HomeMy WebLinkAboutBuilding permit and product approvalAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: � 0" 10-) 6 Permit Number:
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
PERMIT APPLICATION FOR: f 1 C ��1Ert� OEP3
Address:
Legal Description:
Property Tax ID #: la33J�' c��� " 00i�" Lot No _9 OJ;
Site Plan Name:
Project Name:
Setbacks Front_ Back: Right Side: Left Side:
Block No.
ional work to be per orme 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: $
Sq. Ft. of First Floor:
Windows/Doors
Roof
`o C Utilities: —Sewer _Septic Building Height:
NameCK B DDd
Address: LI0 0 ,fy� cc f:1 M�--! Ra
City: —V' pi a ti State::.
Zip Code: '3�Aq 4 < Fax:
Phone No.
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: '( O i�QK ti� �1a
CompanyQ:�`cEaStt
�ti`f}t�41CZ���Lt�S
Address: Ib,6SLU ,,,�o',1, 'r,(IOZ
City: *R&Z lWC" c State:
Zip Code: 3q QI SIS Fax:
Phone No rA
\
E -Mail °(- M Qfu(z( �CX CO M
State or County License
If value of construction is 2500 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 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 s .a _
COUNTY OF _ x t .L
The forgoing instruFnent was acknowledged before me
this C�
The forgoing instru ent was acknowledged before me
qday of -C 206 by
this J_ day of1t 20_LL, by
(Name of person acknowledgir g)
(Name of person acknowledgint )
Si natuxe_of-Nota �1Va is State of Florida
Si nature of Notar Public ' of Flnrir►
Personally Known OR Produced Identification V-%�
Personally Known OR Produced Identification'/—,
Type of Identification
Type of Identificaikon
Producedd_ .- �`,:`-t v' i.i.. a
OI LEEN DEMERS
Produced (� va , �;Y k t a
Commission No. NP 1 RYPUBLIC
fE OF FLORIDA
COLLEEN DEMERS
Commission No. �y PUBLIC
TATE OF FLORIDA
a Comm#r: FF065960
Co mdt# FF06596o
t s
Exphes 10/24/2017
REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. //2014
COUNTY 1 ;1
MIAMI-DADE COUNTY
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.miamidade.gov/economv
as Door Company _
320 Sycamore Street
auseon,OR 43567
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.
HT 600, 700, 800 & 21000 f n)�- siu ated Steel Sectional Garage Door up to 16'-2
APPROVAL DOCUMENT: Drawing No. WL -0600 -0194 -08 -48 -52M -D, titled "16'-2" HT 600, 700,
2000 & 800 Steel Series HVHZ Wind Load Sectional Door", sheets I through 3 of 3, dated 12/01/2014,
prepared by Haas Door Company, signed and sealed by Thomas D. Sullivan, P.E., bearing the Miami -Dade
County Product Control approval stamp with the Notice of Acceptance number and approval date by the
Miami -Dade County Product Control Section.
SILE IMPACT RATING: Large and Small Missile Impact Resistant
LABELING: A permanent label with the manufacturer's name or logo, mann acturing 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 consists of this page 1 and evidence page E-1, as well as approval document mentioned above.
The submitted documentation was reviewed by Carlos M. Utrera, P.E. —
MIAMIOADE COUNTY NOA No. 15-1104.03
� g m •ort Expiration Date: February 11, 2021
(�. Approval Date: February 11, 2016
A4�tn�1-110
Page 1
Haas Door Company
A.
DRAWINGS
1. Drawing No. W.1r0600-0194-08-48-52M-D, titled "16'-2" HT 600, 700, 2000 & 800 Steel
Series HVHZ Wind Load Sectional Door", sheets 1 through 3 of 3, dated 12/01/2014,
prepared by Haas Door Company, signed and sealed by Thomas D. Sullivan, P.E.
B. TESTS
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 Resistance Test, per TAS 202-94
along with marked -up drawings and installation diagram of 16'-2" wide x 8" height HT 600
Series Sectional Steel Garage Doors, prepared by Intertek/ATI, Test Report No. E1289.02-
550-18, dated 12/05/2014, signed and sealed by Justin P. McDonald, P.E.
2. Test report on Tensile Test per ASTM E8, of steel sheets, prepared by Intertek/ATI, Test
Report No. E1289.11-106-18, dated 12/12/2014, signed and sealed by Gary T. Hartman, P.E.
3. Test report on Salt Spray per ASTM B 117 of coated metal steel panels, prepared by
Intertek/ATI, Test Report No. E1289.10-106-18, dated 11/24/2014, signed and sealed by Gary
T. Hartman, P.E.
C. CALCULATIONS
1. Anchor calculations prepared by JB&B Engineering Consultants, LLC, dated 07/01/2015,
signed and sealed by Thomas D. Sullivan, P.E.
D. QUALITY ASSURANCE
1. Miami -Dade Department of Regulatory and Economic Resources (RER)
E. MATERIAL CERTIFICATIONS
1. Test report on Surface Burning Characteristics of the polyurethane foam insulation per
ASTM E84, prepared by QAI Laboratories, Test Report No. RJ3298-1., dated
06/25/2014, signed by Christopher W.C. Bowness, P.E.
2. Test report on Ignition Temperature of Plastics of the polyurethane foam insulation
per ASTM D1929, prepared by QAI Laboratories, Test Report No. RJ3298-2, dated
07/14/2014, signed by Christopher W.C. Bowness, P.E.
F. STATEMENTS
1. Statement letter of code conformance to the 5(' edition (2014) FBC issued by JB&B
Engineering Consultants, LLC, dated 06/16/2015, signed and sealed by Thomas D. Sullivan,
P.E.
2. Statement letter of no financial interest issued by JB&B Engineering Consultants, LLC, dated
06/16/2015, signed and sealed by Thomas D. Sullivan, P.E.
Carlos M, Utrera, P.E.
Product Control Examiner
NOA No. 15-1104.03
Expiration Date: February 11, 2021
Approval Date: February 11, 2016
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