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Shutter Permit Application
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: � C ��l � PROPOSEnDrI-td�-IPECr/Va'EME�lT6L�OC,ATf0�1: , Address: . " I to AQ Legal Description � Property Tax ID#:5 0Q— L — bM Lot No.4_ Site Plan Name: iR1 Am �* C J�v J Block No. Project Name: IhR Y py'_'oQ g J Setbacks Front Back: Right Side: Left Side: t5cf4ko- RV DETAtLE�7 DE ~FtIPTFONOFiOFK: AClcl CaNs��trcTto iNFaRl4rt�Tfc�r� , IUona wor to e e orme under t ispermit—c ec a apply: ❑HVAC LJ Gas Tank ❑Gas Piping _Shutters Q Windows/Doors 0 Electric F] Plumbing Sprinklers El Generator Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft.of First Floor: I Y- Cost of Construction:$ ,�i r t t Utilities: _Sewer D Septic Building Height: RK 0,1Nt E t/L�SSE CONTRACT.O'R: Name �6 Name: Michael O'Donnell Address: �(c�tp eVR4rlCS l PVC Company: O'Donnell Impact Windows a�_y L� ^y x,� q State: rl Address: 1740 NW Federal Hwy Zip Code:5?�` — Fax: City: Stuart State.FL Phone No. 7� �� Zip Code: 34994 Fax: E-Mail: Phone No. 772-408-0200 Fill in fee simple Title Holder on next page(if different E-Mail: odonnellpermitting@gmail.com from the Owner listed above) State or County License: CRC1331273 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATIO DESIGNER/ENGINEER: _Not Applicable M GAGE COMPANY: _Not App " le Name: Name:Mi hael ODonned Address: Address: City: St City: Stuart State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER _Not Applicable BONDING COMPAN Not Applicable Name: Name: Address:1740 NW Federal ry Address: City: City: Zip: Phone: Zip: Phone: O R/CONTRACTOR AFFIDVIT:Application is hereby m 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/License Holder STATE OF FLORIDA �� tawFLORIDA COUNTY OF (�� COUNTY OF The f7rtokin-g instr nt was acknowledged before me The f ing i st n as nowledge efore me this day of�; ir�;. 20_ by this_��(�d\ay of 20by Name of person ing statement Name of person sing statement Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced A)4f o 0 (Signatur f Notary PuHic�•S (Signatuire of Notary' �Public State of Florida..}__. ,aa�,/y WYNN ALLEN (UJ y�i �>°• !� WYNN ALLEN Commission No. " fJ'P'PS<rY Poai(6eate o}Florida Commission No. � •�Y ',` `�_(�detary -StatJ201 ommisston#FF 923070 �•= Commission#F %o±+� �e?c` My Comm.Expires S , '•' �A' My Comm.Expires S as Sep 30,2019ov .. —; REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 4OSEPH E.SMITH,CLERK OF THE CIRCUIT COURT AFTER REC0RDr,tc-RECu'lit To: SAINT LUCIE COUNTY FILE9 453869103/06/201909:03.23 AM OR BOOK 4240 PAGE 100E-100B Doc Type:NC RECORDING: $10.00 !NOTICE Or CO-YUVIENCEI➢I'N T The undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with Cbaptar 7!3, Florida Statutes,the following information is provided in this Notice of Commenwmen[.