HomeMy WebLinkAboutpermit applicationALL APPLICABLE
, INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: LJ 11��1—i P-rm * Number
• 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 Cornrnet'Cial Residentiapx\�_
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address:-C--yfeE !
Legal Description:
Property Tax ID#:� LotNo15%1t011-1
Site Plan Name: Block No. 1�
Proiect Name:
Setbacks Front Backt--"<,_ Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
wcjL, ne- 7
CONSTRUCTION INFORMATION:
CONTRACTOR:
Additional wor to- a orm un
❑HVAC 0Gas
t ispermit-
[]Gas Piping
appy-
Shutters
�--�j
`-_E� indows/Doors
Tank
City: (Db&(A- V \-ecc-e State: E�A
Zip Code: Fax:
Phone No. 122- 00 I")Ll
Address: l"-)
Electric 0 Plumbing
Sprinklers
City: �CN-A
Zip Code: �`gCli R 3 Fax�Cl2'�
Phone No.—n-)-10i• 1k(OS
�_j
0 Generator
t1 Roof Roof pitch
Total Sq. Ft of Construction:
Sq.
E -Mail rC.j9jL cA L -X '-r -
Ft. of First Floor:
State or County Lic se:
Cost of Construction: $
Utilities:
Sewer Septic
Building Height:
OWNER/LESSEE
CONTRACTOR:
Name CyY\CS ( A2 GC (
Name: r*-, r�C �.
Address: 2_ —1 E CC`5�j '�YYiee-+
Company: dG
City: (Db&(A- V \-ecc-e State: E�A
Zip Code: Fax:
Phone No. 122- 00 I")Ll
Address: l"-)
City: �CN-A
Zip Code: �`gCli R 3 Fax�Cl2'�
Phone No.—n-)-10i• 1k(OS
State:
�1•
Sit M
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail rC.j9jL cA L -X '-r -
rncL' I
State or County Lic se:
If value of construction is $1500 or more, a RECORDED Notice of Commencement is regwreo.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
-Address:
Theforggoing instryment was acknow"ed before me
17
Address:
this clay of IVGU Zp_U by
City:
Zip. Phone
State:.
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name;
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Type of IdentifJJ��ation
Address:
Produce V r .
Um 71&�
City:
(Signature of Notary Public- St a offioncla I -
City:
12t&pf. lorida 1 _
Zip: Phone:
Commission No. 1'L - I 1 -
Zip: Phone:
'I
OWNER/ CONTRACTOR AFFIDVR: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit 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 your property. A Notice of Commencement must be recorded and posted on the jobsite
before the fi spection. If you intend to obtain financing, consult with lender or an attorney before
rnrnmp ni rick nr rprnrdino vour Notice of Comntencerri
I
t neer/Lessee/Contractoras Agent for Owner
S'
S tureofContractor/LicenseHolder
STATE OF FLORIAA 1
a
STATE OF FLOrA
COUNTY OF �t Jc
COUNTY OF
Theforggoing instryment was acknow"ed before me
17
The f�r��ing instriment was acknowledged before me
W 1\GJ 20A by
this clay of IVGU Zp_U by
this day of
CCrFa-lu
Name of person making statement
Name of persorymaking statement
Personally Known OR Produced Identification
Personally Known V OR Produced Identification
Type of IdentifJJ��ation
Type of Identl Icatlopp
1 L
Produce V r .
Um 71&�
Pro uced r
_�10440_)
(Signature of Notary Public- St a offioncla I -
(Signature of Notary Public-
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Commission No. (Seal) -
Commission No. 1'L - I 1 -
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REVIEWS
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ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
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Business ` product Approval
Professional USER: Public User
Prod,:cr Amro jai 'dervi > Application Detail
FL #
Application Type
Application Status
Comments
Archived
Product Manufacturer
Address/Phone/Email
Authorized Signature
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category
Subcategory
Compliance Method
s-,ar,,it sur:narre stats 'a Facts
FI -8248-R12
Revision
Approved
P,
Wayne -Dalton, a divislol
3395 Addison Drive
Pensacola, FL 32514
(850) 474-9890
M a rk_Ga ro n @Overhead i
Greg Taylor
gtaylor@ Wayne- DaIto n.,
Mark Garon
3395 Addison Dr,
Pensacola, FL 32514
(850)474-9490
Mark Garon@Overhead,
Exterior Doors
Sectional Exterior Door,
Evaluation Report from
Florida Professional Engi
Evaluation Report -
Florida Engineer or Architect Name who developed Mark A, Sawicki
the Evaluation Report
PE -72613
Florida License
Quality
Testing Service
Assurance Entity
Quality Assurance Contract Expiration Date Jeffrey P02Arneson, P.E.
Validated By
Validation Checklist
r� —3 7-1 �Or CO '
Certificate of Independence F 8 AG R— COI Mark
F 8246 R12 COI VaUII
Referenced Standard and Year (of Standard) standard
ANSI/DASMA-108
ANSI/DASMA-115
TAS -201
TAS -202
TAS -203
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method
Method 1 Option D
Date Submitted
02/20/2015
Date Validated
03/27/2015
Date Pending FBC Approval
05/12/2015
Date Approved
06/23/2015
Model, Number or Name
FL # 1
8248.1 18000/8100 #1101
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Description
9, Max width.
Intermediate
installation
FL` "4U
FI 3246 R12
impact Resistant: No
Design Pressure: +22.90/-26.30
Other: Glazing is not Impact resistant and does not meet
:he requirements for wind-borne debris regions.
8248.2
8000/8100 #1102
Limits of Use
Approved for use In HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +26.90/-30.80
Other: Glazing is not impact resistant and does not meet
the requirements for wind-borne debris regions.
