HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��2`�'L 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 TYPE:
PROPOSED 114MOV�EMENT LOCATION.
Address:
C�/��
Property Tax ID t#: �� 25 ��Oy—C�.732 —C—) \ 0 `U Lot No.
Project Name:Z—
[DETAILED DESCRIPTION OF O'R
CONSTRUCTION INFORMATION:
Utilities: _Sewer _Septic C l Sq. Ft. of First Floor:
� ( Cost of Construction: $ 3fyy Total Sq. Ft of Construction:
FLOODPLAIN DEVELOPMENT PERMIT for structures exempt from Building Code that are in the
floodplain:
Nonresidential Farm Building: _ Temp. Bldg./Shed used exclusively for construction
j
Mobile/Modular for temp. construction office: Bldg. involved in distrib. of electricity:
Other: FlooCzone: BFE: 0 dw 7 {/NAY
No Rise Certificate with supporting data attached? Y/N
All other applicable state and federal permits shall be obtained prior to ctiffime tcem`ent''
construction. Will
---_._----------
oc NER/LE---SSEE.
CTOR:
:\e—,r�
Name
Name: KL,v'Y�C7S
Address:�2rGr��> 7—�I �-
Company�lZ
City: `�� State: El
Addrness:`�1Zyl
Zip Code: �{Ct Z Fax:
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City: V0A � 1..c�f c' State: )
Phone No. Slo\ k--A ALA -1 \1 to
Zip Code: Fax:
Phone No' 1— --
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail Z.-CrLtC ckx-YsC'X A eR Cr' I
State or CoJnty Li nse
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 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
p: Phone:
FEE SIMPLE TITLEHOLDER: _Not (cable
BONDING COMPANY: _Not Applicable
Name:
Name:
_
Address:_
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWN / 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 FLOWDA
COUNTY OFF 1 C'
STATE OF FLORA t
COUNTY OF t
The (or�oing instrr t was cknowled&eoefore me
The ��oing ins ent was acknowledS,ed before me
this =\ day of 1� 20�1�by
this _ day of Ll 201-4. By
Name of person making statement.
Name of person making statement.
Personally Kn R Pro u Identification
Personally Known OR Produce Identification
Type of Ide if' ait
Produced
Type of Identifi in
Produced
ign tur o P ic- State of Florida )
m ""' . LUZ M. RIVERA Seal)
TIP COMM155fORSG094E(v179
EXPIRES: Jan,
(Sig '., ' ..•.ryPU Ca - I r;9
ommi i io EXPIRES: January Q 20
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REV(
UPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
COUNTY
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
DAB Door Company, Inc.
12195 NW 98fh Avenue
Hialeah Gardens, FL 33018
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 then 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: Hurricane Master Model 824/811 Steel Sectional Garage Dour up to 9'4" Wide W
Window Lite Option (DP +50.0, -60.0 PSF)
APPROVAL DOCUMENT: Drawing No. 01-09, titled "Sectional Garage Door", sheets 1 through 5 of 5,
dated 02101/2001, with last revision K dated 03/21/2016, prepared by AI-Farooq Corporation, signed and
sealed by Javad Ahmad, P.E., beating 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 ofthis 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 # 15-0317.02 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 Carlos M. Vtrera, P.E.
NOA No. 16-0330.02
ninnI-DA v Expiration Date: August 9, 2021
Q�/G Approval Date: June 23, 2016
/ Page 1
DAB Door Comamry, Inc.
NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED
A. DRAWINGS
1. Drawing No. 01-09, titled "Sectional Garage Door", sheets 1 through 5 of 5, dated
02/01/2001, with last revision K dated 03/21/2016, prepared by Al-Farooq Corporation,
signed and sealed by Javad Ahmad, P.E.
B. TESTS "Submitted underNOA # 09-0I2&04"
1. Test reports on 1) Uniform Static Air Pressure Test, Loading per FBC TAS 202-94
2) Large Missile Impact Test per FBC, TAS 201-94
3) Cyclic Wind Pressure Loading per FBC, TAS 203-94
4) Forced Entry Test, per FBC 2411 3.2.1, TAS 202-94
along with marked -up drawings and installation diagram of a DAB 824 24 GA
Sectional Garage Door with Fixed Windows, prepared by Hurricane Engineering &
Testing, Inc, Test Reports No. HETI-08-2149AB, dated 06/27/2008, signed and
sealed by Candido F. Font, P.E.
