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HomeMy WebLinkAboutbrynmawrpermitpackAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: - J _ Planning and Development Services Building and code Regulation Division 2300 Virginia Avenue, Fart Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMITTYPE: PROPOSED IMPROVEMENT LOCATION: Address: A� f A1- -A Permit Number: Building Permit Application Commercia l l R@51delltla( Property Tax ID #: f/ '' 2q-1 I lo-o Lot No. Site Plan Name: . n A---/ �v,.,�,, P-I Block Na. Project Name: ���w+u n , ��� Pam, , %ae& DETAILED DESCRIPTION OF WORK: 0r+-�c1Cza ( . /L)e"..; ;Jc►,- 51,fJ J )< 1 CU,M //14,,'T. /V,e' J v14 L. .4 CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: _Mechanical _ Gas Tank Gas Piping — Shutters Windows/Doors — Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: e7�0 Cost of Construction: OWNERAESSEE: 5q. Ft. of First Floor: Utilities. `Sewer `Septic Building Height: Name f res erv,(j i��T^ ij1j->I�V �-er►:-� Address: 00 r"- City: �= o l 2 �}e State: Fl- Zip Code: .19 (� D Fax: Phone No. E-Mail: J ri-ee. 'd; tY Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name:_ Company:�Ice2�.�' T� Address:.Srss� City: Vy-b State: FL Zip Code: Fax: Phone No . %72- -S 6-7' 9 7qLl E-Mail 'i'! o-R&OI k-eyzpgrY s 4 - Gc�'''N State or County License C P 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 CONSTI UCTlON LIEN LAW INFORMATION: ©ESIGNER%ENGINEER_: Not Applicable Name: w MOfiTGAGE COMPANY: Not Applicable Address: Name: City, Address: State. Zip: phone City: Zip:State. Phone: �— FEE SIMPLE TITLE HOLDER: Not Applicable Name: BONDING COMPANY: — Not Applicable Address: Name: City: Address: Zip: Ph©ne: City: 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. wthichcsinoconflictwithaonyappliabeiHo eaOlwn`rsAssgocipermit lesabylawrsorandcovenaatsthatbuild a yet ictorPcohi6rtsuch 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 IIN YOUR PAYING TWICE FOR IMPROYEMENT5 TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON TtfE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU 11YTEiN® TO OBTAIN AU I=i141A1NCInIG, CONSULT EDAND WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR (NOTICE OF COMMENCEMENT." A Signature of C3+nYnerLesseefContractor as Agent for Owner Signature o Contractor/License (der STATE OF FLORID COUNTY OF R ; STATE OF FLORIDA , Ll� nn e� COUNTY OF._S' this The for�ida ng ioftru ent was acknowledged before me The forgoing instrument was acknowledged before me Y 2Q�bY this 7 day of MC}. 20-;UL by �e Name of person making state ent_ Name of person makin g ska ment. ' t/ Personalty Known oA Produced Identification Type Personally Known ✓ OR Produced identifEcatio of Identification duced n I ype of Identificationl�'"`' =w Produced ii , My Comm. Expire A . i {S[gnat re of Not (Signature of Ngtary Public- S e of Floridij GG 323282 Commission No. P�5 o! F and riss;or{SLG. _43242 a Commission No. o��d . • :� �G •• 1 E. �`YCo sT. Expire<_ Sep 2. 2022 � �J REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW DATE REVIEW RECEIVED I DATE COMPLETED For Dep rtm Date Received e t Use only ,. 3d Received From hoe ax+a`t // DOH operating Permit# '(wigd001 STATE OF FLORIDA DEPARTMENT OF HEALTH NOTICE OF RESURFACING OF PUBLIC SWIMMING POOL sc� s- 1. Project/Facility Name: Cry nnn fy) q' r County: Luc r Address of Poole �� ( M, it �/} _ City: _f f , �+'c _ Zip: i 2. OwnerlVame: - rr�/rah2 ^c�� f.U4f E-Mail: c�Lroff"Phone: (7n� SG`�-`fSS� Mailing Address: 5 ZD' ( City: ��`` 13z i, state: l�1-Zip-, 3_�1196 cD 3. Building Depart. Name: —9tLeJC1� [nG�•.�y ljd,t�(r L 1��,��}r��,,.�n Mailing Address: '�,6o is ram+ City: /`tl"r�r State: FL Zip: � � E-Mail: ��-er5"r!- C� 5t'j+�c«LD , Cyr 7 Phone: ?