HomeMy WebLinkAboutBuilding Permit ApplicationALL 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
PERMIT APPLICATION FOR: Shutter
Commercial Residential xxx
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description: ` y_uer L
Property Tax ID #: t Q J a ono w[ Lot No
Site Plan Name: ny_� �j�]{;Y�� _ _ Block No.
Project Name, -
Setbacks Front Back: Rlght Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF [_TJ FBC-APPROVED ACCORDION SHUTTERS
')CknC
CONSTRUCTION INFORMATION:
Additional wor to e e orme un er
OHVAC Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ _� I ct I _I
OWNER/LESSEE:
Name %'(l'fN\ UJl"iolA(-P d
in is permit- c
❑Gas Piping
Sprinklers
all apply:
�_ Shutters
[]Generator
Sq. Ft. of First Floor -
Utilities: IlSewerSeptic
. I CONTRACTOR
Address: IV I' {G
City: tie- _ State: rZ_
Zip Code: a Fax: —
Phone No.
>A -Mai}: U ► 4%GW1C�.l_�.Gbv�
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: SAMULE ZAZA
QWindows/Doors
Roof Roof pitch
Building Height: 15'
Company: JUST SHUTTER IT INC
Address: 1029 SW S. MACEDO BV
City: PORT ST LUCIE State: EL
Zip Code: 34984 Fax:
Phone No. 772-201-9919
E-Mail: JUSTSHUTTERIT@GMAIL.COM
State or County License: 24293
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRU
DESIGNER/ENGINEER:
Name: _
Address:
City:
Zip:
Phone:
FEE SIMPLE TITLE HOLDER -
Name:
Address:
rity.
Zip: Phone:
ON LIEN. LAW INFORMATION:
Not App
State
of Applicable
MORTGAGE COMPANY: Not Applicable
Name: N
Address:
City: State: _
Zip: Phone:
BONDING COMPANY:
Name: _
Address:
City:_
Zip: —
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
Applicable
St. Lucie County makes no representation that is granting a permit will authorize the permit Molder to build the subject structure
structuis in conflict re. Please consult any
lome Owners Association andrreviewyyour deed for any restriichtaions which may applyhibit such
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
rnmmQneine work or recording your Notice of Commencement.
Agent for Owner
SATE OF FLORIDA
COUNTY OF I tl Ci
The forgoing instrument was ��acknowledgedv�btefore me
this / day of 2i] -phi'
1A, s , .R I /iGl C�Gi
(Name of person
of Notary Public 'State of Florida )
Personally Known � OR Produced Identification
Type of Identification Produced
Commission No J0 (Seal)
AiYSSA AT, BOWSER
N„ oe Expl S January 26, 2023
Revised 07/15/2014-'z-"11a¢1 Bonded TMuBudget NolaryServkces
REVIEWS I FRONT
COUNTER
DATE
COMPLETE
INITIALS
s
Sign re of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged izefore me
this L day of _r 20 i by
(Name of person acknowledging)
{Signatur �Uy Public- State o F orida }
Personally Known��OR Produced Identification
Type of identification Produced �) e�
Commission No. G 0sae i5 A�y�gA A.T. BOWSEi;
�..��
* * Commission # GG 295930
OFF�-o 600dedThruBudgetNotarySarulcea
ZONING REVIEW S REVIEW REVIEW V REVIEW ON S REVIEW MANGROVE
NOTICE OF COMMENCEMENT Permit No. Tax Fodlio No. �,\ Dnr000�
State of Florida County of St. Lucie
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance wit
the following information is provided in this Notice of Commencement
Legal t�aDescriptia of Property: (and street address if available):
VN
General description of improvement: INSTALLATION OF ACCORDION HURRICANE SHL
Owner info mation or Lessee information if the lessee contracted for the improvement:
Name t V
Address L\ l yS'_C� 'C5L7 I._.
Interest in property: AQ IE$ S) -� -
Name and address of fee simple titleholder (if different from Owner listed above):
i
Pr -
Contractor's name: JUST SHUTTER IT INC.
Contractor Address: Phone Number: (772)2ni
Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $ N/A
Name and address: N/A Phone number: N/A
Lender Name: N/A Phone Number: N/A
Lender's address: N/A
Chapter 71.3, Florida Statutes,
0
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided b
713.13(1) (a)7., Florida Statutes:
Name: f
Address:
Phone Number: NIA
In addition to himself or herself, Owner designates N/A of N/A 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. N/A
mo-nmc-
0 cu M cos
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zANnm
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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) —�A a6
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS CINDER CHAPTER 713, PART I, SECTION 713.3.3, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST 13E 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
myO'lcnow[edge and belief.
