COMBINATION BUILDING PERMIT - PDF document

1 COMBINATION BUILDING PERMIT Email OWNER
COMBINATION BUILDING PERMIT Email OWNERName:E-MAIL:DAYTIME PHONE NUMBER:TITLE HOLDER(IfOther Than Owner) Name: E-MAIL:DAYTIME PHONE NUMBER:CONTRACTOR Name: LICENSE NUMBER: COMP CARD NUMBER:E-MAIL:DAYTIME PHONE NUMBER: E-MAIL:   ____________________________________ _________________________________ _________________________________ _________________________________ _________________________________ ___________________________________________________________________________________________________ COMBINATION BUILDING PERMIT APPLICATION (Page 2 of 2)CITY OF VERO BEACHWARNINGTO OWNER:YOURFAILURETO RECORDNOTICE OFCOMMENCEMENT MAY RESULT IN YOUR PAYING TWICEFORIMPROVEMENTS TO YOUR PROPERTY. IF YOUINTEND TOOBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYRECORDING YOURNOTICE OFCOMMENCEMENT. SignatureofOwnerorAgent{To sign as an Agentfor the Owner you musthave a Florida Form Power of Attorney signed by the Owner and Notarized with two additional witnesses other than the Notary}Date: ________________ AstoOwner:Stateof_________________Countyof__________________The foregoinginstrument was acknowledged before me this __________ day of _________________, 20___ by __________________________ who is ____ personally knownor who has _____produced identification. Type identificationproduced: _______________________. OfficialSignatureofNotaryPublicNotary¶s Name, Typed,Printed or Stamped NotarySeal:And ____________________________________ SignatureofContractorDate:_____________AstoContractor:Stateof_________________Countyof__________________The foregoiinstrument was acknowledged before me this __________ day of _________________, 20___ by __________________________ whois ____ personally known orwhohas _____produced identification. Typeidentification produced: _______________________. OfficialSignatureofNotary Public Notary¶s Name, TypedPrinted or Stam

2 ped otarySeal:This Area forBuilding Divi
ped otarySeal:This Area forBuilding Division Use Only:BR ____ Bath ____ Garage ____ Value: = $ ___________________________ Per: Building Permit Fee:ADDREF #________________ Radon Fund(StateMandated) = $ __________________ BCAI Fund (StateMandated) = $ __________________ PROJECT# _________________ Total Fees= $ __________________ RE: NOTICE OF COMMENCEMENT WARNING: DO NOT RECORD THE NOTICE OF COMMENCEMENT UNTIL AFTER FINANCING PACKAGE HAS BEEN RECORDED WARNING: PLEASE NOTE SE...An owner or the owner¶s authorized agent before actually commencing toimprove any real property, orrecommencing completion of any improvement after default or abandonment, whether or not a project has a payment bond complying with s. 713.23, shall record a OF COMMENCEMENTin the Clerk¶s office and forthwith post either a certified copy thereof or a Notarized statement that the Notice of Commencement has been filed for recording along with acopy thereof... The ownermust signthe Notice of Commencement andno one else may be permitted to sign inIf the direct contract is greater than $2,500 ($7,500 if repairor replace an existing heatingor air conditioning system). The applicant shall file with the issuing authority prior to the first either a certified copy of the recorded NOTICE OF COMMENCEMENT or a notarized statement that the NOTICE OF COMMENCEMENT has been filed foralong with a copy thereof. In theabsence offilingof acertified copy of the recorded NOTICE OF COMMENCEMENT the issuing authority shall not perform or approvesubsequent inspectionsuntil the applicant filesby mail, facsimile, hand deliveryor any other means such certified copy with the issuing authority. This subsection does not requirethe recording ofa NOTICE OF   ________________________________________________________________________________________________________

