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HomeMy WebLinkAboutBuilding Permit Application T V All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number:&0 J11�0 RECEIVED Building Permit Application Planning ondDev.Oopment Services p01-mjttlng Department Building and Code Regulation Division St.Lucle County 2300 Ifirginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax:1772)462-1578 Commercial Residential PERMIT TYPE: PROPOSED IMPROVEMENT LOCATION: Address: 1066 Nettles Blvd,Jensen Beach,FL 34957 Property Tax ID#:4502-501-1253-000-6 Lot No. Site Plan Name: Block No. Project Name: William Buff DETAILED DESCRIPTION-OF WORK: Install Hurricane Protection Products on(3)openings CONSTRUCTION INFORMATION: Additional workto be performed underthis permit—check all that apply: —Mechanical —Gas Tank Gas Piping X Shutters Windows/Doors X Electric —Plumbing Sprinklers Generator Roof Pitch Total Sq. Ft of Construction: Sq. Ft.of First Floor: 8342.00 Utilities: Building Height: -'OWNER/LESSEE: CONTRACTOR!-_" NameWilliam Buff Na'me:.146 e ilo!zayper ,-Add ress:1066 Nettles Blvd Company:Storm Smart of Southeast Florida City-. Jensen Beach State:FL Address:4047 Okeechobee Blvd Suite 106 6 West Palm Beach YL Zip Code: �41957 Fax: City: State. Phone No. Zip Code: 33409 Fax:884-330-8277. &Mail: Phone No 561-229-0048 Fill in fee simple Title Holder on next page(if different E-Mailpermift1ng_QStormSma from the Owner listed above) State or County License CRC056857 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. aQra'rw,I f-ourct,too 7 I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:- DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable Name: 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 certifythat 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 Horne 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 exemptfrom 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 INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Signature of Owner/Le /Contractor as Agent for Owner Signature of Contract License older STATE OF FLOA20 STATE OF FLORICOUNTY OF COUNTY OF � � The forgoing instrument was acknowledged before me The fo oing instrument was-acknowledged before me thisI9dayof dG b-ear ,20�by this_a day of QC,+ 20 0 by Name of person makind statement. Name o person making statenient. Personal Known OR Produced Identification y Known_ OR Produced 1 �)��������N�� _Personally — � Personal) � (�Ao Type of Identification �Nt Yesenia Sarzuea- Type of Identification \�`� C" '••�' Y% Yp �. `�.• Missio•. 9 '. Produc �(_ NOTARY PUBLIC prod d STATE OF FLORIDA — -' ?QUA _ '� NOTgRy m'. — Comm#GG317472 Wl" Expires 3/28/2023 _ ':� PUBLIC (Signa r f No c-State of Florida I (Signa Ere of Nota Public- tate of F'beF[�la. ty 6b�� #HH�o,..P Co i o. _ (Seal) Commission No. _ {�FLOR����`�� REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 12 11 10 9 8 / 6 5 4 3 2 1 JEFFREYC ,,tXffRWLE,,,,, ALLOWABLE SAMMY BRAND: i see tie N. 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EARTH TABLE `"� EARTH ANCHOR H NOTES. �;+ }.. . 19�•KA 30"%1/2"Shaft%4"Helix ])'Use when sail conditions are visually identified to be loose to medium dense sand ISoil Class 4A) N SOIL CLASS 4A 2)Use when soil conditions are mechanically identified 10 be Soil Class 3. r 6097¢ SCREEN PANS MEDIUM DENSE SAND 3)Use with Stabilizer plales are used when soil conditions are visually identified to be loose to medium dense sand ISoil Class 4A) i.u- .a.N:r�NIGIA11—t a)Soil Class 3:24.39 blow count device or 351.550 a torque probe =-t3• �.SrA Fir UP TO ANCHOR SPACING(INCHES) b)Soil Class 4A: 18-23 blow count device or 276-350 a torque.probe =��-• �. 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Validation Checklist-Hardcopy Received Certificate of Independence FL11291 R8 COI Certificate of Independence pdF Referenced Standard and Year(of Standard) Standard Year ASTM D1929 2014 ASTM D2843 2010 ASTM D635 2014 ASTM E1886 2005 ASTM E1996 2012 ASTM E1996 2009 ASTM E330 2014 ASTM E330 2010 COWRA C7'ojj Co,,, ASTM G154 2016 ASTM G155 2013 TAS 201 1994 TAS 202 1994 TAS 203 1994 Equivalence of Product Standards Certified By Florida Licensed Professional Engineer or Architect FL11291 R8 Eauiv Equivalent Product Standard Certificate.odf Sections from the Code tp,ECENED Product Approval Method Method 1 Option D NOV�0 2 2020 Date Submitted 10/16/2019 Pierm1tbt1g DeprtMenl Date Validated 10/18/2019 Date Pending FBC Approval 10/21/2019 St.'L'UCiE' � Date Approved 12/10/2019 Summary of Products FL# Model,Number or Name Description 11291.1 Storm Catcher Wind Abatement HVHZ&Non-HVHZ Screen System Limits of Use Installation Instructions Approved for use in HVHZ:Yes FL11291 R8 II Dwa.Ddf Approved for use outside HVHZ:Yes Verified By:Jeffrey C.Friant,P.E.PE0060974 Impact Resistant:Yes Created by Independent Third Party:Yes Design Pressure:+130/-130 Evaluation Reports Other:See Installation Instructions for additional FL11291 R8 AE Evaluation Reoort.Ddf limitations. FL11291 R8 AE Fire Testing and UV Eval odf Created by Independent Third Party:Yes 0 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 it you are a licensee under Chapter 455,F.S.,please click here. 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