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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 Commercial Residential PERMIT APPLICATION FOR: L1-KUF .5LD INPROVEMENT Address: %o wA Legal Description: 5 ; Property Tax ID # Site Plan Name: Project Name: _j Setbacks Front e TION: V t, I -S k o W n fq yr 2 3"_ �" - 0Sy8- 3 Back: Right Side: Left Side: OF WORK: - l y -CONSTRUCTION INFORMATION; RnaTwRo_r k tome permed un er th s permit - c ecka Mechanical Gas Tank _ Gas Piping Electric _ Plumbing Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 'a d- pp� Lot No. .^ Block No. i iL �— it apply: Shutters _ Windows/Doors Generator Roof Pitch Sq. Ft. of First Floor: Utilities: _ Sewer _ Septic Building Height: CONTRACTOR: Namen r7Name:'// Ay Address:' Company:Ca A cS' v aCrJCity; fStater Address_" !2 r Zip Code: 3HgS5,1 Fax: City: A/, A. r �✓Cc . State: Phone No.7T — — b a f Zip� Code: � 9 Fax: 172- 1,z6L_ E-Mail: Phone No 2 ,2., VA 114 Fill in fee simple Title Holder on next page { if different F-Mail %p '—v7 skv from the Owner listed above) State or County LieensedaC / p If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGI NE -ER- y Not Applicable Name:_ Address: City. 4 Zip: Phone FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: State: J Not Applicable MORTGAGE COMPANY: Name:_ Address: City: Zip: Phone: BONDING COMPANY: Name:_ Address: City: Zip: Phone: C 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 dome 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before clommencing work or recording our Notice of Commencement. y of Owner/ Lessee/Contractor as Agent for Owner igna re of Contractor/License Holder STATE OF FLORIDA STATE OF FLORID 1�_ COUNTY OF • �,E,IG[T•c COUNTY OF • �1 The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of _ Zp Zbby this day of 5 L&(U 2020 by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification of Type of Identification Produced RZe1VA- E)VJ , — L4 C MV— gnature of N`ofWf'pCbIiiSt'e { ORL046VAZQ4� lvr9da ,:ti�u'P; •; p lic-5tate189841 Commission No. _o �:N0 5iani}GG 'rFoc c c , MY Com h National¢Notaq M21,12 ' REVIEWS FRONT ZONING SUPERVISOR COUNTER REVIEW REVIEW DATE RECEIVED DATE COMPLETED tC V. OIL./1/ Personally Known OR Produced Identification Lam' Type of Identification Produced �-02V� VAZ4��'Z nda { nature of Nota o on �blic-� �gq9� �OCo� tss'°pwes4eb2ary4 Commission No. = a ° MyC(>' �P,asa} PLANS VEGETATION SEATURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW Coastal Shutters And Stuff (772) 335-9198 Port St. Lucie License # SCC131151508 (772) 461-2116 Fort Pierce 6 n a Y 5z BQS Home Lop In User Registration Hm Topic. Submit Surcharge Staffs & Facts d. U Product Approval pr 4 USER: Public User 4I,6ppL51yI Renu > P¢Oduct or 4021iRgj2n march > /PnlitW.Q List > Application Detail s-r 3 cra FL# Application Type Code Version Application Status Comments Archived Product Manufacturer Add ress/Phone/Emaf I Authorized Signature Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Suticategory Compliance Method Florida Engineer or Architect Name who developed the Evaluation Report Florida license Quality Assurance Entity Quality Assurance Contract Expiradon Date Validated By Certificate of Independence FL389-R9 Revision 2017 Approved 11111111111U. American Shutter Systems Association, Inc. 4268 Westroads Drive West Palm Beach, FL 33407 (561) 209-8263 bfeefey@eastemmetal.com Bill Feeley Irod rig uezoeastemmetal,Com Shutters Accordion Evaluation Report from a Florida Registered Architect or a licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Walter A.. Tfllit, Jr. P.E. PE-44167 National Accreditation and Management Institute 12/31/2020 John Henry Kampmann Jr. ? Validation Checklist - Hardcopy Received k/ l L.1!:K11t-U.;A11UN QtF INDEPENDENCE (j) P., D Referenced Standard and Year (of Standard) Standard Year ASTM E-1886 2005 ASTM E-1996 2005 ASTM E-330 2002 TAS 201, 202, 2o3 1994 