3 ________________________________________
________________________________________________________________________________________________________ _________________________________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________ ____________________________________________________________________________________________________________ _____________________________________________________________________________ NOTICE OF COMMENCEMENT TO BE COMPLETED WHEN CONSTRUCTION VALUE EXCEEDS $2,500.00 PERMIT #: _________________________________TAX FOLIO #:_____________________________________________________ State of Florida, County of Indian River, 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. LEGAL DESCRIPTION OF PROPERTY (AND STREET ADDRESS IF AVAILABLE): GENERAL DESCRIPTION OF IMPROVEMENT: OWNERINFORMATION or LESSEE INFORMATION (If Lessee contracted for the improvement) Name: __________________________________________________________________________________________ Address: ________________________________________________________________________________________ Interest in property: ______________________________________________________________________________ Name and address of fee simple title holder (if other than owner): CONTRACTOR: Name: __________________________________________________________________________________________ Address: ________________________________________________________________________________________ Phone number: ____________________________ Name & Address: __________________________________________________________________________________________ Phone number: ___________________________ Bond amount: _________________

4 ________________________________ Name &
________________________________ Name & Address: __________________________________________________________________________________________ Phone number: __________________________ Name & Address: __________________________________________________________________________________________ Phone number: ______________________________________ fax number: _________________________________________ Owner designates _____________________________________ of ______________________________________ to receive a copy of the lienor’s notice as provided in section 713.13(1)(b), Florida statues. Phone number: _____________________________ EXPIRATION DATE OF NOTICE OF COMMENCEMENT: _____________________________________________________ (THE EXPIRATION DATE IS ONE (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 COMMENCEMENT ARE 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 JOB 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 PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS IN IT ARE TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF (SECTION 92.525, FLORIDA STATUTES SIGNATURE OF OWNER or LESSEE or OWNER’S AUTHORIZED OFFICER/DIRECTOR/PARTNER/MANAGER SIGNATORY’S TITLE/OFFICE THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS _______DAY OF________________, 20____, BY: AS__________________________________________FOR___________________________________________________________ NAME OF PERSON TYPE OF AUTHORITY NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED PERSONALLY KNOWN O

5 R PRODUCED IDENTIFICATION TYPE OF IDENT
R PRODUCED IDENTIFICATION TYPE OF IDENTIFICATION PRODUCED________________________ NOTARY SIGNATURE NOTARY PRINTED NAME NOTARY SEAL �� PLAN SPECIFICATIONS (Minimum Required for Building Department Review)SIZE: 24" X 36" BLUE PRINTS RECOMMENDED PLOT PLAN: ( Must Include the Following) __ All streets and rights of way abutting the site __ North direction indication __ Any existing structures (exact location) __ Well and septic location(check__ Building Dimensions __ Set back dimensions from all property lines at 90 degrees fr__ All easements __ Exact legal description of pro - Must Include the Following) __ Exterior and interior dimensions __ All window, door and miscellaneous openings with sizes shown__ Plumbing fixtures and all fixe__ Partitions__ Location of electrical outlets, fixtures, switches, main ser__ Attic access panel location(s) (minimum size 22" X 30") __ A/C and heat equipment location. Show ducts and register sizes and locations __ Wind load certifications for windowsand doors -including garage door -with attachmentdetails.__ IMPORTANT: Smoke detector and emergency egress windowTYPICAL WALL SECTIONS: (Drawn tude the Following) __ Footing type and sizes indicated__ Vertical details (frame or block wall) __ Truss anchoring detail __ Truss, roof sheathing, type of__ Vapor barrier, 3-1/2" minimum slab thickness shown -Indicate termite protection method INDIAN RIVER COUNTY/CITY OF VERO BEACH COMBINATION PERMITSUB-CONTRACTORAFFIDAVIT REQUIREMENTSThe following trades require Sub-Contractor Agreement Forms to be submitted and approved prior to Mechanical BurglarAlarmElectrical ConcretePlumbing MasonryRoofing* CarpentryInsulation StuccoIrrigation DrywallFuel/Gas** GarageDoorIf the required affidavit forms request cannot be scheduled.avit form along with Change of Contractor Formis required for the new Sub-Contractor and must also be submitted and approved prior t

