HomeMy WebLinkAboutBUILDING PERMIT All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. a 5 Permit Number:
_Z4 w
ICOUNTY
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 TYPE: VJ t AfV_D
kZ
PROPOSED IMPROVEMENT LOCATION:
Address: 119A 5 1'1 r)cl k, ve enseli M qJC
Property Tax ID#: �5 b d 7 d���llSd/J� Lot No.
Site Plan Name: Block No.
Project Name: Q I
DETAILED DESCRIPTION OF WORK:
F4
F 0
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping —Shutters Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction: (()C ai ' �� Utilities: Sewer Septic Building Height:
OWNER/LESSEE; CONTRACTOR:
Name WOW Name: b
Address: !a 11 Company: T reos(._ coatg , L.Cc
T
City: t° se State: F Address: Qlo 5 SE ST- ZZ{Cl 15 8 L.G'
Zip Code: Fax: City: l d(Ak 1- State: �
Phone No. �v� �c�1 '�7/033 Zip Code: �J4 Fax:
E-Mail• dt_n��i�J�/T� M Phone No 31 :7y
Fill in fee simple Title Holder on next page(if different E-Mail hf � C�
from the Owner listed above) State or County License (2A(r, !IA aqf___&
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.
DESIGNER/ENGINEER: _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:
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOURXENDER_04 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ 's Contractor as Agent for Owner Signature ontractor/License Hqjdclf
STATE OF FLORID L / STATE OF FLORID f
COUNTY OF i✓ N COUNTY OF 1��WP"
The r oing instru ent was acknowledged efore me The f oing instrument was acknowledged before me
th��day of lC�/,20/�by thi P day of ' L�/9� _,26& by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification `
Type of Identi Type of Idenoicatio
Produced Produced
(Signature of Notary Public-State of Flori a (Signature of Notary Public-State of Florida)
l k ll David OY�pugC1G avid Ott, DB41C
Commission No. tPaY al�fOfAR pFt1D Commission No. ��f (p al� TpRY P R
40 °os fPTE GGpg1156 R OC�.S."'_r- 1 6
REVIEWS FRONT ZOI�) °'1 VUPERVISOR PLANS VEGETATION SEA T MAW DOVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIE REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
1/14/2019 Florida Building Code Online
I � -
BCIS HOME ;Lag In I Usef kegls[ratlon Hot Topics 1 SubmR Surcharge Scats B Facts Publlcatlons C<ntad Us BCIS Site Map Links Search
x ;t.
m Product
r Approval
USER:Public User
�ruU^_cl AtrmIt Moms Duct cr Aopllron Search> p)Irdtlon:ist>Appll<dtlon Detail
rs
FL# FL5419-R16
Application Type Revision
Code Version 2017
Application Status Approved
*Approved by DBPR.Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commission if necessary.
Comments
Archived
Product Manufacturer Simonton/Ply Gem Windows
Address/Phone/Email 3948 Townsfair Way,Suite 200
Suite 200
Columbus,OH 43219
(614)532-3596
luanne.harr*is@plygem.com
Authorized Signature Luanne Harris
luanne.harris@plygem.com
Technical Representative Luanne Harris
Address/Phone/Email 3948 Townsfair Way
Suite 200
Columbus,OH 43219
(614)532-3596
luanne.harris@slmonton.com
Quality Assurance Representative AAMA
Address/Phone/Email 1827 Walden Office Square
Suite 550
Schaumburg,IL 60173
(847)303-5664
webmaster@aamanet.org
Category Windows
Subcategory Double Hung
Compliance Method Certification Mark or Listing
Certification Agency American Architectural Manufacturers Association
Validated By American Architectural Manufacturers Association
Referenced Standard and Year(of Standard) Standard Year
AAMA 450 2010
AAMA 506 2011
AAMA/WDMA/CSA 101/I.S.2/A440 2008
ASTM E 1886 2005
ASTM E 1996 2005
ASTM E 1996 2009
Equivalence of Product Standards
Certified By Florida Licensed Professional Engineer or Architect
FtS419 RiA.._quiv FL, 15 eGuiyalenpy,xf
Product Approval Method Method 1 Option A
Date Submitted 05/07/2018
Date Validated 05/09/2018
Date Pending FBC Approval
Data Approved
CF
a..ry of.ProductsModel,Number or Name Description
1 !07 09/07-10/07 20(Retrofit Installation) StormBreake Plus 300VL 8000 PerfeXion Impact Impact Vinyl Double 9
