HomeMy WebLinkAbout20200507_085532OFFICE USE ONLY:
DATE FILED:
REVISION FEE:
LOCATION/SITE
ADDRESS:
PERMIT #
RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982.5652
(772) 462-1553
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
DETAILED DESCRIPTION OF PROJECT
REVISIONS: n
CONTRACTOR INFORMATION:
STATE of FL REG./CE
T. #: G
BUSINESS NAME:
QUALIFIERS NAME:
_ `
ADDRESS:
CITY:
e &f STATE:
PHONE (DAYTIME):
3 aLj a=�-O 0:7 (a
r
OWNER/BUILDER INFORMATION:
NAME: o
!- main
ADDRESS: aMq
F.
m Line &e
CITY:
STATE:
PHONE (DAYTIME:
1-19,- r) j q- z4 � 64
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY: STATE:
PHONE (DAYTIME):
SLCCC: 9/23/09
Revised' 06/30/17
ST. LUCIE CO CERT. #:
ZIP:
FAX.
IRM
ZIP:
FAX:
BUILDING & CODE REGULATION DIVISION
J 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982
L L 1�,. , °`� - —1 772-462-iSS3
FAX 772-462-1578
AUTHORIZATION FORM FOR CREDIT CARD PAYMENT
TO: St Lucie County
RE:
Permit # cl CE '.4 _�13
Credit Card Users: 1,5016 Surcharge added per transaction.
Payments must be received in this department by 4:00 PM for transaction to be
processed that day, if not it will be processed the following business day.
VISA
MASTERCARD
Credit Card Number q 6 3q-26CL` 5-7-2 % � a
Expiration Date /� / �2c2 Zip Code C.
3 digit security code `75
Amount $ `7 rj(—j + 1.5% surcharge
Business Narr
Authorized Si,
Print Name:
Phone: (-77 ) - 2 121
Fax:
Comments:
SLCPDSD Revised 4/01/2010 EN
Florida B(midutq (;(xie ON,rr
w
- mzerr.«►
4., -._. r r,p T^ ,s_•rZnasL•yiio^ 4�t %C:] �:fl. .yn3, I1'7r ,MH kt4rr5 e;t a .--� .. . e. •.
x Product Approval
ps-
Fl.1654, R24
Revision
2017
Approved
. .-;c' M �r:uta•: .:veer
-... •�evtr-y i
.. •3i i;rprr Sf rt at h'P.
a�
POLYfRASS USA
1111 W Newport Cent et Drive
Deerf_ed Beach, FL 33442
(954) 233-1330 Ext 242
malpert"Dpolyglass corn
Maury Alpert
ma ipert ftoygla ss. co -
Maury
omMaury Alpert
II II W Newport Center Drive
Deerf;eid Beach, FL 3344)
(912) 429 8610
MAipertO poygla ss. c om
Roofing
Modified &tumen R.aof System
Evaluation Report from a Flnrda Regstered Architect ;r a L.rpnsed E orCa
Professional Engineer
Fvauation Report - Hardcopy Received
:{.r_trr or Arch,ter-t Name who developed the Robert N+eminen
eo+et
PE- 59166
EntIv Ut. LLC
A. ,rar,ca.lcntrart Frpnat" Date 09/13/2021
„ai •;,{t¢.e, gv John W. Mnezevich, PE
Validation Checkirst - Hardcopy Received
f:c t fIr4Ppene.erre FLIU4 P,2 .S.4L.I.tl14_ 1_ 91.N1,F.VNEt'i.R1
Refe nee," gtardart aru„ Year fief Standard'StAndard
Y4ilf
ASTM 06162
2008
ASTM D6163
2008
ASTM D6164
2011
ASTM D6222
2011
ASTM D6509
2009
FM 4470
2012
FM 4474
2011
111. I897
2012
:, iF.;rr nr AndtK' .�°.dr'.dard5
r.r, •.�..n •Fe C -1P
^twzr" rr!alo'41 r; orVor'pr hop df" asppMarrr-'+AGFV,<(,M3q,.qqu2W/2bnFgUPv2luW~/.?(JTtiNgc,IHGgIZFglMq1A%3d'i63d t'
E
11/21/2019
Product Approval Method
Florida Building Crydo r1rNlrwf
Method I Option D
Date Submitted 04/12/2019
Date Validated 04/14/2019
Date Pending FBC Approval 04/19/2019
Date Approved 06/18/2019
Date Revised 08/12/2019
Summary of Products
FL As Model, Number or Name Description
1654.1 Polvgiass SBS and APP Modified SNS and APP rmd,ftnd t+v^r
&lumen Roof Systems
Lim its of Use
Approved for use in HVHZ:
Approved for use outside HVHZ: F'es
Impact Resistant: ',.A
Design Pressure: -`,,,A/-622.5
Other. 1.) The design pressure in this application relates to
one particular assembly over concrete deck. Refer to the ER
Appendix for other systems and deck types. 2.) Refer to ER,
Section 5 for other Units of Use.
