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HomeMy WebLinkAboutSUBMITTED PAPERSAll APPLICABLE I FO MU 'T BE COMPLETI DR APPLICATION TO BE ACCEPTED Date: 1 7 Permit Number: r SCANNED BY St. Lucie County Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial PERMITAPPLICATION FOR: Address: 3:�s5 S 6 ("iiy t'OSo 13 LAa Legal Description: &— V O 0-F S I. 1 P Property Tax ID #: Site Plan Name: Project Name: Setbacks Front Back: Right Side: Residential to>hItoc Left Side: MUUI UVIId1 WUIK LV UC PC IUI II ICU unUCI uun Pen IIIL—Lnecrt du UlaL apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters Electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: 300 Cost of Construction; $ _0 0 fl Sq. Ft. of First Floor: Utilities: _Sewer _Septic Block No. —Windows/Doors GED Building Height: q � � Name. o%�c�. cJ Name--rGtlllP✓`-'6'('�S: Address: "2S-78; S Z17' S Company: S& Address: D '' -W 06 ,/."" N-» U City: ��%/�' o'T7 Stater Zip Code: 020 %/ Fax: ` Phone No.�% OGG- City: in, tiGLC Zip Code: Q Phone No f C State:-F-1 Fax E-Mail: JV0 N hL�,,wa.1 &-v7- Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail lei cjEtkLdi State or County License If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. 01-1�1 G� l,r 1 AI '~.tr, ,r I (.<.jY rrr(rfgtaar+<` tY r,E t�Hr t,t;,+t4}� il',r',1-61'�Y'1l •' cr,x. � .. , Name: Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording vour Notice of Commencement. Signa urea of Owner/ Agent/ Lessee/Contractor Wriature of Contractor/License Holder - STATE OF FLORIDA _ STATE OF FLORIDA C - COUNTY OF _ _-5 o t VI C r) CkA- - COUNTY OF me The forgoin instrument MJLIwas c� le 0J by this = day of 20 b me The forgoing instrument�V was 0 3z,- le 61Y by this day of A-rYi.i'�/ 20 b -o '65412 Z W (.SAGA Sobs (Name acknowledging) (Name of person acknowledging) �off�person (Signature of Notary Pub' State of Florida) (Signature of Notary Pu li - State of Florida ) Personally Known OR Produced Identification Personally Known ✓ OR Produced Identificati n Type of Identificat Produced eta9 pa tsArS�aldorAol9a� Type of Identification Produced +Po, Notary Public Slate of Flonda any • 694YdM_s£E00b9, no My omisionEE9 64969 94/ 9�1COmmissionNO. COmmI5510n NO. Expre46t6 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY _• FILE H 4015206 OR BOOK 36r c?AGE 2123, Recorded 11/20/2014 at 09 AM i. NOTICE OF COMMENCEMENT Permit No. Tax Folio No. Stateof Flodda County of St. Lucie The undersigned hembygives notice that Improvereentwlll be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the fallowing Information is proMed In this Notice of Commencement Legal Aesciptlon o(.Property: (and goeet address if pvallable),. General desorption of the Lessee contracted for the Improvement: Name Address 'L.r c c _ tJ Inlnrnar In n.nw.t.,- / Name and address of fee simple titleholder (if different from Owner listed above): Contractors Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $ Name and address: Phone number: Lender Name: Phone Number: Lenders address: Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: Name: Phone Number: In addition to himself or herself, Owner designates of to receive a copy of the Uenoes Notice as prpMded in Section 713.13(1) (b), Florida Statutes. Phone number of person or entity designated by owner. Expiration date of notice of commencement: (the expiation date may not be before the completion of construction and final payment to the contractor, but will be 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND WJ RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE 10B SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my kngwledge)nd belief. (Signature of OwpEr or Lessee, or Owners or lessee's Authorized Officer/Director/Partner/Manager (SignatoNsTitle/Office) The fore oing Instrument was acknowledged before me this 20 dayofi�^6'1201(4 By Qrlfi lk GLti�.t as r'0Q`u mr ;SOSc Ax 7.u(tXtri�t vntNameof Person Type pf authodry(.g. officer, trustee) Parry on behalf of whom instrum wasexecutetl ✓� ry NObry Pudc Smma(FbMa Personallyknown�el produced Identification_ (Signature of Notary Pubic ot" State of Flari IP k Maria Malano (Print, Type, or Stamp Co 'ssioned Nam NM PANQsmmisuo^EEaWOea Type of Identification produced La, rExpaer MnNrlOta STATE OF FLORIDA ST. LUCIE COUNTY THIS IS TO CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF THE ORIGINAL, �JO E.SMITH, ERK Date: �POV` 2014 C6UNTY IF1 .O R I D-A Re: Permit# Planning & Development Services Building & Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL 34982 772-462-2165 or 772-462-2172 Fax:772-462-6443 ROOF INSPECTION AFFIDAVIT I.PUI b/z. <iy� licensed asa(n)Contractor"/Engineer/Architect (Please print name & circle license type) *FS468 Building Inspector *Generol, Building, Residential or Roofing Contractor orany individual certified under 468 F.S. to make such an Inspection. On or about I ? Z 3 I did personally inspect the roof deck nailing (D te) 1 work at: 7'15 S f A 17'4%S ' %7 LL 1/ (Job site address) Based upon that examination I have determined the installation was done according to the current edition of the Florida Existing Building Code Section 611 or the product approval submitted (whichever is most strigent). Signature and Seal STATE OF FLORI COUNTYOF Ri �-�- License # Sworn to and subscribed before me this � day of N 6 b 20J4/ bY. V I EK 5(i'I i� Who Is personally known to me or who has produced as identification. Notary PWm Stale of Florda Notary Public, StateoF orida �j Maria Marano Signature of Notary: �t 1j, 1 i�.1 1/ r do Aly Commission EE064069 B ry: /t./1 G h ' �` ern Eypves04042015 Commission Number. (Seal En 01/19/2011 L'd L60t-8L9-ZLL sloloeiluoO buuooy spas r- - DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE GAF 1361 Alps Road. Wayne, NJ 07470 MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 w v.miamidade.cov/economy File COPY 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 (In 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 of the Florida Building Code. DESCRIPTION: GAF Royal Sovereign Shingle LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. 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 renews and revises NOA #12-0313.11 and consists of pages 1 through 4. The submitted documentation was reviewed by Alex Tigera. NOA No.: 12-1127.03 MLAMI-DAD' COUNTY Expiration Date: 04/22/18 Approval Date: 04/18/13 Page 1 of 4 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub -Category: Asphalt Shingles Materials 3-Tab Deck Type: Wood SCOPE This approves GAF Royal Sovereign® Shingle as manufactured by GAF as described in this Notice of Acceptance, designed to comply with the Florida Building Code and the High Velocity Hurricane Zone of the Florida Building Code. PRODUCT DESCRIPTION Product Dimensions GAF Royal Sovereign Shingle 12" x 36" MANUFACTURING LOCATIONS 1. Savannah, GA. 2. Tuscaloosa, AL. 3. Tampa, FL. 4. Mt. Vernon, IN. 5. Mobile, AL. 6. Dallas, TX. 7. Myerstown, PA. 8. Fontana, CA. 9. Minneapolis, MN. EVIDENCE SUBMITTED Test Agency Center for Applied Engineering PRI Asphalt Technologies, Inc. PRI Construction Materials Technologies, Inc. Underwriters Laboratories, Inc. Test Product Description Specifications TAS 110 Fiberglas reinforced heavy weight asphalt roof shingle, with a 3-Tab profile Test Identifier Test Name/Renort Date TAS 100 02/23/94 ASTM D3462 257966 03/21/97 TAS 100 GAF-105-02-01 11/14/05 TAS 100 GAF-182-02-01 02/07/08 TAS 100 TAS 100 TAS 100 TAS 107 TAS 107 TAS 107 TAS 107 TAS 107 ASTM D 3161 / TAS 107 ASTM D 3161 / TAS 107 GAF-332-02-01 01 / 17/ 12 GAF-376-02-01 10/15/12 GAF-153-02-01 11/30/06 05CA48258 11/28/05 05CA47804 11/11/05 08NK02337 03/12/08 08NK12906 10/10/08 11 CA47919 12/03/11 09CA41642 09/28/10 09CA38549 10/30/09 NOA No.: 12-1127.03 Expiration Date: 04/22/18 Approval Date: 04/18/13 Page 2 of 4 ASTM D 3462 ASTM D3462 09/12/06 ASTM D 3462 08NK02337 03/12/08 ASTM D 3462 09CA21715 05/20/09 ASTM D 3462 08CA61515 07/15/09 ASTM D 3462 11CA47919 12/03/11 LIMITATIONS 1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Shall not be installed on roof mean heights in excess of 33 ft. 3. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9N-3 of the Florida Administrative Code. INSTALLATION 1. Shingles shall be installed in compliance with Roofing Applications Standard RAS-115. 2. Flashing shall be in accordance with Roofing Applications Standard RAS-115. 3. The manufacturer shall provide clearly written application instruction. 4. Exposure and course layout shall be in compliance with Detail "A", attached. 5. Nailing shall be in compliance with Detail "B", attached. LABELING 1. Shingles shall be labeled with the Miami -Dade Seal as seen below, or the wording "Miami -Dade County Product Control Approved". BUILDING PERMIT REQUIREMENTS 1. Application for building permit shall be accompanied by copies of the following: 1.1 This Notice of Acceptance. 1.2 Any other documents required by the Building Official or the applicable code in order to properly evaluate the installation of this system. NOA No.: 12-1127.03 Expiration Date: 04/22/18 Approval Date: 04/18/13 Page 3 of 4 04 <T DETAIL A COURSE LAYOUT DETAIL B OVERALL DIMENSIONS AND NAILING PATTERN K� END OF THIS ACCEPTANCE MIAMIDADE COUNTY NOA No.: 12-1127.03 ... , , Expiration Date: 04/22/18 Approval Date: 04/18/13 Page 4 of 4