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PERMIT PACKAGE
Date: Permit Number: 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 X PERMIT APPLICATION FOR: To Select from dropbox, click arrowat the end of line Is- 2111111NIVIIIII, "07 WRIVINEW Address: 5811 Seagrape Dr Fort Pierce, FL 34982 Legal Description: INDIAN RIVER ESTATES -UNIT -08- ELK 21 LOT 41 34/115) (OR 837-602: 1250-206) Property Tax ID #: 3402-609-0034-000-9 Site Plan Name: Project Name: Setbacks Front Back: replace 3 windows size for size NOA I Right Side: Left Side: Lot No.— Block No. iaitionai worK to be pertormea HVAC Gas Tank under tnis permit — cnecK an []Gas Piping mat appy: Shutters Z Windows/Doors _ _ Electric ❑ Plumbing Sprinklers HGenerator ❑ Roof Total Sq. Ft of Construction: _ Cost of Construction: $ 4,883 Name James Lyons Address: 5811 Seagrape Dr. SCI. Ft. of First Floor: Utilities: _ Sewer [] Septic City: Fort Pierce State: FL Zip Code: 34982 Fax: Phone No. E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: Arthur Wayne Francis Companv: The Home Depot Building Height: Address: 6500 NW 12TH Ave. Suite 110 City: Fort Lauderdale Zip Code: 33309 Fax: Phone No. (754) 224 - 2010 E -Mail: Jordan.dedios@expeditepermit.com State or County License: CGC061641 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. State: FL SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/I Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 thepermit 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 your Notice of Commencement. Signature of Owner/ Age / essee STATE OF FLORIDA COUNTY OF stLucie The forgoing instrument was acknowledged before me this day of � J 20 18 by Arthur Wayne Francis (Na o pe on acknowle ) (Signature of Notary Public- State of Florida ) Personally Known x OR Produced Identification Type of Identification Produced Commission No. Revised 07/15/2014 Signature of Contractor/' ense Ider STATE OF FLORIDA COUNTY OF StL.de The forgoing instrument was acknowledged before me this 15 day of e , 2018 by Arthur Wayne Francis (Name o rson cknowledging'i ) -,w - (Signature of ary Public- State of Florida ) Personally Known x OR Produced Identification Type of Identification Produced Sea[ L, .e _obeft Commission NOTARY PUMIC Richie R ob 1 I li UBLIC StATE SOF FLORIDA REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 4495528 OR BOOK 4196 PAGE 1975, Recorded 10/29/2018 09:02:45 Al The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. DESCRIPTION OF PROPERTY (Legal description of the property & street address. if available) TAY. FOLION®.° BLOCK TRACT LOT BLDG KNIT IR n z ` a,' .� f pee�.� . 1 .• .ai 4.. ♦na�. r GENERAL2. DESCRIPTION to IMPROVEMENT- y,;Ad h. 7 11WIF 1 l3I r 1 7. �;,, , :5. � J � I'' � I I I " � 11 � -� 1 15111 UAMAMTI�W' a. Name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) 7., Florida Statutes: a. Name and address: WA b. Phone numbers of designated persons: Nita AA'' A S. a. In addition to himself or herself, Owner designates N f A of N %� to receive a copy of the Lienor's Notice as provided in Section 7133.13 (1) (b), Florida Statutes. b. Phone number of person or entity designated by Owner: W /A 9. Expiration date of notice of commencement (the expiration date will be I year from the date of recording unless a different date is specified): , 20 WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713. PART I. SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE Of COMMENCEMENT MUST BE �Od wre of Owner or Le e, or Owner's or Lessee's ized Ofi icer/Direct /Partner/Manager) `- State of 106 i 0�, County of =50; U� Lu&l e The foregoing instrument was acknowledged before me this { Z 4 day of , 20 t by 36,MS Ltd®h5 ,as ()whef (name of person) jx!I% ' -..e . officer, trustee, attorney in fact) `'\ for ' i '`"��'i a1 d� (name of parry on behalf of whom instrument was exe Ww" sa OF Personally Known or Produced Identification J Type of Identification Produced �D L- Site Address: Parcel ID: Account #: Map ID: Use Type: Zoning: City/County: Joan E Lyons James H Lyons 5811 Seagrape Dr Fort Pierce, FL 34982 Legal Description