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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: s . . ............ . Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fart Pierce FL 34982 Phone. (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Address: Legal Description: N t4 - QS Tt,�-,rxj, 1 -*.K A- Q0 e160 �C ��r1 QCatCQ) l 1Ct'� C Ss -e, + ,n Co�YMU n PropertyTaxlD#: t15C�2���i- ►3�UC��`C3 Lot No. Site Plan Name: Block No. Project Name:- N(2 c iU1mf Cit ,)+ Setbacks Front Back: Right Side: Left Side: Additional work to be nertormed under this permit- check all mat appy: ®HVAC Gas Tank E]Gas Piping Shutters Q Windows/Doors 11 Electric ❑ Plumbing Sprinklers 11 Generator Roof Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ � ��y Ud -_ Utilities:Sewer 0 Septic Building Height: Name ; {JG 1(AnAZ- Address: k\Q9 t,)t4 t1 ) Q)kU p City: S i.f1 r-" i FEE SIMPLE TITLE HOLDER: !� Not Applicable Name: _ Address: City: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. Applicable 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 your Notice of Commencement. s Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF TATE OF FLORID COUNTY OF FLORIDA�,_ L_UIL[� COUNTY OF C, L The forgoing instrument was acknowledge�efore me The forgoing instrument was acknowledged before me this �, day of 20 by this 1S day of . 00 J , 20 1(,P by (Name of person acknowledging) (Name of person acknowledging) _4"'C.11 (Sign re of Notary Public- State of Florida ) Personally Known AOR Produced Identification Type of Identification Produced _ Commission No. Revised 07/15/2014 III KAREN MARIE GORMAN plul2 5 31 l PT pa. :moo' <�= commission # G s Kro (Signatur of Nota $` �te � g� qg 2020 �4iOF ftiO�� :: fflfl�lll1� Personally Known ro uced Identification 11pe of identification Produced KAREN MARES DORM iissian # GG 25311 mission No. My Commission Expire (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS AHRI Certified Reference Number: 7490503 Date: 11/14/2016 Product: Single -Package Air -Conditioner, Air -Cooled Model Number: 50ZPCO36--- 30** Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, II_, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, Rl, SC, SD, TN, TX, UT, VA, VT, WA, WV, WI, WY, U.S. Territories) Region Note: Central air conditioners manufactured prior to January 1, 2015, are eligible to be installed in all regions until June 30, 2016. Beginning July 1, 2016, central air conditioners can only be installed in region(s) for which they meet the regional efficiency requirement. Series name: Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING Rated as follows in accordance with AHRI Standard 2101240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 35000 EER Rating (Cooling): 11.50 SEER Rating (Cooling): 14.00 IEER Rating (Cooling): " Ratings followed by an asterisk (") indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product($) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIDNS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, AM personal and Confidential reference. AIR•CONOITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link wo make IIF= hei rr r and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certificate No., which is listed at bottom right. 1 3123604061 89 7 6$73 ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: Dec. 1. 2016 10:16AM No. 1402 P. 2 NeWes island Inc. o condominium 9801 South Ocean }rive; Jensen Bear ft IFL 84967 (772) 229-2M FAX (772) 225-990' November 18, 2016 Patrick Yanta 1198 Nettles Blvd.. Jensen Beach, F132957 RE. Air Conditioner Replacement Lot 1198 The review of your )location for the air conditioner replacement at Lot # 119 8 is complete, The Msoc Mon approves of fire new location- as p er the documents wbmitted with this request. Please adhere to all Nettles Is1$nd governing dowmentg iurdudin& but not limited to the NetEles Island Procedures Governing Contractor and buffdmg ActivAy on Nettks Island, and provide ens vAth a ropy of the PamYt before commencing. ResPey, �1 Howard. Ki�,kert or 7anice Archiwc ual. Committee Chair_ CC: Laura, Tones, LCAK File ISE CV`'' JUPITEO-01 MAST ANDREA gGORO` CERTIFICATE OF LIABILITY INSURANCE