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HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit 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 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Address: Legal Description: Property Tax ID#: "'��� lU �` "�` Lot No. b Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: 1 PTI®WIN ..K����.k- Er<.... ��2 M2. Epp O aY- � 'sA, Additional work to e nertormed under this permit—check all that apply: 11HVAC Gas Tank Gas Piping _Shutters Windows/Doors 11 Electric ❑ Plumbing Sprinklers Generator F] Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction:$ ' Utilities:0Sewer Septic Building Height: � �. ��, a�.�ia�,c Via ,. +. x. .- � �`h �r 2�c � w Name� ri, CA 7'� Name: Address: <?_'e �\c7..z- a Company: ram_ PS City: �\ ��C State:1FL Address:�I��5 � (1'tC rP ► y Jt Zip Code: , Fax: City: �k �� � � Statef�L Phone No._T_)D — �•_� Zip Coder T-CqgloO Fax: E-Mail: Phone No._T_)Q-- W__10 (Caro Fill in fee simple Title Holder on next page(if different t � from the Owner listed above) State or County License: \C51k If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. „€ . r���a �' _tiA�G� DESIGNER/ENGINEER: 4—Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: c FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: 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. Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/ icense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF �cj� l 3.C_�� COUNTY OF f§- t The f�oing instrument was acknowledged before me The f�oing instL ent was acknowledged before me this day of �� 20��by this day of 20 by Name of person making statement Name of per. sgw making statement Personally Known ✓OR Produced Identification Personally Known V OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public-Stat\e of Florida) (Signature of Notary Public-Stat of Florida) ll '�`r►°•r/ TIFFANY SUIT Commission N � ak (Seal) Commission N --�� ��`l S tcRY Fug TIFFANY SUIT � �'” •• *� �#GG 191421 ;p , '" o Expires April 26,2022 • * Commis"#GG 191421 �FOF FLOP` aaWed INy 811"N0JVy "Ilep o4� swded Thru Se" AMS REVIEWS FRONT "CONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 <L NI Lor, a!nac,a •'1 ol am G r.. 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Evaluation Report-Hardcopy Received Florida Engineer or Architect Name who developed Scott Hamilton the Evaluation Report Florida License PE-63286 Quality Assurance Entity Intertek Testing Services NA,Inc.-QA Entity Quality Assurance Contract Expiration Date 12/31/2020 Validated By Gary Pfuehler fd; Validation Checklist-Hardcopy Received Certificate of Independence FL.16546 R1.0 COI Certification of_Inde endence of Validation Entity- Gary.__ €uehler 2016=02_19.pdf FL16S46 RIO COI Statement on Independence of Evaluation Entity- Scotthiarniiton 2016-02-1.9.I)df Referenced Standard and Year(of Standard) Standard Year ANSI/DASMA 108 2005 ANSI/DASMA 115 2005 ASTM E1886 2005 ASTM E1996 2009 ASTM E330 2002 TAS 201 1994 TAS 202 1994 TAS 203 1994 http://www.floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQWtDgvgqu2w%2bnF... 6/13/2018 Florida Building Code Online Page 2 of 6 Equivalence of Product Standards Certified By Florida Licensed Professional Engineer or Architect FL16546 R10 Equiv 20170809-FBC-DASMA 108 equiv.pdf FL16546 RIO Eouiv 201.70809-FBC- DASMA 115 eguiv.pdf Sections from the Code Product Approval Method Method 1 Option D Date Submitted 