PERMIT REQUIREMENTS. City of West Park Permit Application (signed and notarized by the owner and contractor)

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1 CITY OF WEST PARK ROOF AND REROOF PERMIT PACKAGE PERMIT REQUIREMENTS City f West Park Permit Applicatin (signed and ntarized by the wner and cntractr) Cntract signed between wner and cntractr *All cntracts must shw jb cst and all amunts listed n the cntract are subject fr verificatin. Owner Builder Affidavit if hmewner is acting as cntractr (wner must prvide prf f residency at jb address and this affidavit must be signed befre a Ntary Public at City f West Park Building Department) 2 Cmpleted Flrida Building Cde 6 th Editin (2017) Rfing Applicatin Packets Tw riginal sets f Rftp Equipment Affidavit (signed and ntarized) Single-Family Residences Required- Tw cpies f Re-Nailing Affidavit (signed and ntarized- cmplete wner and jb address infrmatin nly at time f submissin remainder f frm t be cmpleted and placed n jb site by final inspectin) Tw riginal sets f Required Owners Ntificatin fr Rfing Cnsideratin Tw riginal sets f Miami-Dade Cunty Ntices f Acceptance (Prduct Apprvals) btained frm pint f purchase (please circle apprpriate infrmatin instead f highlighting) Single-Family Residences (Structural nly) with an assessed value f $300,000 r mre require: Tw riginal sets f Hurricane Mitigatin (signed and ntarized) *Cmplete wner and jb address infrmatin nly at time f submissin- remainder f frm t be cmpleted and placed n jb site by final inspectin One riginal sets f the Brward Cunty Prperty Appraiser s assessed valuatin f the buildingavailable at Cmmercial, Multi-family, and Residential Re-Rfs require the Cunty Asbests Statement f Respnsibility Lcatin: Brward Cunty Flrida Envirnmental Prtectin & Grwth Management Department 1 N. University Dr. # 302 Plantatin, FL (954) Ex. #9831 Online Service: Cntractr must register n EPermits *If yu have any questins regarding EPermits, please cntact (954) Ntice f Cmmencement, if jb cst is $ 2,500 r mre Lcatins: Brward Cunty Gvernmental Center 115 S. Andrews Ave, Rm 114, Ft. Lauderdale, FL (954) Cunty Flrida Envirnmental Prtectin & Grwth Management Department 1 N. University Dr. # 302, Plantatin, FL (954) Ex. #9831

2 BROWARD COUNTY UNIFORM BUILDING PERMIT APPLICATION Select One Trade: D Building 0 Electrical C Plumbing C Mechanical C ther Applicatin Number: Applicatin Date: FOR OFFICE USE ON LY Jb Address: Unit: City: Tax Fli N. : Fld Zn: BFE: Flr Area: Jb Value: Building Use: Cnstructin Type: Occupancy Grup: Present Use: Descriptin f Wrk: Prpsed Used: n New L' Additin C1Repair D Alteratin [1Demlitin D Revisin O ather: Legal Descriptin: Prperty Owner: Phne: Owner's Address: City: State: Zip: Cntracting C.: Phne: Cmpany Address: City: State: Zip: Qualifier's Name: Owner-Builder: D License Number: Architect/Engineer's Name: Phne: Architect/Engineer's Address: City: State: Zip: Bnding Cmpany: ' Bnding Cmpany Address: City: State: Zip: Fee Simple Titlehlder's name (if ther than wner): Fee Simple Titlehlder's Address (If ther than wner): City: State: Zip: Mrtgage Lender's Name: Mrtgage Lender's Address: City: State: Zip: OAttachment Applicatin is hereby made t btain a permit t d the wrk and installatins as indicated. I certify that n wrk r installatin has cmmenced prir t the issuance f a permit and that all wrk will be perfrmed t meet the standards f all laws regulating cnstructin in this jurisdictin. I understand that a separate permit must be secured fr ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and Al R CONDITIONERS, etc. OWNER'S AFFIDAVIT: I certify that all the freging infrmatin is accurate and that all wrk will be dne in cmpliance with all applicable laws regulating cnstructin and zning. 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 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. x STATE OF FLORIDA COUNTY OF BROWARD Signature f Prperty Owner r Agent x STATE OF FLORIDA COUNTY OF BROWARD Signature f Qualifier Swrn t (r affirmed) and subscribed befre me this day f ' 20 by Swrn t (r affirmed) and subscribed befre me this day f ' 20 by (Type / Print Prperty Owner r Agent Name) (Type/ Print Qualifier's Name) NOTARY'S SIGNATURE as t Owner r Agent's Signature Ntary Name (Print, Type r Stamp Ntary's Name) Persnally Knwn r Prduced Identificatin Type f Identificatin Prduced NOTARY'S SIGNATURE as t Qualifier's Signature Ntary Name (Print, Type r Stamp Ntary's Name) Persnally Knwn r Prduced Identificatin Type f Identificatin Prduced APPROVED BY: FOR OFFICE USE ONLY Permit Officer Issue Date: FOR OFFICE USE ONLY Cde in Effect: FOR OFFICE USE ONLY A jurisdictin may use a supplemental page requesting additinal infrmatin and citing ther cnditins, please inquire. Nte: If any develpment wrk as described in FS Sec. 2 a-g is t be perfrmed, a develpment permit must be btained prir t the issuance f a building permit. 1.56