_.�_._._-�____.._..__...�_..__ _._.. __�..______ _.,...__.�.__._�. _... .__..._of UseAgencyCertifictved for use in HVHZ:No FL5419 RS�C CAC 07-09 07-20 DH 53 x 76 R PG50 Impact pdf
oved for use outside HVHZ:Yes FL5419 R]6 C CAC 07-09 07-20 DH Impact 37x76 R PG65.pdf
ct Resistant:Yes F6547 9 R1t�Cgn Pressure:N/A FL5419 RS6 C CAC 07-09 07-20 OH Impact 53x76 R PG55 odfr:53x76(+55/-60 PSF),53x76(+/-50 PSF),37x84(+/-60 PSF),37x76(+/-65 PSF)37x76 FL5419 R16 C CAC 07-09 DH Temred(+65/-70)-Missile Impact Rating:D FL5419 R16 C CAC 07-09-10-20 and 08-09-10-20 Wai e pdf
Quality Assurance Contract Expiration Date
07/28/2019
I Installation Instructions
''.FL5419 R16 II IN0364-R70 07-09 07-10 07.20 Irr•pac:D,W.pdf
Verified By:'IAmerican Architectural Manufacturers Association
Created by Independent Third Party:
!Evaluation Reports
FL 4419 R15 AE EvalRepo(j-INg-64-R10.pd(
Created by Independent Third Party:Yes
_..._ _ _..... ___.._..._ ___-._... _ ........ ....._ ._ __.._. .........__ _....__ ._ .... .. -_...... ._—__ __ _
5419.2 !07-20(Nailing Fin Installation) a on Impact Vinyl Double Hung Twin
_._.-.___..........---.......... _........-._.....__ .___....._.. ... ---._-----. -.. _------... ......___.... _
Limits of Use Certification Agency Certificate
Approved for use In HVHZt No !FL5419 R76�C CAC FL5419 C CAC 07-20 DH Twln Impact 73 x 74 R50.pdf I
Approved for use outside HVHZ:Yes !Quality Assurance Contract Expiration Date
Impact Resistant:Yes 03/24/2020
Design Pressure:+50/-50 Installation Instructions
i Other:73 x 74-Missile Impact Rating:D FL5419 R16 II IN0523 SO
07-20 DH.Twin 7X pdf
Verified By:American Architectural Manufacturers Association
j Created by Independent Third Party: -
https://floridabuilding.org/pr/pr app_dti.aspx?param=wGEVXQwtDgtHJPwMo6eHrjCHNvu8xOBGspp/D2b3p9QxQCtl2AzuJT119A°/p3de/D3d 1/2
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1/14/2019 Florida Building Code Online
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BCIS Home Log In User Registration Hot Topies Submit Surcharge Stats a rats Publtcatkms I Contact Vs 13CIS Site Map Links _ Search
Product Approval
b
:USER:Public User
&f *i;
Vrod__ct pprpvai Men >Produ t cr App >AjLKIItton List>Application oaten
FL# FL10160-RIS
Application Type Revision
Code Version 2017
Application Status Approved
*Approved by DBPR.Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commission if
necessary.
Comments
Archived
Product Manufacturer Simonton/Ply Gem Windows
Address/Phone/Email 3948 Townsfair Way,Suite 200
Suite 200
Columbus,OH 43219
(614)532-3596
luanne.harris@plygem.com
Authorized Signature Luanne Harris
lua n ne.harris@ plyg a m.co m
Technical Representative Luanne Harris
Address/Phone/Email 3948 Townsfair Way
Suite 200
Columbus,OH 43219
(614)532-3596
luanne.harris@simonton.com
Quality Assurance Representative AAMA
Address/Phone/Email 1827 Walden Office Square
Suite 550
Schaumburg,IL 60173
(847)303-5 664
webma ster@aa ma net.org
Category Windows
Subcategory Horizontal Slider
Compliance Method Certification Mark or Listing
Certification Agency American Architectural Manufacturers Association
Validated By American Architectural Manufacturers Association
Referenced Standard and Year(of Standard) Standard Year
AAMA 506 2011
AAMA/WDMA/CSA 101/I.S.2/A440 2005
AAMA/WDMA/CSA 101/I.S.2/A440 2008
ASTM E 1886 2005
ASTM E 1996 2009
Equivalence of Product Standards
Certified By Florida Licensed Professional Engineer or Architect
FL10160 R15 Equiv FL19160 506 Ea ba y pdf
FL10160 R15 Eouiv SImEx-PVC-Eauivau le.Uy W
Product Approval Method Method 1 Option A
Date Submitted 03/19/2018
Date Validated 03/20/2018
Date Pending FBC Approval
Date Approved 03/22/2018
Summa of Products
FL# Model,Number or Name ;Description
__.__�... __.._._._....._._._.................__..r ..........___...-._..._..____-...._........___—.__m_........__ ._ ........._..._ __.....____..._..__. ___._. ....._.._.__ ...._._._ ..._—. _._......._._......__.-..
