HomeMy WebLinkAboutBLDG PERMIT #17-0770 (Garage Door repair common area) Date: 74/0 /11 CITY OF CAPE CANAVERAL Tracking# I LP 5--
+ RECEIVED BUILDING PERMIT APPLICATION Permit# l g o1 .3 O
APR 11 2017 (321)868-1222
City of Cape Canaveral Building Department - P.()Box 326- 110 Polk Avenue-Cape Canaveral.FL 32920
You may download this application: www.citvofcapecanaveral.oro. You may fax to: (321)868-1247. All applications must include the
backside of this form and 2 sets of supporting documents. Important: Please complete the checklist on the back of this form and provide
other documentation as indicated on the checklist. A copy of contract may be required. Application packages will not be accepted unless
complete.
APPLICANT WILL BE CALLED WHEN PERMIT IS READY
(Contractor/Owner-Builder is required to sign foruthe building permit.unless indicated otherwise by affidavit. I.D.may be required)
Address of Job Site: g'1 J3tpuG�-td x f /2-+o I miC Zoning classification: Flood Zone:
Legal description of prope y:'1'WN: RNG: SEC: SUED: BLK: LOT: PB: PG:
Property Owner Name: 6 _ . I !i. y ii Phone: 43i-0/43 Sin
Address: XVtt At + Cie( Qia iv. . , l �.'1.a.v t'c
Fee Simple Titleholder's Name(if other than owner): Address:
Bonding Company: Address: _
Mortgage Lender: Address:
I Type of Permit Brief description of work:
✓ Building Ret) Sec-11015 cm 18x7 t� e- Aoar-
Electrical
//
Plumbing
_ Mechanical _
Other
Type of Square Const. Occu- FPI lines City Sewer #of #of #of #of #of
4 Building Feet Type pancy currently available Concrete! stories dwel- bed- water Valuation of work
under (IA, (lassiffca available to to serve tsphalt ling rooms closets (Copy of Contrail Required)
(please roofserve this this
VB, -tion Parking units
indicate as etc) (RAI.R3 property? property? Spaces
applicable) etc) Yes.'No Yes/No
Commercial $
SFR $
Townhouse $
Apartment $
Vfondominium $ / ,a)
Other $
Architect/Engineer Name:__ _______Name of Company:
Address: _ ____ _____
State License No.: Phone(office): ___ _Phone(cell pager.):— Fax:
Primary Contractor Name: _ _ Name of Compan):
Address: ___ ___
State License No.: Phone(office): _ __Phone(cell pager.): Fax:
Electrical Contractor Name: `___.___„_______,Name of Company:___ _
Address: _`_ _ _____._ _____ ___
State License No.: _ Phone(office): _ _Phone(cell pager.): _ Fax:
Plumbing Contractor Name: _ Name of Company: ______
Address: ____
State License No.: Phone(offices:__ __ Phone(cell/pager.): Fax:
Mechanical Contractor Name: Name of Company:
Address: ------
State License No.: Phone(office): Phone(cell/pager.): Fax:
Specialty/Other Contractor Name:/Je([ 'j i Name of Company:�T./f Pro C Ucc'S
Address: Lo St&Sc-1- Ar- 5Mc.A l 1 bat r/1e ,3 - c),1
V
State License No.: G4-fO Phone(office): 72,3--'7L3 Phone(cell/pager.): 7<7-3 344 Fax: 723-9729
4 uilding Permit Application Checklist Notes
Completed Permit Application Current code edition:FL Bldg.Code Fifth Edition(2014)
Current survey showing all proposed construction and landscaping Check with Bldg.Dept.for setbacks
Notarized signature—Owner/Builder Affidavit If owner is acting as contractor
Sewer Impact Fee receipt May be deferred until C.O.Unless_job is remodeling
County Impact Fee receipt May be deferred until C.O.
Capital Expansion Impact Fee receipt Maybe deferred until C.O.
