HomeMy WebLinkAbout1707-0596 (2) All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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_ Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR:
PROPQSED IN�RR®UE(�/IENT LOCATION:
Address: D I�'��� ��iA, i`
Legal Description: ��r 1 c� �� (`� �/��� rD IG 1" LOT (�
Property Tax ID#: -1 �'"' �� ' D I ( Lot No. �
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side-
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C®'NSTRl1CTIQN INF®RMATI®N: f;�
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Itonal work to be performed under this permit-check all that appy: k
N;y Mechanical _Gas Tank _Gas Piping ' utters /`Windows/Doors
:Electric Plumbin _ _Sprinklers I,. ',"' Generator _Roof Pitch
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Total.Sq. Fi of Construction:,; _ Sq. Ft::of First,Floor: I
Cost of Construction: $ ��1r6J % Utilities: _$ewer ; _Septic Building Height:
OWNER/LE=�S�SEE: CONTRA�'1'®R:
- ��- - -
Name " t Name
Address: EsS ex Or' 14, Company: q An
-City: 0 0-0, State: Addrss:` c
Zip Code: L4 fo Fax: city-.] -�- ' C State: -
Phone No. -77-1,511�7Ca--►f 1 (0 '4 Zip Code: rr Fax:
E-Mail: Phone No "�`7 - )
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Fill in fee simple Title Holder on next page(if different. E-Mail 1
from the Owner listed above) State or County License CCC 13 927aS
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
Floridz:1�1 ilding Code Online https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVX...
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Product Approval
�- USER: Public User
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Product_Approval_Menu> Product or A lication_Search>A..licatio_n_List>Application Detail
I74- -71
�t � `of FL # FL14911-R7
.
Application Type Revision
Code Version 2014
Application Status Approved
Comments
Archived
Product Manufacturer Silverli'ne Building Products Corp.
Address/Phone/Email One Silverline Drive
North' Brunswick, NJ 08902
(800) 234-4228 Ext 4644
Jonberrian@slbp.com
Authorized Signature Vivian Wright
rickw@rwbidgconsultants.com
Technical Representative Jon Berrian
Address/Phone/Email One Silverline Drive
North Brunswick, NJ 08902
(732) 435-1000
jonberrian@slbp.com
Quality Assurance Representative
Address/Phone/Email
Category indows
Subcategory Single Hung
Compliance Method Evaluation Report from a Florida Registe
Florida Professional Engineer
Evaluation Report - Hardcopy Receive
Florida Engineer or Architect Name who developed Lyndon F. Schmidt, P.E.
the Evaluation Report
Florida License PE-43409
I of 7 7/27/17,3:39 PM