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Building Permit Application
'f i All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l� a `� 3.� Permit Number: Date: RECEIVED' l FEB 16 20! 22 Building Permit Application - st..LucleCounty Permitting' Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Residential Phone: (772) 462-1553 Fax: (772)462-1578 Commercial PERMITTYPE 1K�o t[:.�. -ems �'e � "-s�'� T "F` a �u' u- _`�.„ :�e.�-- < y - _.sr�� �. >_ =,,._ _ >. ,.�_t�9'` - ram.,. Byrd_��"z.;' _ _ _ram>=.a,E.r -_ Address:^ (CZZ- Property Tax ID #: �� fib— Lot N o. Block No. Site Plan Name: Project Name: Ft -,fi-.�„-v 3;"ii� -a-?;,s-°�^'rga•Yac r: _ y '- ems'tcsv� 91 ,,t'i :r -.� �. s'k" fi:. _ _.r,�.A' ��_5*t,`S3a.��•F,.,:at��_�x.'+!vg� I Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank Gas Piping _Shutters ____Windows/ oors _Electric _Plumbing _Sprinklers _Generator Roof �L Pitch Total Sq. Ft of Construction: �) Sq. Ft. of First Floor: Cost of Construction: $ � � Utilities: —Sewer _Septic Building Height: 3 :�,-s i_ 1 n5d �t7;+�x 4si Y ] -2' _+'t. �h�=� a2'#r' -a - .�_...i..k"s.a IN Name hJl/ --�I.� Name: Address c9 Company. :1. V �R1c��1J ✓t City:; State' Address:7� q City: State:�� Zip Code: Fax: Y Zip Cod e: a� Fax: Phone No. E-Mail: Phone No 7 —7Z— 77—tI \i s' Fill in fee simple Title Holder on next page if different E-Mail from the Owner listed above) State o County License If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. j If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: 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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Co tractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF " ty�A-Q The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this_day of 20_ by this V. day of 21 .� by Name of person making statement. Name of perso making sta ement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identific i n Produced Produced (Signature of Notary Public-State of Florida) (Signature of Notar B` aiat�rfy IE�aS}ate of Florida Commission X HH 086359 Commission No. (Seal) Commission No. Comm.Exp(i3f2M7 28,2025 on a hroughi National Notary Assn. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW I REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19 i . . �................... :..:::::::::::::::;::::::::::::::::::::::;:::::::::::;:::::;:::::::::::::::::::::::::::::::::::::--::::::::-:::::::::::::::::::::::::::::::::::::::::::::.:::::::::::::'::::::::::::::::::::,::::::::::,::;:::;:::::::::;:::::::::::::::::::::::a............................�._::::::::::::::::::::::::: �.�...........�...........................I.....�..I.......I I.......�.........�....................,.....,.,.-!1.1r.........................................�.....I...........................I............�..........* * *** .: �............................ __ . ..... . .1 ......�. . . . I'll. 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I - ::.._�..........m! -_, ,.:::�::� -:.;.:.::::::;;: , ... _ - �- ._.______w____ �......................I.....................................�...............:::::::..,*..*............. .;:::: :::::.::::::::::. . .....I........w.....�.........�....�..........................- . r � . � I CBUCK &ngineerInQ SpLactdlty Strur—turesi Engtneprtnq CBUCK,Inc.Certificate of Authork'a'tion#8064 RECEIVED Evaluation.Report FEB 16. 2022 "Ultra HT Wind & Water Seal""" St Ludo County Roof Underlayment �j Manufacturer: i MFM Building Products Corp. 525 Orange Street Coshocton, Ohio 43812 (740) 622-2645 for Florida Product Approval # FL 11842.3 R8 Florida Building Code 7th Edition (2020) Method: 1 - D j Category: Roofing Sub - Category: Underlayment C015V F!