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HomeMy WebLinkAboutWidmayer DocumentsAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 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 PERMIT TYPE: Door Building Permit Application Commercial Residential X Address: 10701 S Ocean Dr # 650 --- Property Tax ID #: 4511-805-0051-000-4 Lot No. 51 Site Plan Name: Block No. Project Name: Windmayer Change out rear door, no size change - Impact - FL # 16708.2 Additional work to be performed under this permit — check all that apply: Mechanical Gas Tank _ Gas Piping _ Shutters Electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 2,189 Utilities: _ Sewer _ Septic Name Nelson B Stall Address: 10701 S Ocean Dr # 650 City: Jensen Beach State: Zip Code: 34957 Fax: Phone No. 772-359-2132 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: Peter Cafaro Windows/Doors Roof Pitch Building Height: Company: Lowe's Home Center LLC Address: PO Box 781993 City: Orlando State: FL Zip Code: 32878 Fax: Phone No 772-281-8912 E -Mail rebecca@pemritgroupfl.com State or County License CGC1508417 If value of construction is $2500 or more, a RECORDED Notice OT Lommencemeni is requireu. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Name: Name: Address: City: Address: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER:. _ Not Applicable BONDING COMPANY: Name: Name: Address: City: Zip: Phone:_ Address: City: Zip: Phone: Not Applicable State: Not Applicable OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit 10 aU u,e WuR d u, -- 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 applicable Association rules, covenantsrestrictions that restrict prohibit such structure. Please consult withyouHome Owners Asocationandrevew your deed or any whichmay 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 FOP IMPROVEMENT O YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED TH OB SIT BEFO E THE FIRST INSPECTION. IF YOU INTEN TO OBT N ANCING, CONSULT WITH YOU LE tD ORAN ATTO EY BFEFORE RECORDING YOUR NOTIC OM NCEME T." Signature of VDA ractor as g t for Owner STATE OF F COUNTY 0The forgoingnowledged before me this iS day20 � iby Peter A Cafaro 111 Name of persow aking statement. Personally Knx OR Produced Identification Type of Identification Produced Signature ofkFRIDA or/License Holder STATE OF COUNTY The fc,�goin t was cknowledged before me this d da 20 ; d by Peter A Cafaro Name of persbrf making statement. Personally Known x OR Produced Identification Type of Identification Produced 7TRW t I — Iignature c otary Public State of Florida ari M Riccaboni ¢¢Q�'�I� Commission ssion FF(98' )7 xpires 05/28/2020 ZONING SUPERVISOR PLANSR REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED eev. Z17T19— ova"' "',# Notary Public State of Flo' a _ � M Kari Riccaboni (Seal) :. • My ommission FF 981647 '7K�o Expires 05128/2020 VEGETATION I SEA TURTLE I MANGROVE REVIEW REVIEW REVIEW J4WSon (3e, -ch (--L Sk4 q� 7 R-No5 32�a OPAA -(22 ) c e Oil BCIS Home i Log In 1 User Registration Hot Topics ( Submit Surcharge i Stats & Facts i Publications E Contact Us I BCIS Site Map Links ! Search Product Approval r r 0 USER: Public User Product Approval Menu > Product or Application Search > .Application List > Application Detail FL # FL16708-Rll Application Type Code Version CA 7 Application Status roved 5 Comments Archived Product Manufacturer 1. (:�7 W Address/Phone/Email 3Lakeport Blvd Klamath Falls, OR 97601 (800)535-3936 fbcl@jeld-wen.com Authorized Signature Rylee Sumner Fricks fbcl@jeld-wen.com Technical Representative JELD-WEN Corporate Customer Service Address/Phone/Email 3737 Lakeport Blvd. Klamath Falls, OR 97601 (800) 535-3936 customerserviceagents@jeld-wen.com Quality Assurance Representative Address/Phone/Email Category