INDIAN RIVER ESTATES -UNIT -08- BLK 21 LOT 41 34/11 S) (OR 837-602: 1250-206) Current Values Just/Market Value: $161,400 Assessed Value: $87,207 Exemptions: $50,000 Taxable Value: $37,207 Taxes for this parcel: SLC Tax Collector's Office Ea Download TRIM for this parcel: Download PDF 5811 SEAGRAPE DR 3402-609-0034-000-9 134073 34/11S 0100 RS -4 Saint Lucie Count}, Finished/Under Air (SF): 1,630 Gross Area (SF): 3,423 Land Size (acres): 0.23 Land Size (SF): 10,000 This information is believed to be correct at this time but it is subject to change and is not warranted. © Copyright 2018 Saint Lucie County Property Appraiser. All rights reserved. Home Improvement Agreement: Page 1 Home Depot License Number(s): visit www.homedepot,com/c/SV-HS-Contractor-License-Numbers for latest license info FL: EC0001440, CGC1514813, CRC046858, CAC1813767, CFC1426021, CFC1427642, 22640, CAC 1818831, CCC1331113, CCC1331130 THE LAW REQUIRES THAT HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL AND WRITTEN NOTICE OLFAR RIGHT TO 10/12/2018 cknowledged by: C st Coerl I u Date u P t Pa ntract Price and Paymen -edule P7Aent of 4ontract Price is due upon signing unless a different payment schedule is required by law, specified below or in a payment addendum. Contract Price: 1 4883.40 1 Includes all applicable taxes. Excludes finance charges.* Sales Tax: 10.00 I(If applicable) T OEM Dep. 1 25.0 —] % Deposit Amount 11220.85 = Remaining Contract Balance 1 3662.55 1 The Home Depot - 2455 Paces Ferry Road, N.W. Bldg. B-3, Atlanta, Georgia 30339 - Customer Care: 1-800-466-3337 Customer Agreement (C,E, 1) (31 Jan. 18) v 50.1.2 * Finance Charqes : Any interest payments or other finance charges will be determined by Customer's separate cardholder or loan agreement, to which Home Depot is NOT a party, and will be d •° oto Customer's paymentd eAgreement. • esubject o the terms and conditions of the cardholder or loan agreement, as applicable. No funds should be made payable to Service Provider; however, Service Provider may collect Customer's payments made payable to Homt Depot. Insurance proceeds will will not be used to pay some or all of the total amount of sale. Description of r b Performed 'i description of - work to be performed is included in the paragraph entitled Scope of Work or Specification which is included in this Agreement. Anticipated Delivery / Installation Schedule Approximate Start Date: 1 12/07/2018 ,approximate Finish Date: 01/04/2019 All dates are approximate and subject to change based on unforeseen events including inclement weather, permitting delays, and delays in confirming insurance coverage of Your claim for any repair, if applicable. Electronic Recr s Authorization : You are entitled to a paper copy of this Agreement if you choose. If you consent to an e-mailed copy, your consent applies to this Agreement and all subsequent documents and written communications related to this Agreement. By contacting your Service Provider, you may update your email address, withdraw your consent, or obtain a paper copy of the Agreement or related documents at no charge. By providing your consent and verifying your email address above, you confirm that you have access to a computer that can receive and open emails and PDF documents. By initialing this paragraph, I consent to receive only electronic records related to this transaction. Initial Acceptance and Authorization : By signing below, you authorize Home Depot to: (a) arrange for Service Provider to perform any Services or () order and arrange for the delivery of special order merchandise, including special order merchandise that may be custom made, as specified in this Agreement. Do not sign if blank or incomplete. (Service Provider's or permitting information may need to be provided to You later.) By signing, you acknowledge that: (i) You have read, understand, and accept this Agreement in its entirety, including the General Conditions and State Supplement, if any; (ii) You are receiving a complete copy of this Agreement; and (iii) all rights and interests under this Agreement are solely vested in the person listed as "Customer" above. 