� Product: "Ultra HT Wind &Water Sea ITM11 Description: Self-Adhered Underlayment Prepared by: James L. Buckner P.E. SECB This item has been electronically signed and sealed by i James L Buckner,P.E.,on this date using a Digital Signature. Florida Professional Engineer#31242 Printed copies of this document are not considered signed and sealed, and the signature must be verified on any Florida Evaluation ANE ID: 1916 electronic copies. Project Manager: Diana Galloway `�`���5 L:-BUck�%,,, Report No. 20-229-UHT-ER \10EN4''••F,Q (Revises 17-131-UHT-ER,FL11842.5 R4) : * No 31242 * =_ Date: 08/28/20 -0T'• L4/ STATE OF Contents: %��' • CORIDP �C9�. Evaluation Report Pages 1—5 �``�`\ 2020.09.17 13:23:17 704'00' CBUCK,Inc.dba CBUCK Engineering Phone:(561)491-9927•Email:cbuck@cbuckinc.net•Website:www.cbuckinc.net Business:1374 Community Dr.,Jupiter,FL 33458-Corp/Mailing:2637 E.Atlantic Blvd,#34069,Pompano Beach,FL33062 II FL#: FL 11842.3 R8 I Date: 08/1 28/20 Report No.:201229-UHT-ER a'U' a C.arc C. r=n Q I r ieetsing Page 2 of 5 N. Specialty Structural Engineering CBUCK,Inc.Certificate of Authorization#8054 Manufacturer: MFM Building Products Corp. 525 Orange Street Coshocton, Ohio 43812 (740)622-2645 www.mfmbp.com i !I i Product Name: "Ultra HT Wind&Water SealT""' 'I Product Category: Roofing Product Sub-Category Underlayment !; i� Compliance Method: State Product Approval Rule 61G20-3.005 (1) (d) Product Description: "Ultra HT Wind & Water Seal'"" is self-adhering membrane composed'of a white, non-slip cross-laminated polymer film, laminated to a rubberized asphalt adhesive with a split release liner designed for use as a roof underlayment in high temperature conditions. i Product Material/ Material Type: Styrene Butadiene Styrene(SBS) Standards: Material shall comply with ASTM D 1970 per Florida Building Code FBC 7th Edition (2020), Chapter 15. Product Dimension(s) Roll Size:36 in.x 67 ft. rolls Thickness:45 mils(nominal) Substrate(s): "Ultra HT Wind & Water Seal'""" has been evaluated for application to the following substrates (Design of support is outside the scope of this evaluation): • Plywood • Dens Deck Installation: General Installation Instructions: j "Ultra HT Wind &Water Seal'""" shall be installed in accordance with the attached installation method and in compliance with applicable code sections ofthe FBC 7th Edition (2020), subject to the Limitations and Conditions of Use listed in this Evaluation Report. Refer to installation details at the end of this report. Refer to manufacturer's installation instructions as a supplemental guide for attachment. I I l I it I I • i FL#: FL 11842.3 R8 I Date: 081/28/20Cj _ Report No.:20'229-UHT-ER Page 3 of 5 �I �I Specialty Structural Encglneerinq CBUCK,Inc.Certificate of Authorization#8064 �I Performance Standards: The product described herein has demonstrated compliance with: • ASTM D 1970-15a — Specification Self-adhering Polymer�!Modified Bituminous Sheet Materials Used as Steep Roof Underloyment for Ice Dam Protection �I Standards Equivalency: The ASTM D 1970-01 standard versior+ used to test the product 'meets the prescribed standards in ASTM D 1970-15a standard version adopted by the Florida Building Code 6+th Edition (2020)for use as evaluated in this report. Code Compliance: The product(s) described herein have demonstrated compliance; with the performance standards listed above as referenced in the current Florida Building Code. I Evaluation Report Scope: This product has been evaluated in compliance with the building envelope requirements of the Florida Building Code, as related to the scope,section to Florida Product Approval Rule 61G20-3.001. Product Limitations and • Deck shall be in compliance with applicable building code. Conditions of Use: • Minimum slope shall be 2:12 or greater. • Evaluated for use with approved roof coverings that are mechanically fastened through the underlayment and is attached to the sheathing or rafters. Installation shall comply with FBC Section 1507.1.1. • Not to be applied over active solvents or sealants, EPDM rubber or products containing silicone. • Do not expose product to direct sunlight for more than 60 days. General Limitations and • Scope of"Limitations and Conditions of Use"for this evaluation: Conditions of Use: This evaluation report for "Optional Statewide Approval' contains technical documentation, specifications and installation method(s) which include "Limitations and Conditions of Use" throughout the report in accordance with Rule 61G20-3.005. Per Rule 