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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1� Permit Number: Building Permit Application NOV n X09 Planning and Development Services PER-MITTiNG Building and Code Regulation Division St. Lucie, ounty, FL 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: © ; R � r PrRPE /ECATI®N OSPRO m� Address: Ut t 9` 40 e_4 ,Dl';11E Legal Description: ,J era �on � IQ 7q - Oyi IT rd U& QeRlfaf hf Property Tax ID#: ld�- �d7- ©�� d Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: 40, DETAILED DESRIPTION OFW �- ''�`t..' "#"'ii 3"4",z iI'Mr �+� s _ r!.,..w�..<7tih�1.: 7.,J�`"�;�Fw.«s..mwa. :7�r ..r1i1� _k,. .'kh" oQ G Q .v.= (' . Additional work to l3_e__P_e_rTo_rmed n er this permit-check all that appy: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Electric _Plumbing _Sprinklers _Generator �toof Total Sq. Ft of Construction: Sq. Ft. of First Floor: f�� Cost of Construction: $ Utilities: —Sewer —Septic Building Height: i Name ' Name: 0 Address: ifl� Company: City: r tv State-_ Address: C 2706 Ave. Zip Code: J�� \ Fax: City: Fa �e:�..._ I J Atlantic .Q��tate: Phone No. 77,L t�1 t 4Zip Code: -� Fax: �I E-Mail: / -1 "O*1-t 1 6 Phone No / 7 "3 L'� 1 ,�{� Fill in fee simple Title Holder on next page (if different E-Mail tr o Co �f'JC l+d! from the Owner listed above) State or County License ► rt aa- If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. I i SIJPPLEMENTA1 4ONSl'RCJCI'ION LIE'�I LA1JV INiFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name. Address: Address: City: State: City: State: Zip: Phone Zip: one: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: 14 Name: Address: Address: City: City: Zip: Phone: Zip: o e: 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 our Notice of Commencement. A Signature of Owner/Lessee/Cont r ct r as ent for Owner Signature of Contractor/Lice se Hol r STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF The forgoinginstrumen as acknowledged bef a me The forgoing instrumen as acknowled ed before me this day of 20_ b this day of 0_ by (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced Commission No_ , (Seal) Commission No. (Seal) REVIEWS FRONT r'-2O'N1NG SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 7/2014 JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY FILE # 4244530 OR BOOK 3928 PAGE 851 , Recorded 11/01/2016 02:32:25 PM HOV n 'i NOTICE OF COMMENCEMENT PER v ITTpgC Permit No. Tax Folio No.< '73'z A)s' 004 St. Lucie County, ,FL State of Florida County of St Lucie The undersigned hereby gives notice that Improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, the following information is provided in this Notice of Commencement. [egja,1�IZ�}TDN n,per .(and�� addresseet (.�1Zle)KFeL1 o2- 17�2. a i-F tT A General description of Improvement—_(5 E Owner information or Lessee Information If the lessee contracted for the improvement: Name Address $(��tt.141ULT fr T' interest in property: _ . Name and address of fee simple titleholder(if different from Owner listed above): contractor's Name:N A) OO ContractorAddress: 2IN of T—SFT Ir AGE_Phone Number. Surety(if applicable,a copy of the p yt pond is attached):Amount of bond:$ Name and address: , Phone number. Lender Name: AI Phone Number. Lender's address: Persons within the State Florida designated by Owner upon whom notices or other documents maybe served as provided by Section ]�.13(i)(e)7.,Florida Statutes: Name:. _ Phone Number _ Address: in addition to himself or herself,Owner designates of to receive a copy of the Lienors Notice as provided in Section 713.13(2)(b),Florida Statutes. Phone number of person or entity designated by owner: Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final paymentto 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 COMMENCEMENTARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,FLORIDA STATUTES,AND CAN 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 �OUiV fed therein are true to the best of my knowledge and bellef r r THHIS IS TO CERTIFYTHATTHIS IS A 9 ra.LGh IJ0,'AND CORRECT COPY OF THE (Signature of Owner or Lessee,or Owners or Lessee's uthorized Officer/Director/Partner a lit J S PH E. MITH,CLE K - _ - �n.tn _ w (Signatorys7itle/Office) Doputy Clerk cir:ca The foregoing Instrument was acknowledged before me thkjh�day of E14".