(Signature of Owner or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager
OWNER(S)
(Signatory's Title/Office)
4 Y p66{�
'p -• . �
ALYSSA A,T. BQWSER
Commission # GG
* z *
295930
°`ate
Expires January 28, 2023
rFar 1
Handed Thru Eudgat Noiey Seivic.7s
The foregoing instrument was acknowledged before me this day of 2(3
} By 1n-r -� � �( � 1 as ojmu�,- _for
1me �PPer� —� Type of authority (e.g. officer, trustee) Party on behalf of whom instrument was executed
YL-� � =1 Y Personally known_ or produced Identification
_ure of Notary Public - State of Florida)
Type, or Stamp Commissioned Name of Notary Public) Type of identification produced „t
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address:
Parcel 1D:
Account #:
Map ID:
Use Type.
Zoning:
City/County:
Ownership
Clinton G Worthley (TR)
7335 Marsh Terrace
Port St Lucie, FL 34986
Legal Description
MARSH LANDING AT THE RESERVE -PHASE ONE- LOT 18 (MAP
33/21N) (OR 1668-1574: 1737-1212)
Current Values
Just/Market Value: $231,900
Assessed Value: $182,766
Exemptions: $55,000
Taxable Value: $127,766
Property taxes are subject to change upon
change of ownership.
• Past taxes are not a reliable projection of future taxes.
• The sale of a property will prompt the removal of all
exemptions, assessment caps, and special classifications.
Taxes for this parcel: SLC Tax Collector's Office ❑
Download TRIM for this parcel: Download PDF ❑
7335 MARSH TER
3321-804-0025-000-4
132744
33/21N
0100
Planned Un
Saint Lucie County
Total Areas
Finished/Under Air (SF): 2,201
Gross Sketched Area (SF): 3,159
Land Size (acres): 0.23
Land Size (SF): 10,087
All information is believed to be correct at this time, but is subject to change and is provided without any warranty.
C Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved.
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Page 1
Florida Building Code Online
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? Propu[t 9r An:N ° "' ,�" > Applicaaen Detail
FL16893 R
FL r
�tior Type
Revision
2017
Code Version
Approved
Application Status
Comments
Archived
National Approved 5hutter Association LLC
product Manufacturer
a717 NW 11.7 Street
Address/Phone/Email
Suite 1
Miami Garden, FL 33018
(786) 6,2 1-6706
peter@a mda lu minum.Com
Peter Loucks
Authorized Signature
peter@amdaluminum.com
Technical Representative
Address/phone/Email
Quality Assurance Representative
AddresslPhone/Email
Shutters
Category
Accordion
Subcategory
-r-�
Evaluation Report from a Florida Registered Architect or a Licensed
Compliance Method
Florida Profp5s":onal Engineer
Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who developed
Pedro De Figueiredo
the Evaluation Report
Pt_52609
Florida License
National Accreditation and Management lnsiitvte
Quality Assurance Entity
22/3112019Jesus
Quality Assurance Contract £xpira#ion Date
Gonzalez, P.E.
aiidated By
-f Validation Checklist - hiarticdpY Received
Certificate of independence
Referenced Standard and Year (of Standard)
Equivalence of product Standards
Certified By
Sections from the Code
Year
stand
ASTM e1886
200
200 5
ASTM E1996
2002
ASTM E330
t994
TAS 201
1994
TAS 202
1994
TAS 203
Florida Licensed ProfesSional Engineer or Architect
htip://www.,floi,idabiii I diiig-org/pr/pl-_app_dti.aspx?param=wGEVXQm,tDgtmmTSTNdVPs... 1 /2/2019
Florida Building Code Online
Product Approval Method
Method 1 Option 0
OZ10812D18
Date Submitted
p216E12018
Data Vdlldated
02/11/2018
Date Pending FBC Approval
on11a12D1a
Date Approved
FL # , Model, Number or Name
16693.1 SUPERNOVA ACCORDION SHUTTER
Limits of Use: 1
Approved for use in HVHZ: Yes l/\`
Approved for use otfts€de HVHZ: Yes
1Cmpact Resistant! Yes
Design Pressure: +160/-160
Other_ PRODUCT TO BE MANUFACTURED. DESIGNED, AND
INSTALLED PER DRAWING SPECIFICATIONS t8-048
Page 2 of 2
Descripti0
AWWIIM1IUM EXTRUDED ALUMINUTI'A CORDION SHUTTER
installation enstruetions
verified By= Pedm de Fegueired P. 52609
Created by Independ 1rd Party: Yes
Created by independent Third Party: Yes
Coot ; 5 Blau Stone Road Tallahassee FI 32399 ohonephone: FsS
The State p' Flonoa in an N.IEED employer. - -- 11 S007-701151ate of FlprMa.:: Fr vaev Stalemenl :: ?«•�` h lv Ss, Icl menS :: F;erund Slatcmcnl
Under Flanda law, ernad addresses are pool's records. If you do All yw e- s ednress released m recpnnse to a nobl"" .1395 to ¢mr65 request. du no send electronic
ve
y questions.
