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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONA4
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
oELCu
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: a 0A 4-S P t+r'\ : rc k S}
Property Tax I D #: a, a 1 - O a 00 CD 6"O a Lot No. \ o Ertl
Site Plan Name: Block No. LO
Project Name: Cae-,:sX �rJ
DETAILED DESCRIPTION OF WORK:
G r� -
.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
AMechanical
Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction:
Gas Piping
Sprinklers
_ Shutters
Generator
(Affidavit required)
_ Windows/Doors Pond
Roof Pitch
Sq. Ft. of First Floor:
Cost of Construction: $ SI CI S to . i `d Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
Name
Address:
City: �p�k Qt�c-�� State:��
Zip Code: 3Lk4�, % s Fax:
Phone No. E-
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name: a-QQ tiSL
Company:\]C -\)-CMU-Q- Gtr-�aa
Address: SLKAO W . 5&f—A * QL
City: 0" State: Jl��-*
Zip Code: 3 83\ Fax: 31iS -❑%-f4
Phone No S LI - Q.T\ - �] tt ❑
E-Mail ee-v- -i V'rll UGC. Ova (-N
State or County License CMG - in-STI -f a
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY:
Name: Name:
Address: Address: _
City: State: City:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applicable
BONDING COMPANY:
Name:
Address: _
City:
Zip: Phone:
Not Applicable
State:
Not Applicable
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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County a osted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lend ttorney before commencing work or recording your Notice of Commencement.
ovl"� of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF I:s a�
Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization
this Q t5 day of PLU"t& , 20.AJ by
Name of person making statement. V
Personally Known x OR Produced Identification E_.
�''� Notary Public State of FloridaType of Identification Produced Stadi@ PaguraMy Comrhission GG 150367�0+ Expires 02i0212022
(Signature of Notary Public- State of FI a)
Commission No. a a.1 (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE f I
RECEIVED _
DATE
COMPLETED
Eligible for Federal Tax Credit
Certificate of Product Rating
AHRI Certified Reference Number: 8863198 Date : 04-16-2021 Model Status : Active
AHRI Type; RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower)
Series: LX SERIES
Outdoor Unit Brand Name: YORK
Outdoor Unit Model Number (Condenser or Single Package) : YCG30B21
Indoor Unit Model Number (Evaporator and/or Air Handler) : AE30BX21+TXV
Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS,
MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WV, WI, WY, U.S.
Territories)
Region Note. Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in all regions
until June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed in region(s) for
which they meet the regional efficiency requirement.
The manufacturer of this YORK product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of AHRI 210/240 with Addendum 1, Performance Rating of Unitary Air -Conditioning
& Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing:
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 27800
SEER: 17.00
EER (A2) - Single or High Stage (95F) : 14.00
The AHRI 2101240 certified EER ratings in Btu/h/W are calculated under the same methodology as the EER ratings at T1
conditions of ISO 5151:2017 and ISO 13253:2017
t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are being
marketed but are not yet being produced "Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
Ratings that are accompanied by WAS lndlcate an involuntary re -rate. The new published ratinv Is shown alonq with the Drevious (i.e. WAS) ralinv.
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for,
the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance
of the product(s), or the
unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the
directory at www.ahridirectory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and
confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated;
�. `■ r
entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual,
personal and confidential reference.
AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION
& REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link
we make life better'
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
which is listed above, and the Certificate No., which is listed at bottom right.
©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132630725346920645
1/4/2021
Florida BuW tg Code Online
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sw Name l tog In userR aeon HatTopks s%&mRswdeme Stets a real ; NAkayms coma us ; um sm KV U ft Wssard, f
dUpr
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FL #
FL14239-RS
Application type
Revision
Code Version
2020
Application Status
Approved
Comments
Archived
Product Manufacturer
BMP International Inc
Address/Phong(Email
4710 28th Street N
St Petersburg, FL 33714
(727) 4S8-0S44
benmeng8fyahoo.com
Authorized Signature
)lanbin Meng
benmeng8®yahoo.com
Tedinical Representable
Address/PhonWErnall
Quality Assurance Representative
Address/Phone/Email
Calory Structural Components
Subcategory Anchors
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida
Professional Engineer
Evaluation Report - Hardc opy Received
Florida Enginccr or Architect Name who developed the Frank L Bennardo, P.E.
Evaluation Report
Florida License PE 0046549
Quality Assurance Entity National Accreditation and Management Institute
QuaRyr Assurance Contract Expiration Date 12/32/2021
Validated By
Ttoy Bishop, P.E.