10160 1 07-09 and 07-10 StormBreaker Plus 300VL 8000 Series,PerfeXion Coastal Grand Estates Coastal Impact Vinyl 3-
Lite End Vent Slider(Retrofit Installation)
Limits of Use
Certification Agency Certificate
i Approved for use In HVHZ:No FL10160 R15 C CAC 07-09 07-20 EV Impart 113x63 R P(- aual.od(
Approved for use outside HVHZ:Yes FL10160 RIS C CAC 07-09 07-70 EV Impact 113x63 R PG50 OV,p�
Impact Resistant:Yes FL10160 R15 C CAC ACP-05 SIM 07-09-10-20 and 08-09-10-20 frame pdf
Design Pressure:+50/-50 I Quality Assurance Contract Expiration Date
Other:113x63-Missile Impact rating:D 10/10/2021
I Installation Instructions
FLI0160 R15 II IN0586 07-09 07-10 EV 1X;
I FL10160 PIS II IN0587 SP 07-09 07-10 EV 2X pdf
Verified By:American Architectural Manufacturers Association
j Created by Independent Third Party:
r Evaluation Reports
FL10160 R15 AE EvalReport-IN0586.pdf
Created by Independent Third Party Yes
https://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquracBeVCbdMTD%2fjXRAfglwRFEzVyBReVsgkXWAWuOApQ%3d%3d 112
1/14/2019 Florida Building Code Online
0160.2 07-09,07-10 and 07-20 =StormBreaker Plus 300VL,8000 Series,PerfeXion Coastal,Grand Estates Coastal Impact Vin 2-
ii � — �Lite Slider(Retrofit Installation)
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:No i FLI0160 RSS C CAC 07-09 07-20 HS Impact 73x62 R PCSO annealed IL
Approved for use outside HVHZ:Yes FL10160 RSS C CAC ACP-05 SIM 07-09-10-20 and 08-09-10-20 frame.pdf
r Impact Resistant:Yes FL10160 R15 C CAC SIM 07-09 HS Impact 73x62 tem red pus 5. df
Design Pressure:+501-50 Quality Assurance Contract Expiration Date
Other:73x62-Missile Impact rating:D 04/20/2020
Installation Instructions
I FLlat(iU R15 II IN03(iS-R9 07-09 07-10 07-20 SL pdf
p I Verified By:American Architectural Manufacturers Association
Created
! Created by Independent Third Party:
t` .J //' Evaluation Reports
!1 I ll l U 1 FL10160 RSS AE EvalReport-IN0365-R9.pdf
Created by Independent Third Party:Yes
10160.3 - orm rea er us 300VL,8000 Series,Perfexion Coastal,Grand Estates Coastal Impact Vinyl 3-
Lite End Vent Slider(Nailing Fin Installation)
I Limits of Use Certification Agency Certificate
3 I FL10160 R15 C CAC 07- 9 07-20 EV Impact 1 3x63 R P SSU Enu�l.p f
Approved for use in HVHZ:No 9 —f-
j Approved for use outside HVHZ:Yes 1�( I F1,10160 RSS C CAC 07-09 07-20 EV Impact 113x63 R PG50 09j 122&f
Impact Resistant:Yes fi" ��.. F i()en 915 C CAC ACP O5 SIM 07-99.10-20 and 08-09-10-20 frame I}-f
Design Pressure:+50/-50 Quality Assurance Contract Expiration Date
1 Other:113x63-Missile Impact rating:D i 10/10/2021
1\ .Installation Instructions
FL10160 R15 II IN0588 07-20 EV 2X.pdf
Verified By:American Architectural Manufacturers Association
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
101fi0.4 07-20 'StormBreaker Plus 300VL,8000 Series,PerfeXion Coastal,Grand Estates Coastal Impact Vinyl 2-
I Lit.Slider(Nailing Fin Installation)
_.._..._......_......_._— _... _......._. .______._._ ._.._.._.-.___._. ___.._..