04/18/2018 Date Validated 04/19/2018 Date Pending FBC Approval 04/29/2018 Date Approved 06/12/2018 Summary of Products Go to Page 0 0 Page 2/3 0 FL# Model,Number or Name Description 16546.21 21 W8-16 DSIU-11`471: GD2SU, Double-skin Insulated Intellicore(exterior skin 27 ga. min.; GR2SU,GD2LU,GR21LU,AR2SU, interior skin 27 ga. min.) Double-Car(9'2"to 16'2"wide) AR2LU, ED2SU, ED2LU,9202, WINDCODE@ W8 Garage Door with Optional Impact- HDPC20,7202,8202,MFC68U, Resistant Lites 9205, HDPR20,7205,8205, MFR68U Limits of Use Installation Instructions Approved for use in HVHZ:Yes FL16546 R10 II 104822-RevO4.odf Approved for use outside HVHZ:Yes Verified By: Scott Hamilton FL PE 63286 Impact Resistant:Yes Created by Independent Third Party: No Design Pressure: +46 PSF/-52 PSF Evaluation Reports Other: Max.Wind Speed (V_ult): 170 MPH.Solid doors(no 1`1_16546 R10 AE CBPC 141219-B.pdf glazing)or doors with optional impact-resistant glazing are Created by Independent Third Party: No impact-resistant(large missile impact). 16546.22 22 W8-09 PAN-21`443: GD4S, Gallery/Artistry/Expressions: Steel Pan(min. 24 ga.)Single- GR4S,ED4S,AR4S Car(up to 9'0"wide)WINDCODE®W8 Garage Door with Optional Impact-Resistant Lites Limits of Use Installation Instructions Approved for use in HVHZ:Yes Fl-16546 R10 11.-1.04121 Rev04.gdf Approved for use outside HVHZ:Yes Verified By: Scott Hamilton FL PE 63286 Impact Resistant:Yes Created by Independent Third Party: No Design Pressure:+50 PSF/-58 PSF Evaluation Reports Other: Max.Wind Speed (V_ult): 170 MPH.Solid doors(no F_i..16546 R10 AE CBPC_131211.-A_�df glazing)or doors with optional impact-resistant glazing are Created by Independent Third Party: No impact-resistant(large missile impact). 16546.23 23 W6-16 DSIE-11`471: GD2SP, Double-skin Insulated EPS(exterior skin 27 ga. min.; GR2SP,GD2LP,GR2LP,AR2SP, interior skin 27 ga. min.)Double-Car(9'2"to 16'2"wide) AR2LP, ED2SP, ED2LP,4302, WINDCODE®W6 Garage Door with Optional Impact- HDGC,6202, MFC68,4305,HDGR, Resistant Lites 6205,SFR68,MFR68 Limits of Use Installation Instructions Approved for use in HVHZ:Yes FL16546 R10 11 104785-A-RevO3_si�ned,pdf Approved for use outside HVHZ:Yes Verified By: Scott Hamilton FL PE 63286 Impact Resistant:Yes Created by Independent Third Party: No Design Pressure: +38 PSF/-42 PSF Evaluation Reports Other: Max.Wind Speed(V_ult): 170 MPH.Solid doors or FI-16546 R10 AE CBPC 'L41219:_B. df doors with optional impact-resistant glazing are impact- Created by Independent Third Party: No resistant(large missile impact). 16546.24 24 W6-16 DSIE-1F471: GD2SP, Double-skin Insulated EPS(exterior skin 27 ga. min.; GR2SP,GD2LP,GR2LP,AR2SP, interior skin 27 ga. min.)Double-Car(9'2"to 16'2"wide) AR2LP, ED2SP,ED2LP,4302, WINDCODE@ W6 Garage Door HDGC, 6202, MFC68,4305, HDGR, 6205,SFR68, MFR68 Limits of Use Installation Instructions Approved for use in HVHZ:Yes "r1...1.6546 RIO 11 104785_B-_Rev_O3:_sij ne�,odf Approved for use outside HVHZ:Yes Verified By: Scott Hamilton FL PE 63286 Impact Resistant: No Created by Independent Third Party: No Design Pressure: +38 PSF/-42 PSF Evaluation Reports Other: Doors with standard glazing meet the wind load FL16546 R10 AE CBPC__ 12.19.-6,pdf requirements of the building code but DO NOT meet the Created by Independent Third Party: No impact resistant requirement for windborne debris regions. http://www.floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQWtDgvgqu2w%2bnF... 6/13/2018