6 o any related inspections. statuschanges
o any related inspections. statuschanges to “Inactive” foude but are not limited to license, liability insurance or worker¶s compensation Roof coverings other than shinglestractorate permit. _________________________ _________________________ __________________ _________________________________ _________________________________ INDIAN RIVER COUNTY/CITY OF VERO BEACH COMBINATION PERMITSUB-CONTRACTORAGREEMENT/AFFIDAVIT*Note: Roof coverings other than shingles require licensed roofing contractor.Indian River County Contractor Certificate Number: _____________________ State of Florida CertificationNumber (if applicable): _____________________ CombinationPermit Number(ifknown): ____________________ ************************************************************************************ be the subcontractor (type of construction trade indicatedbelow) (company/individual name)concretestuccoonly)masonry insulationgarage door carpentry irrigation drywallburglar alarm/low voltagefor ___________________________ for the project located at _______________________________. (Name of prime contractor) (streetaddress)It is understood that, if there is any change of status regarding our participationwith the above mentionedproject. I will immediately advise the IndianRiver County BuildingDepartment by personally filing a ****************************************************************************** BUSINESS QUALIFIER (original signatures required): Signature PrintedName DateNOTARY AS TO CONTRACTOR: {CANNOT BE OLDERTHAN 30DAYS}State of _________________ County of__________________ The foregoinginstrument was acknowledged before me this ______ day of _________________, 20___ by___________________________ who is ____ personally known orwho has _____produced identification. Type identification produced: _________________________________. of Notary Public Notary¶s Name, Typed, Printedor StampedNo

7 tary Seal: ___
tary Seal: _________________________ _________________________ __________________ _________________________________ _________________________________ INDIAN RIVER COUNTY/CITY OF VERO BEACH COMBINATION PERMITSUB-CONTRACTOR AGREEMENT/AFFIDAVIT________________________________ will be conductingthe work for the following trades (company/individual name)forpermit #____________________ located at ________________________________ undermy license (streetaddress)Comp Card # _______________ and not sub-contractingout this work. It is understood that,if thereare any changes in status regarding anyof the work indicated below, I will immediately advise the IndianRiver CountyBuilding Department. TRADE WORK BY MAconcretestuccomasonry insulationcarpentry drywallAny of the above not conducted by the main contractor and the following trades require subcontractor affidavit forms to be submittedprior torequesting related inspections.plumbing● aluminum (in-fill only) ● garage door ● burglar alarmirrigationer than shingles require licensed roofing contractor. BUSINESS QUALIFIERSignature PrintedName DateNOTARY AS TO CONTRACTOR: {CANNOT BE OLDERTHAN 30DAYS}State of _________________ County of__________________ The foregoinginstrument was acknowledged before me this ______ day of _________________, 20___ by___________________________ who is ____ personally known orwho has _____produced identification. Type identification produced: _________________________________. of Notary Public Notary¶s Name, Typed, Printedor StampedNotary Seal: CITY OF VERO BEACH , FL 32960 772-226-1260 As required by Florida Statute 553.842 and Florida Administrative Code 9B-72, please provide the information and the product approval This form canbe incorporated on the plans or submitted as a separate form. In the event any of the listed products form change during corevision

8 s to llowing informationavailable on the
s to llowing informationavailable on the jobsite for inspections:This entire product approval form, stamped as “Reviewed” by Indian River County Plans Examiner.Miami-Dade NOA or Florida product approval referenced in the product approval form.A copy of the manufacture¶s installation instructions, details and requirements for each product.Permit Number: _____________________ Address: _____________________________ Contra________Category/SubcategoryApproval Number(s)Manufacturer Model NumberBuildingDesignPressures(PSF) (-PSF)(PSF) (-PSF)A.EXTERIOR DOORS1.Swinging2.Sliding3.SectionalRoll up garage5.Automatic6.Other1.Single hung2.Horizontal slider3.Casement4.Double hung6.AwningPass-through8.Projected9.MullionC.PANEL WA1.Siding2.Soffits4.Storefronts5.Curtain walls6.Wall louver7.Glass block 1. Asphalt shingles2. Underlayments 3. Roofing fasteners 4. Non-structural Metal RF 5. Built-up roofing6. Modified bitumen7. Single ply roofing sys 8. Roofing tiles 9. Roof tile adhesive10. Roofing insulation11. Wood shingles/shakes 12. Roofing slate Liquid applied roof sys14. Cements-adhesives- coatings15. Spray applied polyurethane roof1. Accordion 4. Colonialabove components or croved their use in this structure. These products provide adequate resistance to the wind loads and forces specified by current code provisions. Name: ______________________________ Signature: _______________________________ SealDesign Prof: ________Cert. No. _____Date: _______________ 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 CITY OF VERO BEACH , FL 32960 772-226-1260 As required by Florida Statute 553.842 and Florida Administrative Code 9B-72, please provide the information and the product approval This form canbe incorporated

