Loading...
HomeMy WebLinkAboutBuilding Permit Application 9 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: /1-20-201K Permit Number: " ,- '" RECEIVED Building Permit Application NOV 2 0 2018 Planning'and Development Services ST, 4,ucle county, Permitting -Building and Code;Reg_ulation Division - - V' 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' Ozo F I PRQPOSED�ZIMPR01/,EM ENTF,LOGATION Address: 1�q`YYl �l r t�r� �►er�� ��. 3n�/9Rz Legal Description: PropertyTax'LD°#: a • 111�Fa' OW Q®©" I Lot No. Site Plan Name: Block No. Project Name:, F Setbacks,_' ;Front=: . Back: }Right Side:, :Left,Side: fix -.. -:,ia y_, tt Mk r -., � { i a• ,:.. c T T q c� :� DETAILEDDESCRIPTI`ON'�bF WORK r 4 iMdve, O� Y\�'ve.$ p,y� �e\�- �21^dV`Q, GJ U XX) 4,161\f-S 46 IVo C04 fe.14- ?o.r b` -3 4 CONSTRUCTION INF,ORMATIO.N +z.n. -Add itiona 1,Wqrkto,be-performed un ert is permit-cneCK a appy: ; �aVAC:<. Gas Tank ❑Gas Piping Shutters windows/Doors r��r AL_I,Electric ❑Plu,mbing. Sprinklers ❑Generator Roof Roof pitch Total Sq. Ft of Construction: . 2 I 62 S, of First Floor: Cost of,Construction $ VoI60nn"' Utilities: _Sewer ESeptic,I Building Height: Ol/1/N ER/LESSEEI? OR Name j' Name. Address::--.g qO Company: . City: �Lr r9�- ��crC�C_ State-JE Address: Zip Code: .,'..Fax: City: State: Phone No. �2_- 9]2/-+ve 67 S- Zip Code:. Fax: E-Mail: rw.Pd ir�tiCZYZI � k��a:Cn�., - Phone No. Fill in fee simple Title.Hnlder--on-next'page'(if different E-Mail: from the Owner listed ,above) State or County'License: If value.of construction is$2500 or more,a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Cyll_�, I Address: Address: 2D `8r),A 19'2613 City: State: City: C LN1"V.,bus State:-0-U- Zip: Phone Zip: J%-t%% Phone: JM, � q'9­713r. 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 nori-residenti'al 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 J"obsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement. Signour-e 6f-dwner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COQNTY,OF S�, I ki C COUNTY OF The forgoing instru ent was acknowledg-A before me The forgoing instrument was acknowledged before me thit'X)._day of -31-IM by this day of 20_ by Name of person making statementName of person making statement Personally Known OR Produced Identification V/ Personally Known OR.Produced Identification Type of Identifi-_-a#o Type of Identification r n , Produced Produced 1 A A SL (Signature of Notary-Public-State of Florida) (Signature of Notary Public-State of Florida Commission No. 04EN S. NIELSEN mmissi,on No. (Seal) EN S N I E L SE Florida-Notary P si 0? �S�, State of Pub Commission is GG onmission #GG 20748 My Commission X d-- ' MY Commission Epires 9F FlrceR' I" Q L na,1,2,.2022 REVIEWS FRONT ZONING 5U1ffRVT=4LANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW -REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED /17 Planning&Development Services Department ® Building&Code Regulations v u 2300 Virginia Avenue RECEIJ Fort Pierce,Florida 34982 (772)462-1553 NOV 2 OWNERBUILDER AFFIDAVIT DISCLOSURE STATEME F.S.489.103(7)EXEMPTIONS ST. Lucie 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 riot 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 alla plicable laws,ordinances,building codes,and zoning regulations. Initial — I'understand that the building official and inspectors are not there to design or give advice on how 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. Initial _ 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'liable•f0f the cost of the license. Initial'_ I understand that if any person that is unlicensed and uninsured gets injured on my construction project- they maybe entitled to workmen's compensation. I could be held liable for all doctor,lawyer and related medical cost,which could include loss of wages during recovery from their injury. Initial 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 Department to the Florida State Department of Professional Regulation. Signed and acknowledged'on this day of &o V of 20 . Owner/Builder Signature STATE OF FLO COUNTY OF The foregoing instrument wa acknowledged before me this Qt day of KJQy 20 , by Y who is personally known to me,or who has