Sidewalk Impact Fee receipt If sidewalk exists on lot
Recorded Warranty Deed/Proof of Ownership
Copy of Recorded Notice of Commencement(over$2,500) Over$7.500 for Mechanical change out
Current Cert.Of Liability Ins./Worker's Comp.Policy/Exemption Record will be kept on tile after initial submittal
Community Appearance Board Approval For all work visible from Public Right-Of-Way
Planning and Zoning Board Site Plan Approval For all new construction of four units or more
Concurrency Forms For all new construction not part of approved site plan
Primary Contractor's State License Record will be kept on file after initial submittal
Subcontractor's Authorizations: Record will be kept on file after initial submittal
State License Notify Building Department of contractor changes
Plumbing Contractor Plumbing Contractor
Electrical Contractor Electrical Contractor
Mechanical Contractor Mechanical Contractor
Roofing Contractor Roofing Contractor
Swimming Pool Contractor Swimming Pool Contractor
Gas Contractor Gas Contractor
Specialty/Other Contractor Specialty/Other Contractor
Construction Drawings: Per F.B.C.104
Three sets of sealed construction drawings Per F.B.C. 104
Truss layout and reaction summary Cut sheets and shop drawings will be needed at time of inspection
Electrical Load Calculations Plans must indicate person responsible for calculations
Electrical Riser All new service must be located underground
Plumbing Riser Plans must indicate person responsible for design
A/C layout Plans must indicate person responsible for design
Two sets of Energy Calculations Plans must indicate person responsible for calculations
Lot Drainage Survey
Four sets of Fire Suppression/Sprinkler!Alarm specifications Requires Fire Dept.approval prior to issuance of permit
Pool Barrier Requirement Form(signed) Pool permits will not be issued without barrier
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or
installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all
laws regulating construction in this jurisdiction. The Building Code in effect at the time of this application is the Florida
Building Code 5th Edition. I understand that all permits require inspections as indicated and that it is the responsibility of
the permit holder to notify the building department when ready for inspection(s). This permit application is valid for 180
days from date of submission. By signing, applicant affirms that all above is true and correct and that he/she is an
authorized agent of the Contractor/Owner and has the authority to apply for this permit.
*ALL OTHER APPLICABLE STATE OR FEDERAL PERMITS MUST BE OBTAINED PRIO' ' 0 COMMENCEMENT*
�f rq� i
Applicant's Name: /tJeC 444 r Applicant's Signature: .1 .
Date: f I 11 ^] Site Address: /r 1 'ALL �.L 21 U 16--•
Com rnOV1
For Notary use only: State of of Br and . n (• n� � "Todd�j ''"('
Sworn and subscribed before me this Florida! day of Y7 L ,2014 ,by I v C Todd 1 ck.p r�� t,
Printed name of Applicant
who produced identification: , ;6y---) ✓e..44 0(4 62_,....a%(
is personally known to me.
KAREN HUTCHINSON
Seal: :�' F: MY COMMISSION t FF 951009 -- �--Q-� �/ 'C l�^ _���0-------
t:
(" •ESignature-NotaryPublic At Large
,��`;�, EXPIRES:January 18,2020 g g
dF t;�d,;,• Bonded Thru Notary Pudic Underwriters
plicated.
Florida Building Code Online https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVX...
F C*;OA Ot.AARTKtNT OF II'). e7t iii •.
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�USERPblct UProduct Approval Menu>Product or Aoolicatm earch>Application Lit>Application Detail
OFFICE OF THE r FL# FL15279-R4
SECRETARY
Application Type Revision
Code Version 2014
Application Status Approved
*Approved by DBPR.Approvals by DBPR shall be reviewed and ratified
by the POC and/or the Commission if necessary.
0
Comments 'n
Archived
n
rn
Product Manufacturer Clopay Building Products Company n
Address/Phone/Email 8585 Duke Blvd.