9 on the plans or submitted as a separate
on the plans or submitted as a separate form. In the event any of the listed products form change during corevisions to llowing informationavailable on the jobsite for inspections:This entire product approval form, stamped as “Reviewed” by Indian River County Plans Examiner.Miami-Dade NOA or Florida product approval referenced in the product approval form.A copy of the manufacture¶s installation instructions, details and requirements for each product.Permit Number: _____________________ Address: _____________________________ Contra________Category/SubcategoryApproval Number(s)Manufacturer Model NumberBuildingDesignPressures(PSF) (-PSF)(PSF) (-PSF)A.EXTERIOR DOORS1.Swinging2.Sliding3.Sectional4.Roll up garage5.Automatic6.OtherB.WINDOWS1.Single hung2.Horizontal slider3.Casement4.Double hung5.Fixed6.Awning7.Pass-through8.Projected9.Mullion10.OtherC.PANEL WALL1.Siding2.Soffits3.EIFS4.Storefronts5.Curtain walls6.Wall louver7.Glass block 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 ___________________________________________________________________________________________________ CITY OF VERO BEACHSINGLE FAMILY RESIDENTIAL COMBINATION BUILDING PERMIT APPLICATION INFORMATION CHECKLIST 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 INDIAN RIVER COUNTY GAS PERMIT INFORMATION PERMIT NUMBER: JOB NAME: ________________________________________________ JOB ADDRESS: _____________________________________________GAS CONTRACTOR: __________________________________________ _______ TANK SIZE GALLONS: _ ANODE BAGS: QTY_____ L1 L2 L3 L5 L6 L7 L4 L8 L9 L10 A1 A2 A4 A3 A5 A6 L11 ANODE BAG SIZE: ______ _ lbs. LONGEST RUN” CALCULATION ________ _Inlet Pressure Specific Gravity APPLIANCE BTU RATING _________ Pressure Drop _______________________ BTU/HR ___________________ TOTAL BTU/HR: _______________________

10 _______________________ BTU/HR ________
_______________________ BTU/HR ___________________ ___________________________________________________________________________________________________ CITY OF VERO BEACHSINGLE FAMILY RESIDENTIAL COMBINATION BUILDING PERMIT APPLICATION INFORMATION CHECKLIST A complete permit application submittal includes the following. For consideration, a complete package must be filed, including all forms attached and acknowledged through completion of the checklist. Check if Complete I have completed and attached all required forms and plans for consideration of a building permit ___ Building Permit Application, pg. 1 & 2 (Building Dept___ Completed Notice of Commencement form (Building Dept) ___ Completed Plan Specifications Checklist (Building Dept) ___ Sub-Contractor Agreement/Affidavit each Sub must submit a separate form) (Building Dept) ___ copies of Product Approval Affidavit Form (Building DeptFour (4) sets of Building plans (MINIMUM PLAN SIZE: 18 X 24Four (4) certified boundary and topographic surveys plot plansThese plans are routed as follows: Building Department 1 set of plans with 1 survey City of Vero Beach Planning and Engineering Department-2 sets of plans with 2 surveyUtilities/Health Department 1 set of plans with 1 survey Payment of Application Fee ___ Plan Set Must Include the Following: (3)Truss Manufacturer Truss Layout Plan& (1) Complete Truss Package with Uplifts (Building Dept)___ (3)Completed Energy Code Forms, including Manual J, S, D (Building Dept)___ (1)Soils Investigation for Waterfront Lots (Building Dept)___ WARNING: NOTICE OF COMMENCEMENT REQUIRED ON CONSTRUCTION PROJECTS VALUE

