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HomeMy WebLinkAboutScanned Image 41ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 7 / Xo2 c;) Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 452-1553 Fax: (772) 462-1578 Commercial Residential _� PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of .line Address: D 4/_!� r L :s Legal Description: r4o,sq 3 PropertyTaxlD#:off Site Plan Name: Project Name: Q� Setbacks Front Back: Right Side: Left Side: �) �r$`6— Lot No. S� Block No. _Cd i,urrnea under this permit - c ec c a ap u� rpy:... HVAC Gas Tank []Gas Piping _ Shutters 0Electric Q Plumbing Sprinklers Generator Total Sq. Ft of Construction: SFt. of First Floor: _ Cost of Construction: $ �/ Utilities:.Sewer D Septic Nam Address:G Y City: �Glr.. State: Zip Code: jJ I S Fax: A Phone No._S - a a 3 E -Mail: AA Fill in fee simple Title Holder on next page (if different from the Owner listed above) Windows/Doors Roof Roof pitch Building Height: _ Name: U,JaL Company: _ Gars z"�� 5.�./Zer�a, Address: City: .G State: Zip Code: Fax: _7,?2-'�� 6' J__J_ Phone No_ 77.x'. q y.?�1 E-Mail:Os'�?, csdP — State or County License: s�3�1 rf/1_0 1 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. NGINEER: Not Applicable Name: GE COMPANY. Not Applicable Address: Name. Address. City: State: Zip: Phone Zip Phone: State: FEESI MPLE TITLE HOLDER: Not Applicable BONDING COMPANY:Na; _XNot Applicable Address: Name: 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. wh ch is in conflicmt with anrepresentation alcm Oat wners granting permit rules,authorize bylaws r and covenants that mays estrict orprohibit 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 improvements to your property. A Notice of Commencement must be recorded and poWARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for before the first inspection. If you intend to obtain financing, consult with lender or an asted i the jobsite o ttorney before eomrrlencin work or recording our Notice Of CommenepmPnr /� Signature of Own essee/Contractor as Agent for Owner g � ature of Contractor/License Holder STATE OF FLORID STATE OF FLORIDA COUNTY OF • i.uCZ P COUNTY OF_ 15k-ulnz- ThefQ Ding instrut�nt was acknowledged before me this ( day of _J U CL/20 Z0 � by Tis' S�o�t C Name of person making statement Personally Known OR Produced Identification f� Type of IdAntification p Produced—tvZt pA jXavOe Lleap�qe_ The forgoing instrument was acknowledged before me this ZU day of I–cA t y `___, 20 Z,1 by s Sk,uBr6 Name of person making statement Personally Known OR Produced Identification r� Type of Identification Produced k?!?.1DA Op LlgWOW wtgnature of Yb2- State of F14, f tune of Notary tFlan A Commission No. \ �� Fib c i L� Qy� O eoI0%11 �y Commission No. SSS,, S`R"� 'P r REVIEWS FRONT .� G COUNTER SREVIEWOR PLANS VEGETATION :,.r,,,�;Q��e�°n AT ©ATE VIEW REVIEW LE MANGROVE IEW RECEIVED REVIEW DATE COMPLETED Rev. 8/2/17 JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY FILE # 4719490 OR BOOK 4433 PAGE 2356, Recorded 06/17/2020 11:39:34 AM N0710E �f OMM Tbumdmviad hmabre4w nuft tat t-- ma&tClartsia rod F 3, a uptarm,F�arYds�SSatEs� ��rl j�mtt[nettlnflixi [zrf mmewL ar i. eea hffixMzdkn ifft iassras iiart3yaN milli ZZI—nIT, -721 • v s r r p #��►�YDi�poyti�i��iS�EStx7S$iLaflrY Ir//�+t W211i .4-� q-7 ftmis wft b ff stftof Fist & *%%manEiby owner'vm whom w w x d =rho Mwd w p mmw byacan WXW, ame:- 414 P m=jbw f mm nratjiY&-*� by mnw.lisf d ��� ��fr�urt�emr�tmtbeet�amm�c�mnac��mtlse t�'rb��1�e1�iromti��aira�g�rdassa�ci�els .ti./.t a ;�A81+i�EC�7� Cwt; Arli f�7�Nt5 ]►�Ru�lslrta 'it1EATif�I Li�iiiEA�flita f;�" it�3YItPd0F:4�i3trcfr�a[ir #E amFfi uadw YrWofpej rfedaraihatlTom read thei urxn ofwInrawrewentamdgmthelu2w ii�e#reetaf 1 f2 0) ip aft , ear oeears's ar fs dtutfio�'laed �. +•+���.,�„ s`• SIERRA NICOLE DEWS :Mw AlahryDtihRc-StmolabfaC' MY Camm. Expires lul Xd. Zh23 Y vas knkdrnro aH, .yr yy.