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HomeMy WebLinkAboutWinston door complete permit app_20200708_162322All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: July 8, 2020 Permit Number: `l_ L c[ L L� 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 X PERMIT APPLICATION FOR: pool' PROPOSED IMPROVEMENT LOCATION: Right back corner of home Address: 2422 Al LANTIC BEACH BLVD Fort Pierce Property Tax ID #: 1436-601-0027-000-2 Site Plan Name: FORT PIERCE SHORES -UNIT 1 Project Name: Judith Winston DETAILED DESCRIPTION OF WORK: Remove french door and replace with sliding door in rear of house. New Electrical Meter _ Second Electrical Meter CONSTRUCTION INFORMATION: Lot No. 5 Block No. 2 Additional work to be performed under this permit— check all that apply: _Mechanical _ Gas Tank — Gas Piping _ Shutters _ Windows/Doors Pond _ Electric — Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: _ Sq. Ft. of First Floor: Cost of Construction: $ 2,300 — Utilities: —Sewer —Septic Building Height: --------------- -- OWN ER/LESSEE: ----- CONTRACTOR: Name Judith Winston Name: David Browne Address:2422 Atlantic Beach Blvd Company: Dave Browne's Home Improvements Inc City: Fort Pierce State: F't— Zip Code: 34949 Fax: na Phone No, r? %o? ,- >�,rL Batt 1 c► Address:5501 Seagrape Drive City: Fort Pierce State: FL Zip Code: 34982 Fax: na Phone No 772-353-0140 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) — _— E-Mail 634983@gmail.com State or County License CRC1330776 vaiuc vw11x1 uwuun is cwv yr more, a nt%_VKULu Notice or Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION; DESIGNER/ENGINEER: X_ Not Applicable Name: _ MORTGAGE COMPANY: X_ Not Applicable Name: Address: Address: _ City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: X Not Applicable Name: ---- ---- ---_ - ---- BONDING COMPANY: x Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF STATE OF FLORID I COUNTY OF Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this __ day of 2020 by Swplrn to (or affirmed) and subscribed before me of / Ph sical Pr es n or Online Notarization this iay of 2020 by Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced_ Name of person making statement. Personally Known OR Produced Identification Type of Ide i is tipn roiceme- Pduced r l Lori A. DeSaW (ignature of Notary Public- State o ) STATE OF FLORI A (Signature of Notary Public- State of Florida) Commission No. _ (Seal) Cwvr* GG130649 Commission N 30altxpires 10/20/20 1 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW RATE RECEIVED DATE COMPLETED ev. �-- V-ot-sx- BCIS Home Log In User Registration Hot Topics Submit Surcharge ! Stats & Facts Publications Contact Us BCIS Site Map ? Links Search 100%i Product Approval -'?y ■ USER: Public User Product Approval Menu > Product or Application Search > Application List > Application Detail FL # FL21179-R3 Application Type Revision Code Version 017 Application Status Approved Comments Archived Product Manufacturer GeIndustries Address/Phone/Email 1070 Technology Drive North Venice, FL 34275 (941) 486-0100 Ext21140 jrosowski@pgtindustries.com Authorized Signature Jens Rosowski jrosowski@pgtindustries.com Technical Representative Lynn Miller, P.E. Address/Phone/Email 1070 Technology Dr N Venice, FL 34275 (941) 486-0100 Ext21142 Imiller@pgtindustries.com Quality Assurance Representative Address/Phone/Email Category Exterior Doors Subcategory Sliding Exterior Door Assemblies Compliance Method Certification Mark or Listing Certification Agency Keystone Certifications, Inc. Validated By Steven M. Urich, PE Validation Checklist - Hardcopy Received Referenced Standard and Year (of Standard) Standard Year AAMA/WDMA/CSA 101/IS2/A440 2011 ASTM E1886 2005 ASTM E1996 2012 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted 12/12/2019 Date Validated 12/15/2019 Date Pending FBC Approval Date Approved 12/17/2019 Summary of Products FL # Model Number or Name 21179.1 1 SGD-5470 Limits of Use Approved for use in HVHZ: No Approved for use outside HVHZ: Yes Impact Resistant: No Design Pressure: N/A Other: Please see installation instructions for design pressure, size and anchorage information. Description Vinyl Sliding Glass Door (Non -Impact) Certification Agency Certificate FL21179 R3 C CAC SGD5470 Certification pdf Quality Assurance Contract Expiration Date 11/11/2020 Installation Instructions FL21179 R3 II SGD5470 Installation Fpdf Verified By: A. Lynn Miller, P.E. 58705 Created by Independent Third Party: No Evaluation Reports FL21179 R3 AE Prod Eval-SGD 5470.pdf Created by Independent Third Party: No 21179.2 �� SGD-5570 Vinyl Sliding Glass Door (Impact -Resistant) Limits of Use Certification Agency Certificate Apprb e8"-for use inWHZ: No FL21179 R3 C CAC SGD5570 Certification B 1If Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: Yes 11/11/2020 Design Pressure: N/A Installation Instructions Other: Please see installation instructions for design pressure, FL21179 R3 II SGD5570 Installation FRd size and anchorage information. Verified By: A. Lynn Miller, P.E. 58705 Created by Independent Third Party: No Evaluation Reports FL21179 R3 AE Prod Eval-SGD 5570 12d Created by Independent Third Party: No Back Kxt Contact Us :: 2601 Blair Stone Road, Tallahassee FL 32399 Phone: 850-487-1824 The State of Florida is an AA/EEO employer. Copyright 2007-2013 State of Florida :: Privacy_statement :: Accessibility Statement :: Refund Statement Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. 'Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter 455, F.S., please click here . 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