HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Aug. 27, 2015 Permit Number: I SO i 0qb�
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 XX
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IM.P,ROVEMENT LO,CATIO
Address: JOB Borrac" lough 5t.
5;.
Legal Description: Replat of Palm Gardens, Lot 2, Block 13
Property Tax ID#: 3403-802-0025-000-9 Lot No. 2
Site Plan Name: Block No. 13
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK..
- .Inge ung ih ows - After a ac win ow ins-fan ron
n.o.a no 14072207 - AWP Windows,
Metal hurricane shutters -
n.o.n. no 1305211.5 - Eastern Metal
CC►N,STRUCTION INFORMATION:
AdclitionalworKtobeDertormedunder tis permit—check all that appy:
IDRHVAC Gas Tank ❑Gas Piping X_Shutters XgWindows/Doors
Electric Plumbing OSprinklers Generator F] Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 2485 Utilities:nSewer Septic Building Height:
OWNER/LESSEE. J CONTRACTOR
NamAtIP Home Management Name: Ray Villanova
Address: ' Eduardo Almodovar Company: Vil anova Construction Inc.
City: 11725W Alcantarra Blvd, P :,FL Address: 2908 Oleander Blvd.
'Zip Code: 34953 Fax: City; t• Pierce State: FL
"2-5`30-06 34982 Fax:
Phone No. Zip Code: a _
E-Mail: Phone No. 772-940-6654 ,
Fill in fee simple Title Holder on next page(if different E-Mail: raYyt! an a0!.COm
from the Owner listed above) State or County License: CRC 1327518
If value of construction is$2500 or more,a RECORDED Notice of commencement is required.
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SUPPLEMENTAL,CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: ^Not ApplicableMORTGAGE 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:
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 willM 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 restrit or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrM tons which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will,in M 11 respects,perform thanrork
in accordance with the approved plans,the Florida Builing 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 M e recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commeno4g work or recording our Notice of CommeO ceme
s
_Signat a of Owner/Lessee/Agent Signatur f Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF .�-ta C. os _ COUNTY OF �-:A .L „a
The forgoing instrur ent was acknowledged before me The forgoing instrument was acknowledged before me
this 3) day of 20 1 S by this day of CA „� 20IV by
( e of pk4son acknowledging) (Name of per n acknowledging)
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Signature of Notary Public-S02N of Florida} (Signature of Notary Public- tate of Florida}
Personally Known IPF6d Personally Known OR Produced Identification
Type of Identification Pr " ^"',. LASHAHNA INGRAM _ Type of Identification Produced 0
otary Public-State of Florida
Commission No. N: ;..My�SgM)Expires Dec 20,2018 Commission No. (Seal)
r ' ommission #FF 177249
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QF Ft.Qt.~44.1I Bonded throw 1.h N
`p��,Rv noa.,,� ,�`�RY n'' LASHAHNA INGRAM
Revised 07/15/2014 of Notary Public-State of Florida ;ota
;r. * :a w . Notary Public-State of Flo11da
My COMM.Expires Dec 20,2018
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REVIEWS FRONT ` ' IVIN�9ndedth o WkRvlvISOR� PLANS VEGETATI 1\17'SFA TD�ommissi n"F11
t�roug NCOLINTE' E IE' REVIEW REVIEW REVIEW c ''' -RMV E1,—f— RE-V
DATE
COMPLETE
INITIALS
M IAM IDDADE MIAi11I-DARE COUNTY
s PRODUCT CONTROL SECTION
DEPARTNIENT OF REGULATORY AND ECONOMIC RESOURCES(RER) It 805 SW 26 Street,Room'208
BOARD AND CODE ADi1IINISTRATION DIVISION T(786)315-2590 F(786)315-2599
NOTICE OF ACCEPTANCE (NOA) %vivw.miamidade.gov/econoniY
AWP Windows and Doors,LLC
8130 NW 74 h Avenue
Medley,FL 33166
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.
DESCRIPTION: Series 11580"Aluminum Single Hung Window—N.I.
APPROVAL DOCUMENT: Drawing No.W96-38, titled"Series 580 Alum Single Hung Window(N.I.)"
Sheets 1 through.5 of 5, dated 10/10/96,with revision J dated 09/22/14,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:None.
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state,
rnodel/series, 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 NOA revises NOAH 12-0906.06 and consists of this page 1 and evidence pages E-1 and E-2,_as well as
approval document mentioned above.
The submitted documentation was reviewed by Manuel Perez,P.E.
TIIArdI•DADI covNiY - NOA No. 14-0722.07
+ .>`✓; �,'~ Expiration Date: November14,2017
Approval Date: October 02,2014
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