- BY��k 1e /Ui`iLOs, as for aygj of Perso Type of authority(eg.officer,trustee) Party on behalf of whom Instrument was executed ly known�or produced Identiflcation�. gnature of Notary Public-State of Florida) �; +""wti NA *LOOM � (Print,Type,or Stamp Commissioned Name of N 1i0t y Pwft.gtumb p1f�1 entification produced 0'.V-.5 } ComMulon 0 FF!31M a iAy Corrrrr. y Oct 27.2011 MIAM MIAMI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES 11805 SW 26 Street,Room 208 ` _ t BOARD AND CODE ADMINISTRATION DIVISION Miami,Florida 33175-2474 T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE OA �� 1� t 0`)' www.miamidadexov/economv �ii: Iko Industries Ltd. 40 Hansen Rd.S. Le ie( �:rr;iti+: F!.. Brampton,OntarioCANADAr 7 L C L6W3H4 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: Cambridge,Cambridge HD,and Biltmore AR Asphalt Shingles 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 NOA renews NOA No.14-0603.02 and consists of pages 1 through 4. The submitted documentation was reviewed by Gaspar J Rodriguez. NOA No.: 16-0329.13 -MIAMHOADECOUNTY Expiration Date: 05/05/21 Approval Date: 04/21/16 Page 1 of 4 ROOFING ASSEMBLY APPROVAL Category Roofing Sub-Category: Asphalt Shingles Materials: Laminate Deck Type: Wood SCOPE This approves a roofing system using Cambridge AR,Cambridge LID,and Biltmore AR asphalt Shingles manufactured by IKO Industries Ltd.as described in Section 2 of his Notice of Acceptance. PRODUCT DESCRIPTION Product Dimensions Test Specifications Product Description Cambridge 13 1/4"x 40 I/s" TAS 110 A heavy weight,fiberglass reinforced Manufacturing Location#1,2, 3 laminate asphalt shingle. Cambridge HD 13 3/4"x 40 7/8" TAS 110 A heavy weight,fiberglass reinforced Manufacturing Location#1,2, 3 laminate shingle. Biltmore AR 13 3/4"x 40 I/s" TAS 110 A heavy weight,fiberglass reinforced Manufacturing Location#1, 2 laminate asphalt shingle. MANUFACTURING LOCATION 1. Kankakee,IL 2- Wilmington,DE 3. Sylacuaga,AL EVIDENCE SUBMITTED Test Agency Test Identifier Test Name/Retport Date PRI Construction Materials Inc. IKO-050-02-01 TAS 100 12/21/09 IKO-076-02-01 TAS 100 02/21/12 IKO-114-02-01 TAS 100 09/25/14 IKO-099-02-01 TAS 100 05/12/14 IKO-096-02-01 ASTM D 3462 09/27/13 IKO-095-02-01 ASTM D 3462 09/27/13 IKO-121-02-01 ASTM 1)3462 09/25/14 IKO-100-02-01 ASTM D 3161 (TAS-107) 05/21/14 IKO-115-02-01 ASTM D 3161 (TAS-107) 09/25/14 FM Approvals 3041689 ASTM D 3462 02/23/11 3036971 ASTM D 3161 (TAS-107) 01/04/09 3042673 ASTM E 108 04/12/11 .NOA No.:16-0329.13 OME E Expiration Date: 05/05/21 Approval Date: 04121/16 Page 2 of 4 a 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 61 G20-3 of the Florida Administrative Code. INSTALLATION 1. Shingles shall be installed in compliance with Roofing Application Standard RAS 115. 2. Flashing shall be in accordance with Roofing Application Standard RAS 115 3. The manufacturer shall provide clearly written application instructions. 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". aMLAM14=E COUNTY a 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.:16-0329.13 1APPR;�D1 Expiration Date: 05/05/21 Approval Date: 04/21/16 Page 3 of 4 DETAIL A CAMBRIDGE,CAMBRIDGE HD,BILTMORE AR COURSE LAYOUT '--�—EDGE OF ROOF --------- -------------- 2,V— --------- n9 Y 24' Note:Roofing Cement not shown m this la out This drawing is for course layout only. See Detail B ---------- for naming and cement placement details. THIRD COURSE VIM SECOND COURSE 4' �. 111------ 1/11/1"j 0.91 i =IRSTCOURSE F/Mill / VIM ym ME DETAIL B CAMBRIDGE,CAMBRIDGE HD,BmTMORE AR 407 1 1" -71 1" 1" 13 4' 6 s" /•% / / ��j,� 5=k- EXPOSURE END OF THIS ACCEPTANCE NOA No.: 16-0329.13 MIAMJ APPR COUNTY Expiration Date: 05/05/21 Approval Date: 04/21/16 Page 4 of 4