�3�'1� — 76D_cc% v- — L DESCRIPTIONOFPROPERTY(Lee ldariotio¢ofd;e prapecty°,astrce[adticss,ifavailab!e)T:IC FOLt0 N0.: SUBDIVISION(tQ it C BLOCK-TRACT_ LOT —E 1 BL)G UNRT_ �V1 1 q P 0 it 2. CENERALDESCRIPTUDN OF LY(PR i. O4ti ERINFOtLYN£,a[{T1�0:'IOALESSE° , OR,4,ti`tONIFF T(=,LESS<E CON �T•v�CI-/A�/CT�L➢50A't(/��c,{LY�IPROYZ�YI�EtY^2_�":L'Ip� a.Nameandaddress: 1 \l�' N1,UV i)\imQ 0 / oU vd��LL-Yi a.interns:in o:opcty c.Name and add:as of fee sicp!c oi;lehofdc(ifc Ee;rn:&ntr.O.nc lined aboro). n. a.CONTRACTOR'S NAME: O'DorneQ Impact Windows&Storm Protection Conractor's addcsc 6402 SE Federal Hwy,Stuart FL 34997 b.Phone number 772-403-0200 5. STRETY(ifapp!icabte,ampyafttiepaymeatbcadisanched): x Name and address a Phone nusba: c.Anount of bend S 6.a.LENDER'S NAM: Leadcr'¢address: b.Phone numbee 7. Persons within the State of Florida desig_rand by Omer upon whom no' or other documents may be served as provided by Section 7 L 3.B(1)(a)7.,Florida Statutes: a.Name and add:css: b.Pbonc mcy,cs aideigue-d ocnoco: S.a.In addition to himself ,or henelf,Owaar designates of to receive a copy of the Uartar's Notice as provided in Section 71113(1)(b),Florida Statutes. b.Phone numbex ofptrsoe u-vjb,duct,,aed by Own¢ 9. Expiration date of notice of commencement(the expiration date will be 1 year from the dare of recording unless a different date is specified): 20 WARNNG TO OWNER: ANY PAYMENTS MADE BY T RE OWNER AFTER TF E EXPIRATION Or TFIE NOTICE OF COtvM7ENCENrENT ARE COINSIDERED IN@ROPER PAY',�IFrrS UNDER CR- TER 7l3 P M1RT L SECTION 713 13 FLORIDA STATUTES AND CAN RESULT IN YO(1R PAYING VICE FOR➢�0'ROVFvjEN-,S TO'YOUR P OPERTY. ANOTICE OP COVGv['et,CEMENT NNST BE RECORDED AND POSTED ON THE 308 SITE BEFORE THE FIRST INSPECTION IF YOU IN-['EYD TO OBTAIN FINANCING CONSULT WRFi YO,Uy�/R LENDER OR AN ATTORNE BEFORE CONWIENCPi IG F/ORiC OR RECORDING YOUR NOTICE OF COMMENCH�MNT, N.t`.' /y`' �.1ai1.l A!z-e .s. Clan P I.A 2�'(S (Signature of wnc or Lessee,o wner's or Lessee's -(Print Name and Provide Signatory's Titwoffice) Authorized feicer/Director!ParmerManager) State Of "(3 c"a o u s® County of The foregoing instrument was aclmowtedged before me this i G day of ` C� 20 byy�AL.1r..F\-, '; •'�v,s'1.�73SaS ¢� ,asi/4�. (name of person) (type of authority..,.e.g.officer,trustee,anamey in fact) for (name of party on behaSf:vhom instrument was executed) Personally Known_or Produced Identification_ Type of Identification Produced y, Rich Derrig ? r= Commission#GG142764 Expires:September 13,202t rS tampCo of Notary ar p p (ftin4 Type,or Stamp Commissioned Name of;, o attic) Bonded thru Aamn Notary Rev.10-15-12 ae w . . . a . w + o lO . V . . A w N 7- Z Z Z D D D D D D Z Z Z Z Z D Z Z Z D D D D o § o § S o D D D D D o D D D O. a a a a as a �... m m m m m m m x x x x x x h N N � W N O O O Zm A N W O V fT O ,to 00 7 J O O �1 Vt A W N j O Humphreys, Rich and Marie 33 SNanFL3i99t SWa2FL3g9p 7666 Greenbrier Circle a y Impact Windows& a°ad a� ° n 610-724-9824 co e_cec, �3 Port St Lucie, FL 34986 Storm Protection - w y R a H A 'H m �, m 'c �_ 'o_ a mom, G` CO F E N s E O E £ O F r O y m y L Aq r 00.o m C9 m (p V.c m CD V'� m .�'-. <D o'_a �+• ; 2 W '!1'I W ✓� T Vl T N F�1• Q ..�. O FI• C � O s Y�1• � � �'. �M A L.� n n n a g N N N N N CC, y _ O r ^ O) ~ J w y -4 m L W is c - m u rn io v m m W tti _ N S- ol d) (Ji _ A A O O �• 6 N m= ma an d m m G 1�• O iz G C7 C7 C7 C7 O G C? 1-7 �.y. F+ � c� v, vrt, � = O O p) O 0) O O)m O O a',g CO co do co W no to CO v o N N ti ti ?