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HomeMy WebLinkAbout4907 PALM DR (JSI)PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 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: SHUTTER Address: Permit Number: Building Permit Application Commercial Residential xxx Property Tax ID #: L'V01 V U ( Lot No. �C Site Plan Name: V ~ Block Na. Project Name: CG`Y( ;,�Al\i C, �1 1� \ �n>v\r, INSTALLATION OF ( Additional work to be performed under this permit— check all that apply: _Mechanical — Gas Tank _ Gas Piping A Shutters _ Windows/Doors Electric _ Plumbing _ Sprinklers — Generator _ Root Pitch Total Sq. Ft of Construction: Cost of Construction: $ I ! Sq. Ft. of First Floor: Utilities: —Sewer —Septic Building Height: Name rlt Address: - G Ct City: ST LUCIE State: ZL— Zip Code: Fax: Phone No. E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name:SAMUEL ZAZA Company. -JUST SHUTTER IT Address:515 NW ENTERPRISE DR City: PORT ST LUCIE State: FL Zip Code. 34986 Fax: r� Phone No772-201-9919 E-Mail JUSTSHUTTERITc@GMAIL.COM State or County License24293 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: Name: Address: City: Zip: Pho FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: xxx Not Applicable State: Not Applicable MORTGAGE COMPANY: Name: Address: City: Zip: Phone: BONDING COMPANY- Name - Address: City: Zip: Phone: Not Applicable State: Not Applicable 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 INT ND TO OBTAIN FINANCING, CONSULT WITH YO LENDER OR AN ATTORNEY BEFORE RECORDING YOUR IYOTKt OF COMMENCEMENT." Signature of Owner/ Lessee/C(o tractor as Agent for Owner Signatu Contr ctor/License STATE OF FLORIDA STATE OF FLORIDA COUNTY OFST Lucie COUNTY OFST LUcie The forgoing instrument was acknowledged before me this � day of 26;:I�.-by SAMUEL ZAZA Name of person making statement. Personally Known xxx Type of Identifica - n Produced - / (Signatlion e of Notary Put Commis No. GG295930 OR Produced Identification REVIEWS � FRONT COUNTER DATE RECEIVED DATE COMPLETED e,W- �d'nda I 6l0,1n n, ovYYa[rt * * ommisslon # GG 295930 Nor a` S�ag1pires January 28, 2023 — FOFF� �9�aedThruBudget Notary Sarkes The forgoing instrui ent was acknowledged before me this day of I 20 a,Y SAMUEL ZAZA Name of person making statement. Personally Known xxx Type of Identificatiop' Produced . / OR Produced Identification Public -State of Florida ) Commission No_GG295930 Q{AaY, sy l� ALYSSAA,T.BOW Commission # GG 2+ N� �� Expires January 28, ZONING SUPERVISOR PLANS I VEGETATION I SIATREV RILE I MREV ROVE REVIEW REVIEW REVIEW REVIEW JOSEPH E. SMITH, CLERK OF THE'CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 4706601 OR BOOK 4418 PAGE 1020, Recorded 05/07/2020 11:36:24 PM DocuSign Envelope ID: 2493014E-7024-4875-BFA1-184601C812E6 NOTICE OF CO1u1MENCEMENT Permit No, I Tax Folio No. 3402-608-0169-000-1 State of Florida Couipty of St. Lucie The undersigned hereby Rives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. Description of Fir(and street address if General description ofimprovemem: INSTALLATION OF ACCORDION SHUTTERS Owner information or lessee information if the Lessee contracted for the improvement; -� Name Address 490 PPALM DR FORT PIERCE FL _-4A Interest in property: 982 Name and address of fee simple titleholder (ff different from Owner fisted above): NIA Contractor's Name: Contractor Address, Phone Number: Surety (if applicable, a copy of the payment bond Is attached): Amount of bond: $ Name and address: `rPhone number: Lender Name: Lender's address: Phone Number: 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: Address: Phone Number: In addition to himself or herself, Owner designates Lienor's Notice as provided in Section 713.13(1) (b), Florida Statutes. o to receive a copy of the Phone number of person orentitYdesignated 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) S PTEMBER 12020 _ WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OFTHE 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 INTENDTO 