HomeMy WebLinkAboutBuilding Permit ApplicationBuilding Permit Application ALL APPLICA5504
Permit Number:
LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Building Permit Application @§oyet�n (ora
BPianning and Development Services uilding and Code Regulation Division ���@ Bfj��e,
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential ,,,X _
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCAT,,
Address: gr.),()j 1);( . pt ;F-ti-l;,/�
i`e F`--3(1 1 .
Legal Description:
Property Tax ID#: 1301— (00? --(- \G - b-to L
Site Plan Name: Black NO.,�
Project Name: 1 ,,
Setbacks Front Back: Right Side: Left Side: , '
WAILED DEES@RIPTION>!WORK
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CONSTRUC I®N INFORMATION,: .
Additional work to be aertormed under this permit–check all apply:
HVAC _Gas Tank nGas Piping _Shutters .0 Windows/Doors
0Electric 0 Plumbing 0Sprinklers El Generator Roof .I_I1 Roof pitch
Total Sq. Ft of Construction: `` Sc. Ft.of First Floor:
Cost of Construction:$ c9"tt1 , �° Utilities: Sewer ElSeptic Building Height:
i
OWiN E `LESSEE,: airiRACT®R:1111111111111111
Name SC �& �t �t Name: ,
Address:-1C)? g$SL; .� Company:
City: f -t- f�``j a_ 4 Statef(-- Address:
Zip Code:3\Q'\ Fax: City: State:
Phone No.11`i –Li(0L,,-- ‘5-S) Zip Code: Fax: • 1
E-Mail �jeN-kf ' r\(``11 rill, iLONA Phone No.
Fill in fee simple Title Holder Otenext age (if different E-Mail:
from the Owner listed above) State or County License:
1
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
1
SUPPLEME 'TAL CONSTRUCTION LAW IN'F p} RMAxTI®N.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State: 1
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone: ,
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
commencing work or recor.'ng your Notice of Commencement.
2)- ' Q.440 (.
Signature Owner/Lessee/Contrast(as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORID STATE OF FLORIDA
COUNTY OF G�W COUNTY OF
The for ing instrument wa acknowledged before me The forgoing instrument was acknowledged before me
this Tday of ,20(Ck" by this day of ,20_ by
Er(
JU 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 FLA 0 Produced .
V 3
(Signature of Notary Publi :'tate of Florida) , f-'.. � ;= .r (Signature of Notary Public-State of Florida)
Seal ''
Commission No. (Seal) ; ��„,;,r, Commission No. (Seal)
In
Ko° = ,
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REVIEWS FRONT ZONINGN 6
10 PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW 1170 , REVIEW REVIEW REVIEW REVIEW
ED-
DATE ', w o �o c
RECEIVED o m�•o^,
DATE N� w v p ;
COMPLETED m; �a ,
Rev. 8/2/17
Y
ST L U C I E Planning&Development Services Department
COUNTY,= , -w$�a Building&Code Regulations
Ai rt11 1D, 2300 Virginia Avenue- • •
Fort Pierce Florida 34982
i.i.s `ri k'z e t4 e _';: A° ) (772)4624553
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 for your use and occupancy. You
may also build or improve a commercial building at a cost not exceeding $75,000.00 as long as it is for your own
use or occupancy.You may not build or improve said structures for the purposes of selling or leasing that building.
If you sell or lease a building you have built or improved within one year after construction is complete, then a
presumption is created that it was built or improved 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. Your construction must comply with al. i.. icable
laws,ordinances,building codes,and zoning regulations. Initial 4,u17
I understand that the building official and inspectors are not there to design or give advice on to meet
the minimum code. Initial
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.a
Initia
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 lia .for the
cost of the license. Initial iii!
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 reledical
cost,which could include loss of wages during recovery from their injury. Initial N1
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 Depart ent to the Florida State Department of Professional Regulation. Signed and acknowledged on this
day of of201?-, . ' 130 1CL,-
� �
0 e :uilder Signature
STATE OF FLO A
COUNTY OF S - SAA-C.4.L
i
The for of insXrument was1acknowledggd before me this •2S day of I, ,20 1‘
by 3{.J C. JM.C�:stL`C..Ari.who is personally known to me,or who has
produced PLS b as identification.