Installation Instructions
1:L1654 R24 11.
921P.0f
Verified By: Robert N enanen PE' 59156
Created by Independent Third Party les
Evaluation Reports
FL1654 R24 Ar--2219_44_EL'jA-'? PC vr_4S5
3L.2ilfff
Created by Independent Third Party Yes
Contact Us : 2.601 Blair Stone Road - a as see FL 32793 ^may
The State c s'o^da is an AA;FEO employer QU) qht 20D7LZ0t3
_5,2_,Z , _^:e Dnvaty S:a'_-_. .. ... . _ a•` %:a]"'
Under FlOnds '31 "a 1 addresses are public records. IF you do not w^! 7'. address release^. _ —�'t TL..e1'
e'e CromC ma--' to tms entity. Instead, contact the office by phone or by trar'. ' -! mn1 If you have an, -. .. ^ .a -•I
5ec!.cn 455 275(l), Flondit Statusq�s gffe Cave October 1, 2012, linen sees 1 --1 under Chapter 455, F 5
!they have one The emal!s provldkkt maybe used for official communist— .a'•• the licensee. 110v ,,e• e^ _
S'dp Cif a Pena"' address, please Prov%de the Department Wm an eman address YJfld1 On be made ava: al, . ' . c-: a _
under Chapter 455, FS, please dick till-.
ProduettA�ro
ppav )N Atupta:
pir I IRM
Credit Card
Safe
htfpsMwNftoridabui?dng org/pr/pr_app_dd aspx?parmFwGEVXQwtDqsgg112WI.2bnFgUPV2pvkpKxAh9%2fJTGNgcLHGg1ZFgIMgIA%3d%3d Z2
a
ti
Lij
CJ
t s!
1 U3
u
O > i S1
s - p n: 0 w O U C 1
�"^ •I •O U a m w
O�'� C° 0 K �� GI
�m m a m la
5, d c r
O. c G
C G _ U ._.t
o a A � t v..
mo a m
G+ O r
v _
C—
L
10 0
r
Ce t G t Z L L L t= L 7 t L 2! d `2 Z 'L
> d
o c o
tit 's:
° 0 0
.� � •r c rr - a r � � � '
'i v t i r < •� v r rt a K oC y
O O > >
co S�
v v
la v,a:a
' f
4 r.
1:
O
M
In
ry
I%.
V
O
W
Z
•L 7 L
C
c
E
c
a
L
G g
t Ln
c
0
� m
C O
R
E
d 3
« b
C M
a zi
d
O �
c c
e E d
� � U
X � Q
d
.$
R
N
i o v
u v
2 d a
a d
D o ay
d O
N (�
6 r
C d
3 `0 0 0
r
V exp y O
CL V C N
O N
d u C C u b C
E d r r d u
L C C c O
N ti r
C C ,may C b
v a g c v
O C
.d d
d v d c o
c a o L
Q0 0 0 o N L d
> > > > > o
,u c c c c V C c
V
^
Cc, z d o f
c -' o
0
Ci
L K V
L = Q ti U y C
3 E N N d d
f °
01
Gm ° a
1 n a O m A d E
n 4 -�
C! G 2 C M E O
E Emu r
> > v c 3
.� E c 0 c a
r
S'.1L JO'�22
�AAAAAAAAlA
Zl
.r m
Ed u c R .o E C L
a « mo %v u -
LL p E 3
x d do E c y c
R « ; � o c
e`. E
4 CCI, u d E G . « 7
m C N>
r
a`
E c C c a z-
° E L
G u
d A E d o o
d z ^ a
u Q ry Cc -01 L L
a R E d c
N n R O
R N U
R y
E «' mC EL v = m �
G q d .°. Cc Y O C
E N C
E Q o c
W V d _A
£ E m o 2
C UE O G C c
u N d c R ,..