Varidation Cheddlst - Hardeopy Received
Certificate of Independence
R A!renced Standard and Year (of Standard)
Equivalence of Product Standards
Certified By
Sections from the Code
Standard
ASTM D1761-88
Ronda Licensed Profcss;flnal EngineerorArchitect
Year
20M
Product Approval Method Method 1 Option D
h4sJMrww_fl0ridabufffding.0rg/pr/pr app dtlasWpararn--WGEVXOwtDquD6lErtOSCeiRuPjHIQ1CoAtbhlDp2whFQdlmZGSDdvg963d%3d 1/2
1/4/2021
Florida Building Code Online
Date Submitted 10/08/2020
Date Validated 12/21/2020
Date Pending FBC Approval 10/26/2020
Date Approved 12/22/2020
Surrunaa of Products
FL * Model, Number or Name Description
14239.1 Slotted Steel Tie -Down Clips, 1' and
2- Models
Limits of Use
Approved for use in HVHZ. Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other! This design prnyides allmyabie capacities For the
system. The required site -specific design pressure (demand)
shall be calculated by others tar use with this deslgn,
Steel Tie -Down Cllp System (For Use with Mechanical Units at
Roof or Grade)
Installation Instructions
ELL 239 95 ll t)wG nits=
Verified By: Frank L Bemhardo, P.E. OD46549
CG--ttrd by Independent Third Party: Yes
Evaluation Reports
F1 -14239 R5 AF __ s- Al Ii
Created by Independent Third Party: Yes
�dadcl �Neztl
Contact
:: 2601 Bia1L, nc Raa}�, TdRlhtrs�te R 3�_�99 ohmu�: ASfl..ap Y7_itne
The St3te of Honda is an ANCEEo employQ
UWId r Ratrda taw, email addramm are puWC recmlfz If yw"nut boot Your �l address: re}easm Itr
mall to v+s milky. M-,Md, canta4 ncQ &MM by 0. orby vradlsiohW URYL 0wr ymars am go omw, p� � ase a.57.1�3ssras:hu-unnx m semon nJorlda StfUtas,-Yw:ttm Omrh.Y 1, 2012, LI-MIZ 5-10d under t hW1 455, FS, oust pnmdde the t van an ensa7 ad&vm If"hm one The emtil4
pmrldad MY be AGM for offi[W eonxnunfcaNun rnur the Imo, Kow_%tr eman adia � are pubU remrd, u Yvu dp rest wish m supply s FeWrkd addmss, pose
Provide the OePw Wnt wim an er6t addjpss wh!dh c be made avall7bk m mC pabSr- Tn dLtumine if Wu am a ll: mn anger C7upbr 455, FS„ piCssC ddc I,&,.
Product Approval Accepts:
®® ® eyrY.r
Credit Cwd
Safe
hUW-ll vwwfloridabulding.orglpdpr app_oaSPI?P�"�NGEVXQwtDquDEJErtOSCeiRuPjHIQ1CoAU*Mp2whFQxUmZG6Ddv9%3d%3d 2/2
ENGINEERING
ENGINEERING EXPRESS®
PRI]DUCT EVALUATIDN REPORT
September 15. 2020
Application Number.
FL #14239.1-R5
FLB Project Number.
20-30157
Product Manufacturer.
BMP Intemational
Manufacturer Address:
4710 28th Street North
St. Petersburg, FL 33714
Product Name: Slotted Steel Tie -Down Clips, 1" and 2' Models
Product Description: Steel Tie -Down Clip System (For Use with Mechanical Units at Roof or Grade)
Scope of Evaluation:
This Product Evaluation Report is being issued in accordance with the requirements of the Florida
Department of Community Affairs (Florida Building Commission) Rule Chapter 61 G20-3.005, FAC_, for
statewide acceptance per Method 1(d). The product noted above has been tested and/or evaluated as
summarized herein to show compliance with the Florida Building Code Seventh Edition (2020) and is, for
the purpose intended, at least equivalent to that required by the Code. Re-evaluation of this product shall
be required following pertinent Florida Building Code modifications or revisions.
Substantiating Data:
• PRODUCT EVALUATION ❑OCUMENTS
FLB drawing #20-30157 titled `Mechanical Unit Steel Tie -Down Clip: At -Grade and Roof -Top Mounted
Applications", sheets 1-5. prepared by Engineering Express, signed & sealed by Frank Bennardo. P.E. is
an integral part of this Evaluation Report.
TEST REPORTS
Ultimate test loading structural performance has been tested in accordance L ASTM D1761-88 test
standards per test report(s) #TEL 01970387A and #TEL 0197Q387B by Testing Evaluation Laboratories,
Inc. Signed and Sealed by Lyndon F_ Schmidt, P.E
• STRUCTURAL ENGINEERING CALCULATIONS
Structural engineering calculations have been prepared which evaluate the product based on
comparative and/or rational analysis to qualify the following design criteria:
1. Minimum Allowable Unit Width
2- Maximum Allowable Unit Height
3. Minimum Unit Weight
4. Maximum Allowable Unit Surface Area
5. CUP Configuration and Anchor Spacing
6. Anchor Capacity for Various Substrates
7. Maximum allowable roof -top heights for various installation wind speeds
No 33% increase in allowable stress has been used in the design of this product_
160 SW 12T" AVENUE SUITE 106, DEERFIELD BEACH, FLORIDA 33442
(954) 354-0660 1 (866) 396-9999
TEAM@ ENGINEERINGEXPRESS.CON
ENGINEERINGEXPRESS.COM
ENGINEERING
t.:
Page 2 of 2
BW International — Steel Tie Down Clips
Impact Resistance:
Not applicable to this product.
Wind Load Resistance
This product has been designed to resist wind loads as indicated in the design schedule(s) on the
Product Evaluation Document (i.e. engineering drawing).
Installation
The product listed above shall be installed in strict compliance with the Product Evaluation Document (i.e.
engineering drawing), along with all components noted therein.
The product components shall be of the material specified in the Product Evaluation Document (i.e.
engineering drawing),
Limitations & Conditions of Use:
Use of this product shall be in strict accordance with the Product Evaluation Document (i.e. engineering
drawing) as noted herein.
All supporting host structures shall be designed to resist all superimposed loads and shall be of a material
listed in this product's respective anchor schedule. Host structure conditions which are not accounted for
in this product's respective anchor schedule shall be designed for on a site specific basis by a registered
professional engineer.
All components which are permanently installed shall be protected against corrosion, contamination, and
other such damage at all times.
This product has been designed for use within and outside of the High Velocity Hurricane Zone (HVHZ).
Respectfully,
Frank Bennardo, PE
ENGINEERING EXPRESS®
4PE00465491 Cert. Au&. 9885
160 SW 121" AVENUE SUITE 106, DEERFIELD BEACH, FLORIDA 33442
(954) 354-0660 1 (866) 396-9999
TEAM@ ENGINEERINGEXPREss.COM
EN GINEERINGEXPRESS. COM
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