produc d as identification. "�, , VA (340 44 Signature of Notary (Seal) Title:Notary Public E=Florida- Notary 0t95N Statetary Publ cCo207484SLCPDSDRevised05/15/2014 =? �`: MExpires022 - RECEIVED MIAM NOV 2 0 2018 MIAMI-DADE COUNTY mme. ST. Lucie County, PermittingP ODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) 11805 SW 26 Street,Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami,Florida 33175-2474 T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.Qov/economy Iko Industries Ltd. 4haw 0 Hansen Rd. S. Brampton,Ontario CANADA P � 1 F 4 C L6W3H4 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 of the Florida Building Code. DESCRIPTION: Cambridge,Cambridge HD,and Biltmore AR Asphalt Shingles LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state 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 renews NOA No.14-0603.02 and consists of pages 1 through 4. The submitted documentation was reviewed by Gaspar J Rodriguez. NOA No.: 16-0329.13 MIAMI•DADE COUNTY Expiration Date: 05/05/21 Approval Date: 04/21/16 Page 1 of 4 LIMITATIONS 1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Shall not be installed on roof mean heights in excess of 33 ft. 3. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Code. INSTALLATION 1. Shingles shall be installed in compliance with Roofing Application Standard RAS 115. 2. Flashing shall be in accordance with Roofing Application Standard RAS 115 3. The manufacturer shall provide clearly written application instructions. 4. Exposure and course layout shall be in compliance with Detail'A',attached. 5. Nailing shall be in compliance with Detail'B', attached. LABELING 1. Shingles shall be labeled with the Miami-Dade Seal as seen below, or the wording"Miami-Dade County Product Control Approved". MIAMI•DADE COUNTY , ...� BUILDING PERMIT REQUIREMENTS 1. Application for building permit shall be accompanied by copies of the following: 1.1 This Notice of Acceptance. 1.2 Any other documents required by the Building Official or the applicable code in order to properly evaluate the installation of this system. NOA No.: 16-0329.13 MiAMi•oaDe eoutvnr Expiration Date: 05/05/21 Approval Date: 04/21/16 Page 3 of 4 ROOFING ASSEMBLY APPROVAL Category Roofing Sub-Category: Asphalt Shingles Materials: Laminate Deck Type: Wood SCOPE This approves a roofing system using Cambridge AR,Cambridge HD,and Biltmore AR asphalt shingles manufactured by IKO Industries Ltd.as described in Section 2 of his Notice of Acceptance. PRODUCT DESCRIPTION Product Dimensions Test Specifications Product Description Cambridge 13 3/4" x 40'/s" TAS 110 A heavy weight,fiberglass reinforced Manufacturing Location#1, 2, 3 laminate asphalt shingle. Cambridge HD 13 3/4"x 40'/s" TAS 110 A heavy weight,fiberglass reinforced Manufacturing Location#1, 2, 3 laminate asphalt shingle. Biltmore AR 13 3/4"x 40'/s" TAS 110 A heavy weight, fiberglass reinforced ;Manufacturing Location#1, 2 laminate asphalt shingle. MANUFACTURING LOCATION 1. Kankakee,IL 2. Wilmington,DE 3. Sylacuaga,AL EVIDENCE SUBMITTED Test Agency Test Identifier Test Name/Report Date PRI Construction Materials Inc. IKO-050-02-01 TAS 100 12/21/09 IKO-076-02-01 TAS 100- 02/21/12 IKO-114-02-01 TAS'100 09/25/14 IKO-099-02-01 TAS 100 05/12/14 IKO-096-02-01 ASTM D 3462 09/27/13 IKO-095-02-01 ASTM D 3462 09/27/13 IKO-121-02-01 ASTM D 3462 09/25/14 IKO-100-02-01 ASTM D 3161 (TAS-107) 05/21/14 IKO-115-02-01 ASTM D 3161 (TAS-107) 09/25/14 FM Approvals 3041689 ASTM D 3462 02/23/11 3036971 ASTM D 3161 (TAS-107) 01/04/09 3042673 ASTM E 108 04/12/11 NOA No.: 16-0329.13 �MIAMIM-%ADEouNTY Expiration Date: 05/05/21 Approval Date: 04/21/16 Page 2 of 4 DETAIL A CAMBRIDGE,CAMBRIDGE HD,BILTMORE AR COURSE LAYOUT EDGE OF ROOF ---------- --------- 24' Note:Roofing Cement not shown in this layout. This drawing is for course layout only. See Detail B ----------- for nailing and cement placement details. i -14" THIRD COURSE i i SECOND COURSE rA/// rA///i rA rA i i =1RST COURSE MAN NO VA FA FA } DETAIL B - ` CAMBRIDGE,CAMBRIDGE HD,BILTMORE AR 40 Z" 8 13 4" 3� 6$ FA 5 a" EXPOSURE END OF THIS ACCEPTANCE NOA No.: 16-0329.13 MIAMI-DARE COUNTY Expiration Date: 05/05/21 Approval Date: 04/21/16 Page 4 of 4