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 knowledge and belief. ocusigned by: F06";,A" mwa. , (Signature of Owner or ;Signatory's Title/Office) STATE OF FLO QA COUNTY OF Lessee'S Authorized Officer/Director/Partner/Manager The fgrego g instrument wa; acknawled ed before me by means of I1 physical presence 6 24by who is personally known to me or has produced Pu4r,,, ALYSSA A,T, 84WSER * or Commission # GG 285930 Expires January 29,2023 FoF Ftfwl bonded 7hru budget&,,) SeM,COS jrization thisday of (NOTARIALSEAL] PUBLIC, State of Florida Florida Building ode Online Page 1 of 2 .. . Professional Reaulation I BCIS I ome Log In User Registration Hot Topics Submit Surcharge Stats & Facts Publications - Contact Vs BCIS Site Map' LiokS Search d,b,.pr /ZUSER cApproval A 6?l -- a R, �\ c User JProd t A > Product or Applicati n earCh > A rication €_i Y > Application petaii � FL FL16893-R5 App ication Type Revision Cad 2 Version 2017 App !cation Status Approved uct Manufacturer Signature al Representative s/Phone/Ema I l Assurance Representative Method Floric a Engineer or Architect Nam the Evaluation Report Florf a License Quali y Assurance Entity Quali Assurance Contract Expirz Vafid tied By of Independence I Standard and Year (of 5 Equivolence of Product Standards Certiml d By from the Code National Approved Shutter Association LLC 15701 SW 29 St, Suite 100 MIRAMAR, FL 33027 (786) 621-6706 peter@amdaluminum.com Peter Loucks peter@amdaluminum.tom Shutters Accordion Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer -: Evaluation Report - Hardcopy Received o developed Pedro De Figueiredo PE-52609 National Accreditation and Management Institute Date 12/31/2020 Jesus Gonzalez, P.E, Validation Checklist - Hardcopy Received FL16893 R5 COI 1 - 48 1 Cl.ridf idard) Standard Year ASTM E1886 2002 ASTM E1996 2005 ASTM E330 2002 TAS 201 1994 TAS 202 1994 TAS 203 1994 Florida Licensed Professional Engineer or Architect FL16893 R5 Eciuiv ASTM E1996- 3 Eauivalency Letter to ASTM E996- 05.odf http:l/www.floridarlding.org/prlpr app dtl.aspx?param=wGEVXQwtDgtmmTSTNdV... 12/21/2019 Florida Building (ode Online Page 2 of 2 Approval Method Dat Submitted Dat Validated Dat Pending FBC Approval Dat Approved Method 1 Option D l 10/14/2019 10/16/2019 10/20/2019 12/10/2019 FL 0 Model, Number or Name Description 16893,1 SUPERNOVA ACCORDION SHUTTER ALUMINUM TRUDED ALUMINUM ACCORDION OUTTER Li ri flits of Use Instal tion Instructions Alproved for use in iaVNZ: Ye FL1 93 R5 II 18-048 1 DWG. dr A proved for use outside HVH : Yes F 6893 R5 II 18-048 dw df I path Resistant: Yes erihed By: Pedro de Feguelredo PE 57 9 D sign Pressure: +160/-160 Created by Independent Third Party: es Other: PRODUCTTO BE MANUFACTURED, DESIGNED, AND Evaluation Reports IN RLLEC] PER DRAWING SPECIFICATIONS IS-048 fL16&93 R5 AE 18-048 1 P df Created by Independent d Parry: Yes The State of Florida is an AA/EEQ r Horlda law, email addresses are pt to this entity. Instead, contact the o Florida Statutes, effective October 1, 5 provided may be used for official a se provide Lite Department with an ( 8acic Nez[ Intact Us :: 2601 Hiair Scone Road,, Tallahassee FL 32399 Phone: 850-487-1824 jloyer. Couvrinht 2007-2013 State of Florida.:: Privacy Statement :: Acrassibilitv Statement :: Refund Statemen 1 records- If you do not want your e-mail address released in respan9e to a public -records request, do not send electronic r by phone or by traditional mall. Ifyou have any questions, please contact 850,487.1395. -Pursuant to Section 455.275 12, licensees licensed under Chapter 455, F.S. must provide the Department with an ema#1 address if they have one. The pVnimtion with the i1cansee. However email addresses are public retard. If you do not wish to supply a personal address, it address which can be made available to the public. To determine if you are a licensee under Chapter 455, F.S., please click ere . Product Approval Accepts: Tr [—I ® eC1Yck ® .. 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