a
o v ap as
nm o
� m
p E E d > Ou R
v =
6«
d
Etr .r Na E=
all ar
R d 3 n a dy ,o
y d R �.• a C C d w
O L a d
-ti
M` R 4 R C R C
n T E
H C d 70, to w yy d Y op 8 d n d
D
W < d q x b C
r
op M ✓
O« r y v u � y ud c
« « « .r. .r.. Up e+ d C - a O
N s L t L t C r L n '- d N O C C A tlp
u p$ c c c c E mo s E c. d c R c
c
A «rw x
Y« �000coo.•� a c � c a t o �,iv
c c c c c c c E'R a 2, 4 ° t
Eig E o'Vn E
cE E E n a b N d< m e 3
r a w w E D R $ c
E: nananan p a
N nr, M G N L
am n R
d c
a c r- o
g�' >aaaaavu x m o rd.. a 'S o
g p p p p p p o v a
wcy�° ° wm n
c
�+z q " c do c Gt
YLd o^ .., V") c
C Q (� d .R. G d
A n i 1 A E ao N d rd
H N o d a u x : c
z> o n R R R a c `o
d3 RL d v e_oTc c E >� p`+ u dQ
m e ° v r u A N a n d E o q a d
° E 7; E nd E
0 c Qp, Q i a y d c h R E c R '^ a
d q a ___ T c o q° d E c« a
c D E `SSSS R E R o d C- c m
O > - o C
c 2 E° n m m m m mc o ° v a o c
aE 0000° c a rQ a Rr^^
d E v�^�SSSS V", p un' 00a E- c> o
—_ c c
n D d ✓� ut Vt d! c R C! p n Y d O
cp'D0 'o. 'ca C z c r
Y C G C C L > R h a
E E o
p0 wo
R C h C n
C r9 c c 0000 '>. E
L $ d d(D(DWL< Cl aa R�? yc� ti E c Ea 6
0000�Lld a+",� d E 'x NN
c A 4 w E 9 d N¢
c dd ° v o
pa m
°uarn ° ° P¢
O ^ M
f - m
c
c
a
ti
s
`
-
a
o
i
�
�
S
n
i
11
a
n
O
a
s
-
Ij
11
O
a
JJ
t
t
=
l7
Q
a
cc
X
x
G � Q
�
d
a
_ CL
_
o a
6
ZL
a
2
rc i
? t •;'
2
�
J
_
� I
b
76
c
I
'
L
Q t
G
G
• to
m m
Ij
U
0
W
Z
r4 rn N
NW
c 0 � o
Ln, m
l0 N
J Q m
c-1
N c X
� o
00 o aa, o.
N
a-
< Q
O
N
C)
0
CL
w
O
O
O
0
o
o
a
v
cD
o
N
ti
a'
a
a
a
E
m Q
m Q
m Q
FT
c
E
E
O
1-
v F7
v
a
v Q
v Q
v Q
a
a
Q
m
U
H
N
Q FQ-
Q FQ�-
Q F
O
6
Q
ll
Q
Q Q
QN
m
N
co
N
N
ll
Q
u -
F7
a
Q
Q H
lQi,
N
N
a
H
a
O
2
L
VIV1
m
4.
d
a
V1
ma
V1
ma
N
ma
L
j
Q
i
j
Z
Q
j
vmia
v,
m
v,
m
in
m
>a
u
a
v
ar
a
v
c
d
L
ma
mF-
L
i
m
N
d
m�
d
N a.
z
Q
C
Qo Q
Q Q
Q Q
d
adC..
d
d
d
•
o
z
O
'1
o
z
o
z
o
z
a tQ
m H
d a
m H
d Q
m �-.
a
Q
a
•
o
a
0
o
0
v
j
v
o
j o
u 0
0 0
0
0
n
o
o
a
o 0
L
L
o o
L
u v
C
u
c
c
a
C
'-
a
•
U d
c U
_ '0
C
O
.�
V c
c u
._
U C
C d
S U
U C
C U
._
'- G
N
c -I
'- c
N d
c -I U
'- c
N u,
N
C
O
+.