"Submitted under NOA # 09-0I28.04"
2. Test report of Tensile Test per AST'M E 8, Report No. HETI 08-T182, prepared by
Hurricane Engineering & Testing, Inc., dated 12/23/2008, signed and sealed by
Candido F. Font, P.E.
"Submitted under NOA # 01-05,76.03"
3. Test report of large missile impact test per PA 201 and cyclic wind pressure test per
PA 203 on "Sectional Residential Garage Door", prepared by Hurricane Engineering
& Testing, Inc., Report No. HETI 01-974A, dated 01/2912001, signed and sealed by
Hector M. Medina, P.E.
4. Test report of Uniform Static Air Pressure Test per PA 202 and Force Entry
Resistance Test on "Sectional Residential Garage Door", prepared by Hurricane
Engineering & Testing, Inc., Report No. HETI 01-969, dated 01/18/2001, signed and
sealed by Hector M. Medina, P.E.
5. Test report on Salt Spray (Corrosion) Test per ASTM B 117 of a painted G-40 steel
panels, prepared by Celotex Corporation, 'Pest Report No. 258592, dated 08/1711998,
signed by W. A. Jackson, P.E.
4016PIM14
Carlos M. Utrera, P-E.
Product Control Examiner
NOA No. 16-0330.02
Expiration Date: August 9, 2021
Approval Date: June 23, 2016
E-1
DAB Door Comnauy, Inc.
NOTICE. OF ACCEPTANCE: EVIDENCE SUBMITTED
C. CALCULATIONS "Submitted under NOA # 14-0814.04"
1. Anchor verification calculations prepared by AI-Farooq Corporation, dated 09/22/2014 and
07/24/2014, signed and sealed by Javad Ahmad, P.E.
"Submitted under NOA # 09-0128.04"
2. Anchor verification calculations prepared by AI-Farooq Corporation, complying with F.B.0
2007, dated 12/19/2008, signed and sealed by Humayoun Farooq, P.E.
D. QUALITY ASSURANCE
1. Miami -Dade Department of Regulatory and Economic Resources (RER)
E. MATERIAL CERTIFICATIONS
1. Notice of Acceptance No. 15-0915.08, issued to SABIC Innovative Plastics, for their Lexan
Polycarbonate Sheet Products, approved on 12/10/2015 and expiring on 07/17/2018.
2. Notice of Acceptance No. 14-0311.08, issued to Insulfoam, LLC, for their
Insulfoam Expanded Polystyrene Insulation, approved on 08/14/2014 and expiring on
11/29/2017.
3. Notice of Acceptance No. 11-0926.07, issued to Dyplast Products, LLC, for their Expanded
Polystyrene Block Type Insulation, approved on 11/10/2011 and expiring on 01/11/2017.
4. Notice of Acceptance No. 11-0926.06, issued to Dyplast Products, LLC, for their
Dyplast ISO-Cl Polyisocyanurate Insulation, approved on 11/10/2011 and expiring on
01/11/2017.
5. Notice of Acceptance No. 15-1203.04, issued to Cellofoam North America Inc, for
their Expanded Polystyrene Block Insulation, approved on 03/172016 and
expiring on 02/242021.
"Submitted under NOA # 05-0228.02"
6. Test Report on Accelerated Weathering Using Xenon Arc Light Apparatus Test per
ASTM G155 of "PVC Extrusion Material", prepared by Hurricane Lngineering &
Testing, Inc., Report No. HETI 04-A002, dated 09/27/2004, signed and sealed by Rafael E.
Droz-Seda, P.E.
7. Test Reports on Tensile Test per ASTM D638 of "PVC Extrusion Material', prepared by
Hurricane Engineering & Testing Inc., Report No. HETI 04-T251, dated 11/29/2004 signed
and sealed by 1. Ghia, P.E.
8. Test Report on Self -Ignition Temperature Test, Rate of Burn Test and Smoke Density
Test of"REHAU non -foam PVC extrusion material', prepared by ETC Laboratories,
Report No. 04-761-15019.0, dated 05/062004, signed and sealed by J. L. Doldan, P.E.
F. STATEMENTS
1. Statement letter of code conformance to the 5" edition (2014) FBC and of no financial interest
issued by Al-Farooq Corporation, dated 03/2112016, signed and sealed by Javad Ahmad, P.E.
06 14 2016
Carlos M. Utrera, P.E.
_ Product Control Examiner
NOA No. 16-0330.02
Expiration Date: August 9, 2021
Approval Date: June 23, 2016
E -2
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