Dar 6YY) �--' 111/21201121201 s THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(€es) must have ADDITIONAL INSURED provisions or be endorsed. if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain poi€cies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in €leu of such endorsement(s . PRODUCER License # OE67768 CONTACT Maris Paal _NAME- Insurance Office Of America, Inc. PRONE FAX Abacoa Town Center AIC, No, Ext}_ (561) 721-3754 26032 E MALLl €O - --� 1200 University Blvd, Suite 200 �ADDRESS:Marls.Paaausa.Corn Jupiter, FL 33458 --- _ INSURER{5)_AFFORDENG COVERAGE _ . NAIC # _ t�_� NSLRERA;Tokio MarineSpecialty Insurance Company an 85 230 INSURED INSURERa:Builders Mutual Insurance Company 10.844 _ Jupiter Tequesta AirConditioning & Heating, Inc. dba Jupiter r�.. Tequesta Plumbing wsuRER c : f. PO Box 3669 �NSURER DJupiter, FL FL 33469 INSURER E ; rnVFRAf:GR rFr?TIFIre TF MI1ri6R11:0• Mr-111cen Ni kli 1RAoe0. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PDLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CDNDITiON DF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I TYPE OF INSURANCE �ADDL SUBR POLICY NUMBER POLICY EFF POMMIDDd LICY E%P LIMITS A X COMMERCIAL GENERAL LIABILITY 1'099'000 CLAIMS -MADE X I OCCUR �! PPK1573075 `� EACH OCCURRENCE _ - $ 11!0112010 1110112017 DAMAGE TO RENTED 50,000 P REMISES a �rrance}_T- �._ _ _ I J 5,000 MEDEXP Anyone person} PERSONAL & ADV INJURY 11000,000 _ GGEEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE I $ 2,000,000 X POLICY n JEC LOC PRODUCTS - COMPiOPAGG I $_ 2,000,000 OTHER: $ AUTCMOBILE LIABILITY I i CO aBml'den�ilSINGLE LIMIT $ ANY AUTO :BODILY INJURY (Per person) OWNED SCHEDULE❑ AUTOS ONLY _ AUTOS - SLY INJURY Per accidem $ HIRED NON -OWNED r AUTOS ONLY _-_ AUTOS ONLY PRDPERTY DAMAGE UMBRELLA LIAB L OCCUR ! EACH OCCURRENCE $ EXCESS LIAB I CLAIMS -MADE, _ i— - --- AGGREGATE ? DED RETENTION $ AND EMPLOYERS' LIABILITY MPENSATION v r N ANY X STA UTE. ERy . -Lo— WCP103529503 10101/2016 10101/2017 ! - 100,000 OFFICERIMEM6E R EXCLUDED? �': CEPJMEETOWpACLUDEEXECUTIVE � I N IA E.L. EACH ACCIDENT I $ - ' -- - (Mandatory in NH} 100,000 If describe onderF E.L. DISEASE- FA EMPLOYE $ __ 50tl tltlQ Dyes, O DESCRIPTION OF OPERATIONS Wow E.L- DISEASE POLICY LIMIT I i I I DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101, Add;tional Remarks Schedule, maybe attached if more space is required) Certificate Holder is Additional Insured with respects to General Llabilty when required by written contract per form CG2010 04113 (Ongoing Operations) and CG2037 04113 (Completed Operations). State Or Governmental Agency or Subdivision Dr Political Subdivision- Permits or Authoricat€ons Additional Insured status applies per form CG2012 04113 Genera[ Liabiltiy is Primary and Non-Contributroy when required by written contract perform PIC-GLN-020. SEE ATTACHED ACORD 101 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE� St. Lucre County Contractor Licensing� 2300 Virginia Avenue Fort P lerce, FL 3402 ACORD 25 (2016103) (D19&8-2015 ACORD CORPORATION. Ali rights reserved. The ACORD name and logo are registered marks of ACORD Florida Building Code Online Page 1 of 2 Comments Archived Product Manufacturer BMP International Inc. Address/Phone/Email 4710 28th Street N St. Petersburg, FL 33714 (727) 458-0544 benmeng8@yahoo.com Authorized Signature Xianbin Meng benmeng8@yahoo.com Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Structural Components Subcategory Anchors Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Frank L. Bernardo, P.E. the Evaluation Report Florida License PE -0046549 Quality Assurance Entity National Accreditation & Management Institute Quality Assurance Contract Expiration Date 12/31/2018 Validated By Ted Berman, PE Validation Checklist - Hardcopy Received Certificate of Independence Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Sections from the Code FL14239 R3 COI Indep.pdf Standard Year ASTM D1761-06 2006 ASTM D1761-88 2000 Florida Licensed Professional Engineer or Architect FL14239 R3rW i! v Equiv.vdf http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquDEJErtOSCei... 