C
N d
H U
C
O
+..
to d
C3
10
tD
to -O
'O -o
-O -0
-O 'a
-a
-O -O
c oa
c
c
C
�o d
d
d
d
•
to
bo
V
•
L 'O
U d
O
L
V 'O
L
u _O
L
V 'O
U
C
U
C 'p
U
C -p
O1
01
C 'O
Ql
Ol
a
E fUo
H
C d
C d
C U
V� u
v u
U
`�
a U
E
E a
E
E?
E>>
T>>
E>
E
•
•
N Q
d
u
E
to 7
Q
U d
a1
LT
U d
n1 7
Q
lJ d
>
U 6
p d
V Q
p d
V 6
o d
E
U 6
o d
[`
M
-13
LL
L
L
N
L
U a,
�.
L V
V
L Vl
U
L
U
U N
c
U N
c
'-
U
U N
C
c d
b x
C d
' G
c d-7
-7
o
o
3
o
N 3
c
O
L{
ac
d 0
Y
J
O
NOO
N
.6 N O
aTi d o
H
al
H
N
rl
ad+
0 0 u
d
m
j
O_ Ya,
n
p O v
?
o p
Z
d
o
~
U`
o 3
m 3
oo
" o t
lod
c a
�,
a, O L
c� �_
,Lif
d
c
o_ -c 3
ad-.
a,
A�
c9 0
l7 0
aa,
y , ns
c_ -0 3
v
a v 3
v
N
aj
a
Yom.,
n
o
O i
o y
v o
a)
ao Y
O
Y Y
o
C
C C O
H
O
O N
j N
3
c C
to
c C
t3
LU
4Y
N f0 (V
a
Vyf
spa to
pa to
s+ C
V N —
,
i c fa
a
c f0
a
•
c o_
o c
c°
v
z
N
d d
%v
Q
a c
O
O
Lu
'a
.O
a
a p
a
O_ ai
o_ ai
B
LL j la
y,
3
O c
o
-a O a
cc
_O o p.
m_
o Y M
O
IL
a
of
3
LL 3 �
vI
3
N d o
a'
v
O
a
c —
c
N
N
O X
O
m
N v
U d y
v
a a
N d a
N N d a,
v
a
H
�j H
a, �S
"�
N
"� O
d
1
N U` �
to d
N � �
an d
x O
N N d
�
Q,
Y d
w
N
N `�
v
6
00
# c
.ti
O
.ti
LL .. F
A `o
=
_
O
O
co
•
N Y
7
=
O v
U o
r. YO
(.7 o
..+ o0y0d
(7
O
m p w
u
3 ro p w
u
HdL o
3
��
O 3m
O 3m
Oo#x
O
a.L o
3
HdL o
3
G 3
G 3
C
E
O
O
O
O
$ E
E
E
d
d
d U 00
d
d
°
v a
o
s
0
a'°
o how d d
_n
o
M
a
v u
a
v v
a
d
L
N
N
> fD (a
w m
VYI
1p
V1
f°
1.
o
L
F
ro
Q O.
w
w
ns
a c LL ,� n
w
w
D c,
A v
N N
N N G1 N j
j
>
6
R
a
m
vN
N
O O
O O
m
O O Y LL
O O
O O
O
_
,
ro ra
p
= _ io fO �v E Q
= ro
10 M,
T
p
LL _
a
to
o
Q
N
U> OS
N M
N M
M
o� 3
a`
7 o
�o� 3
O
�� 3
o
N
W O"
WC U.
-O 'O
U
Y C E
\a
F
_C
N c E sd+
ad+ C E ad -i
o`�
o
'� o
p
`~ O
o
m oD O
W O
d 7 an d?
c>
C T
w
C>
C T
d Vi an d
LL m d
Q O O Q
a
a
a
i
a
a
o.
Q O O Q
Q o 0 Q
E
N
ci
z
3
3
3
3
3
S
3
r4 rn N
NW
c 0 � o
Ln, m
l0 N
J Q m
c-1
N c X
� o
00 o aa, o.
N
a-
< Q
O
N
C)
0
CL