3 FLORIDA BUILDING CODE ROOFING FOR RE-ROOF SHEATIGN IS REQURIED TO BE NAILED TO MEET FLORIDA BUILDING CODE (RENAIL INSPECTION NO LONGER REQUIRED BY CODE. FLORIDA BUILDING CODE REQUIRES THE USE OF ASBESTOS FREE ROOFING CEMENT. ALL ROOFING COMPONENTS SHALL HAVE A VALID PRODUCT CONTROL APPROVAL (NOA) SKYLIGHTS, TURBINES, ETC. (MUST BE A PART OF PERMIT PACKAGE). STRUCTURES SEPARATED BY LESS THAN 20 FT. FROM AN ADJACENT BUILDING MUST HAVE CLASS A FIRE RATED ROOF SYSTEMS WHICH MUST BE SPECIFIED ON PERMIT APPLICATIONS FBC TILE AND SHINGLE INSTALLATIONS ARE REQUIRED TO FOLLOW THE APPROPRIATE ROOF APPLICATION STANDARD (RAS) FOR THE SYSTEM BEING USED FBC & NOTE: MANDATORY TILE /SHINGLE IN PROGRESS INSPECTIONS: 20-60% OF THE TILE SHINGLES ARE TO BE INSTALLED AT THE TIME OF INSPECTIONS SO THAT VALLEY, HIP, STARTER AREAS, ETC. CAN BE INSPECTED.

4 CHAPTER 17 - SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS Scpe. As it pertains t this sectin, it is the respnsibility f the rfing cntractr t prvide the wner with the required rfing permit, and t explain t the wner the cntent f this sectin. The prvisins f this chapter gvern the minimum requirements and standards f the industry fr rfing system installatins. Additinally, the fllwing items shuld be addressed as part f the agreement between the wner and the cntractr. The wner s initial in the adjacent bx indicates that the item has been explained. 1. Re-nailing Wd Decks: When replacing rfing, the existing wd rf deck may have t be re-nailed in accrdance with the current prvisins f this chapter. (The rf deck is usually cncealed prir t remving the existing rf system.) 2. Expsed Ceilings: Expsed, pen beam ceilings are where the underside f the rf decking can be viewed frm belw. The wner may wish t maintain the architectural appearance; therefre, rfing nail penetratins f the underside f the decking may nt be acceptable. This prvides the ptin f maintaining this appearance. 3. Overflw scuppers (wall utlets): It is required that rainwater flw ff s that the rf is nt verladed frm a buildup f water. Perimeter/edge walls r ther rf extensins may blck this discharge if verflw scuppers (wall utlets) are nt prvided. It may be necessary t install verflw scuppers in accrdance with the requirements f this chapter and Flrida Building Cde, Plumbing. Owner s Signature Date Cntractr s Signature Date