1/11/2016 a �,r.V `•J=4 `i: "'P15i;i SCIS Home Log In User Registration HotTopics - SubmitSurcharge Stats &Facts Publications FBC Staff BCIS Site Map Links Search Busines , �' p Professibnal Product Approval t USER: Public User � 10GPC1 t' U t' n Pr000uct Approval Menu > Application Detail FL # FL14239-R3 Application Type Revision Code Version 2014 Application Status Approved Comments Archived Product Manufacturer BMP International Inc. Address/Phone/Email 4710 28th Street N St. Petersburg, FL 33714 (727) 458-0544 benmeng8@yahoo.com Authorized Signature Xianbin Meng benmeng8@yahoo.com Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Structural Components Subcategory Anchors Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Frank L. Bernardo, P.E. the Evaluation Report Florida License PE -0046549 Quality Assurance Entity National Accreditation & Management Institute Quality Assurance Contract Expiration Date 12/31/2018 Validated By Ted Berman, PE Validation Checklist - Hardcopy Received Certificate of Independence Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Sections from the Code FL14239 R3 COI Indep.pdf Standard Year ASTM D1761-06 2006 ASTM D1761-88 2000 Florida Licensed Professional Engineer or Architect FL14239 R3rW i! v Equiv.vdf http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquDEJErtOSCei... 1/11/2016 Florida Building Code Online Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved Summary of Products Method 1 Option D 04/23/2015 04/30/2015 05/06/2015 06/23/2015 Page 2 of 2 FL # Model, Number or Name Description 14239.1 Slotted Steel Tie -Down Clips, 1" Steel Tie -Down Clip System (For Use with Mechanical Units and 2" Models at Roof or Grade) Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL14239 R3 II Dwg.Ddf Approved for use outside HVHZ: Yes Verified By: Frank L. Bennardo, P.E. 0046549 Impact Resistant: N/A Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: This design provides allowable capacities for the FL14239 R3 AE Eval.pdf system. The required site-specific design pressure (demand) Created by Independent Third Party: Yes shall be calculated by others for use with this design. Bads Next Contact Us :: 1940 North Monroe Street. Tallahassee FL 32399 Phone: 850-487-1824 The State of Florida is an AA/EEO employer. Copyright 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. `Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter 455, F.S., please click here . Product Approval Accepts: cg Cre$€ Caul http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQw tDquDEJErtOSCei... 1/11/2016 ENGINEERING EXPRESSO ® ® ® PRODUCT EVALUATION REPORT April 14, 2015 Application Number: FL #14239.1-R3 FLB Project Number: 15-2378 Product Manufacturer: BMP International Manufacturer Address: 4710 28th Street North St. Petersburg, FL 33714 Product Name: Slotted Steel Tie -Down Clips, 1" and 2" Models Product Description: Steel Tie -Down Clip System (For Use with Mechanical Units at Roof or Grade) Scope of Evaluation: This Product Evaluation Report is being issued in accordance with the requirements of the Florida Department of Community Affairs (Florida Building Commission) Rule Chapter 61 G20-3.005, F.A.C., for statewide acceptance per Method 1(d). The product noted above has been tested and/or evaluated as summarized herein to show compliance with the Florida Building Code Fifth Edition (2014) and is, for the purpose intended, at least equivalent to that required by the Code. Re-evaluation of this product shall be required following pertinent Florida Building Code modifications or revisions. Substantiating Data: • PRODUCT EVALUATION DOCUMENTS FLB drawing #15-2378 titled "Mechanical Unit Steel Tie -Down Clip: At -Grade and Roof -Top Mounted Applications", sheets 1-5, prepared by Engineering Express, signed & sealed by Frank L. Bennardo, P.E. is an integral part of this Evaluation Report. • TEST REPORTS Ultimate test loading structural performance has been tested in accordance with f1STM;D1:7,61-88 test standards per test report(s) #TEL 01970387A and #TEL 01970387B by Testi] ''�%, tuR6l oratories, ..�Inc. ,�.