HomeMy WebLinkAboutMartinAIIAPPUCABU INFO MUST BE COMPLETED FOR APPUCATION TO BE ACCEPTED
Date:
Permit Number:
Plonning ond Oevelopment Seryices
Euilding ond Cade Regulation Division
Building Permit Application
23N Virginia Avenue, Fort pierce FL 349g2
Phone: (772) 462-1553 Fax: (772) 482-1578
Commercial_ Residential d
Address:
Project Name:
itu',, , 'l u, Y,
PERMITAPPLICATION FOK n
Kepi c..{(v4 ed e ^{w'1 }.. ,,fRoPosEplMPRom
DETAILED DESCRIPTION OF WORK:fu*"t Enl;,
New Electrical Meter
--
Second Electrical Meter .
Additional work to be performed under this permit - check all that apply:
*Mechanical - Gas Tank - Gas piping
- Shutters X. winaorrr/Doors _ pond
__ Electric _ Plumbing _ Sprinklers _ Generator _ Roof _ pitch
Sq. Ft. of First Floor; _
Utilities: _ Sewer _ Septic Building Height:
Total Sq. Ft ofConstruction:
Cost of Construction: $rs?8,q1
Addressr I' LJ
City:
'Zip code: Z. rlt-lf I Fax: , _
rnoneno. ?)Z-21(:l llu \
E-Mail:_
Flll in lere simple Tltle Holder on next page { if different
from the Owner listed above)
lf *l*"I :lf value of HAVC k s7,soo or more, : RECORDED Notrcc of commencerncot rs requrrcd.
OWNER/LESSEE:
State or County License.
l'i;v e \ 3 Ll-l-.Y\ 0O,lr,1
d r+ fi eht 1 @s."r *r-r \o ({,,'zr
,?,t",) icru)
}i*re G '^l^r,1 Y\-*t v ?*"lYn€'u-t ov1 / ft'',\rn'',
Proper\ Tax lD {
Site Plan Name:
_ i..ltl
Lot No.-.
Elock No.
(ur
{n
SUPPTEM ENTAL CONSTRUCTION LlE N I.AW INFORMATION:
FEE SIMPI"E TITTE HOt^DtR: _ Not Applic"Ut"
Narne:
Address:
Oty:.
owNER/ CO irrRAcro n arnoffi
I c€nily that no work or insta[atiqr has commenced pnr to ttre issuancr of a plnnit.
STATEOT FLORIDAcouNwor
Swom to ftx dfrrned) and subscribcd beforc rne of. . Ptr6ical Presene or_Online t{otarizetion
this _ day of 2020 by
---
Nrme of pcrsoo m.king stitement.
Perrcnally Xnorm _OR produced ldcntifrcnion
Ttpc of ldentific.tion
Produccd_
Cornmisrinn llo.
_ Not
Address;
SXrl l" fr {fimed) :nd subrribcd before me of
Pcrsondly Knoum V On proauea
Typc of ldmtification - -^
ffi
City:
MORIGAGECOMPAT{Y: _notApd.,caUb_-.Name:
Addres
Gtv:
Zio:
EONDII{G COMPANY: _Not AppticableName:_
lddrert
City,
Zip,
-
SEATURru I ueNanovr
REVTEW I REVIEW
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8/115 HprE LOg In l,ier Rrqrit.at6n
, i.i:rlProduct Approvalr' F/usER. Puhr,L u$er
,1ot Iorrcs Slbmit Surf,h.rgr SUtri & Frcti p!bti(J!&d, FBC gtarl Htt:,3r8 Mdp
-, -''-i'AJ)pliorion octrit
/ rL2047o-Rt
Bevisi0n
2017
Approved
)
rL#
Appiiration Iype
Code Ve.sion
Application Stattrs
Comrnents
Ar!:hived
Pr0duLt Manufactorer
Add ress/Phone/Email
Auihori?ed Siglaturc
Technrcal KepreSe,rtative
AddresslPhone/Email
Quality Assurance Representd(ive
ACdress/PhonelErnait
Category
Subcategory
Ccmpiiance Hethod
tt,.
floridd fngtneer or Arcltitect Name yriro developed
the fva,uatron Report
Florida Licenss
Qualrty Assuranc€ Entrty
Qualrty 4saul'anae Codtrdct Expiration Date
validated By
Certifi c.ate of Independ€nce
Reterenced Standard and year {oF Stdndard)
Lyndon F. Schrnidt, p.E.
PE-4340S
Notional Accreditation arld M6r)agemenr lnsiltute
t2/31/2070
Ryan l. Kiftg, P.E.
Val,dation Checklist , Hardcopy lleceivecl
lleor
1995
11)!i,
?0ul
1996
2U04
2000
!995
1997
r994
I
I
i
I
.. Therrna-Tru Corporstlon
118 Industriat onve
Eduerton, OH 43517
(4 19) 298- 1740
rickw@rwttl.lgconsul[anLs.c6r n
Vlvran Wflghf
'. r,ckw@rubldgconsultarlts.(.orr, -/.r/
-tt'/
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,/',, -.
