HomeMy WebLinkAboutapplication and noaAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2 Permit Number:
9V. IL U11 CM
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: ' -00 ! _ Q®lo
i�
S.
x
Address: I64 kazrve— Crca- *we, -PSL El
Property Tax ID #:
Site Plan Name:
Project Name:
DK;1 -(001— C'X) i(-')-- DSO—(0
New Electrical Meter Second Electrical Meter (Affidavit required)
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ "49 19 a 00
Windows/Doors _ Pond
Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
NameLA
Address:
jai r_
City: _ �' State FI a
Zip Code. 0 Fax:
Phone No. L4 t C�L— i Sb _j E-
Mail: '-bY-0e- donIiG,0 0,-01,CM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: R D6 nil, VT L4-
Company:
Address: 4%
City: PSI
Zip Code: Fax:
Phone No 13L r q too `"
E-Mail (`,�Vl�l, i ��� L C(f)
State or County License
_ rr,
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r (.S -
State:
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.
DESIGNER/ENGINEER: _ Not Applicable
Name: _
Address:
City:
Zip:
Phone
State
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name: _
Address:
City:
Zip:
Phone:
State:
BONDING COMPANY: Not Applicable
Name: _
Address:
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.
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 attornev before commencing work or recording vour Notice of Commencement.
Signafu-re of Contractor - or - Owner Builder as applicable
STATE OF FLORIDA
306 bA
COUNTY OF r,4 t, r—
Swornto (or affirmed) and subscribed before me of Physical Presence or Online Notarization
this '13 day of 20 by
Name of person making statement.
/_
Personally Known OR Produced Identification
Type of Identification Produced
(Signature of Notary Public- State of Florida)
Commission No. br (B J I (Seal)
i `p�� Notary Public State of Ftonda
Heather L Anderson
r t My Commission HH 011451
Expires 06117/2024
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
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DATE
COMPLETED
Kev 1U/1Z/Z1
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MLAMI-DADE COUNTY
PRODUCT CONTROL SECTION
11805 SW 26 Street, Room 208
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Ivliami, Florida 33175-2474
BOARD AND CODE ADMINISTRATION DIVISION T (786) 315-2590 F (786) 315 2599
NOTICE OF ACCEPTANCE (NOA) www.miamidade.=ov/economv
DAB Door Company, Inc.
12195 NW 98' 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 (Yin
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 their 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.
DESCRII'TION: Hurricane Master Model 824/811 Steel Sectional Garage Door up to 18'-2" Wide w/
Window Lite Option (DP +40.0, -44.0 PSF)
APPROVAL DOCUMENT: Drawing No. 05-03 Rev I, titled "Sectional Garage Door", sheets 1, 1.1, 2
through 5 of 5, dated 05/16/2005 and last revised on AUG 17, 2017, prepared by Al-Farooq Corporation,
signed and sealed by Javad Ahmad, P.E., bearing the Miami -Dade County Product Control Revision 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 ntunber (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 of this 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 revises NOA # 16-0330.01 and consists of this page I and evidence pages E-1, E-2 and E-3, as
well as approval document mentioned above.
The submitted documentation was reviewed by Ishaq I. Chanda, P.E.
e III
MfAMFDADE COUNTY
....�INEW
60
NOA No. 17-0919.11
Expiration Date: March 29, 2022
Approval Date: December 14, 2017
Page 1
DAB Door Company, Inc.
NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED
1. Evidence submitted in previous files
A. DRAWINGS
1. Drawing No. 05-03, titled "Sectional Garage Door", sheets 1 through 5 of 5, dated
05/16/2005, with revision H dated 03/21/2016, prepared by Al-Farooq Corporation, signed
and sealed by Javad Ahmad, P.E.
B. TESTS "Submitted under NOA # 09-0128.06"
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, 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-08-2149A/B, dated 06/27/2008, signed and sealed by Candido F. Font,
P.E.
2. Test report of Tensile Test per ASTM E 8, Report No. HETI 08-T182, prepared by
Hurricane Engineering & Testing, Inc., dated 12/23/2008, signed and sealed by Candido F.
Font, PE.
"Submitted under NOA # 06 0817.07"
3. Test report of Uniform Static Air Pressure and Force Entry Resistance Test, per FBC, TAS
202-94 on "Sectional Residential Garage Doors", prepared by Hurricane Engineering &
Testing, Inc., Report No. HETI 05-1445, dated 03/18/2005, signed and sealed by Rafael E.
Droz-Seda. P.E.
4. Test report of Large Missile Impact Test, per FBC, TAS 201-94 and Cyclic Wind Pressure
Test per, per FBC, TAS 203-94 on "Sectional Residential Garage Doors", prepared by
Hurricane Engineering & Testing, Inc., Report No. HETI 05-14406, dated 05111/2005, signed
and sealed by Rafael E. Droz-Seda, P.E.
"Submitted under NOA # 03-021 0 04"
5. Test report on Salt Spray (Corrosion) Test per ASTM B 117 of a painted G-40 steel panels,
prepared by Celotex Corporation, Test Report No. 258592, dated 08/17/1998, signed by W. A.
Jackson, P.E.
C. CALCULATIONS "Submitted under NOA # 14-0814.03"
1. Anchor verification calculations prepared by Al-Farooq Corporation, dated 09/22/2014 and
07/24/2014, signed and sealed by Javad Ahmad, P.E.