5 BUILDING CODE SERVICES HURRICANE MITIGATION Flrida Statute , Hurricane Mitigatin Retrfits, requires this Affidavit alng with the High Velcity Hurricane Zne Unifrm Permit Applicatin Frm. A Secndary Water Barrier is als included in my HVHZ Rf Applicatin (30# felt underlayment installed with nails and tin tabs, cvered with either an apprved self adhering plymer mdified bitumen cap sheet, r an apprved cap sheet applied using an apprved ht mp applicatin. Permit Number: Jb Address: Is the value f the dwelling mre than $300,000? If NO, the fllwing dcuments are required: NO YES 1) A cpy f Ad Valrem Taxatin Ntice r cpy f Insured Value. 2) Re-Nailing Affidavit. 3) Secndary Water Barrier Affidavit. If YES, the fllwing dcuments are required: 1) Rf t Wall Cnnectins Certificate. 2) Re-Nailing Affidavit. 3) Secndary Water Barrier Affidavit. In accrdance with Secin t the wall t rf cnnectins; YES NO Cmply with the prescriptive methd requirements Require cmplying r exceeding uplift required by Table *, r, prescriptive (Separate permit required by General, Building r Residential Cntractr) I am a (make ne (1) selectin) Flrida Prfessinal Engineer* Registered Architect* Building Cntractr Residential Cntractr Persn certified in the Structural discipline under FS 468 Licensed General Cntractr I hereby certify that the rf t wall cnnectins cmply r exceed the requirements mentined abve Prescriptive Table *. Signature License Number Date Swrn t and subscribed befre me this day f 20. By Prduced as ID. Ntary Public, State f Flrida

6 CITY OF WEST PARK RE-NAILING AFFIDAVIT JOB ADDRESS: PERMIT # Cmplete the re-nailing affidavit and prvide tw cpies signed and sealed prir t final. I,, acting as my capacity as a: Please Check: Flrida Prfessinal Engineer, Registratin # Registered Architect, Registratin # Licensed General Cntractr, License # Licensed Building Cntractr, License # Licensed Residential Cntractr, License # Licensed Rfing Cntractr, License # Private Building Inspectr certified under FS 468, License # I hereby certify that the existing r supplemental fasteners have satisfied the requirements f table (8d rund head ring 6 c. Max). I hereby certify that a secndary water barrier has been prvided as required by Sectin A secndary water barrier is installed using ne f the fllwing methds. All jints in rf sheathing shall be cvered with a minimum 4 wide strip f self adhering plymer mdified bitumen tape applied directly t the sheathing. (This methd is nt acceptable n bard sheathed rfs) The 30# ASTM D226 r 30# ASTM D2626 tin tagged per the HVHZ Cde shall be cvered with an apprved self adhering plymer mdified bitumen cap sheet. The 30# ASTM D226 r 30# ASTM D2626 tin tagged per the HVHZ Cde shall be cvered with an apprved cap sheet applied using an apprved ht mp applicatin. (Owner builder may nt chse this ptin) Qualifier/Cntractr Signature Date STATE OF FLORIDA COUNTY OF Swrn t (r affirmed) and subscribed befre me this day f, 20, by. Persnally Knwn OR Prduced Identificatin Type f Identificatin Prduced Ntary Signature Print Name

7 CITY OF WEST PARK ROOFTOP EQUIPMENT AFFIDAVIT All rfing applicatins require this Rftp Equipment Affidavit alng with the High Velcity Hurricane Zne Unifrm Permit Applicatin Frm. Jb #: Applicatin #: Subdivisin: Lt: Blck: Cmpany Name: Address: Name f Qualifier: License #: Is there any equipment n the rftp? Yes N Is any mechanical equipment being relcated r replaced? Yes N If Yes: Is there an existing cde-apprved curb r stand? Yes N If curb r stand is prpsed, tw (2) cpies f plans sealed by an engineer shwing the attachment f stand/curb t rf and t the equipment are required. These plans must be accrding t Flrida Building Cde Sectin 1525 in its entirety. Upn submittal f an alteratin r additin f a curb r stand, the Planning Divisin may determine that alteratin f an existing screening device r additin f a screening device may be required. Is there any electrical wrk t be cmpleted? Yes N If Yes: An electrical permit applicatin is needed. Qualifier/Cntractr Signature Date STATE OF FLORIDA COUNTY OF Swrn t (r affirmed) and subscribed befre me this day f, 20, by. Persnally Knwn OR Prduced Identificatin Type f Identificatin Prduced Ntary Signature Print Name

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