61G20-3.004, the Florida Building Commission is the authority to approve products under"Optional Statewide Approval'. • Option for application outside "Limitations and Conditions of Use" ! Rule 61G20-3.005(1)(e) allows engineering analysis for "project specific approval by the local authorities having jurisdiction in accordance with the alternate methods and materials authorized in the Code". Any moldification of the product as evaluated in this report and approved by the Florida Building Commission is outside the scope cif this evaluation and will be the responsibility of others. j i • This report is a building code product evaluation per FLPE rule (FAC) 61G15-36 to comply with Florida product approval rule (FAC) 61G20-3. This evaluation report is part of the Florida Building Commission approval for the listed code related criteria. This report by James Buckner, P.E. and CBUCK Engineering is it i II FL#: FL 11842.3 R8 Date: 08/128/20 Report No.:20 229-UHT-ER COUICK-0 't&:" nq1ne=e=r1nq Page 4 of15 I� Speclalty Structural EnQ1nesrling CBUCK,Inc.Certificate of Authorization#8064 I� not a design certification of code compliance construction submittal documentation, per FBC section 107, for any individual structure, site specific or permit design. • Design of support system is outside the scope of this report. • Fire Classification is outside the scope of Rule 61G20-3, and is therefore not included in this evaluation. • This evaluation report does not evaluate the use of this product for,use in the High Velocity Hurricane Zone code section. (Dade&Broward Counties) Quality Assurance: The manufacturer has demonstrated compliance of roof panel products in accordance with the Florida Building Code and Rule 61G20-3.0005 (3) for manufacturing under a quality assurance program audited by an approved quality assurance entity through Keystone Certifications, Inc. (FBC Organization ID# QUA 1824). i Referenced Data: 1. ASTM D 1970-01 Test By PRI Construction Materials Technologies, Inc. (FBC Organization ID#TST 1556) Report No. MFM-039-02-01, Date: 8/11;/13 2. Equivalency of Test Standard Certification By James L. Buckner, P.E. @ CBUCK Engineering (FBC Organization#ANE 1916) 3. Quality Assurance Keystone Certifications, Inc. (FBC Organization ID#QUA 1824) MFM Building Products Corp. Licensee#335 4. Certification of Independence By James L. Buckner, P.E. @ CBUCK Engineering (FBC Organization#ANE 1916) j I' I it I'I l I� I I 1 I 1 FL#: FL 11842.3 R8 Date: 08/128/20 Report No.:20-229-UHT-ER c8lu' '10#0 6rigineerl Page 5 of15 I I SpeOcA j Structural Englnperinq CBUCK,Inc.Certificate of Authorization#8064 j I MFM Building Products Corp. Ultra HT Wind & Water Seal Self-Adhered Roofing Underlayment I i General Installation Instructions: • Product to be applied directly to a clean dry surface. • Prime any weathered surfaces. Dens Deck must be primed with asphalt base primer. • Starting at the low point of the deck, peel back 12"of the release liner, align the membrane and press into place onto roof deck. • Adhesive is pressure-activated, so press firmly into place using uniform pressure with.a 2-3" heavy steel or rubber roller to seams and overlap. • Overlap end laps a minimum of 6".Side laps must be a minimum of 3". • Store product in the carton in a dry place until ready to use. Keep product out of direct sunlight. ' • Apply membrane only in fair weather when the air, surface and membrane are at a minimum temperature of: 50°F • Not to be applied overactive solvents or sealants, EPDM rubber or products containing silicone. • Do not expose product to direct sunlight for more than 60 days. "Ultra HT Wind & Water Seal"" shall be installed in accordance with the attached installation method and in compliance with applicable code sections of the FBC 7th Edition (2020), subject to the Limitations and Conditions of Use listed in this Evaluation Report. Refer to installation details at the end of this report. Refer to manufacturer's installation instructions as a supplemental guide for attachment. Product Illustrations ULTRA HT ' WIND&!CATER SEALL" ' j N S_ ft h � . , RN W I I