//&42
nature of Notarye914(d Type or Print Name of Notary (Seal)
Title:Notary Public Commission Number-
.
SLCPDSD Revised 05/15/2014
'EA-17H-
R B U R FORD
Stete of Florida-Notary Public
Commission # 832
MY CommissionG 1 1
February Ext s
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EXTERIOR RESEARCH&DESIGN, LLC.
Certificate of Authorization#9503
IPINIIY ERD 353 CHRISTIAN STREET, UNIT#13
OXFORD,CT 06478
(203)262-9245
EVALUATION REPORT
TRI-BUILT Materials Group,LLC Evaluation Report A42960.10.12-R6
PO Box 70 FL16048-R6
Rutherford, NJ 07070 Date of Issuance:10/25/2012
(800)516-1485 Revision 6: 09/25/2017
SCOPE:
This Evaluation Report is issued under Rule 61G20-3 and the applicable rules and regulations governing the use of
construction materials in the State of Florida. The documentation submitted has been reviewed by Robert Nieminen,
P.E. for use of the product under the Florida Building Code and Florida Building Code, Residential Volume. 'The
products described herein have been evaluated for compliance with the 6th Edition (2017) Florida Building Code
sections noted herein.
DESCRIPTION: TRI-BUILT Roof Underlayments
LABELING: Labeling shall be in accordance with the requirements the Accredited Quality Assurance Agency noted
herein.
CONTINUED COMPLIANCE: This Evaluation Report is valid until such time as the named product(s) changes,the referenced
Quality Assurance documentation changes,or provisions of the Code that relate to the product change. Acceptance of
this Evaluation Report by the named client constitutes agreement to notify Robert Nieminen, P.E. if the product
changes or the referenced Quality Assurance documentation changes. Trinity I ERD requires a complete review of this
Evaluation Report relative to updated Code requirements with each Code Cycle.
ADVERTISEMENT: The Evaluation Report number preceded by the words "Trinity I ERD Evaluated" may be displayed in
advertising literature. If any portion of the Evaluation Report is displayed,then it shall be done in its entirety.
INSPECTION: Upon request,a copy of this entire Evaluation Report 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 Evaluation Report consists of pages 1 through 6.
Prepared by: olsitrny —
y,\'a•3?!aa_"�
Robert J.M.Nieminen,P.E. ,,,;,,,
• '''''' The facsimile seal appearing was authorized by.Robert Nieminen,
u
Florida Registration No.59166,Florida DCA ANE1983 P.E.on 09/25/2017.This does not serve as an electronically signed
document.
CERTIFICATION OF INDEPENDENCE:
1. Trinity'ERD does not have, nor does it intend to acquire or will it acquire, a financial interest in any company manufacturing or
distributing products it evaluates.
2. Trinity)ERD is not owned,operated or controlled by any company manufacturing or distributing products it evaluates.
3. Robert Nieminen,P.E.does not have nor will acquire,a financial interest in any company manufacturing or distributing products for
which the evaluation reports are being issued.
4. Robert Nieminen,P.E.does not have,nor will acquire,a financial interest in any other entity involved in the approval process of the
product.
5. This is a building code evaluation. Neither Trinity'ERD nor Robert Nieminen, P.E. are, in any way, the Designer of Record for any
project on which this Evaluation Report,or previous versions thereof, is/was used for permitting or design guidance unless retained
specifically for that purpose.
TRINITY EaD
ROOFING COMPONENT EVALUATION:
1. SCOPE:
Product Category: Roofing
Sub-Category: Underlayment
Compliance Statement: TRI-BUILT Roof Underlayments, as produced by TRI-BUILT Materials Group, LLC, have
demonstrated compliance with the following sections of the 6th Edition (2017)Florida Building Code through testing
in accordance with the following Standards. Compliance is subject to the Installation Requirements and Limitations/
Conditions of Use set forth herein.
