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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: `� I�' 1 Permit Number: s J = RECEIVED law, F Building Permit Application MAY 10 2018 Planning and Development Services Building and Code Regulation Division ST. Lucie County, Permitting 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential ✓ PERMIT APPLICATION FOR: Roof PROPOSED IMPROVEMENT LOCATION: Address: /`_;(= L 0.��G� c(�� �" O'G c-� Legal Description: Zz_kQ.yo� Pcp rK AcU'44Ori (fib I , Elk a, 1 8 &iZ WDLL o�7� Property Tax ID#: 1,3 Oa-910 - ©oo&- 000- Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: [DETAILED DESCRIPTION OF WORK: )C QQ �Up� I-L 10—7`-1 - I�I � U Lo 0-)S COCO b 1 t SaS SAT�' q�(t.c�;n (,L,r,2e r Ia,�.1 men-f- ti ►X04� P to S CONSTRUCTION INFORMATION: Additional work to b rtormed under this permit-check all appy: HVAC Gas Tank []Gas Piping _Shutters ❑Windows/Doors Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: ' Irx-L S . Ft. of First Floor: Cost of Construction: $ -1(C0 Utilities:]Sewer F-1 Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Name: \jc_tclfic_ti�_ L�Lc�r Address: _750I Company: ,Kff)l} CCrn ►y City: r,-f P, l�C� State: i Address: ��bS l-? /7ve SLA), Zip Code: 94 g51 Fax: City: V Q►'U� , . State:-EL- PhoneNo. �3-(D�/ 3- -1511 Zip Code: 1Qgt - Fax: -loiDs E-Mail: Phone No. Fill in fee simple Title Holder on next page( if different E-Mail: vii Cc�nLL ✓J1) �• CDrr�- from the Owner listed above) State or County License: LCC / I Cj7 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: 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 recording our Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA ��� � � STATE OF FLORIDA LlIctIE- The COUNTY OF - "�1F COUNTY OF _�.forgoing instrument was acknowledge before me The forgoing instrument was acknowledge before me this a day of 20& by this-LD day of C04TUtK by Name of person making statement / Name of person making statement ✓ Personally Known OR Produced Identification ✓ Personally Known OR Produced Identification Type of Iden ' ' tion Type of Iden4fication Produced (� Produced (Signature of Notary Public-State of Florida) (Signature of Notary Publi S F on �i State of F arS' NIELSEN :� - Co ��io�a-Notary Publ c NIELSEN� Commission No. Ams #GG Commission No. ,� a..��� KAR � �Eo��`�,`� M 207484 tate of Florida-Notary Public Y Corr;rnission Expires 'E Commission #GG 207484 June 12, 2022 My COmml3$I une_1 , 2022 REVIEWS FROM CS""Mo PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 5/3/2018. Florida Building Code Online Business • ProfessionalRegulation r��rc�r sas Home I Log in I User Registration I Hot Topics Submit Surcharge Stats&Facts Publications I FSC Staff SCIS Site Map Links Search b a r Product Approval Is USER:Public User , RECEIVED Product ARproval Menu>Product or Application Search>Application List>Application Detail OFr10E OF THE FL# FL16048-R6 MAY 10 2018 SECRETARY Application Type Revision Code Version 2017 ! ST. Lucie County, Permitting Application Status Approved Comments Archived Product Manufacturer 7H-Built Materials Group,LLC Address/Phone/Email PO Box 70 Rutherford, NJ 070jiM I& (800)516-1485 ff— 11 david.ruiz@tribuilt ,LE COOrv, Authorized Signature David Ruiz david.ruiz@tribuiltmg.com Technical Representative David Ruiz Address/Phone/Email 250 Route 17 North East Rutherford, NJ 07073 (201)842-2449 david.ruiz@tribuiltmaterialsgroup.com Quality Assurance Representative Address/Phone/Email Category Roofing Subcategory Underlayments Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report-Hardcopy Received Florida Engineer or Architect Name who developed Robert Nieminen the Evaluation Report Florida License PE-59166 Quality Assurance Entity UL LLC Quality Assurance Contract Expiration Date 07/18/2020 Validated By John W. Knezevich, PE 1 Validation Checklist- Hardcopy Received Certificate of Independence FL16048 R6 COI 2017 01 COI Nieminen.p_df Referenced Standard and Year(of Standard) Standard Year ASTM D1970 2015 ASTM G155 2005 FM 4474 2011 FRSA/TRI April 2012(04-12) 2012 UL 1897 2012 Equivalence of Product Standards Certified By https://vwvw.floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDgtFPmdYiNDWrwipmtAnR8jv9FiYHTk4FLCxcgVtRhfvMw°/03d%3d 1/2 5/3/2018, Florida Building Code Online Sections from the Code Product Approval Method Method 1 Option D Date Submitted 09/25/2017 Date Validated 10/01/2017 Date Pending FBC Approval 10/03/2017 Date