Mason,OH 45040
(513)770-6062
mwesterfield@clopay.com
Authorized Signature Scott Hamilton
shamilton@clopay.com
Technical Representative Cit)' 31`'fit Cdna%'eral
Address/Phone/Email 1't:1?'vi1T'Trl? `� NSTR[{CTI O
PERM T%�1
Quality Assurance Representative
REVIEWED 5///)/0
Address/Phone/Email Review of this p!arh does not audhori±e violation of
:my Irr-1, state or federal coda,ordinances c1r ;tail+•-
Category Exterior Doors
Subcategory Sectional Exterior Door Assemblies
Compliance Method Certification Mark or Listing
Certification Agency Intertek Testing Services NA,Inc.
Validated By Gary Pfuehler
Validation Checklist- Hardcopy Received
Referenced Standard and Year(of Standard) Standard Year
ANSI/DASMA 108 2005
ANSI/DASMA 115 2005
ASTM E1886 2002
ASTM E1996 2002
ASTM E330 2002
Equivalence of Product Standards
Certified By Florida Licensed Professional Engineer or Architect
FL15279 R4 Eauiv 20150319- FBC- DASMA 108 equiv.pdf
FL15279 R4 Equiv 20150319- FBC- DASMA 115 equiv.pdf
1 of 7 4/11/2017 7:50 AM
Florida Building Code Online https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVX...
Product Approval Method Method 1 Option A
Date Submitted 03/19/2015
Date Validated 06/12/2015
Date Pending FBC Approval
Date Approved 06/21/2015
Summary of Products
Go to Page 4 0 0 0 Page 6/8 0 0
FL# Model,Number or Name Description
15279.101 101 W6-16 PAN-2F153: 73, 75, Steel Pan(min.25 ga.) Double-Car(9'2"to 16'2"wide)
84A,94,42,48,42B,48B,4RST, WINDCODE®W6 Garage Door with Optional Impact-
6RST,GD5S,GR5S,AR5S, ED5S Resistant Lites
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL15279 R4 C CAC Letter with proof of contract and proof
Approved for use outside HVHZ:Yes of inspection.pdf
Impact Resistant:Yes FL15279 R4 C CAC W6 Listing Intertek.pdf
Design Pressure: +37 PSF/-41 PSF Quality Assurance Contract Expiration Date
Other: Solid doors(no standard glazing)or doors with 05/21/2028
optional impact-resistant standard glazing are impact- Installation Instructions
resistant(large missile impact). FL15279 R4 II 101539-A-Revl3.pdf
Verified By: Intertek Testing Services NA,Inc.
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
15279.102 102 W6-16 PAN-2F153: 73,75, Steel Pan(min.25 ga.)Double-Car(9'2"to 16'2"wide)
84A,94,42,48,42B,486,4RST, WINDCODE®W6 Garage Door
6RST,GD5S,GR5S,AR5S,ED5S
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL15279 R4 C CAC Letter with proof of contract and proof
Approved for use outside HVHZ:Yes of inspection.pdf
Impact Resistant: No FL15279 R4 C CAC W6 Listing Intertek.pdf
Design Pressure: +37 PSF/-41 PSF Quality Assurance Contract Expiration Date
Other:The standard glazing available for this product 05/21/2028
meets the wind load requirements of the building code but Installation Instructions
DOES NOT meet the impact resistant requirement for FL15279 R4 II 101539-B-Revl3.pdf
windborne debris regions. Verified By: Intertek Testing Services NA,Inc.
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
15279.103 103 W6-16 PAN-2F156:76,2RST Steel Pan(min.25 ga.)Double-Car(9'2"to 16'2"wide)
WINDCODE®W6 Garage Door
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL15279 R4 C CAC Letter with proof of contract and proof
Approved for use outside HVHZ:Yes of inspection.pdf
Impact Resistant: Yes FL15279 R4 C CAC W6 Listing Intertek.pdf
Design Pressure: +37 PSF/-41 PSF Quality Assurance Contract Expiration Date
Other: Solid doors(no standard glazing)are impact- 05/21/2028
resistant(large missile impact). Installation Instructions
FL15279 R4 II 101539-A-Revl3.pdf
Verified By: Intertek Testing Services NA,Inc.
