HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/22/2019 Permit Number:
z..= 14 60_ 11
1y,D
Y�
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 X
PERMIT TYPE-WINDOW/DOOR
PROPOSED INPROVEMENT LOCATION;
Address: 3724 SLEEPY HOLLOW LANE PORT ST LUCIE
Property Tax ID #: 3425-7050-0014-000-9 Lot No. 13
Site Plan Name: Block No. 41
Project Name: FARRENKOPF
DETAILED DESCRIPTION OF WORK:
REPLACEMENT IMPACT WINDOWS
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters __/X Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 10,126.00 Utilities: _ Sewer _ Septic' Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJOHN AND MARY FARRENKOPF
Name: DALE THORNBERRY
Address:3724 SLEEPY HOLLOW LANE
Company: TREASURE COAST EXTERIORS
City: PORT ST LUCIE State: Ek.
Address: 265 SE ST LUCIE BLVD
Zip Code: 34952 Fax:
Phone No. 772-631-9469
E-Mail:JOHN3724@GMAIL.COM
STUART
City: State: FL
Zip Code: 34996 Fax:
Phone N0772-621-5443
Fill in fee simple Title Holder on next page (if different
E -Mail DALE@TCEXT.COM
from the Owner listed above)
State or County License CBC1 252933
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
utbic;NER/ENGINEER:Not Applicable
Name: r
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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.
which is inoconflictawith anrepresentation
applicable' Home Owners AsssociationiruleS authorize
ylaws or and covenants that may restrictor 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 Urk or recording your Notice of Commencement.
Signature of Owner/ Less ractor as Agent for Owner
STATE OF FLORIDA
COUNTY
The for oing instrument was acknowledged before me
this day of +1_ 117vgL l 20ILct by
Name of person making statement.
/---
PC
Personally Known OR Produced Identification
Type of Identification
Produced_
ure of Notary Public- State of Flon
Commission No. (S�ql) David Ortiz
C64(r Of'( �'� *t&A NOTARY PUBLItj
REVIEWS FRONT ZONPCE's
5c"GG081
COUNTER REVIE
DATE
RECEIVED
DATE --
COMPLETED
Signature of
STATE OF FLORIDA
COUNTY OF /4'—?% //%_f
The for o g instru;ient was a knowI dged before me
this2ffdayof ✓!b'v 201fby
Name of person making statement.
Personally Known OR Produced Identification.
Type of Identification
Produced 'Z;V'P14-AJ,4-
���gr""'�e of Notary Public;State;0fda )
Commission No. C_—' o� tid 001ZSe
DA pRv s NOTAR OF uBOt
STATS
IPLANS VEGETATION SEA C 2
REVIEW REVIEW REVIE 9� Vl�/E0
w
MARTIN COUNTY BUILDING DEPARTMENT
900 SE RUHNKE STREET
STUART, FL 34994
(772)288-5916
FAX (772) 288-5911
WINDOW/DOOR SCHEDULE
ID
APPDX
OPENING
IMPACT PROTECTION
NO
SIZE DESIGNATION
IMPACT
TYPE NEW REMARKS
(WXH)
GLASS SHUTTER EXISTING
37" X 63" 25
SSHUTTER
1
30x54 1
X EXAMPLE
2
30x54 2
x DH
3
12x40 3
DH x
4
12x40 4
FIX X
5
30x54 5
FIX X
6
30x54 6
DH X
7
30x54 7
DH X
8
30x54 8
DH X
9
30x54 9
DH x
10
30x54 10
DH X
DH
11
48x42 11
x
DH
12
30x54 12
X
DH
13
48x42 13
X
DH
14
X
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
L.30
*Window
Replacement using existing shutters to comply with impact protection will
existing
require the
shutters to meet the requirements of the FBC 5th Edition
(2014) Residential R301.2.1.2
TOTAL GLAZED OPENING AREA FOR 135.91
STRUCTRE: S.F.
PERCENTAGE OF NEW GLAZED AREA: 100
(TOTAL INSTALLED GLAZED AREA DIVIDED BY TOTAL GLAZED OPENINGS FOR STRUCTURE)
NOTE: The replacement of more than 25% of the aggregate area of exterior glazing (windows & doors) in one & two family
dwellings within a 12 month period will require impact protection on all proposed glazed opening replacement (approved
shutters or impact resistant glazing) as per FBC 5th Edition (2014) EXISTING BUILDING 706.4.
** TYPE WINDOWS
SH —SINGLE HUNG AWN — AWNING
DH —DOUBLE HUNG SL —SLIDING
CAS — CASEMENT FIX — FIXED
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* * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERV COMPENSATION LAw
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
iii �i i�I V C LJA I h-* 12/12/201 a
PERSON: DALE THOl!
RNBERRY
FEIN: 202065506
BUSINESS NAME AND ADDRESS..
TRELA3111h�F-j--,aa #3
15086 PRAIRIE BAPTIST ROAD
NOBLESVILLE, IN 46060
SCOPE OF BUSINESS OR TRADE:
;JcOnsed Budding cowactor
EXPIRATION DATE. 12J1 1/2020
EMAIL: DALE@?FIEMOTESF.COM
WPORTANT: pursuant to Chapter 440,05(14), FS-, an officer of a corporation who elects, exemption from this Chapter by filing a
this section may not recover benefits or compensation Under the chOpter,
only within it',-' Scope of the business or t Pursuant 10 Chapter 440,05(12), certificate Of election under
F.S., Certificate$ Of alealon to be exempt... apply
,Ixempt and cosCendfictof efectic, ratio listed Oil the 1`1061-e Of election to be exempt, Pursuant to Chapter 440,05(1 3), F_g" Notteet,
e to be exempt she of election to be
P,E�ICSOn named on the notice or Certificate no 10 it be subject to revOCation, if, at any time aftOr the fifing of the t 0 t i an Of in
Cortificate, at any time tor failure riger meets the requirements of this no ice r he ssu CO 0 certificate, the
section fOf issuance Of A certificate. The, do m -.he vo a
Of the poison named on the certificate to Meet the requirements of this section, Part Ont 1 11 re, ke
DFS-F2-DWC-252 CERTIFICATF OF ef-ECTION TO SE E-'XEMf>-rREVK5EE) 08-13 OUESTION13? (8,50)413-1609