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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICA LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: l R --�' I Permit Number:
S�`IL L ,QiL----
'- --" 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: 'P� 0, '^0 Y�
`1
PROPOSED IMPROVEMENT LOCA ION:
Address: l 10 LAC-6.)1Na � L .
Property Tax ID #: Lot No.
Site Plan Name: Block No.
Project Name:a 1 1O
DETAILED DESCRIPTION OF WORK: f
- fir-
New Electrical Meter _ Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Pond
_ Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction:: Sq. Ft. of First Floor:
_ a
Cost of Construction: $ l , LS 7 Utilities: _ Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Name:
Address: C:) `� Company: 4'
City:�'�{Acck- State: , Address:
Zip Code: Fax: city'
���V4, State: .
s ,1
Phone No. — -7 — K a E- Zip Code: Fax:Qh��3) g• Q5 $`f
Mail: (Z 1, (!al4 Phone
Fill in fee simple Title Holder on next page (if different E-Mail e�
from the Owner listed above) State or County License �)
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
DESIGNER/ENGINEER
Name:
Address:
City:
Zip: Phq
FEE SIMPLE TITLE HOI
LAW INFORMATION:
Not Applicable
State:
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: _
Address:
City:
Zip:
Phone.,
BONDING COMPANY:
State:
Not Applicable
Name: _ ` _ Name:
Address: Address:
City: City:
LZ IZip_ : Phone: Zip: Phone:
I _
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 and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney befqre commencing work or recording our Notice of Commencement.
Signature of Owner/ Le o actor kAgent for Owner
STATE OF FLORIDA (�
COUNTY OF
Sworn to (or affirmed) and bscribed before me of \1L Physical Presence or Online Notarization
this day of 20Z by
5LO
Y1
Name of person making statement.
Personally Known /r OR Produced Identification
Type of Id tification Produced
(Signature of Notary Public- State o Florida)
2
�
'•' PRANCES E� LEP! ZARICI(
Commission No. 3 O (Seal)
= Notary Pu'c!ic - State of Florida
Commi5son G' GG 350789
s
My Comm. Ex:)ires Oct 4, 2023 F
k:
Bonded through National Notary Assn.
i
REVIEWS FRONT ZONING
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW
REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev52021
Certificate of Product Ratinas
AHRI Certified Reference Number : 205145386 Date : 09-29-2021 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) : YCE421322
Indoor Unit Model Number (Evaporator and/or Air Handler) : AE42CBC21
Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL,
IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, 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 : 41500
SEER: 15.00
EER (A2) - Single or High Stage (95F) : 12.50
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 indicate an involuntary re -rate. The new published rating ;s shown alon4 with the previous (i.e. WAS) ratino.
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;
�■ ®�
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.:
132773949879186887
1/4/2021
Florida BuDding Code Online
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Approval opr
� P�bacc Usw
-- . Fl. # Fl14239-R5
Application ljrpe Revision
Code Version 2020
Application Status Approved
Comments
Archived
Product Manufacturer
BMP International Inc.
Address/Phone/Email
4710 28th Street N
St. Petersburg, FL 33714
(727) 458-0544
benmeng8@yahoo.com
Authorized Signature
Xlanbin Meng
benmeng8@yahoo.cum
Technical Representative
Address/Phone/Emall
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 - Hardcopy Received
Florida Engineer or Architect Name who developed the Frank L. Bennardo, P.E.
Evaluation Report
Florida License PE-OD46549
Quality Assurance Entity NatlDnal Accredlibation and Management Institute
Quality Assurance Contract Expiration Date 12131/2ozi
Validated By Troy Bishop, P.E.
Certificate of Independence
Referenced Standard and Year (of Standard)
Equivalence of Product Standards
Certified By
Sections from the Code
Validation Checklist - Hardcopy Received
1_Li4739 K _CUI INDeP IL
Standard
ASfM D1761-88
Florida Licensed Professional Engineer or Architect
Year
2000
Product Approval Method
Method 1 Option D
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1/4/2021
Florida Buflding Code Online
Date Submitted
10/08/2020
Date Validated
12/21/2020
Date Pending FBC Approval
10/26/2020
Date Approved
12/22/2020
SuirnnMa of Products
FL Model, Number or Flame 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
Impart Resistants N/A
Design Pressure: N/A
Other: This design provides allowable capacities for the
system. The required site-spedfic des€gn pressure (demand)
shall be calculated by others for use with this design.
Steel Tie -Dawn Clip System (Far Use with Mechanical Units at
Roof or Grade)
Installation instructions
f! J__ KS IJ I__ u4Y(
Verified By: Frank L Bennardo, P.E. OD46549
Created by Independent Third Party: Yes
Evaluation Reports
1=1 !•! -LA i V_ Ai_ Imo_
Created by Independent Third Party: Yes
i Bndij Iricxt .