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
15279.104 104 W6-16 PAN-2F443:G4S,GS4, Gallery/Artistry/Expressions: Steel Pan(min.24 ga.)
GD4S, GR4S,G4SV, GS4V, GD4SV, Double-Car(9'2"to 16'2"wide)WINDCODE®W6 Garage
GR4SV, E45, ED4S, E4SV, ED4SV, Door
SS4,AR4S,SS4V, AR4SV
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL15279 R4 C CAC Letter with proof of contract and proof
Approved for use outside HVHZ:Yes of inspection.pdf
Impact Resistant: Yes FL15279 R4 C CAC W6 Listing Intertek.pdf
Design Pressure: +37 PSF/-41 PSF Quality Assurance Contract Expiration Date
2 of 7 4/11/2017 7:50 AM
Florida Building Code Online https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVX...
Verified By: Intertek Testing Services NA, Inc.
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
15279.118 1118 W6-18 PAN-2F143:84A,94, Steel Pan(min.24 ga.)Double-Car(16'4"to 18'2"wide)
48,48B,4RST WINDCODE®W6 Garage Door
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL15279 R4 C CAC Letter with proof of contract and proof
Approved for use outside HVHZ:Yes of inspection.pdf
Impact Resistant: No ' FL15279 R4 C CAC W6 Listing Intertek.pdf
Design Pressure: +37 PSF/-39 PSF Quality Assurance Contract Expiration Date
Other:The standard glazing available for this product 05/21/2028
meets the wind load requirements of the building code but Installation Instructions
DOES NOT meet the impact resistant requirement for FL15279 R4 II 101485-B-Revl4.pdf
windborne debris regions. Verified By: Intertek Testing Services NA,Inc.
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
/x'15279.119 119 W6-18 PAN-2F153: 73,75, Steel Pan(min. 25 ga.) Double-Car(16'4"to 18'2"wide)
o/�, 84A,94,42,48,42B,48B,4RST, WINDCODE®W6 Garage Door with Optional Impact-
6RST,GD5S,GR5S,AR5S,ED5S Resistant Lites
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL15279 R4 C CAC Letter with proof of contract and proof
Approved for use outside HVHZ:Yes of inspection.pdf
Impact Resistant:Yes FL15279 R4 CCAC W6 Listing Intertek.pdf
Design Pressure: +37 PSF/-37 PSF Quality Assurance Contract Expiration Date
Other: Solid doors(no standard glazing)or doors with 05/21/2028
optional impact-resistant standard glazing are impact- Installation Instructions
resistant(large missile impact). FL15279 R4 II 101485-A-Revl4.pdf
Verified By: Intertek Testing Services NA,Inc.
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
15279.120 120 W6-18 PAN-2F153: 73,75, Steel Pan(min. 25 ga.)Double-Car(16'4"to 18'2"wide)
84A,94,42,48,42B,48B,4RST, WINDCODE®W6 Garage Door
6RST,GD5S,GR5S,AR5S, ED5S
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL15279 R4 C CAC Letter with proof of contract and proof
Approved for use outside HVHZ:Yes of inspection.pdf
Impact Resistant: No FL15279 R4 C CAC W6 Listing Intertek.pdf
Design Pressure: +37 PSF/-37 PSF Quality Assurance Contract Expiration Date
Other:The standard glazing available for this product 05/21/2028
meets the wind load requirements of the building code but Installation Instructions
DOES NOT meet the impact resistant requirement for FL15279 R4 II 101485-B-Revl4.pdf
windborne debris regions. Verified By:Intertek Testing Services NA,Inc.
Created by Independent Third Party:
Evaluation Reports
Created by independent Third Party:
Go to Page 0 0 Page 6/8 0 0
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Contact Us:: •r •,- :.•-. r. .r• -- ••Phone:850-487-1824
The State of Florida is an ANEEO employer.Coovjloht 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 cick here_
Product Approval Accepts:
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