2. STANDARDS:
Section Property Standard Year
1504.3.1 Wind Resistance FM 4474 2011
1504.3.1 Wind Uplift UL 1897 2012
1504.6 Accelerated Weathering ASTM G155 2005
1507.2.4/1507.1.1,1507.2.9.2 Physical Properties ASTM D1970 2015
1507.3.3 Physical Properties FRSA/TRI April 2012(04-12) 2012
3. REFERENCES:
Entity Examination Reference Date
ERD(TST6049) Physical Properties 540540.02.13-1 02/19/2013
ERD(TST6049) Physical Properties S40540.11.13 11/19/2013
ERD(TST6049) Physical Properties 540540.03.14 03/26/2014
ERD(TST6049) Physical Properties S44870.04.14-2 04/02/2014
ERD(TST6049) Physical Properties 544870.04.14-3 04/02/2014
ERD(TST6049) Physical Properties S44870.04.14-1 04/10/2014
ERD(TST6049) Physical Properties 544870.04.14-4 04/10/2014
ERD(TST6049) Physical Properties S43530.02.14-1-R1 05/14/2014
ERD(TST6049) Physical Properties S43530.05.14 05/28/2014
ERD(TST6049) Physical Properties S40540.10.14 10/31/2014
ERD(TST6049) Physical Properties SC7645.02.15 02/13/2015
ERD(TST6049) Accelerated Weathering SC8520.04.15 05/27/2015
ERD(TST6049) Wind Resistance SC14045.05.17-R1 06/07/2017
UL,LLC.(QUA9625) Quality Control Multiple-Listing R16814 12/10/2015
UL,LLC.(QUA9625) Quality Control Service Confirmation Exp.07/18/2020;
4. PRODUCT DESCRIPTION:
4.1 Tri-Built Sand-R SA Shingle Underlayment is a self-adhering, glass-mat reinforced, sand-surfaced, SBS
modified bitumen roof underlayment,with a 36-inch sheet width; meets ASTM D1970.
4.2 Tri-Built S/A HT TU Underlayment is a self-adhering, non-woven polyester fabric surfaced, SBS modified
bitumen roof underlayment;meets ASTM D1970 and FRSA/TRI April 2012.
4.3 Tri-Built Smooth HT S/A Underlayment is a self-adhering, glass-mat reinforced, film-surfaced, SBS
modified bitumen roof underlayment;meets ASTM D1970.
5. LIMITATIONS:
5.1 This is a building code evaluation. Neither Trinity'ERD nor Robert Nieminen, P.E. are, in any way; the
Designer of Record for any project on which this Evaluation Report, or previous versions thereof, is/was
used for permitting or design guidance unless retained specifically for that purpose.
5.2 This Evaluation Report is not for use in FBC HVHZ jurisdictions.
5.3 Fire Classification is not part of this Evaluation Report; refer to current Approved Roofing Materials
Directory for fire ratings of this product.
Exterior Research and Design,LLC. Evaluation Report A42960.10.12-R6
Certificate of Authorization#9503 6TH EDITION(2017)FBC NON-HVHZ EVALUATION FL16048-R6
TRI-BUILT Roof Underlayments;(800)516-1485 Revision 6:09/25/2017
Page 2 of 6
'
CTTRINITY ERD
5.4 TRI-BUILT Roof Underlayments may be used with any prepared roof cover where the product: is
specifically referenced within FBC approval documents. If not listed, a request may be made to the
Authority Having Jurisdiction for approval based on this evaluation combined with supporting data for the
prepared roof covering.
5.5 Allowable Roof Covers:
TABLE 1: ROOF COVER OPTIONS
Underlayment Asphalt Wood Shakes
Nail-On Tile Foam-On Tile Metal Slate
Shingles &Shingles
Tri-Built Sand-R SA Shingle Yes No No No Yes Yes
Underlayment
Tri-Built S/A HT TU Yes
Yes Yes Yes Yes Yes
Underlayment See 5.5.1
Tri-Built Smooth HT S/A Yes No No Yes Yes Yes
Underlayment
5.5.1 "Foam-On Tile"is limited to use of the following Approved tile adhesives/underlayment combinations!
