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Home My WebLink AboutPERMIT APPLALL APPLICAIBLE INFO F MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 40 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: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 14 1 �-3 S (r' JV�� Description: `_ " Noperty Tax ID Site Plan Name: Project Name: Setbacks Front Back: Right Side DETAILED DESCRIPTION OF WORK: J S t—'l �3 Car)+6 CONSTRUCTION INFORMATION: itiona war to e e acme un er t is permit – c HVAC Gas Tank OGas Piping Electric ❑ Plumbing Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 9 OWNERf LESSEE: Left Side: Ak LJ au ttiat apply: f �_ Shutters LJ Generator Scn of First Floor; _ Utilities: Sewer []nSeptic CONTRACTOR: Lot No. I Block No. QWindows/Doors 2ko-of Roof pitch Building Height: Name J1�Cf-c&/ UQ ssc'd_1 Name: Address: '11 _ Company: 5 r A U � i fit City:1 0 Ml old (f JC State: = Address: +-C Zip Code: Fax: City: State Phone No. 3 0 Zip Code: ax: E -Mail: Phone No. f3 Fill in fee simple Title Holder on next page I if different E -Mail: C to 7 & UC' k C, AV, from the Owner listed above) I State or County License:, If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIE INFORMATION: DESIGNER/ENGINEER: Alicable pP MORTGAGE COMPANY: pplicable Name: _ Name: - - Address: Address: - City: Stat Zip: hone City: State: Zip: Phon BONDING CO.M ANY:of Applicable FEE SIMPLE TITLE HOLDER: s Not Applicable Name: Name: Address: Address City: City: Zip: Phone: Zip:— Phone: OWNER/ CONTRACTOR AFFIDVIT: 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 to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. Signa e o Own esse42 e/Contr ctor as Age for ner STATE OF FLORIDA COUNTY OF, The for ping instrurlKnt was acknowledged before me this day of?o_Qy Name of *rson making statement Personally Known A_ Produced Identification Type of Identifica Produced ctor/License STATE OF FLORIDA COUNTY OF J�,- V The fo going instrum t was acknowledged before me this day of2p-t roy S4 -(Ac L-eBC__- �fi* rf�, - Name of person making statemen Personally Knowhl Produced Identification Type of Identifica Produced (Signature of Notary Public- State of Florida.- (Signature of Notary Pu Commission No. RADOSWa�EMELKOSKI i.: MY COMMISSION #1 F083889 Commission No. ='T, EXPIRES January 1.5. 2019 395-01 REVIEWS I FFT - I ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 SUPERVISORI PLANS p VEGETATION REVIEW REVIEW + REVIEW RADOSLAV TEMELKOSKI MY CON(15MdIs)DN #FFCD836PP EXPIRES January t$• 2018 SEA TURTLE I MANGROVE REVIEW REVIEW dboProduct Approval MISER: Public User E"rQduet-APp-rOYaLMr-rta > F-rDAuct or ARpU&cation Search > APoliCation List > Application Detail FL # FI..5444-RI1 Application Tyne Revision Code Vorsion 2014 Applicstlon Status Approved Comments Archived Product manufacturer CertainTeed Corporation -Roofing AddreSS/Phone/Entall 18 Moores Road Malvern, PA 19355 inark,d, hat ner@saint-gobain. corn Auttiorized signature Mari; Harner Mark.d. harnerC6s;aint-gobain.com Technical Representative Mark D. Harrier Address/Phone/Small 18 Moores Road Malvern, PA 19355 C") f251 -s847 Mark, D. Harner@saint-gobain corn Quality Assurance Pepresentative Address/Phone/Email Category Roofing Subcategory Asphalt Shingles Compliance Method Evaluation Report From a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Flonda Erigmeer or Architect Name who ileveloped Robert Nleminen Olt- Evaluation Report Florida License PE -59166 Qtjallty Assurance Entity UL LI -C Quality Assurance Contract Expiration Date 03/09/2020 vaklatcd By John W. Knezevich, PE r-; Validation Checklist - Hardcopy ReCeived Cardficate of Independence Referenced Standarciand Year (of Standard) Eciufvalcnte of Product Standards Certified BY r SCCr1O1M15 from the Code 11110 �1! FoAndacg Year ASTM 03161, Class F 2009 ASTM 03462 2009 ASTM 07159, Class Fl 2008 Product Approval dbpr OUSER: Public User Product Appy val Menu > Product or Application Sea rh 3 gpolicatian List > Application Detail FL # FL21703 Application Type New Code version 2014 Application Status Approved Comments Archived Product Manufacturer RESISTQ, a division of Soprema, Inc. Address/Phone/Email 1675 rue Haggarty Drummondville, NON -US 00000 4M)-41,8-2400 Ext 3327 memathieu@soprema.ca Authorized Signature Technical representative Address/Phone/Email Quality Assurance 'representative Address/Phone/Email Category Subcategory Marc Mathieu memathieu@soprema.ca Marc Mathieu 1675 rue Haggarty Drummondville, NON -US 00000 f81.9 478-2400 Ext 3327 memathieuCsoprema.ca Roofing Underlayments Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who Robert Nieminen developed the Evaluation Report Florida License PE -59166 Quality Assurance Entity Intertek Testing Services NA, Inc. Quality Assurance Contract Expiration Date 01/17/2019 Validated By John W. Knezevich, PE Validation Checklist - Hardcopy Received Certificate of Tndependence FL21703_RQ_Coj 201:Z @1_C0I_NieMinen. pdf 4-USE.: Product Approval lb'p"r Public User Product Approval Menu > Prod or Application Search > A plication List > Application Detail FL # FL15216-R2 Application Type Revision Code Version 2014 Application Status Approved comments Archived Product Manufacturer InterWrap, Inc. Address/Phone/Email 32923 Mission Way Mission, NON -US 00000 (S51 L! mtupas@interwrap.com Authorized Signature Eduardo Lozano elozano@interwrap.com Technical Representative Eduardo Lozano Address/Phone/Email 32923 Mission Way Mission, NON -US 00000 .778) 94--2891 elozano@interwrap.com Quality Assurance Representative Address/Phone/Email Category Roofing Subcategory U nderlayrnents Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who Robert Nieminen developed the Evaluation Report Florida License PE -59166 Quality Assurance Entity Intertek Testing Services NA, Inc. Quality Assurance Contract Expiration Date 11/17/2018 Validated By John W. Knezevich, PE Validation Checklist - Hardcopy Received Certificate of Independence FL15216 R2 COI 2015 01 COX Niemincn.pclf