+ Ilit��1318rtEi1Ct17r�s � �S�&'H �' ?� c�fPgt�u ' 7 e Fat rxri * �1 } "on behffafwhiibsu wvs Of 30wVdIf" 3€Reinc:ffasrcenl�rssnenucr,ai�rrisATxisxuncauRec�al�xarr�c�rlela,sc�enanc�a Digitall si ned by The Honorable Joseph E. 'Smith DOCUMF�Tna;rxORIUD151uwroHERECORDED oxFILED ANDA(TUALLYRIPC ]WEDORFiLEDiN Date: 20 0.0 .17 11:42:18 -04.00 TRF.nFF[['P nF rF£F..Yr.3.l1rIR(Y11:.4T1'rr.iRR nTYfYR f'Y R!"f �3r rn111tY. " .1 Coastal Shutters And Stuff License # SM 31151508 eklocc o C ©t: n 091 (772) 335-9198 Port St. Lucie (772) 461-2116 Fort Pierce LAYOUT SHEET Luring installation we must have access in and I ACKNOWLEDGE AND UNDERSTAND THE ABOVE out of property for good installation. Owner, or someone with authority, must be present during installation to inspect and pay balance due. CUSTOMER'S SIGNATURE rid - Product ApprovaE USER: Public User Submkt Surcharge Stats & Fad publications Contact Us SCIS Site Map Irks Search Product A02120221 rvlen�.Menu > �� or Aool___�I0� > 6DWIca n I iar a AppiieaCipIn Detail u�SL Application Type Code Version Application Status Comments Archived FL389-R9 Revsston 2017 Approved Product Manufacturer American Shutter Systems Association, Inc. Address/Phone/Email 4268 Webtroads Drive West Palm Beach, FL 33407 ASTM E-1886 (561) 209-8253 ASTM E-1996 bfeeiey@easternmetai, corn Authorized Signature Bili Feeley TAS 201, 202r 203 lrodHq uezOeastemmetal.com Technical Representative ` Address/Phone/Email BCiS Home Lop In User AepW"tion Hot Topics rid - Product ApprovaE USER: Public User Submkt Surcharge Stats & Fad publications Contact Us SCIS Site Map Irks Search Product A02120221 rvlen�.Menu > �� or Aool___�I0� > 6DWIca n I iar a AppiieaCipIn Detail u�SL Application Type Code Version Application Status Comments Archived FL389-R9 Revsston 2017 Approved Product Manufacturer American Shutter Systems Association, Inc. Address/Phone/Email 4268 Webtroads Drive West Palm Beach, FL 33407 ASTM E-1886 (561) 209-8253 ASTM E-1996 bfeeiey@easternmetai, corn Authorized Signature Bili Feeley TAS 201, 202r 203 lrodHq uezOeastemmetal.com Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Emaii Category Shutters Subcategory Accordion Compliance Method Evaluation Report From a Florida Registered Architect or a licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Walter A.. Tlllit, 3r, P.E. the Evaluation Report Florida License PE -44167 Quality Assurance Entity National Accreditation and Management Institute Quality Assurance Contract Expiration Date 12/31/2020 Validated By John Henry Kampmann Jr. a' Validation Checklist - Hardcopy Received Certificate of Independence FL389 R9 AM I A I sH n F YSTEMS DRAWING 17-10a Referenced Standard and Year (of Standard) Standard Year ASTM E-1886 2005 ASTM E-1996 2005 ASTM E-330 2002 TAS 201, 202r 203 1994 Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Method 1 Opt on D Date Submitted 09/18/2017 Date ValWated 10/18/2017 Date Pending FBC Approval 10/19/2017 Date Approved 12/12/2017 FL # Model, Number or Nome Description 384.1 Bertha HV Accordion