10/12/2018 The Home Depot Otk�tomer's Sin Lure Date Service Provider Name X 10/12,/2018 6500 NW 12th Ave, Suite 110 Co -Signer (if applicable) Date Service Provider Address X 10/12/2018 FTTauderdale FL 33309 Sigture On Behalf of Home Depot Date City State Zip Vendor /SelNce rovider FWne # Service Provider License Number The Home Depot - 2455 Paces Ferry Road, N.W. Bldg. B-3, Atlanta, Georgia 30339 - Customer Care: 1-800-466-3337 Customer Agreement (C,E,I) (31 Jan. 18) v 50.1.2 � �l ®. � c, \ 9 w $ $\[/ GLLJ (L ( oz LU uj ( fr0 «_ I I I / \ { \ < u u [ c 2 < z U z f 0 ®~ \ 0 c a <W o » 5 u = o U3 m m= o m } 0 0 z zo < < 2 o 0 0 2 0 / ( [ z z < < ( m m & 8 Cl) w =)\ > ( 0 2 } <z LL m G� z o c c 2� B c ) \ & & E / ® \ 5 < } Ir/ i §) j o m o 0 o m■ 6= / � R / \ ! \ ; ( k « q P z§ LU F j� 7 LU§ ` = Q [ } : / `( [ } ( \ ( \0 k< 0 ±) 0 0 =o k[ � wxw ©$\< z ! C) . . .»` : -// / . :ƒW ` �/� 2 .\0 :\�°\©, , ,) MIAMI-:DAADE) AMI -D -A -DE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 11805 Su'26 Street, Room 208 BOARD A_ND CODE ADMINTSTRATIONDWISION T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA,) vn",.miafliidade.g2y/econom_�, PGT Industries, Inc. 1070 'T.echriology Drive North Venice, FL 342,75 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of constructionZn materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be used ill Miami Dade County and other areas vThere allowed by the Authority Having Jurisdiction (AHT), This 1,,TOA shall not be valid after the expiration date stated below. The, Miami -Dade County Product Control Section (In Miami Dade County) and/or the AI -Il ('in areas other than Miami Dade. County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the APU may immediately revoke, modify, or suspend the use, of such product or material within their jurisdiction, RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the, applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane, Zone, DESCRIPTION: Series "SH -5500" PVC Single Hung WiDdow — L.M.I. APPROVAL DOCUMENT: Drawing No. Ml)-SH5500-01 titled "Single Hung -Window Installation - LM", sheets I through 13 of 13, dated 05/15/15., with revision B dated 06/06/17, prepared by manufacturer, signed and sealed by Anthony Lynn Miller, P.E-, bearing the Miami -Dade County Product Control Revision stamp with the Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Section. NRSSILE, IMPACT RATING-: Large and Small Missile Impact Resistant L_A_BELiNG: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state, model/series, and following statement: "Miami -Dade Count), Product Control Approved", unless otherwise noted herein. RENE' A7AL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. 0 TERATINATION of this NOA will occur after the expiration date or if there has been a revision Or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Fail -are to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County. Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA# 16-0714.03 and consists of this page I and evidence pages E- I and E-2:,, as well as approval document mentioned above. The submitted documentation was reviewed by Manuel Perez, P.E. NOA No. 17-0630.05 WMIAMI-DADE COUNTY Expiration Date: July 30, 2020 Ul Approval Date: November 30, 2017 I rPage I,112 6 PGT Industries, Inc. OWNS DRAWINGS I, IVianufacturer's die dra��Tings and sections, (Submitted under ,previous NOA No. 15-0519-05) 1 Dra�A=* g No.-SY15500-0I titled "Single. Hung Window, -Installation - LM", sheets 1 through 13 of 13, dated 05/15/15, uTith revision B dated 06/06/17, prepared by manufacturer;, signed and sealed by Anthony Lynn Miller, P.E. B. TESTS 1. Test reports on: 1) Uniform Static Air Pressure Test, Loading per FBC, TAS 202-94 2) Large Missile Impact Test per FBC; TAS 201-94 3) Cyclic Wind Pressure Loading per FBC, TAS 203-94 along with marked -up dra-,xrings and installation diagram of a PVC sliding glass door, a PVC fixed window and an aluminum sliding glass door, using: Kodispace. 