-' •' � • STRUCTURAL ENGINEERING CALCULATIONS Redn neer's Seal Valid for ;s Structural engineering calculations have been prepared which = Pages• evaluate the product based on comparative and/or rational _ analysis to qualify the following design criteria: e 1. Minimum Allowable Unit Width 2. Maximum Allowable Unit Height Frank 3. Minimum Unit Weight # PE004�6°`'3 X85 c 4. Maximum Allowable Unit Surface Area�lep!!al�t+ 5. Clip Configuration and Anchor Spacing 6. Anchor Capacity for Various Substrates 7. Maximum allowable roof -top heights for various installation wind speeds No 33% increase in allowable stress has been used in the design of this product. 160 SW 12TH AVENUE #106 DEERFIELD BEACH, FL 33442 PHONE: 954-354-0660 FAX: 954-354-0443 WWW.ENGEXP.COM lZiENGINEERING °4 Eli PR _,-SS` 4/14/2015 BMP International — Steel Tie Down Clips Page 2 of 2 Impact Resistance: Not applicable to this product. Wind Load Resistance This product has been designed to resist wind loads as indicated in the design schedule(s) on the Product Evaluation Document (i.e. engineering drawing). Installation The product listed above shall be installed in strict compliance with the Product Evaluation Document (i.e. engineering drawing), along with all components noted therein. The product components shall be of the material specified in the Product Evaluation Document (i.e. engineering drawing). Limitations & Conditions of Use: Use of this product shall be in strict accordance with the Product Evaluation Document (i.e. engineering drawing) as noted herein. All supporting host structures shall be designed to resist all superimposed loads and shall be of a material listed in this product's respective anchor schedule. Host structure conditions which are not accounted for in this product's respective anchor schedule shall be designed for on a site-specific basis by a registered professional engineer. All components which are permanently installed shall be protected against corrosion, contamination, and other such damage at all times. This product has been designed for use within and outside of the High Velocity Hurricane Zone (HVHZ) 160 SW 12TH AVENUE #106 DEERFIELD BEACH, FL 33442 PHONE: 954-354-0660 FAX: 954-354-0443 WWW.ENGEXP.COM ���3� EN�INEERIN� .;''H+� d—� � 1 �- a A FRANK L BENNARDO, P.E., INC. INNOVATION April 14, 2015 Florida Department of Business and Professional Regulation 1940 North Monroe Street Tallahassee, FL 32399 Regarding: FL14239.1 "Steel Tiedown Clips for use with Mechanical Units" ZD BMP International, Inc. 4710 28th Street N St. Petersburg, FL — 33714 EX Drawing: 15-2378 To Whom It May Concern: This office has reviewed test reports showing structural performance of the above -noted product. These test reports pertain to testing performed in accordance with ASTM D 1761-88 (2000) "Standard Test Methods for Mechanical Fasteners in Wood." This standard has not been adopted in the Florida Building Code fifth Edtion (2014) for use in the HVHZ zone, but for the purposes of the above product evaluation the aforementioned standard serves as an applicable test method in accordance with ASTM D 1761-06 for the purpose of determining structural performance of this product. R,espVtflu E/ySF gyp`': a � Ann Z i Inc. FL PE 004064alwl%' Cert of Auth 49885 160 SW 12T" AVENUE # 106 DEERFIELD BEACH, FL 33442 PHONE: 954-354-0660 FAX: 954-354-0443 WWW.ENGEXP.COM �� � ENGlNEERIi`�1� ,�'-' A FRANK L. BEWNARDO, P.E., INC. INNOVATION April 14, 2015 Florida Department of Business and Professional Regulation 1940 North Monroe Street Tallahassee, FL 32399 Regarding: FL14239.1 "Steel Tiedown Clips for use with Mechanical Units' BMP International, Inc. 4710 28th Street N St. Petersburg. FL - 33714 To Whom It May Concern: Please be advised that the below -signed engineer does not have nor will acquire a financial interest in the company manufacturing or distributing the product(s) for which an evaluation report or validation certification has been or will be prepared, as referenced above. This engineer is not owned, operated, nor controlled by the manufacturer or distributor noted above and does not have any financial interest in any other entity involved in the approval process of the above -noted product(s). 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