11 D OVER $2,500. DO NOT RECORD UNTIL AFTER
D OVER $2,500. DO NOT RECORD UNTIL AFTER FINANCING PACKAGE HAS BEEN RECORDED. MUST BE RECORDED PRIOR TO FIRST INSPECTION REQUEST. OTHER ITEMS REQUIRED AS APPLICABLE: See Planning Technician for Impact Fee Calculations ___ Unity of Title must be submitted if house will be located on more than one lot (County only) ___ Lots arger than ¼ acre in sze:Tree Removal Permit Application or Exemption form MUST BE SUBMITTED Oceanfront Property: Department of Natural Resources Permit Approval for Projects Located Seaward of the COASTAL CONSTRUCTION CONTROL LINE (CCProjects in TURTLE PROTECTION ZONE Subject to Specific Review ___ Unplatted Property:Deed Must Be Submitted ___ State Road RightWay:Property Abutting State Roads Require Permit from Department of Transportation ___ (State Roads: A1A; 17Street FEC R/R to A1A; State Road 60; IAvenue State Road 60 to south County Line) *Lots that border the Indian River Lagoon, Sebastian River and associated canals. Soil report also required for the followinsubdivisions: Vero Isles, Carne Cay, The Moorings #5 (The Anchor), Riverboat Club, Kingswood and Savanah Oaks. ___________________________________________________________________________________________________ CITY OF VERO BEACHSINGLE FAMILY RESIDENTIAL COMBINATION BUILDING PERMIT APPLICATION INFORMATION CHECKLIST A complete permit application submittal includes the following. For consideration, a complete package must be filed, including all forms attached and acknowledged through completion of the checklist. Check if Complete I have completed and attached all required forms and plans for consideration of a buildin

12 g permit ___ Building Permit Application
g permit ___ Building Permit Application, pg. 1 & 2 (Building Dept___ Completed Notice of Commencement form (Building Dept) ___ Completed Plan Specifications Checklist (Building Dept) ___ Sub-Contractor Agreement/Affidavit each Sub must submit a separate form) (Building Dept) ___ (3)copies of Product Approval Affidavit Form (Building Dept)___ Four (4) sets of Building plans (MINIMUM PLAN SIZE: 18 X 24)___ Four (4) certified boundary and topographic surveys plot plans:___ These plans are routed as follows: Building Department 1 set of plans with 1 survey City of Vero Beach Planning and Engineering Department-2 sets of plans with 2 surveyUtilities/Health Department 1 set of plans with 1 survey ___ for Utilities Availability ment of Application Fee ___ WARNING: NOTICE OF COMMENCEMENT REQUIRED ON CONSTRUCTION PROJECTS VALUED OVER $2,500. DO NOT RECORD UNTIL AFTER FINANCING PACKAGE HAS BEEN RECORDED. MUST BE RECORDED PRIOR TO FIRST INSPECTION REQUEST. OTHER ITEMS REQUIRED AS APPLICABLE: See Planning Technician for Impact Fee Calculations ___ Unity of Title must be submitted if house will be located on more than one lot (County only) ___ Lots arger than ¼ acre in sze:Tree Removal Permit Application or Exemption form MUST BE SUBMITTED Oceanfront Property: Department of Natural Resources Permit Approval for Projects Located Seaward of the COASTAL CONSTRUCTION CONTROL LINE (CCProjects in TURTLE PROTECTION ZONE Subject to Specific Review ___ Unplatted Property:Deed Must Be Submitted ___ State Road RightWay:Property Abutting State Roads Require Permit from Department of Transportation ___ (State Roads: A1A; 17Street FEC R/R to A1A; State Road 60; IAvenue State Road 60 to south County Line) *Lots that border the Indian River Lagoon, Sebastian River and associated canals. Soil report also required for the followinsubdivisions: Vero Isles, Carne Cay, The Moorings #5 (The Anchor), Riverboat Club, Kingswood and Savanah Oaks. ___ 4 4