Contact Us :; 2601 Blalr Stone good, Tallahaeser. n_ 37399 phone: B50-4A7-SB 4
The State of Florida ism AA/EEo employer. SMyrl l of :: bdva: Cement';
:: 17rdurr4 $cement
under Florida Law, email addrtst:w are pabiir ramrrts. If you do oat want your e-mail address lejEj4j_W lit rip w to a puW_nNmrds request: do W U: W bLo nlc
mall to dlis entity. 17vtewl W %Xmt the QFnCt by ptoile Or by tradWanal mWL Yyou taro arty 4ucsGart.$, pta g50.4e,7.t 395..puFv .m w 9.cuan 455275(1)t
FWsida S--W. eAeefFw 0cmb— 3. 20i2, Bcertxrs Jia wt d underRwplar 4S5t F.S. mLct provide the Ucparanent With an Weds➢ address if they tali OM The ema[ls
Provided may be used for ofridal 4ommunkatfdn with tree H� mail HoweyBr euldr� are pubBc record. if you do not wish to supply a p addms,, pie.
provide the DeparMmt with an email address inhl h em be made avtlloble to the pubf c. To dote Ted y you ;rrn a Cite Ur4,er ilipWr 455, FS„ genre
Product Approval A"epts:
®® ® El Em
Credit Card
Safe
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ENGINEERING
ENGINEERING EXFP-E:sE®
PRODUCT EVALUATION 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., far
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:
Y PRODUCT EVALUATION DOCUIVI!~WTS
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.
a TEST REPORTS
Ultimate test loading structural performance has been tested in accordance with ASTM D1761-88 test
standards per test report(s) #TEL 01970387A and #TEL 0197038713 by Testing Evaluation Laboratories,
Inc. Signed and Sealed by Lyndon F. Schmidt, P.E
C 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. Clip 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 12TH AVENUE SUITE 106, DEERFIELD BEACH, FLORIDA 33442
(954) 354-0660 1 (866) 396-9999
TEAM@ ENGINEERINGEXPRESS.COM
ENGINEERINGEXPRESS.COM
ENGINEERING
BW International — Steel Tie Down Clips Page 2 of 2
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 products 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,
wr
'rr,, arQNf�l�. '•
Frank Bennardo, PE
ENGINEERING EXPREssO
4PE0046549 I Cert. Auth. 9885
160 SW 12TH AVENUE SUITE 106, DEERFIELD BEACH, FLORIDA 33442
(9S4) 3S4-0660 1 (866) 396-9999
TEAM@ ENGINEERINGEXPRESS.COM
ENGINEERINGEXPRESS.COM
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FL #
-- -- Application Type
Code Version
Application Status
Comments
Archived
Product Manufacturer
Address/Phone/Email
Authorized Signature
Technical Representative
Address/Phone/Emall
Quality Assurance Representative
Addness/Phone/Emall
Category
Subcategory
Compliance Method
FL14239-RS
Revision
2020
Approved
BMP International Inc.
4710 28th Street N
St. Petersburg, FL33714
(727) 458-0544
benmeng8@yahoo.com
Xlanbin Meng
benmeng8@yahao.com
Structural Components
Anchors
Evaluatfun Report from a Florida Registered Architect or a Licensed Florida
Professional Engineer
Evaluation Report - Hardcopy Received
Florida Engineer orArchitect Name who developed the Frank L Bennardo, P.E.
Evaluation Report
Florida License PE-OD46549
Quality Assurance Entity National Accreditation and Management Institute
Quality Assurance Contract Expiration Date 12/31/2021
Validated By Troy Bishop, P.E.
Certificate of Independence
Referenced Standard and Year (of Standard)
Equivalence of Product Standards
Certified By
Sections from the Code
Validation Checklist - Hardcopy Received
i_Liv139 KJ_COl INULPJI l
Standard
ASfM D1761-88
Florida ticensW Professional Engineer or Architect
Year
2000
Product Approval Method Method 1 Option D
httpsJlwww.iioridabulding.org/pr/pr app_OU.aspx'lparaln=wGEVXClwtDquDEJErIOSCeiRuPjH1C11CoAtbhlDp2whFQxUmZG6D&9%3d°,s,U U2
1/4/2021
Florida Building Code Online
Date Submitted
Date Validated
Date Pending FSc Approval
Date Approved
Summary of Products
FL
14239.1
10/08/2020
12/21/2020
10/26/2020
W22/2020
Model! Number or Flame Description
Slotted Steel Tie -Down pips, 1" and Steel Tie -Down dip System (For Use with MechZ Beal Units at
2' Models Roof or Grade)
Limits of Use Installation Tnstntc�ons
Approved for use in HVHZ: Yes Fi ; 4ilatio S 1 istru tin s
Approved for use outside HVHZ Yes Verifier} By: Frank L Bennardo, P.E. OD46549
Impact Resistant: N/A Created by Independent Third Party: Yes
Design Pressure: N/A Evaluation Reports
Other: This design provides allowable rapacWes for the ll=�p_.l + :;I rvuAl_ 12 j
System. The required site -specific design Pressure (demand) Created by Independent Third Party: Yes
shall be calculated by others for use with this design.
� Bacicl IPiCXt�
Contact us :: Z501 p62lr,$p n ,ii. Inahassep 344 Phone: a50-4A7.f sZ4
The State of Fladda is an AA/EEO employer. C-pyek4 :: PAvacv Statement :: 'sielGty
�S� .. R.rru rM 5?amrn��t
Under Florid P
mal m [ids an �W(Ast a4 arc plda[�c ' if ynu do not want Your email add— M. e, d in msporcc to a pupttc�oarrts requ� tip . �. send electronic
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Flmda , etrecthe ocwbw 1, 2012, Geersus G[orred under Qulptcr 4S5, FS. musk prmAde the DepartMexit WO an mlaa address Ir they twio wie� The emaT is
Fimwdeprovided may be used for cdKdal oommurdmtlon Mth H� Ilse. HnWWr emalt addr are pubTk remrd. if you do rFot wish to SuppN a pe = address, Pky-F„c 6ePartrnent wlih aq ertraA address vrirld� trot Oc made avalL2blc m the vuLF� To detr_rrrtino if you am a tl under U.�pter 455, F.S. �qsc cYdt hSre .
Product Approval Accepts:
Credit Card
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