TABLE 1A:ALLOWABLE TILE ADHESIVE/UNDERLAYMENT COMBINATIONS1
Adhesive Florida Product Approval Underlayments
ICP Adhesives Polyset®AH-160 FL6332 Tri-Built S/A HT TU Underlayment
Dow TileBond"' FL22525 Tri-Built S/A HT TU Underlayment
5.6 Allowable Substrates:
5.6.1 Direct-Bond to Deck:
Tri-Built Sand-R SA Shingle Underlayment,Tri-Built S/A HT TU Underlayment or Tri-Built Smooth HT!S/A
Underlayment applied to:
> Plywood;ASTM D41 primed plywood; OSB;ASTM D41 primed OSB; Southern Yellow Pine;ASTM D41
primed Southern Yellow Pine;ASTM D41 primed structural concrete.
While not required over plywood,OSB or Southern Yellow Pine substrates,TRI-BUILT Materials Group,LLC
recommends priming the deck if the final roof cover is not slated for installation within 24 hours. Note:
TRI-BUILT Materials Group, LLC requires tongue-and-groove board decking be covered with plywood or
OSB prior to installation of the self-adhering underlayment.
5.6.2 Bond-to-Insulation:
Tri-Built Sand-R SA Shingle Underlayment,Tri-Built S/A HT TU Underlayment or Tri-Built Smooth HT S/A
Underlayment applied to:
➢ Dens Deck Prime;SECUROCK Gypsum-Fiber Roof Board.
For installation under mechanically attached prepared roof coverings, insulation shall be attached per
minimum requirements of the prepared roof covering manufacturer's Product Approval. For installations
under foam-on tile systems (Tri-Built S/A HT TU Underlayment only), insulation attachment shall be
designed by a qualified design professional and installed based on testing of the insulation/underlayment
system in accordance with FM 4474,Appendix D or TAS 114,Appendix J.
I Refer to Tile Manufacturer's or Adhesive Manufacturer's Florida Product Approval for Overturning Moment Resistance Performance.
Exterior Research and Design,LLC. Evaluation Report A42960.10.12-R6
Certificate of Authorization#9503 6T"EDITION(2017)FBC NON-HVHZ EVALUATION FL16048-R6
TRI-BUILT Roof Underlayments;(800)516-1485 Revision 6:09/25/2017
Page 3 of 6
CITDRINITY ERD
5.6.3 Bond to Mechanically Attached Base Layer:
Tri-Built Sand-R SA Shingle Underlayment,Tri-Built S/A HT TU Underlayment or Tri-Built Smooth HT S/A
Underlayment applied to:
➢ ASTM D226,Type I or ll felt.
For installations under mechanically attached prepared roof coverings, base layer shall be attached per
minimum codified requirements. For installations under foam-on tile systems (Tri-Built S/A HT BTU
Underlayment only), base layer shall be attached per minimum requirements of FRSA/TRI April 2012(04-
12).
5.6.4 Wind Resistance for Underlayment Systems in Foam-On Tile Applications: FRSA/TRI April 2012 (04-12)
does-not address wind uplift resistance of all underlayment systems beneath foam-on tile systems,where
the underlayment forms part of the load-path. The following wind uplift limitations apply to direct-deck
underlayment systems that are not addressed in FRSA/TRI April 2012(04-12)and are used in foam-on itile ..
applications. Maximum Design Pressure is the result of testing for wind load resistance based ion
allowable wind loads, and reflects the ultimate passing pressure divided by 2 (the 2 to 1 margin of safety
per FBC 1504.9 has already been applied). Refer to FRSA/TRI April 2012(04-12),Appendix A,Table 1A or
FBC 1609 for determination of design wind pressures.
#1 Maximum Design Pressure=-45.0 psf:
Deck: Min. 15/32-inch plywood to meet project requirements to satisfaction of Authority
Having Jurisdiction.
Primer: (Optional)ASTM D41 or RESISTO EXTERIOR PRIMER
Underlayment: Tri-Built S/A HT TU Underlayment,self-adhered.
