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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 -' ...za,.. ,,,i .. w�.�.,e.✓., .MrB........,.�a �„,_..x ���, .%.y,,.< „>,>.-., „<..M...v�„�..�,.. �...k ... ., .,ate a� a..sL.....�.���;� 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 E -2 0 K s� JH��H H000 �'1HOIiH w 0 m a 3� <V ¢wno LJ y�r O I%� ds =xx 3. LL�m$ �a�Qoo K 9 o�Q HAVE £jA�11g 3 � '\az' 8 2 sm o _Qi'F54 d V E H9 9� �w{ o RN �A$190 ��ri ami O�Oxb Lu M m h OUA VW3 $z Oom€,�9 O N W _ $Gj2 Ml y �;W a m a�'u�6 �� ci T E OEO1z'.: v �a�o m ammz 6 m .. .. Q WEE M £jA�11g 3 � '\az' 8 2 sm o _Qi'F54 d gig��1qz ! 5- d �A$190 ��ri l Q WEE M £jA�11g 3 F _Qi'F54 6 gig��1qz z a _ z mo Q