� U N ti G N by C t o !C Wm Ww t; m m R a CO mm fD a A A S A A a A A�= �P A A Z �G m CD S 764 W00 _ ti Ot ITI W N N E { W N �N C W ? C W (D N a a 0 � � O h^� W i O ier• CL mz � � � � N r N io � ✓ G G G G c G A+ O V q m � m ms si h 'G O r is rn A A A A ^ � CO w :- m m = m w f7 a o am 8/15I2018 Florida Building Code Online BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats&Facts Publications Contact Us E b I Product Approval ` USER: Public User , Product Approval Menu > Product or Application Search >Application List> Application Detail i x FL185O-Rll Application Type Revision Code Version 2017 Application Status Approved Comments Archived Product Manufacturer American Shutter Systems Association, Inc. Address/Phone/Email 4268 Westroads Drive West Palm Beach, FL 33407 (561) 209-8263 bfeeley@easternmetal.com Authorized Signature Bill Feeley 1rodriguez@easternmetal.com Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Shutters Subcategory Accordion Compliance Method Evaluation Report from a Florida Registered Archil Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed the Walter A. Tillit, Jr., P.E. Evaluation Report Florida License PE-44167 Quality Assurance Entity National Accreditation and Management Institute Quality Assurance Contract Expiration Date 12/31/2018 Validated By John Henry Kampmann Jr. v Validation Checklist - Hardcopy Received Certificate of Independence FL185O R11 COI AMERICAN SHUTTER SYSTEMS CERTIFICATE OF INDEPENDENCE PDF Referenced Standard and Year(of Standard) Standard ASTM E1886 ASTM E1996 ASTM E330 https:lhloridabuilding.org/pr/pr_app_dtt.aspx?param=wGEVXQwtDgs9%2f%2ftCOhpJQoeiShOCDrfdDsZb2inLQgznMcxp%2b7HAWw°/3d%3d 113 8/15/2018 Florida Building Code Online TAS 201, 202, 203 Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 10/03/2017 Date Validated 10/13/2017 Date Pending FBC Approval 10/17/2017 Date Approved 12/12/2017 Summary of Products_ FL# _ _ Model, Number or Name Description 1850.1 Bertha HV Accordion -Blade 3 (HVHZ) Extruded aluminum blades folded toge Drawing# 17-103 retained by tracks to provide hurricane Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL1850 R11 II AMERICAN SHUTTER Approved for use outside HVHZ: Yes DRAWING 17-103 BERTHA HV ACCOI Impact Resistant: Yes Verified By: American Test Lab of Sou Design Pressure: N/A Created by Independent Third Party: Other: Large Missile Level "D". Max span is 12'-7" for 35 psf Evaluation Reports positive ASD load and 13'-0" for 35 psf negative ASD load for one FL1850 RIJ AE AMERICAN SHUTTEf specific condition shown in span tables. See additional loads and DRAWING 17-103 PRODUCT EVALUA spans on engineered drawings. —_— — Created by Independent Third Party_ T- __ ____ 1850.2 Bertha HV Accordion Shutter (Combo) Extruded aluminum interlocking blade: HVHZ - Drawing#17-102 and bottom) for storm protection (Limits of Use 'Installation Instructions Approved for use in HVHZ: Yes FL1850 R11 II AMERICAN SHUTTER Approved for use outside HVHZ: Yes 17-102 BERTHA HV ACCORDION SHU Impact Resistant: Yes Verified By: American Test Lab of Sou Design Pressure: N/A Created by Independent Third Party: Other: Large Missile Level'D". Max. span is 13'-2" for 30 psf Evaluation Reports positive ASD load w/o window blade, 16-0" for 30 psf negative FL1850 R11 AE AMERICAN SHUTTE( (ASD load for HVI blade w/o window blade for conditions indicated ,DRAWING 17-1D2 PRODUCT EVALUA' on schedule #1, sheet 12. And 12'-3" for 30 psf positive ASD load Created by Independent Third Party: w/o window blade and 15'-5 for 30 psf negative ASD load for HV2 blade w/o window blade. See sheets number 12, 25, 28 and 28A of installation drawings for other spans and pressures. 