(11.1 to this this Slott lcsn of ectCOnt0c'rre Octabc a orF�cdel2Yj9 eon srld rlKe ns alr+rider Gha Ale 55 ional nj, 1, you aF.Sa�m: sl provldc tnc hapartSe mCrk —h an emad add C 5 if they ehaw one, the
C please p Oc theVbe pe User, for wdlh al C entail atldalrO Withh Me cen'he,nt le e a adattle Id the rid KCTo del oltl're�You are rd. If da I [CnSee under Chapter 45S. F.S� please
chcz here .
Product Approval Accepts:
Cu5—sm4=:_1l_1
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Florida Building Code Online
Page 1 of 2
Business & Professional Regulation
6CIS Home Log In I User Registration j Hot Topics Submit Surcharge ; Stats & Facts Publications
bo
Product Approval
to
USER: Public User
Product Aooraval Menu n Product or Application Search > Application List > Application Detail
FL *
FL15094-R3
Application Type
evisron
Code Version
2017
Application Status
Approved
Comments
Archived
Product Manufacturer Eastern Metal Supply
Address/Phone/Email 4268 Westroads Drive
West Palm Beach, FL 33407
(800) 432-2204
Irodriguez@eastern metal. cam
Authorized Signature Bill Feeley
lrodriguez@easternmetal.com
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Add ress/Phone/Email
Contact Us BCIS Site Map
Links Search
Category Shutters
Subcategory Storm Panels
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
Evaluation Re part - Hardcapy Received
Florida Engineer or Architect Name who developed Walter A. Tillit Jr., P.E.
the Evaluation Report
Florida License PE-4
Quality Assurance Entity nal Accreditation and Manag ent Institute
Quality Assurance Contract Expiration Date 12/31/2020
Validated By John Henry Kampmann J
ValidaC c list - Hardcopy Received
Certificate of Independence FL15094 R3 COI EASTERN METAL SUPPLY, INC. DRAWING 17-088
CERTIFICATE OF INDEPENDENCE. PDF
Referenced Standard and Year (of Standard) Standard
ASTM F 1996
ASTM E 330
ASTM E1886
Equivalence of Product Standards
Certified By
Sections from the Code
Year
2005
2002
2005
http://www.floridabuilding.org/pr/pr app dtl.aspx?pararn wGEVXQwtDquS73Fr2ZyiPjZ... 10/6/2019
Florida Building Cade Online
Page 2 of 2
Product Approval Method
Date Submitted
Date Validated
Date Pending FBC Approval
Date Approved
Summary of Products
Method 1 Option D
09/13/2017
10/14/2017
10/25/2017
12/12/2017
FL #
Model, Number or Name
Description
15094.1
Clear Bertha Storm Panel- 2" -
Corrugated Polycarbonate storm panels retained or not by
Non-HVHZ - Drawing# 17-088
tracks to provide hurricane protection.
Limits of Use
Installation Instructions
Approved for use in HVHZ: No
FL15094 R3 I[ EASTERN MFTAL SUPPLY. INC. DRAWING
17-088 CLEAR BERTHA TORM PANELP F
Approved for use outside HVHZ: Yes
Impact Resistant: Yes
Verified By: American Test Lab of South Florida Inc.
Design Pressure: N/A
Created by Independent Third Party: Yes
Other: Large Missile. Max span is 7'-5" for +60, -60 p.s.f.
Evaluation Reports
ASD. See sheet 3 of installation drawings for other spans and
FL15094 R3 AE EASTERN METAL 5UPPLY INC. DRAWING
17-088 PRODUCT OF EVALUATION REPORT.PDF
pressures.
Created by Independent Third Party: Yes
back Nczt
C9rltacY Us :: 260.1 Blair Stone Road, Tallahassee FL 32399 Phone: 850-467-1824
The State of Florida is an WEED employer. Coovriaht 2007-2613 state of Florida.:: Privacy Statement :: Accessibiiity Statement :: Refund Statement
Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a publiorecards request, do not send electronic
mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. 'Pursuant to Section 455,275
(1), Florlda Statutes, effective October 1, 2012, iicensee5 licensed under Chapter 455, ES. 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 not 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 licensee under Chapter 455, F.S., please
click here .
Praauct Approval Accepts:
® ' � Fig-*a.'he!3
Credit Card
Safe
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