Exterior Doors Subcategory Swinging Exterior Door Assemblies Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed the Hermes F. Norero, P.E. Evaluation Report Florida License PE -73778 Quality Assurance Entity National Accreditation and Management Institute Quality Assurance Contract Expiration Date 12/31/2022 Validated By Locke Bowden P.E. ," Validation Checklist - Hardcopy Received Certificate of Independence Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Sections from the Code •: • • 1 ••� Standard Year TAS 201 1994 TAS 202 1994 TAS 203 1994 Florida Licensed Professional Engineer or Architect FL16708 Rll Eauiv ASTM E84 Equivalency Letter SS 2017-08-31.0f Product Approval Method Method 1 Option D Date Submitted 12/12/2019 Date Validated 12/15/2019 Date Pending FBC Approval 12/17/2019 Date Approved 02/11/2020 Summary of Products FL* Model, Number or Name Description 16708.1 A Design Pro / Smooth Pro / Studio Single (X) Impact Opaque Door 3-0 x 6-8 and 3-0 x 8-0 Fiberglass Inswing and Outswing Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL16708 R11 II 16708.1 SS 2019-10-01.pdf Approved for use outside HVHZ: Yes Verified By: Hermes F. Norero, P.E. 73778 Impact Resistant: Yes Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: FL16708 R11 AE P R4663.2 SS 2019 -10 -01.p -df Created by Independent Third Party: Yes f16708. B Design Pro / Smooth Pro Fiberglass Single (X) Impact Glazed Door 3-0 x 6-8 and 3-0 x 8-0 Inswing and Outswing Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL16708 R11 II 16708.2 SS 2019-10-01.1�f Approved for use ut de HVHZ: Yes Verified By: Hermes F. Norero, P.E. 73778 Impact Resistant•\Yes Created by Independent Third Party: Yes Design Pressure: N7 Evaluation Reports Other: FL16708 R11 AE PER4438.3 SS 2019-12-13.WLf Created by Independent Third Party: Yes 16708.3 C Design Pro / Smooth Pro / Studio Double (XX) Impact Opaque Door 6-0 x 6-8 and 6-0 x 8-0 Fiberglass Inswing and Outswing Limits of Use Installation Instructions FL16708 R11 II D015727 -DP SP OPO IMI HHVZ XO FBC SS Approved for use in HVHZ: Yes 2019-12-12.pdf Approved for use outside HVHZ: Yes i Impact Resistant: Yes Verified By: Hermes F. Norero, P.E. 73778 Design Pressure: N/A Created by Independent Third Party: Yes Other: Evaluation Reports FL16708 R11 AE PER4664.2 SS 2019-10-01.pff Created by Independent Third Party: Yes 16708.4 D Design Pro / Smooth Pro Fiberglass Double (XX) Impact Glazed Door 6-0 x 6-8 and 6-0 x 8-0 Inswing and Outswing Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL16708 R11 II D015705 - DP SP GLZ LMI HVHZ XO FBC SS 2019-12-12.pdf Approved for use outside HVHZ: Yes Impact Resistant: Yes Verified By: Hermes F. Norero, P.E. 73778 Design Pressure: N/A Created by Independent Third Party: Yes Other: Evaluation Reports FL16708 R11 AE PER4440.2 SS 2019-12-13.pdf Created by Independent Third Party: Yes 16708.5E Design Pro / Smooth Pro / Studio Single with sidelite(s) (X,O/ O,X/ 0,X,0) Impact Opaque Door Fiberglass 9-0 x 6-8 and 9-0 x 8-0 Inswing and Outswing Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL16708 R11 II 16708.5 SS 2019-10-01.pjg Approved for use outside HVHZ: Yes Verified By: Hermes F. Norero, P.E. 73778 Impact Resistant: Yes Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports FL16708 R11 AE ER4665.2 SS 2019-10-Ol.pd Other: Created by Independent Third Party: Yes 16708.6 F Design Pro / Smooth Pro Fiberglass Single with sidelite(s) (X,O/ O,X/ O,X,O) Impact Glazed Door 9- 0 x 6-8 and 9-0 x 8-0 Inswing and Outswing Limits of Use Installation Instructions Approved for use in HVHZ: Yes F1 16708 R11 II 16708.6 SS 2019-10-01.pdf Approved for use outside HVHZ: Yes Verified By: Hermes F. Norero, P.E. 73778 Impact Resistant: Yes Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: