HomeMy WebLinkAboutScan_2018_08_13_13_19_51_245ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: iJ' \�� �q Permit Number:
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 C
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address:
Legal Description:
Property Tax ID #` �`" ��`-� lir C Lot No. S
Site Plan Name: Block No. �
Project Name: _
Setbacks Front
HVAC
11 Electric
Back: Right Side
0 Plumbing
OSprinklers
Left Side:
U Shutters
Generator
Total Sq. Ft of Construction: ` Sq.
of First Floor:
Cost of Construction: $ �` Utilities: L _J Sewer Septic
Name I._�C-Y�C� L� `V'( -Ns
Name:
Company:'t_�)'-Z) C
Addres . �,
City: i�-
Zip Code:
Phone No.---)--)Q—
E -Mail: AA-Q&PC4
State or County License:
Address: ��'
City: <Dn State: J
Zip Code: \ I__�I� (4 Fax:
Phone No. l ` Qqs — �� ®
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
aWindows/Doors
F]Roof
Building Height:
Roof pitch
• C_�� State:_:E -
_ Fax:
(I___zo
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
commenciniz work or recording vour Notice of Commencement.
Si nature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
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DESIGNER/ENGINEER:
of Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Personally Known °/ OR Produced Identification
Type of Identification
Name:
Produced
Address:
Address:
(Signature of Notary Public- St to of Florida )
IT Pug TIFFANY SUI
City:
(t t�v
1 � 1 y �'��) Commission # GG
$lbmission Noal
April 26,
State:
City:
State:
Zip:
Phone
FRONT
Zip: Phone:
SUPERVISOR
FEE SIMPLE TITLE
HOLDER:
Not Applicable
BONDING COMPANY:
Ce::PNot Applicable
Name:
REVIEW
REVIEW
Name:
REVIEW
Address:
REVIEW
DATE
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
commenciniz work or recording vour Notice of Commencement.
Rev. 8/2/17
Si nature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF �_
STATE OF FLORIDA
COUNTY OF 'r
The for oing instr ent was acknio edge. efore me
this w day of LA.S`� 20 by
The forrgoing instr ent was acknowledge¢ ¢efore me
this �Jday of 20_ by
Name of person y�aking statement
Name of persorymaking statement
Personally Known s/ OR Produced Identification
Personally Known °/ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- S to of Flor��i '�aJ,
o� ;. Bi, TIFFANY S
(Signature of Notary Public- St to of Florida )
IT Pug TIFFANY SUI
`L a _ ' o Commission # GG
Commission No 1 * *
°9T Expires
(t t�v
1 � 1 y �'��) Commission # GG
$lbmission Noal
April 26,
o� April 26,
2022 ; o� Expires
Fof r' Bonded Tru Budget Note
seMces 9TFOF �oP Bonded itW Budget
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Property Card
Page 1 of 1
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address: 204 RIOMAR DR
Sec/Town/Range: 22/36S/40E
Map ID: 34/22S
Zoning: RS -4
Ownership
Linda Collins
88 16th ST
West Babylon, NY 11704
Legal Description
RIVER PARK -UNIT 3- BLK 23 LOT 5 (MAP 34/225) (OR 412-1551) (OR
3809-2021; 3809-2062; 3915-1655)
Current Values
Just/Market Value:
$88,500
Assessed Value:
$88,500
Exemptions:
$0
Taxable Value:
$88,500
Taxes for this parcel:
SLC Tax Collector's Office
Download TRIM for
this parcel: Download PDP
Parcel ID: 3419-515-0095-000-8
Account #: 42162
Use Type: 0100
Jurisdiction: Saint Lucie County
Total Areas
Finished/Under Air (SF): 1,580
Gross Area (SF): 1,943
Land Size (acres): 0.2
Land Size (SF): 8,800
This information is believed to be correct at this time but it is subject to change and is not warranted.
Copyright 2018 Saint Lucie County Property Appraiser. All rights reserved.
https://www.paslc.org/RECard/ 8/10/2018
MIAMI -1 MIAMI-DADE COUNTY
PRODUCT CONTROL SECTION
11805 SW 26 Street, 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.miamidade.gov/economy
Clopay Building Products Company
8585 Duke Boulevard
Mason, OH 45040
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 (AHJ).
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: 2" Thick EPS Insulated Steel Sectional Garage Door up to 9'-0" Wide w/ Optional
Impact Resistant Lites
APPROVAL DOCUMENT: Drawing No. 101703, titled "HDG/HDGL, 66/68, 4300/01, 4310/67/HDGL,
4400/01, H Models", sheet 1 of 1, dated 11/19/1996, with revision 8 dated 7/2017, prepared by Clopay
Building Products Company, signed and sealed by Scott Hamilton, 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 RATING: Large and ,Small Missile Impact Resistant
LABELING: A permanent label with the manufacturer's name or logo, manufacturing address, model
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 915-0225.06 and consists of this page 1 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. 17-0731.01
Expiration Date: September 20, 2018 }.