"Submitted under NOA # 01-0128.06"
2. Anchor verfcation calculations prepared by Al-Farooq Corporation, complying with F.B.0
2007, dated 11/21/2008, signed and sealed by Humayoun Farooq, P.E.
Isha.4 I. Chanda, P.E.
Product Control Examiner
NOA No.17-0919.11
Expiration Date: March 29, 2022
Approval Date: December 14, 2017
E-1
DAB Door Company, Inc.
NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED
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
Insulfoaxn 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 !SO -CI P olyisocyanurate 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 03/17/2016 and
expiring on 02/24/2021.
"Submitted under NOA # 05-0228.02"
6. Test Report on Accelerated Weathering Using Xenon Are Light Apparatus Test per
ASTM G155 of "PVC Extrusion Material", prepared by Hurricane Engineering &
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 I. Ghia, P.E.
S. Test Report on Self -Ignition Temperature Test, Rate ofBu*n Test and Smoke Density
Test of "REHAU non -foam PVC extrusion material", prepared by ETC Laboratories,
Report No. 04-761-15019.0, dated 05/06/2004, signed and sealed by J. L. Doldan, P.E.
F. STATEMENTS
1. Statement letter of code conformance to the 5ch edition (2014) FBC and of no financial
interest issued by AI-Farooq Corporation, dated 03/21/2016, signed and sealed by
Javad Ahmad, P.E.
1rlltll. l \. t b 4_14 -
lshaq I. Chanda, P.E.
Product Control Examiner
NOA No. 17-0919.11
Expiration Date: March 29, 2022
Approval Date: December 14, 2017
E -2
DAB Door Company, Inc.
NOTICE OF ACCEPTANCE: EVIDENCE SUB
2. New Evidence submitted.
A. DRAWINGS
1. Drawing No. 05-03 Rev I, titled "Sectional Garage Door", sheets 1, 1.1, 2 through 5 of 5,
dated 05/16/2005 and last revised on AUG 17, 2017, prepared by Al-Farooq Corporation,
signed and sealed by Javad Ahmad, P.E.
Note: This revision consist of editorial changes to comply with FBC 2017.
B. CALCULATIONS
1. None
C. QUALITY ASSURANCE
1. Miami Dade Department of Regulatory and Economic Resources (RER).
D. MATERIAL CERTIFICATIONS
1. Notice of Acceptance No. 17-0221.06, issued to Insulfoam, LLC, for their
Insulfoam Expanded Polystyrene Insulation, expiring on 11/29/2022.
2. Notice of Acceptance No. 16-1108.04, issued to Dyplast Products, LLC, for their Dyplast
ISO -CI Polyisocyanurate Insulation, expiring on 01/11/2022.
3. Notice of Acceptance No.15-1203.04, issued to Cellofoam North America Inc, for their
Expanded Polystyrene Block Insulation, expiring on 02/24/2021.
4. Notice of Acceptance No. 15-0915.08, issued to SABIC Innovative Plastics, for their Lexan Sheet
Products, expiring on 07/17/2018.
E. STATEMENTS
1. Statement letter of conformance to FBC 2014 (5t' Edition) and FBC 2017 (6th Edition),
prepared by Al Farooq Corporation, dated 08/17/17, signed and sealed by Javad Ahmad,
P.E.
F. OTHER
1. This NOA revises NOA #16-0330.01, expiring 03/29/22.
Ishaq 1. Chanda, P.E.
Product Control Examiner
NOA No. 17-0919.11
Expiration Date: March 29, 2022
Approval Date: December 14, 2017
E -3
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Work Order #70990539
A T A D & D Garage Doors of PSL Inc nn
0 0 o x PO Box 880667 �V
Port St Lucie FL 34988 ,I 41i
772 460 `7630
( )
info@ddgaragedoorspsl.com ® '�
CUSTOMER
Rice, Donna
7299 Reserve Creek Drive
Port St. Lucie FL 34986
DOOR ORDERED:
DOOR ARRIVED:
NOTES TO TECH:
DATE I
JOB NUMBER 70990539
i
TECH(S)
1�
E
SERVICE LOCATION
i
7299 Reserve Creek Drive
Port St. Lucie FL 34986
Donna (412) 780-8965
forgetfuldonna@aol.com
Description
Qty
Rate
Tax
Total !
E
DAB SPECIAL ORDER GARAGE DOOR
1.00
$3,870.00
$0.00
$3,870.00
18X7 DAB model 824 FLUSH steel panel
non insulated white in color PSF +40/-44
d
TEAR DOWN & DISPOSAL OF GARAGE
1.00
$125.00
$0.00
$125.00
DOOR
i
FULL REFRAME OF DOUBLE CAR GARAGE
1.00
$200.00
$0.00
$200.00
f
SPRING PAD
1.00
$20.00
$0.00
$20.00
i
INSTALLATION OF WOOD LAGS
1.00
$60.00
$0.00
$60.00
BUILDING PERMIT FEE & NOC
1.00
$160.00
$0.00
$160.00
i
LIFTMASTER CONTRACTOR SERIES 816OW
1.00
$443.00
$0.00
$443.00
CHAIN DRIVE WIFI OPENER WITH MYQ
t
LIFTMASTER 7' CHAIN DRIVE RAIL
1.00
$0.00
$0.00
$0.00
LIFTMASTER 893 3 BUTTON REMOTE MyQ
2.00
$0.00
$0.00
$0.00
SECURITY+ 2.0
i
COMPLETION NOTES FROM TECHNICIAN JOB TOTAL $4,878.00
LESS DEPOSITS $2,439.00
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