectional
Residential Door with Windows", prepared by Hurricane Engineering & Testing Inc., Report
No. HETI 03-1328, dated 07/15/2003, signed and sealed by Rafael E. Droz-Seda, P.E.
5. Test Report on Uniform Static Air Pressure Test, of "Sectional Residential Door" prepared by
Hurricane Engineering & Testing Inc., Report No. HETI 03-1329, dated 07/15/2003, signed
and sealed by Rafael E. Droz-Seda, P.E. prepared
6. Test Report on Tensile Test per ASTM E-8 of "Sectional Residential Door (skin)", prep
by Hurricane Engineering & Testing Inc, Report No. HETI 03-T078, dated 10/31/2003,
signed and sealed by Rafael E. Droz-Seda, P.E.
"Submitted under NOA # 03-0210.04"
7. Test report on Salt Spray (Corrosion) Test per ASTM B 117 of a painted G-40 steel panels,
prepared by Celotex Corporation, Test Report No. 258592, dated 08/17/1998, signed by W. A.
Jackson, P.E.
C. CALCULATIONS "Submitted under NOA # 14-0814.10"
1. Anchor verification calculations prepared by Al-Farooq Corporation, dated 09/22!2014 and
07/24/2014, signed and sealed by Javad Ahmad, P.E.
a4 io%)S
Carlos IYI. Utrera, P.E.
Product Control Examiner
NOA No. 15-0304.01
Expiration Date: July 21, 2020
Approval Date: April 23, 2015
E-1
DAB Door Company, Inc.
NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED
C. CALCULATIONS (Cont.)
"Submitted under NOA # 11-0414.12"
2. Anchor verification calculations prepared by Al -Faro
oq Corporation, complying with F.B.0
2007, dated 04/07/2011, signed and sealed by Javad Ahmad, P.E.
3. Anchor verification calculations prepared by AI-Farooq Corporation, complying with F.B.0
2007, dated 12/19/2008, signed and sealed by Humayoun Farooq, P.E.
"Submitter! under NOA # 09-0128.02"
D. QUALITY ASSURANCE
1. Miami -Dade Department of Regulatory and Economic Resources (RER)
E. MATERIAL CERTIFICATIONS
1. Notice of Acceptance No. 13-0717.01, issued to SA
BIC Innovative Plastics, for their
Lexan Sheet Products, approved on 11/28/2013 and expiring on 07/17/2018.
2. Notice of Acceptance No. 14-0311.08, issued to Insulfoam, LLC, for their
Insulfoam Expanded Polystyrene Insulation, approved on 08/14/2014 and expiring on
11/29/2017.
3. Notice of Acceptance No. 11-0926.07, issued to Dyplast Products, LLC, for their Expanded
Polystyrene Block Type Insulation, approved on 11/10/2011 and expiring on 01/11/2017.
4. Notice of Acceptance No. 11-0926.06, issued to Dyplast Products, LLC, for their
Dyplast ISO -CI Polyisocyanurate Insulation, approved on 11/10/2011 and expiating on
01/11/2017. oam
r their
5. Notice of Acceptance No. 10-1129.04, issued to C
Expanded Polystyrene Block Insulation, app ono02/24/20rthand expiring oAmerica Inc, n 02/24/2016.
"Submitted under NOA # 05-0228.02"
6. Test Report on Accelerated Weathering Using Xenon Arc Light Apparatus Test per
ASTM G155 of "PVC Exhvsion Material", prepared by Hurricane Engineering &
Testing, Inc., Report No. HETI 04-A002, dated 09/27/2004, signed and sealed by Rafael E.
Droz-Seda, P.E.
7. Test Reports on Tensile Test per ASTM D638 of"PVC Extrusion Material", prepared by
Hurricane Engineering & Testing Inc., Report No. HETI 04-T251, dated 11/29/2004 signed
and sealed by I. Ghia, P.E.
8. Test Report on Self -Ignition Temperature Test, Rate of Burn Test and Smoke Density
Test of "REHAU non -foam PVC extrusion material", prepared by ETC Laboratories,
Report No. 04-761-15019.0, dated 05/06/2004, signed and sealed by J. L. Doldan, P.E.
F. STATEMENTS "Submitted under NOA # 14-0814.10"
1. Statement letter of code conformance to the 51h edition (2014) FBC and no financial interest
issued by Al-Farooq Corporation, dated 05/13/2014, signed and sealed by Javad Ahmad, P.E.
Carlos M. Utrem, P.E.
Product Control Examiner
NOA No. 15-0304.01
Expiration Date: July 21, 2020
Approval Date: April 23, 2015
E-2
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