Approval Date: September 28, 2017
®�27 Page 1
Clopay Buildiniz Products Company
NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED
1. EVIDENCE SUBMITTED UNDER PREVIOUS NOAs
A. DRAWINGS "Submitted under NOA #15-0225.06"
1. Drawing No. 101703, titled "HDG/HDGL, 66/68, 4300/01, 4310/67/HDGL, 4400/01, H
Models", sheet 1 of 1, dated 11/19/1996, with revision 7 dated 2/2015, prepared by Clopay
Building Products Company, signed and sealed by Scott Hamilton, P.E.
B. TESTS "Submitted under NOA # 09-0929.10"
1. Test report on Forced Entry Test, per FBC, TAS 202-94, prepared by American Test Lab, Inc.,
Test Report No. ATLNC 0428.01-09, dated 06/03/2009, signed and sealed by David W.
Johnson, P.E.
"Submitted under NOA # 07-0807.14"
2. Test reports on 1) Uniform Static Air Pressure Test, Loading per FBC TAS 202,
2) Large Missile Impact Test, per FBC TAS 201,
3) Cyclic Wind Pressure Test, Loading per FBC TAS 203,
along with marked -up drawings, prepared by .American Test Lab, Inc., Test Report No.
ATLNC 0823.01-06, dated 12/18/2006, signed and sealed by David W. Johnson, P.E.
C. CALCULATIONS "Submitted under NOA # 07-0807.14"
1. Anchoring calculations, prepared by Clopay Building Products Company, dated 07/30/2007,
signed and sealed by Scott Hamilton, P.E.
D. QUALITY ASSURANCE
1. Miami -Dade Department of Regulatory and Economic Resources (RER)
E. MATERIAL CERTIFICATIONS "Submitted under NOA # 07-0807.14"
1. Tensile Test, per ASTM E8, Reports No. HETI-06-7604/605/606, prepared by Hurricane
Engineering & Testing, Inc., dated 09/22/2006, signed and sealed by Rafael E. Droz-Seda,
P.E.
2. Corrosion Resistance Salt Spray Test, per ASTM. B 117, Report No. 30160-04-63365,
prepared by Stork Twin City Testing Corporation, dated 01/26/2005, signed by John D. Lee,
P.E.
3. Ignition Properties of Plastics Test, per ASTM D 1929, Report No. 3082959-500, prepared by
Intertek Testing Services NA, Inc., dated 09/16/2005, signed by Anthony Penaioza.
4. Surface Burning Characteristics Test, per ASTM E84, Report No. 3082960-500, dated
10/04/2005 and Report No. 3094867SAT-001, dated 04/13/2006, prepared by Intertek Testing
Services, NA, Inc., signed by Javier Trevino and Anthony Penaloza.
F. STATEMENTS "Submitted underNOA #15-0225.06"
1. Statement letter of code conformance with the 2010 and the 5' edition (2014) FBC issued by
Clopay Building Products Company, dated 02/18/2015, signed and sealed by Scott Hamilton,
P.E.
2. Statement letter of code conformance to 2010 FBC no financial interest, issued by Clopay
Building Products Company, dated 07/06/2012, signed and sealed by ScoA/R
P.E.
"Submitted under NOA # 12-0710.06"
?_/ 7,017
Carlos M. Utrera, P.E.
Product Control Examiner
NOA No. 17-0731,01
Expiration Date: September 20, 2018
Approval Date: September 28, 2017
E -1
Clopay Building Products Company
NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED
2. NEW EVIDENCE SUBMITTED
A. DRAWINGS
1. Drawing No. 101703, titled "HDG/HDGL, 66/68,4300/01, 4310/67/HDGL, 4400/01, H
Models", sheet 1 of 1, dated 11/19/1996, with revision 8 dated 7/2017, prepared by Clopay
Building Products Company, signed and sealed by Scott Hamilton, P.E..
B. TESTS
1. None.
C. CALCULATIONS
1. None.
D. QUALITY ASSURANCE
1. Miami -Dade Department of Regulatory and Economic Resources (RER)
E. MATERIAL CERTIFICATIONS
1. None.
F. STATEMENTS
1. Statement letter of code conformance to 5' Edition (2014) and 66h Edition (2017) FBC issued
by Clopay Building Products Company, dated 07/18/2017, signed and sealed by Scott
.Hamilton, P.E.
2. Test contract letter issued by American Test Lab, Inc., dated 07/17/2017, signed by Keith
Owen.
Carlos M. Utrera, P.E.
Product Control Examiner
NOA No. 17-0731.01
Expiration Date: September 20, 2018
Approval Date: September 28, 2017
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