4SG TPS spacer s-\Tstem. Durasealc' spacer system, Super Spacer' NrX 1 T'`'I spacer system and ATL, EdgeT111 spacer system at insulated glass, prepared by Fenestration Testing Laboratory, Inc., Test Reports No, F'TL-8717, L-8968 and FTL-8970, dated 11/16/'15.. 06/07/16 and 06/02/16 respectively, all signed and sealed by Idalmis Ortega, P.E. (Submitted under previous NOA No. 16--0714.0.3) 2. Test reports on: 1) Air Infiltration Test, per FBC, TAS 202-94 2) Uniform Static Air Pressure Test, Loading per FBC TAS 202-94 3) Water Resistance Test, per FBC, TAS 202-94 4) Forced Entry Test, per FBC 2411.3.2.1, and TAS 202-94 5) Large Missile Impact Test per FBC, TAS 201-94 6) Cyclic Wind Pressure Loading per FBC, TAS 203-94 along vrith marked -up drawings and installation diagram of a series 5500 PVC single hung windw-v, prepared by Fenestration Testing Laboratory, Inc., Test Report No. FTL-7964, dated 11/15/14, signed and sealed by Idalmis Ortega, P.E. (Submitted under NOA No. 15-0519.05) 3. Test reports on: 1) Uniform Static Air Pressure Test, Loading per FBC TAS 202-94 2) Large Missile Impact Test per FBC, TAS 201-94 3) Cyclic ',find Pressure Loading per FBC, TAS 203-94 along ,,dth marked -up dray pings and installation diagram of a series 5500 PVC single hung window; prepared by Fenestration Testing Laboratory, Inc., Test Report No. FTL-7966, dated 08/2.1/14, signed and sealed by Idalmis Ortega, P.E. (Submitted under NOA No. 15-0519.05) C. CALCULATIONS 1. Anchor verification calculations and structural analysis, compl��ing with FSC 5th Edition (2014), dated 05/15/15 and 08/29/17, prepared by manufacturer, signed and sealed by Anthony Lynn Miller, P.E, (Submitted under NOA No. 15- 9.05 Manuel erez P.E. Product Contro x finer NOA No. 17-0630.05 Expiration Date: July 30, 2020 Approval Date: November 30, 2017 E-1 NOTICE OF ACCEPTANCE: 1D C. CALCULATIONS (CONTTN- ED) 2. Glazing complies with ASTM E1300-09 D. QUALITY ASS CE 1. lv iami-Dade Department of Regulatory and Economic Resources (RER). E. MATERL'L CERTI CATIONS (Car,-rrNTED ) 1. Notice of Acceptance No. 161117.01 issued to uraipay America, Ince for their "Trosifol9 Ultraclear, Clear and Color PVA Mass Interlavers" dated 01/19/17, expiring on 07/08/19, 2, Notice of Acceptance No. 14-0916.11 issued to u aray America; Inca for their I� "SenttrTGlas J (Clear and Bite) Glass lnterlayers" dated 06/25/15; expiring on 07/04/18. 3. Notice of Acceptance No. 16-0712.03 issued to ENERGI Fenestration Solutions USA for their " rhite Rigid P�/ C Exterior Extrusions for Windows and Doors" dated 08/10/17; expiring on 02/28/18. 4. Notice of Acceptance No. 16-0712.04 issued to ENERGI Fenestration Solutions USA, Inc. for their "Bronze and Fighter Shades of Cap Coated White Rigid PVC Exterior Extrusions for Windows and Doors" dated 09/15/16, expiring on 04/16/20. 5. Notice of Acceptance No. 16-0712.05 issued to ENERGI Fenestration Solutions USA, Inc. for their "Performance Core Rigid PVC Exterior Extrusions for Windows and Doors" dated 09/15/16, expiring on 04/16/20. F. STATEMENTS 1. Statement letter of conformance, complying with FBC 51h Edition (2014) and EBC 6eb Edition (2017), dated June 22, 2017, issued by manufacturer, signed and sealed by Anthony Lynn Miller, P.E. 2. Statement letter of no financial interest, dated June 22, 2017, issued by manufacturer, signed and sealed by Anthony Lynn Miller, P.E. 3. Proposal issued by Product Control, dated 6/26/14 and revised on 8/19/14, signed by Jaime Gascon., P.E. Supervisor, Product Control Section. (Submitted under NOA No. 15-0519.05) 4. Proposal No. 16-0125 issued by the Product Control Section, dated March 09, 2016, signed by Ishaq Chanda, P.E. (Submitted under previous NOA No. 16-0714.03) C. OTBIERS 1. Notice of Acceptance No, 16-0714.03, issued to PGT Industries, Inc, for their Series "5500" PVC Single Hung Window - L.M.I. approved on 08/18/16 and irmg on 07/3 0/20. ? Man Pere , P.E. Product Con rol E ruiner NOA No. -0630.05 Expiration Date: July 30, 2020 Approval Date: November 30, 2017 E-2 Z w� E� U co I W W Z_ S W w mw M rn W J LL c WI w �J L) m cU U = ° m C w U) C-�. 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