1850.3 Bertha HV Accordion Shutter- Blade 1 Extruded aluminum interlocking blade: �— Only (HVHZ) - Drwg# 17-122 and bottom) for storm protection Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL1850 R11 II AMERICAN SHUTTER Approved for use outside HVHZ: Yes DRAWING 17-122 BERTHA HV ACCOI Impact Resistant: Yes Verified By: American Test Lab of Sou Design Pressure: N/A Created by Independent Third Party: Other: Large missile level "D". Max. span is 16'-0"and 14'-9"for Evaluation Reports 30 psf ASD negative load depending on centermates and locking FLI850 R11 AE AMERICAN SHUTTE( rod configuration for the HV1 blade, 8'-0"for +64, -72 psf load for DRAWING 17-122 PRODUCT EVALUA HV blade for Keystone mountings T-0"for+75, -75 psf for metals Created by Independent Third Party: stud mountings and 8'-0"for 110 psf, for HV1 and HVSA working in unison. See sheets 7, 11, 20 and 19 respectively of installation Ldrawings for other spans and pressures. https://floridabuilding.orgipripr_app_dti.aspx?param=wGEVXQWtDqs9%2f%2ftCOhpJQceIShOCDrfdDsZb2inLQgznMc p%2b7HAWw%3d%3d 2/3 8115/2018 Florida Building Code Online Contact Us :: 2601 Blair Stone Road,Tallahassee FL 32399 Phone: 850-487-1824 The State of Florida is an AA/EEO employer.QpyLight 2007-2013 State of Florida. :: pnvacv Statement :: Accessibi[ity_S Under Florida law,email addresses are public records.If you do not want your e-mail address released in response to a pub electronic mail to this entity.Instead,contact the office by phone or by traditional mail. If you have any questions, please cor Section 455.275(i),Florida Statutes,effective October 1, 2012, licensees licensed under Chapter 455,F.S. must provide the I if they have one.The emails provided may be used for official communication with the licensee. However email addresses are to supply a personal address, please provide the Department with an email address which can be made available to the pL licensee under Chapter 455, F.S., please click hgM_. Product Approval Accepts: MKIWEIM Credit Card Sate https://flo6dabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgs9%2f%2ftCOhpJQOe]ShOCDrfdDsZb2inLQgznMcxp°/2b7HAWw°/3d%3d 3/3 sTo• lF t+ b �g�eir �l �} ep'p U�` N qQ F3 gyp �'f. F 4 e �'$ � ao � `si.4° M}% �4 'n E ly G s� � mob 'p5� 'o� zn✓ti F4y 69�F9O 7r9 's $� � '� 5. ✓' �m Q¢ F� � Si L.^ .�. 'r';3 Yy��, � a '+F �i k5 Rmoj �` e x R 15 sl a •off.._ �✓ :� � r� �� = �g ° ;s � � �}��a � � �;g� �� �' R �''`�''✓�9.... .. �v'���,`` o `-"m n'�' 2 �xi " � °d o x � `�y ps'' � � 'y z� v �ka4 i V r'1 a q b' `ter 6£ �1 9g 2 N � "pv^%NfidA� aq $a �yp fasy�+ sN N C 2 0 M FT CM Low � .{m.. o( � Ir. 4 E 5-P � P m �ya mo AiF. --.... • .,bCrred a 3 �u) Ool -L4 06A frI 06�. 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