Equivalence of Product Standards Cer if3ed By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 00/18/2017 Date Validated io/18/2017 Date Pending FSC Approval 10/19/2017 Date Approved 12/12/2017 FL # Model, Number or Name Description 369.1 Bertha HV Accordion Shutter - Blade 3 - (Non-HVHZ) - Drwg 17- 108 Limits of Use Approved for use in HVHZ: No Approved for use outside HVHZ: Yes Impact Resistant: Yes Design Pressure: N/A Other: Large Missile Level °D".Max span is 12'-3" for 40 psf positive ASD load and 13'-0" for 35 psf negative ASD load the HV3 blade w/o window hlade,5r-2" for 110 psf ASD load for HV3 blade w/o window blade and 8'-11" for 62 psi, 9'-11" for 55 psf HV3 blade w/window blade working in unison.Max.span for HV3 blade w/o window blade for installations into Metal Stud wails' x. ASD pPWs=L-rating o +72,-72 and 84" for +64,-64 psi. See sheet 5 for other spans and ASD pressures. Extruded aluminum interlocking blades retained by tracks (top and bottom) for storm protection Instaliation Instructions Verified By: American Test Lab of South Florida, Inc. Created by Independent Third Party: Yes Evaluation Reports Created by Independent Third Party: Yes �+,/ ri 2 Bertha HV Accordion Shutter-61ade ExirOded aluminum interlocking blades retained by tracks J� 1 Only- (Non HVHZ)- Drwg 17 107 (top and bottom) for storm protection Limits of Use Approved for use in HVHZ: No Approved for use outside HVHZ; Yes Impact Resistant: Yes Design Pressure: N/A Other: large missile levei "D", Max. Span is 16'-0' for 30 p,s,f negative ASD load depending on centermates and locking rod configuration for the HVl blade, 8'-0" for +64, -72 p.s.f. A,S.D, load for HV blade for Keystone mountings 7'-0" p.s.f. for metals stud mountings and 8'-0" for Ila p.srf for HVIA working in unison. See sheets 7, 11 and 20 especttvely of installation drawings for other spans and 389.3 _� 1 Bertha HV Accordion Shutter - Limits of Use Approved for use in HVHZ: No Approved for use outside HVHZ: Yes Impact Resistant: Yes Design Pressure: N/A Other: Large missile. Max, 16'-O" span at 30 p.s.f ASD load for Blade 1 and 18'-O" for Blade 2, See schedules on sheet 22, 25 and 28 respectively Installation Instructions Verified By: American Test Lab of South Flortddr Inc. Created by Independent Third Party: Yes Evaluation Raports INC, .2RAYLN(-,_17-107 PRQDUC T QF WAi.i 5ATIoN REPORT.PDF Created by Independent Third Party: yes tsnr=6riOCking blades retained by tracks ) for storm protection Installation Instructions Verified By: American Test Lab of South Florida, Inc. Created by Independent Third Party: Yes Evaluation Reports Created by Independent Third Party: Yes 2601 Ba�r 'IL-487-1_R7a The state of Florida is m WE1Lo employer. ran"rinht 20Q7,2013 ut� 2f Rortua :: axvpc-v jM=ouCW :: fttfuntl 5 Sy6Li3iB1HtY i.� :: t „,„arcmrtnr Under Florida law, email; addresses are publle records. if you do not want your e-mail address released in rPSPMse to a public -records mquest, do not send ele mr,n c mail to this entity. Instead, contact fte omf try Phone or by tradl[bonai maN. ;f you have any questions, please contact 850.487.1395. •Pursuent to section 455.275(1), Florida Statutes, d fV*ve October 1, 2012. HC ,-s licensed under Chapter 455, F.S. must provklc the Department with an total; addmss d they have one, The emalls provltled may be used far ofRtiat communication with the Ecerdee. Howtvcr email addresses are pub11C moord. if you do not wish to supply a Personal address, please Prevfde the Department with an email address which can be made avadable to the public, To determine it you are a llcerraee under Chapter 455, FS., Please click IlCL Product Approvit! Acupts: tr C, of Cu ti C'I Ci ti r., Ci "' ti ti t Ci 6 s w ww www ww ww ww wTwTw w w NN Vxi tx/I Ixlr N Ixli V�i N u=i Vxi N S vl w ai I lit -QT gm-_ € Z C aq'_ w V v��Rm" W W �$�2s J ice ....... 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