Shutter - Blade 3 - (Nan-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 ASO load the HV3 blade w/o window blade,5'-2" for 110 psf ASD load for HV3 blade w/o window biade and 8'-11" for 62 psi, 9'-11" for 55 psi HV3 blade w/window blade working in unison.Max.span for HV3 blade w/o window blade for installations Into Metal Stud walk is 7o" for ace, 389.2 ue rdang or t/1,-72 and 84" For +64 S for other spans and ASD pressures. Extruded aluminum interlocking blades retained by tracks (top and bottom) for storm protection Installation instructions F $9 i2a II AME&ICAN SH(F TE c LZ -108 BERTHA HV ACr O SNi ffTl tz cvc rch Verified By: American Test Lab of South Florida, Inc. rt Created by Independent Third Party; Yes Evaluation Reports. Created by Independent Third Party: yes Bertha HV Accordion Shutter -Blade r Extruded aluminum interlocking blades retained by tracks 1 Only- (Non-HVHZ)- Drwg 17-107 I (top and bottom) for storm protector 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 16'-0" for 30 p.s.f negative ASD load depending On centermates and locking rod configuration for the HV1 blade, 8'-0" for +64, -72 p.s.€, A.S.D. load for HV blade for Keystone mountings 7'-0" p.s.f, for metals stud mountings and 8'-0" for 110 p.s.f. for HVIA working in unison. See sheets 7, 11 and 20 espectively 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'-0" span at 30 p.s.f ASD load for Blade I and 18'-0" for Slade 2. See schedules on sheet 12, 25 and 28 respectively Installation Instructions Verified By: American Test Lab of South Florlda, Inc. Created by Independent Third Party: Yes Evaluation Reports Created by Independent Third Party: Yes .aL"`a+H"ffrrT11rGYTocking blades retained by tracks bottom) for storm protection Installation Instructions Verified By: American Test Lab of South Florida, Inc. Created by Independent Third Party: Yes Evaluation Reports Ijj(C. DRAWING 17-106 PROD CT Firm I IA�1�I REPORg PDi= Created by Independent Third Party: Yes SAIlWtt Ux :: 7071 Blair SM"e Rod 741100 = � zz'aa phone• s50 -4S7 -387n The State of Florida is an AA/EEo emplaye, col yrInbt_Z22Z:2 i State M Fbrlda 41 :: Prlvacv . fa,�menr :: 9n22s:•.ibliiN Statement :: Under Florida law, small addresses are public records. If you do not want your email address released In response to a public records mail to this entity. Instead, contact the o#flce by phone or by traditional mail. If you have an re4uest, m not send ,huh nic 4 -IS -275(l), Ftori Y questions, please contact 85p.d87.1395. •Pursuant to Section da SC, effective ©sober 1, ai co mun le d licensed under Chapter 455, RSL mus" provioe the Department watt an emait address N they have one. The smalls provided p may be used far entqfflc ,I communication With the Bcensee. However email addreszes are public record. Tf you do not wish to supply a personal address, plCdSe provitle the Department with an email addross which can be made avallable to the public. To determine if you are a ilcansee under Chapter 455, F.S., please click hem . Product Approval Aamptr 4J w in JN V) a az In cn Z N_ Q Qi O. V. V a 00 Uu � J T O ' ZO r•W+ � � � � W � ti � W W � � .1 i C.i w w .�i 1`u �.i HIS n i LL aas�? 4J w in JN V) a az In cn Z N_ Q Qi O. V. V a 00 Uu � J T O ' ZO : ua i n C o a � v ZZZ G � aG� rC� 4 � 7 W u e ti pw.x- ;L 't e e d m v - gr } w m n �Etel' U ry m a r � 4 S W o'o 1 m b 3 e ■� c 0 10 T w, a um. n G aG� rC� u e ■� c 0 10 T w, . 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