#2 Maximum Design Pressure=-67.5 psf:
Deck: Structural concrete to meet project requirements to satisfaction of Authority Having
Jurisdiction.
Primer: Soprema Elastocol 600c
Underlayment: Tri-Built S/A HT TU Underlayment,self-adhered.
#3 Maximum Design Pressure=-150.0 psf:
Deck: Min. 15/32-inch APA-rated BCX plywood (may be installed C-side up) to meet project
requirements to satisfaction of Authority Having Jurisdiction.
Deck Preparation: Plywood shall be thoroughly cleaned to remove dust and debris that may inhibit
adhesion. All sheathing fasteners shall be driven flush with the surface. All sharp
splinters and wood projections shall be removed/sanded.
Primer: (Optional)RESISTO EXTERIOR PRIMER
Underlayment: Tri-Built S/A HT TU Underlayment, self-adhered, shall be thoroughly roll using hand
roller and/or weighted roller to ensure there are no voids, and ensure there are no
voids/bridging at side and end-laps.
#4 Maximum Design Pressure=-60.0 psf:
Deck: Min. 19/32-inch plywood to meet project requirements to satisfaction of Authority
Having Jurisdiction.
Base Sheet: Soprema Sopra-G or Modified Sopra-G mechanically attached with nails(FBC 1517:5.1)
and tin caps(FBC 1517.5.2)spaced 6-inch o.c.at the 4-inch laps and 6-inch o.c. in three,
equally spaced rows in the center of the sheet.
Underlayment: Tri-Built S/A HT TU Underlayment,self-adhered.
Exterior Research and Design,LLC. Evaluation Report A42960.10.12-R6
Certificate of Authorization#9503 6"EDITION(2017)FBC NON-HVHZ EVALUATION FL16048-R6
TRI-BUILT Roof Underlayments;(800)516-1485 Revision 6:09/25/2017
Page 4 of 6
CTRINITY ERD
5.6.4.1 For mechanically attached Base Sheet,the maximum design pressure for the selected assembly shall meet
or exceed that required under FRSA/TRI April 2012(04-12),Appendix A,Table 1A.
Alternatively, the maximum design pressure for the selected assembly shall meet or exceed the Zone 1
design pressure determined in accordance with FBC 1609. In this case, Zones 2 and 3 shall employ'Ian
attachment density designed by a qualified design professional to resist the elevated pressure crite iia .
Commonly used methods are ANSI/SPRI WD1, FM Loss Prevention Data Sheet 1-29 and Roofing
Application Standard RAS 117. Assemblies marked with an asterisk* carry the limitations set forth in
Section 2.2.10.1 of FM Loss Prevention Data Sheet 1-29(January 2016)for Zone 2/3 enhancements.
5.7 Exposure Limitations:
Tri-Built Sand-R SA Shingle Underlayment or Tri-Built Smooth HT S/A Underlayment shall not be left
exposed for longer than 30-days after installation
Tri-Built S/A HT TU Underlayment shall not be left exposed for longer than 180-days after installation.
5.8 Tile Slippage Limitations(TAS 103 per FRSA/TRI April 2012(04-12)):
When loading roof tiles on the underlayment in direct-deck tile assemblies,the maximum roof slope shall
be as follows. These slope limitations can only be exceeded by using battens during loading of the roof
tiles.
TABLE 2: TILE SLIPPAGE LIMITATIONS FOR DIRECT-DECK TILE INSTALLATIONS
Maximum
Underlayment Tile Profile Staging Method Slope
Flat Max.10-tile stack 6:12
Lugged Max.10-tile stack 5:121
Max.10-tile stack(bottom 2-tile stack
shall be inverted,followed by 8 tiles high 6:121
on slope,as shown below)
Tri-Built S/A HT TU
Underlayment - 41111
Lugged
- i
i -
i .-tteC
s
Exterior Research and Design,LLC. Evaluation Report A42960.10.12-R6
Certificate of Authorization#9503 6TH EDITION(2017)FBC NON-HVHZ EVALUATION FL16048-R6
TRI-BUILT Roof Underlayments;(800)516-1485 Revision 6:09/25/2017
Page 5Iof 6