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:No FL10160 R15 C CAC 07-09 07-2 H2 S Impact 73x62 R P950 anngaled.pdf
Approved for use outside HVHZ:Yes j FL10160 R15 C CAC 07-20 HS Impact 73x62 R PG50(ext.),pdf
Impact Resistant:Yes I Quality Assurance Contract Expiration Date
Design Pressure:+50/-50 07/27/2019
Installation Instructions
Other:73x62-Missile Impact Rating:D
i FI mien R15 13 IN0520 SP 07-20 SL 2X..pd
Verified By:American Architectural Manufacturers Association
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party
10160 5 42 19 SafePoint Vinyl 2-Lite Slider
Limits of Use I Certification Agency Certificate
Approved for use in HVHZ:No , FL10160 R15 C CAC 42-19 HS impact Annealed R50 60x52(ext.),pdf
Approved for use outside HVHZ:Yes I FL10160 R15 C CAC 42-19 HS Impact Tempered 60x52 R PG50(ext),pdf
Impact Resistant:Yes Quality Assurance Contract Expiration Date
Design Pressure:+50/-50 ! 03/05/2021
Other:60z52-Missile Impact Rating:C Installation Instructions
FL10160 R15 II IN0545-R2 SS 42-19 SL.pdf
Verified By:American Architectural Manufacturers Association
Created by Independent Third Party:
I Evaluation Reports
FL10160 RSS AE EvalReport-IN0545-R2.pdf —
I Created by Independent Third Party:Yes
10160.6 42-19 SafePoint Vinyl 3-Lite End Vent Slider
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:No FL10160 R15 C CAC 42 19 EV Impad Annealed 96x48 R4S(ext.)pdf
{Approved for use outside HVHZ:Yes FI im60 R15 C CAC 42-19 EV Impact Tempered 96948 R45 fex,),pdf
i Impact Resistant:Yes Quality Assurance Contract Expiration Date
Design Pressure:+45/-45 j 01/18/202D
Other:96x48-Missile Impact Rating:C =Installation Instructions
FL10160 PIS 11 IN0546-R2 SS 42-19 EV pdf
I Verified By:American Architectural Manufacturers Association
Created by Independent Third Party:
1 Evaluation Reports
FL10160 Ri5 AE EvalReport-IN0546-R2 pdf
Created by Independent Third Party:Yes
Contact act Us!:2601 Blair Stone Reatl.Tallahass F 3 n 8 0-48]-t8 4
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Under Florida law,email addresses are public records.If you do not want your a-mall address released In response to a public-records request,tla net send electrenlc mall to this entity.instead,contact the office by phone or by traditional mall.If you have
any questions,please contact 850.487.1395.-Pursuant to section 455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address if they have one.The emails provided
may be used for official communication with the licensee.However email addresses are public record.If you do net wish to supply a personal address,please provide the Department with an email address which can be made available to the public.To
determine If you are a Ilcansee under Chapter 455,FS.,please click her,.
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2�
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No.
State of Florida County of St.Lucie
The undersigned hereby gives notice that improvement will be made to certain real property,and in acc)rdance with Chapter 713,Florida Statutes,
the following information is provided in this Notice of Commencement.
Legal Description of Property:(and street address if available):
SPRING HILL BLK 1 LOT 4 102 Springhill Dr. Jensen Beach FL 34957
General description of improvement: Replacement of Impact windows
Owner information or Lessee information if the Lessee contracted for the improvement:
Name
Address 102 Springhi I Drive _
Interest in property: ownP.r
Name and address of fee simple titleholder(if different from Owner listed above):
Contractors Name:Treasure Coast Exteriors LLC
Contractor Address:265 SE St Lucie Blvd, Stuart, FL 34996 Phone Number:772-621-5443
Surety(if applicable,a copy of the payment bond is attached):Amount of bond:$
Name and address: Phone number:
Lender Name: Phone Number:
Lender's address:
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:
Name: Phone Number:
Address:
In addition to himself or herself,Owner designates of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
Phone number of person or entity designated by owner:
Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to the
contractor,but will be 1 year from the date of recording unless a different date is specified)
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 RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of
my knowledg ,and lie
(Signature of Owner r Lessee,or Ow s or Lessee's Authorized Officer/Director/Partner/Manager
(Signatory's Title/Office)
The foreoin instrument was acknowledged before me this day of� 20t(,
By �l as Ubl��i� for �t"1
am f Per o Type of authority(e.g.officer,trustee) Party on behalf of whom instrument was executed
Personally known_Vor produced Identification
LISAEVASQUEZ
(Signature of Notary Public-State o Florida) NotaryPublic-StateofFlorida
(Print,Type,or Stamp Commissioned Name o ar tl€) Commission=GG 147:49 ype of Identification produced
My Comm.Expires jan 27,2022
Bordedtkrough Natloral Notary Assr.
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