8000/8100 #1103
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +35.70/-41.00
Other: Glazing is not impact resistant and does not meet
the requirements for wind-borne debris regions.
8000/8100 #1104
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
impact Resistant: Yes
Design Pressure: +46.00/-52.00
Other:
8248.5
8000/8100 #1121
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
impact Resistant: No
Design Pressure: +15.30/-17.00
FL8248 R12
Verified By: I
Created by II
Evaluation 0
FL8248 k12
Created by II
9' Max width.
Intermediate
Installation
FL8248 R12
FL8248 R12
Fs8246 R12
Verified By: I
Created by It
Evaluation F
FL8248 R12
Created by IL
9' Max width.
Intermediate
Instaliation
FI824S R12
FLS74R R12
FL8248 R12
Verified By: I
Created by IL
Evaluation e
FL8249 R12
Created by It
9' Max width.
Intermediate
Installation
Fi 8:148 812
FIQ248 R12
Fi8248 R12
Verified By: I
Created by II
Evaluation F
Fl -824S R12
Created by II
16' Max widtl-
intermediate
installation
FLo24' 812
FL8248 R12
F1,3248 1 -
Verified By: I
Created by Ii
Other. Glazing is not impact resistant and does not meetI E valua8tion F
the requirements for wind borne debris regions. Created by Ii
8000/8100 #1122
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +23.00/-25.00
Other: Glazing is not impact resistant and does
the requirements for wind-borne debris regions.
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Tmnad Resistant: Yes
Other:
not meet
16' Max widti-
intermediate
Installation
FL8za8 P.12
F18248 R12
F18748 R12
Verified By: I
Created by Ii
Evaluation F
FL8248 R12
Created by Ii
16' Max widtV
Intermediate
Installation
FL8248 R12
FI,3-)48 R12
FLP-248 R.12
Verified By: I
Created by II
Evaluation F
FL^ '4S 2
Created by Ii
8248.8 8000/8100 #1124 16' Max widtt
intermediate
P1 8248 R12
Created by Ii
Installation
LlmltS of Use
&a -L248 R12
Approved for use in HVHZ: No
Fs P:48 R12
Approved for use outside HVHZ: Yes
FL=2Q R12
Impact Resistant: Yes
Verified By: I
Design Pressure: +34.40/-38.30
Created by Ii
Other:
Evaluation F
Fi a24F R12
Created by It
8248.9 8000/8100 #1125
16' Max width
intermediate
Installation
Limits of Use
Approved for use in HVHZ: No
8248 R12
Approved for use outside HVHZ: Yes
l 848 R12
FL
Impact Resistant: Yes
e8248 R12
Verified By: i
V
Design Pressure: +46.00/-52.00
Created by L
Other:
Evaluation F
P1 8248 R12
Created by Ii
8248.10
8000/8100 #1141 18'
Intermediate
Max width
Limits of Use Installation
Approved for use In HVHZ: No I
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +18.50/-20.70
Other: Glazing is not Impact resistant and does not meet
the requirements for wind-borne debris regions.
FI R2+8 P.12
FLo24c R12
�R12
Verified By: I
Created by Ii
Evaluation F
FL8_43 r<
Created by Ii
I
8248.11 18000/8100 #1142
18' Max widtt
intermediate
Limits of Use
Approved for use In HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: Yes
Design Pressure: +34.40/-38.30
Other:
Installation
FL82-18 R12
88248 412
F '�48 F'1`
Verified By: I
Created by Ii
Evaluation F
F 8248 E12
Created by Ii
8248.12 8000/8100 #1143
18' Max width
Intermediate
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: Yes
Design Pressure: +34.40/-38.30
Other:
installation
FLS 4 R
FL3248 Rig
FL8248 R12
Verified By: I
Created by Ii
Evaluation F
FL8248 912
Created by II
8248.13
18000/8100 #1144
18' Max widtr
intermediate
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: Yes
Design Pressure: +46.00/-52.00
Other:
Installation
`! R�4S k12
FI 4�a8 812
F- I-8245 R12.
Verified By: I
b
Created by L
Evaluation W
FL8'48 E12
Created by Ii
8248.14 18000/8100/8200 #1100
9' Max width.
Intermediate
Limits of Use
Installation
Approved for use in HVHZ: No
FL8248 Rig
Approved for use outside HVHZ: Yes
FL8248 R12
Impact Resistant: No
FLS248 P,12
Design Pressure: +15.90/-18.20
Verified By: I
Other: Glazing is not Impact resistant and does not meet
Created by II
the requirements for wind-borne debris regions.
Evaluation F
FL8248 R12
Created by II
8248.15 8000/8100/8200 #1120
16' Max widtf
intermediate
Limits of Use
Installation
Approved for use in HVHZ: No
FL8248 R12
Approved for use outside HVHZ: Yes
FL8248 R12
Impact Resistant: No
FL8248 R12
Design Pressure: +12.40/-13.80
Verified By: I
Other: Glazing is not impact resistant and does not meet
Created by II
the requirements for wind-borne debris regions.
Evaluation P
FLfl248 R12
Created by II
8248.16
8000/8100/8200 #1140
18' Max widtf
Intermediate
Limits of Use
Installation
Approved for use in HVHZ: No
FL ')4S R12
Approved for use outside HVHZ: Yes
FL8248 R12
Impact Resistant: No
FL8248 R.12
Design Pressure: +12.40/-13.80
Verified By: I
Other: Glazing is not impact resistant and does not meet
Created by II
the requirements for wind-borne debris regions.
Evaluation P
FL8246 R12
Created by 11
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