,,/ txterior Doors
,,/ Swrrrgrng Fxterior Door Assembties
Standard
AStM D1929
ASTM D?843
ASTM n635
ASTM D63B
ASTM E13OO
ASTM E84
ASlM G26
ASTM G7
'rA5 201, t02.203
Evaluatf on Aeport tr91n{ftorioa Registered Archi(e(t or a Ltc€naedFlorida Professiqerl-E ngrneer
eoort - Hdrd(o!,y Rcterved
-r.t
fquivdlen{e 0f product Standards
Certified By
Se{trons Fro{}r the Cgde
Produc[ ApprOval Method
Date Submrlted
0.1te Valrdated
l)ate Pendrng FBC Approvat
Florida l..icenred Frofessional Enqrneer or Archrtp(t
Metlrod I option O
|U2A/2A16
0E/18/7017
0B/23i20r 7
Summary of Products
Go to Page (0
Hodel, Number or Name
a. Iherrna-lru Irber-Classic and
Srlr:trth- Sta r
Limits of Use
Approved for use in HVH:i yes
Approved for use outside HVHZ: yes
Impact Resistant: Yes
D€sion Pressure: NIA
Other: See INST 20470.1 for De rgn prcssure Rat ftgs. any
addrtronal u9e lrnlitatiorls, instaliatioal instructiorls ancj
ilrod$ct particulars.
)447A.2 b. Thernrd-Tru Fiber-Classic and
S.Iooth-Staf
Limits ot U6€
Approved for use in HVl.lZ: yrs
Approved for use outside HVHZ: ypE
Impact Resistentr yps
D€rign Pressure: N/A
Other: See lNSl 2O470.? for t)esiqn pressure Ra(il.)gs, ,nyaclditrcnal use lrfllltations, rrlstallatron rnstructions and
PrOduct particulars.
c Tllenra-Tru fi)ber-Classrc and
Smooth-5tar
LimiB of Use
Approved for us* in HVHZ; yes
Approv€d for use ouLsidg HVHZ: yes
Impact ReEirtant: yes
Deslgn Preisure; N/A
Oth€fi 5€e lNSl 20470.J lor Design pressure Ratings, any
addrtr0nal use lirnitations, installation irrstructrnns aniprodufi particulars.
d. Tlternra Tru Ftber-Cl&Ssic dnd
Srno0th-Star
Limits of Use
A,pproved for ure in HVHZi yes
Approved for ui€ outside HVHZ: yes
lmpact Reslstant: yer
Design Pres6ure: N/A
Other: See INST 10470,4 for Design pressure {latirrgs, anyJdditional use linlitatroils, rnslalldtron inst:ructions andprodu[i paiticulars.
e. iherrna-Tru I iber-Classic nnrl
Srnooth-Stdr
Llmits ol Ure
Approved for use in HVHZT ye:i
ApproYed for us€ outside HVHZ: yes
Description
Installation Instructiong
Verlfied By: l..yodon F. Sctlrnrdt, p.E. 4j409
Crsated by lntlependent Third partyr ye$
Evaluation Reports
Crealecl by lndependent fntrd party: yes
lnrtaltation lnstructions
Verilled By: Lyndon F. Sqhr)idf, p.F. 43El)!
Created by )nde,rendent Third party: yes
€valuation Reports
Created fly lndependent Third p.trlyj yes
I nsta I I a tion I n structions
Verifl*d tsy; Lyndon F. Schrnidt, ?.8. 434Og
Created by lndetrcndent Tirrrd ps6t' yua
Evaluation Reports
Crented hy lndepcndent Third pnfty yes
lnstallation Instrurtions
Veritied Ey; Lyndon F. Schrnidt, p.E_ 41409
t9 O naget/zO S
I
\
Nomrnal 6'B "lmpact" Op.que Con)pos,te Edge Fib€rglass
Double floor wrtli or wrlhoilt Srdelrteg (lnswing/Outswtng; XXor OXXO contiquratioris)
No{rinat 8'0 "Inlpact'Opuqru co*ffi r,oq;;;;;;
Elngle Door (lnswing/Outswing; X gonfrguration')
Nomrnal 8'0 "lmpact" Opaque Corlposite Edge ,.iberglass
Sirrgle Door wiilr Sideiite(s) (lnswinq/Otlswrirg; xO,bX or0X(J confi0rjrati0ns)
Nominal 6'8 "Irrpact" Opaque Composite Ldge Fiberqiass
Sil]qle l]oor {lnswing/Outswing; X configuration)
Installatlon Instructions
Verified Uy; l.yrldon F. Schrnidt, i].t:. 4:i409
Createil by Indetrendent fhird party; yes
Evaluataon Reports
Created by lndependent Thircl party: yes
\
N 4,^)
^uyf ,\
FL*
?0470. r
N o rn i n a l 6'6"IliifiEi[r0};q u e
-fm p;s1 re Ed ;; F, be.dk ai ---
5,nglo Door with Srdetite(s) (tnswing/Out5wrirg; X0,bX or
OXO c0nfiquratrons)
204 70.3
2047 A.4
2047A.5