HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED j'
Date: Permit Number: LS
e
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 Residential x
PERMIT APPLICATION FOR: Window/door
PROPOSED ,IMFR01tEMENT LOCATIC?N j' g
Address: 8005 North Blvd
Legal Description: Lakewood Park
Property Tax ID#: 1301-607-0383-000-8 Lot No.26
Site Plan Name: Block No. 86
Project Name:
Setbacks Front Back: Right Side: Left Side:
I7ETAIILED DESCRIPTION OF WORK
.
Tear out and replace 9x7 garage door
'C M10 INFORMATION
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Additional work toa er orme under this permit—c ec a t app y:
HVAC Ei Gas Tank E]Gas Piping M
Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 1575.00 Utilities:Cn Sewer ElSeptic Building Height:
01NNER/LESSEE CONTRACTOR �rAM
Name Paul Loya Name: Denver Miller
Address:8005 North Blvd Company: D& D Garage Doors PSL
City: Fort Pierce State:FL Address: 435 NW Enterprise Dr
Zip Code: 34951 Fax: City: Port St Lucie State:FL
Phone No.772-595-6939 Zip Code: 34986 Fax: 772-460-7635
E-Mail: Phone No. 772-460-7630
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: 19007
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAC0NSTFtUCTION
L LIEN LAW iNFgRMATIC}N ., ,
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DESIGNER/ENGINEER: X_Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: X 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 will authorize thepermit 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 our Notice of Commencement.
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF St Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thiQLL day of� .f , 20 Gby this'-A day of Com^ ,20 IS by
Denver Miller 1 Denver Miller
(Name of person acknowledging) (Name of person acknowledging)
���L,�, V—L, L1 9
(Signature of Notary Public-State of Florida) (Signature of otary Publ -State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
FF101474 te..p B� TIFFANY A.LEE FF101474 ,PRY Pia
Commission No. �� YS *)MYCOMMISSION#FF 10 41Qommission No. o _..,,,�,� (Se�I�FANYA.LEE
EXPIRES:April 26,2018 * * MY COMMISSION#FF 101474
e a 5ei 106E EXPIRES:April 26,2018
RTEOF F�� jRTF°FF1.�Q•\O Bonded Thru Budget Notary Servues
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
MIAMI•DADE MIAMI-DADE COUNTY
R PRODUCT CONTROL SECTION
11805 SW 26 Street,Room 208
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) Miami,Florida 33175-2474
BOARD AND CODE ADMINISTRATION DIVISION T(786)315-2590 F(786)315-2599
NOTICE OF ACCEPTANCE (NOA) www.miamidRdtgov/economy
DAB Door Company,Inc.
12195 NW 98th 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(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:Hurricane Master Model 824/811 Steel Sectional Garage Door up to 9'-4"Wide w/
Window Lite Option(DP+50.0,-60.0 PSF)
APPROVAL DOCUMENT:Drawing No.01-09,titled"Sectional Garage Door",sheets 1 through 5 of 5,
dated 02/01/2001,with last revision J dated 03/09/2015,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 number(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#14-0814.04 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 Carlos M.Utrera,P.E.
NOA No.15-0317.02
MIAMI-DAnsCouNTv Expiration Date: August 9,2016
•• Approval Date:June 11,2015
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