� �Z - 15 je-3 4. Contractor Name: L pd-U/ C otr CPC #: E-Mail: e, Phone: (�72) 5. Public Pool Resurfacing Building Code Compliance Check List: Lip of the gutter leveled to within 1f4 inch (6.4 mm) between the highest and lowest point and the downward slope from the lip to the drain must be maintained as originally designed or increased, not to exceed new construction standards. (Florida Building Code (FBC) section 454,1.10.1.1) Tile step markings installed per requirements of Section 454.12.5.3. (FBC 454.1.10.12) Note: When markings are specified by code to be dark, the term dark" shall mean a Munsell color value from zero to four. Must be slip resistant too. Where applicable, the slope break marking must be installed meeting the requirements of Section 454.12 2.3.2 and a safety line installed 2 feet (610 mm) before the marking. (FBC 454.1.10.1.3) Depth markers and NO DiVING markers installed in accordance with Section 454.1.2.3. (FBC 454.1.10.1.4) The pool ladder must have a 3 to 6-inch (76 to 152 mm) clearance from the pool wall. New cross -braced ladder(s) shall be installed in place of non -cross -braced ladder(s) in conformance with Section 454.1.2.5,1. (FBC 454.1-10.1.5) Note: Ensure Florida Building Code 454.1-10.4.21=quipotential bonding has been inspected and verified by Jurisdictional building authority. Should resurfacing works affect the step riser heights, no riser shall exceed 12 inches (305 mm) for pools and for spas, and the intermediate risers shall be made uniform. (FBC 454.1.10.1.6) NOTE, the 12-inch allowance for pool step riser is a code modification the Building Commission has approved for the 2020 FBC revision, 70 edition. Step treads that protrude from the pool wall shall be removed and replaced with a cross -braced ladder or reconstructed to meet the requirements of Section 454.1.2.5.1 or 454.1.2.5.2. (FBC 454.1.10.1.7) Note: Ensure Florida Building Code 454.1.10.4.2 Equipotential bonding has been inspected and verified by jurisdictionaf building authority. DH Resurfacing Notification Form, 1213012019, Rule 64E-9.001, F.A.C. Page 1 of 2 Note" Florida Building Code section 464.1-2.4 Color. Paol floors and walls shall be white or light paste! in Color and shall have the characteristic of reflecting rather Phan absorbing light The interior finish coating floors and walls shall be Comprised of a nonpigmented white cementitious binder component together with a sand/aggregate component. The finish coating shall have a dry lightness level (CIE L value) of 80.0 or greater and a wet !ominous reflectance value (CIE Y value) of 50.0 or greater, as determined by test results provided by the manufacturer, uGllzing fesling methodology from American Standard A8fAd 174086 ASTM E1477, AS i Vl F1347. Pools constructed of fiberglass, thermoplastic, Or stainless steel shall be subject to the same interior finish color requirements, Pool Interior Finish Color Selection (print or type on line below): Li-c - Replacement Tile Color Selection (print or type on line below): alonvv-( 61L�f- Note. If suction outlet drain covers, sumps or other anti -entrapment safety features are replaced, provide DOH with completed DH 4157 form enders. 514_ 0315, Florida Statutes. Note: If deck alterations are in the scope of work, the wet deck must be maintained as originally approved ormect cun'ent Florida Building Coda ADA requirements. REMARKS: �-��•� l� sit �:[ r /"�-- CERTIFICATION OF OWNER The undersigned owner, or owner's representative, herebyagrees to operate the pool described in this notification in accordance with the requirements of Chapter 514 of the Florida Statutes, and Chapter 64E-9 of the Florida Administrative Code (F.A.C.), and maintain the original orthe resurfaced construction compiiantwith the Florida Building Code (F8C), Building, Chapter 4, section 4S4.1that is approved oraccepted bythe jurisdictional building department. The undersigns owner, orowner's representative, furtheragrees to comply withthe requirements of the FBCChapter4 Pon 45 .20.1 when undertaking the resurfacing project herein described. Sign: '— mate: �d z u Name: 7'et--65 'ecr-fs , 4A. Gv�nrr Title: iPantortypel (Printortype) IfnatBwner,attach autharizationfrom Owner THIS SECTION FOR DOH USE ONLY: It is recommended that -the above resurfacing notification be X(APPROVED( ) DENIED, subject to provisions of the RA.0 and the fBC. Sign re: DOH Engineer/Auutthh�orrized Staff pate f��GbYt Print or type Name DH Resurfacing No6foa#ion Form, 1213012019. Rule 64E 9.001. F.A.G, Page 2 of 2