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HomeMy WebLinkAboutProduct ApprovalALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED F Y Q R 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 LOCATION: Address: \ lam-, Legal Description: LC,C L �_eI E>n �,4 — ( ; on Property Tax ID #:1 ` - ]— U C - ioC)C) Site Plan Name: Project Name:. %w I`jm w c Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION: Lot No. ('l Block No. Additional work to bee e orme unert is permit -c ec a app y: HVAC L_I Gas TankGas Piping rs windows/Doors Electric ❑Plumbing Sprinklers LiShutters Generator Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction. $ OWNER/LESSEE: Name Address: City: State: Zip Code: Fax: Phone No, E -Mail: S Ft. of First Floor: _ Utilities:Sewer Septic Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: N 4r)C.Cr1_f4 Building Height: Company: +-v c )Z7( Address: tb I I it)-C� City: State:C Zip Code: Fax:'-/ i3 _ Phone No.-'1�-a- t. ( i iS E -Mail: 56--Vl Cc, 0, scGCDr15Fv� r.` State or County License: CG C_ 15-- 1,)-) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ _ Not Applicable Name: BONDING COMPANY: Not Applicable 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 I der or ♦attorney before commencing work or recording your Notice of Commencement. Rev. $/2/17 Signature of Owner/ Lessee/Contractor as Agent for Owner Signa ure of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF ii SSC The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged. before me this day of 20_ by this �_ day of �jQV � 20 `Cby V rRC ,I—+ -1Pr-n_'-\ e '� 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 Produced (Signature of Notary Public- State of Florida) (Signature of Notar - s;� �- ANiELLE ZIELINSKI �..... Ate Commission No. (Seal) =+= += COininl55i0n �lfE Commission No. : - 792 - Aires October 13, 2099 " r 2-nded Thm Tmy fain Inaurmreo Bl%13BS7©19 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLL MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. $/2/17 M1AMi•DA©�'. MIAMI-DADS COQ PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 11905 SW 26 Street, Room 208 BOARD AND CODE ADMINISTRATION DIVISION T (786) 315-2590 F (786) 315-25" NOTICE OF ACCEPTANCE (NQA) vn"y.miamidade.govteconomv PGT Industries, Inc. 1070 Technology Drive North. Venice, FL 34275 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-Davie County Product Control Section (In Miami-Dade County) and/or the AHI (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 revolve, modify, or suspend the use of such product or material within their jurisdiction. PER 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: Series "SH-200" Aluminum Single Hung Window — N.I. .APPROVAL DOCU31ENT: Drawing No. AM-SH2O0-01, titled "SH Window Installation" sheets I through 8 of 8, dated 05/11/11, with revision D dated 06/16/17, prepared by manufacturer, signed and sealed by Anthony Lynn Miller, P.E., bearing the Miami-Dade County Product Control Revision stamp with the Notice of Acceptance number and expiration date by the Miami-Dade County Product Control Section. MISSILE IMPACT RATING: None LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state, model/series, and following statement: "Miami-Dade County Product Control Approved", unless otherwise noted herein. 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 revises NOA# 16-0505.02 and consists of this page 1 and evidence pages E-I and E-2, as well as approval document mentioned above. The submitted documentation was reviewed by Jorge M. Plasencia, P.E. NOA No. 17-0630.02 / Expiration Date: September 01, 2021 t e' Approval Date: October 26, 2017 Page 1 PGT Industries, Inc. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Manufacturer's die drawings and sections. (Submitted under NOA No. 11-0614.01) 2. Drawing No. NW-SH2O0-01, titled "SH Window Installation" sheets 1 through 8 of 8, dated 05111/11, with revision D dated 06/16117, prepared by manufacturer, signed and sealed by Anthony Lynn Miller, P.E. B. TESTS 1. Test reports on: 1) Air Infiltration Test, per FBC, TAS 202-94 2) Uniform Static Air Pressure Test, Loading per FBC, TAS 202.-94 3) Water Resistance Test, per FBC, TAS 202-94 4) Forced Entry Test, per FBC 2411.3.2.1, and TAS 202-94 along with marked -up drawings and installation diagram of series SFI-200 aluminum single hung window, prepared by Fenestration Testing Laboratory, Inc., Test Report No. FTL-6479, specimens 1 thru 26, dated 03/28/11, signed and sealed by Marlin D. Brinson, P.E. (Submitted under NOA No. 11-0614.01) C. CALCULATIONS 1. Anchor verification calculations and structural analysis, complying with FBC-5'b Edition (2014) and FBC-6th Edition (2017) dated 10112/17, prepared by manufacturer, signed and sealed by Anthony Lynn Miller, P.E. 2. Anchor verification calculations and structural analysis, complying with FBC-511 Edition (2014), dated 05/22115, prepared by manufacturer, signed and sealed. by Anthony Lynn Miller, P.E. (Submitted wader NOA No. 15-0528.22) 3. Glazing complies with ASTM E1300-09 D. QUALITY ASSURANCE 1. Miami -Dade Department