Approved 12/12/2017 Summary of Products FL# Model,Number or Name Description 16048.1 TRI-BUILT Roof Underlayments Self-adhering,modified bitumen roof underlayments Limits of Use Installation Instructions Approved for use in HVHZ: No FL16048 R6 1I 2017 09 FINAL ER TRI- Approved for use outside HVHZ:Yes BUILT UNDERLAYMENTS FL16048-R6.p-df Impact Resistant: N/A Verified By: Robert Nieminen PE-59166 Design Pressure: +N/A/-150 Created by Independent Third Party: Yes Other: 1.)The design pressure noted herein pertains to use Evaluation Reports of foam-on tile systems overtop the self-adhering FL16048 R6 AE 2017 09 FINAL ER TRI- underlayment for one particular application.See ER Section BUILT UNDERLAYMENTS FL16048-R6.Qd 5.6.4 for details.2.) Refer to ER Section 5 for other Limits of Created by Independent Third Party:Yes Use. Back Nezt Contact Us::2601 Blair Stone Road,Tallahassee FL 32399 Phone:850-487-1824 The State of Florida is an AA/EEO employer. aht 2007-2013 Stale of Florida.::Pnyaty Statement::Accessibility Statement::Refund Statement Under Florida law,email addresses are public records.If you do not want your e-mail address released in response to a public-records request,do not send electronic mail to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions,please contact 850.487.1395.'Pursuant to Section 455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address if they have one.The emails provided may be used for official communication with the licensee.However email addresses are public record.If you do not wish to supply a personal address,please provide the Department with an email address which can be made available to the public.To determine if you are a licensee under Chapter 455,F.S., please click here. Product Approval Accepts: ®® ® Fit Credit Card Safe https:/twww.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtFPmdYNDWrwipmtAnR8jv9FiYHTk4FLCxcgVtRhfvMw%3d%3d 2/2 EXTERIOR RESEARCH&DESIGN, LLC. Certificate of Authorization#9503 TRINITY' 353 CHRISTIAN STREET, UNIT #13 QOERS OXFORD,CT 06478478 (203)262-9245 EVALUATION REPORT TRI-BUILT Materials Group,LLC Evaluation Report A42960.10.12-116 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 6"t 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)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: ssrtt)trp -- :s= �s Robert J.M.Nieminen,P.E. ��ii�;,s. The facsimile seal appearing was authorized by Robert Nieminen, Florida Registration No.59166,Florida DCAANE1983 P.E.on 05/25/2017.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 I 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 IERD 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"!ERD 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: kattf Examination Reference Date ERD(TST6049) Physical Properties 540540.02.13-1 02/19/2013 ERD(TST6049) Physical Properties 540540.11.13 11/19/2013 ERD(TST6049) Physical Properties 540540.03.14 03/26/2014 ERD(TST6049) Physical Properties 544870.04.14-2 04/02/2014 ERD(TST6049) Physical Properties 544870.04.14-3 04/02/2014 ERD(TST6049) Physical Properties 544870.04.14-1 04/10/2014 ERD(TST6049) Physical Properties 544870.04.14-4 04/10/2014 ERD(TST6049) Physical Properties 543530.02.14-1-R1 05/14/2014 ERD(TST6049) Physical Properties 543530.05.14 05/28/2014 ERD(TST6049) Physical Properties 540540.10.14 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. S. LIMITATIONS: 5.1 This is a building code evaluation. Neither Trinity IERD 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,U.C. Evaluation Report A42960.10.12-R6 Certificate of Authorization#9503 6t"EDITION(2017)FBC NON-HVHZ EVALUATION FL16048-116 TRI-BUILT Roof Underlayments;(800)516-1485 Revision 6:09/25/2017 Page 2 of 6 I T, \-,,j TRINITY11 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 Nail-On Tile Foam-On Tile Metal Wood Shakes 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 the adhesives/underlayment combinations. TABLE 1A:ALLOWABLE TILE ADHESIVE/UNDERLAYMENT COMBINATIONS) 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-Bunt 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. 'Refer to Tile Manufacturer's or Adhesive Manufacturer's Florida Product Approval for Overturning Moment Resistance Performance. Exterior Research and Design,U.C. Evaluation Report A42960.10.12-R6 Certificate of Authorization+x9503 6'EDITION(2017)FBC NON-HVH2 EVALUATION FL16048-R6 TRI-BUILT Roof Underlayments;(800)516-1485 Revision 6:09/25/2017 Page 3 of 6