of Regulatory and Economic Resources (RER). E. MATERIAL CERTIFICATIONS 1. None. F. STATEMENTS 1. Statement letter of conformance to FBC-5" Edition (2014) and FBC-61h Edition (2037), dated 06122117, issued by manufacturer, signed and sealed by Anthony Lynn Miller, P.E. 2. Statement letter of no financial interest, dated 06/22117, issued by manufacturer, signed and sealed by Anthony Lynn Miller, P.E. , Jorge M. Plasencia, P.E. Prod ct Control Unit supervisor NOA No. 17-4630.02 Expiration Date: September 01, 2021 Approval Date: October 26, 2017 E-1 PGT Industries, Inc. NOTICE OF ACCEPTANCE: EVEDENCE SUBMITTED G. OTHERS 1. Notice of Acceptance No. 16.0505.02, issued to PGT Industries, Inc. for their Series "SPI -200" Aluminum Single Hung Window - N.I., approved on 06116116 amd expiring on 09101/21. Jorge M. Plasencia, P.E. Pr net Control Unit Supervisor NOA No. 17-0630.02 Expiration Date: September 01, 2021 Approval Date. 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T 113 .Z N N N m u m � m 0 � m� ?F N 1. `w � � m m ro 3 > m � m Gl N� �N � � x � =� � � co a)'y S7 N � c � TF m (�] � n � - m ^ m 0 MIA MI•DADE ME MIAMI-DADE COUNTY DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES PRODUCT CONTROL, SECTION BOARD AND CODE ADMNISTRATION DIVISION (RER} 11805 SW 26 Street, Room 208 NOTICE OF ACCEPTANCE QA T (786) 315-2590 F (786) 315-2599 PGT Industries, Inc. WWW-maamidade goy/erono�nv 1070 Technology Derive North. Venice, FL 34275 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 (AHT). 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 w" inour the expense of such testing and the AHJ may immediately revolve, modify, or suspend the use of such product or material within theirjurisdiction. 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: Series "SII -200" Aluminum Single Hung Window — N.I. APPROVAL DOCUMENT: Drawing No. MD-SH2O0-01, titled "SH Window Installation" sheets I through. 8 of 8, dated 05/11/11, with revision D dated 06/16/17, prepared by manufacturer, signed and sealed by Anthony Lynn Miller, P.E_, bearing the Miami -Dade Count' y Product Control Revision stamp with the Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Section. AUSSILE IWACT RATING: None LABELING: Each unit shall bear a permanent label with the manufacturez's name or logo, city, state, model/series, and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed anal there has been no chan.,,e 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. Ifany 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 revises NOAH# 16-0505.02 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 Jorge M. Plasencia, P.E. MIAMDAt7E COUNTY � NOA No. 17-0630.02 Expiration Date: September 01, 2021 // Approval Date: October 26, 2017 :Wage 1 PCT Industries Inc. PD—TICE OF ACCEPTANCE: EVIDENCE SUB.�UTTED A. DRAWINGS 1. Manufacturers die drawings and sections. (Submitted under NOA No. 11-06114.01) 2. Drawing No.1VID-SII200-01, titled "SH Window Installation,, sheets 1 through 8 of 8, dated 05/11/11, with. revision D dated 06/16/17, prepared by manufacturer, signed and sealed by Anthony Lynn Miller, P.E. B. TESTS 1. Test reports on: 1) Air Infiltration Test, per FBC, TAS 202-94 2) Uniform Static Air Pressure Test, Loading per FBC, TAS 202-94 3) Nater Resistance Test, per FBC, TAS 202-94 4) Forced Entry Test, per FBC 2411.3.2.1, and TAS 202-94 along with marred -up drawings and installation diagram of series SFT -200 aluminum single hung window, prepared by Fenestration Testing Laboratory, Inc., Test Report No. FTL-6479, specimens 1 thru 26, dated 03128111, signed and sealed by Marlin D. Brinson, P.E. (Submitted under NOA No. 1I-0614.01) C. CALCULATIONS J. Anchor verification calculations and structural analysis, complying with FDC -51h Edition (2014) and FBC-61 Edition (2017) dated 10/12/17, prepared by manufacturer, signed and sealed by Anthony Lynn Miller, P.E. 2. Anchor verification calculations and structural analysis, complying with FBC-511 Edition (2014), dated 05/22/15, prepared by manufacturer, signed and sealed by Anthony Lynn Miller, P.E. (Submitted under NOA No 15-0528.22) 3. Glazing complies with ASTM E1300.-09 D. QUALITY ASSURANCE 1. Miami -Dade Department of Regulatory and Economic Resources (RER). E. MATERIAL CERTIFICATIONS 1. Mone. F. STATEMENTS 1. Statement letter of conformance to FBC-5111 Edition (2014) and FSC -6th Edition (2017), dated 06/22/17, issued by manufacturer, signed and sealed by Anthony Lynn Milier, P.E. 2. Statement letter of no financial interest, dated 06/22/17, issued by manufacturer, signed and sealed by Anthony Lynn Miller, P.E. f Jorge M. Plasencla, P,E. Product Control Unit supervisor NOA ,No. 17-0630.02 Expiration bate: September b1, 2[021 Approval bate: October 26, 2017 E-1 PGT Industries, Iue. NOTICE OF ACCEPTANCE- EVIDENCE SUBMITTED G. OTTTERS 1. Notice of Acceptance No. 16-0505.02, issued to PGT Industries, Inc. for their Series "SII -200" Aluminum Single Hung Window - N.I., approved on 06116116 and expiring on 09/01/21. r i Jorge M. Plasericia, P.E. 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