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Home My WebLink AboutBuilding permit app All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 31 I� Date Permit Number: �7 VI' ac/ RECEIVED e FEB 0 9 2021 Building Permit Application Permitting wart nt Planning and Development Services St. cud C ty Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: Property Tax I D#: 2^r�d C7 Lot No.� Site Plan Name: r IQ,Q_ q�- i0 LQ t A Block No. Project Name: DETAILED DESCRtPTLON OF WORK: " New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: ., Additional work to be performed under this permit—check all that apply: —Mechanical —Gas Tank —Gas Piping —Shutters — 7Roo'f ws/Doors —Pond Electric ` —Plumbing —Sprinklers Generator Z-otch Total Sq. Ft of ConstructionA -+ 100 Sq. Ft. of First Floor: Cost of Construction:$ 2'�� - Utilities. —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Name: V,_ Address: (0 _ '-" Company: A to City: }...Q1 ` State:9� Address: JE� Zip Code:",C;4!?k4 -Fax: City: - State/ Phone-No. Zip Code:'3c4 +kZ I . Fax: ___>zrJ E-Mail: Phone Not :2 Z Fill in fee simple Title Holder on next page(if different E-Mail c�u�.. c�cs.C from the Owner listed above) State or Co my License If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required. n SURPLEME,NTAL CONSTRUCTION LIEN,LAW IN'FO.RMATION: 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 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. oo- ign re of caner/Lessee/Contractor as Agent for Owner re of Contractor/License Hol r ATE OF FLORID STATE OF FLORID COUNTY OF �L COUNTY OF Sw�{o(or affirmed)and subscribed before me of Sworr to (or affirmed)and subscribed before me of sical Pres Ice or Online Notarization /Physical Prese or Online Notarizatkkn1 this day of nb 2026 by 6 this�day of p l :ILL to p b M ® l h A- 2 e n. Name of person making statement. me of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary P�Iic—StyeA 90er' � (Signature of Notary P lic-State of Florida ) - l UDRGY 13.HIiMPHREY ��:. i� _ Commission No. �s" a e`er= ,�1,q;gS1Dr g`3��817 to AUDREY B.H_I;IPHRE F ax :* �D23 Commiss!6'rNbA •'�: �M al . EXPIRES'.M6`h 6,_ l i e v o N� GG 30 1 _ n ` EMPIRES:PY4arch 6,2023 hru Notary Public Undenv<ilers la '}' iuN+ 0 '-.i,,;•' bonded i hTu Notary Fume undenwiters � e T—�i:;,3lc.�zrersS�'a-c,rr.�"narv. 3caSi"zryzur5+- REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. Florida"Buildang Code Online 2/8/21,9:30 PM r. �i}'r.. __.� ��1 '�`,[��Stx '.N>::�. #�4r�r;.rn�',a4ikk;�� a�" .Y.�s t� °2r�✓�f#� y{f;.^.� �"� 'r';3Cq " �.v i�lp .+4.� �'�.1 .St«n,�,t�S�� F 8�r+ `'t ��.... '.i�r � t��F��f�"y�• J,s,h, �-��,c��tc`¢dk`�ti�ax�'e��;�,54 s `�Se �f �t�' �� `a $e: '� FS R.z yni�i"b+,�•s a4 'v'i�'�� s� r� ��! $i�. �! +;9'.y to_. s .., r e� •�i'1 p �t d� k7€ 1 m film S n a. r g 1 H �� " 1¢,tdr'�Go-« ..a.KJ£a .Z'G1; err `4 rff�rrA .o- �.r!Fh ,-t�i t z`�i� 3•T �}fit m,f P '`�s "'�"Ak�.-, i t r :� , +�t.-.-a�, ,;.. x .. .- BCIS Home ! Login User Registration ` Hot Topics I Submit Surcharge Stats&Facts Publications I Contact Us BCIS Site Map I Links Search Florida r} l Product Approval Pr = USER:Public User B�idP: Product Approval Menu>Product or Application Search>Application List>Application Detail s p FL# FL12328-R9 •F, Application Type Revision Code Version 2020 Y Application Status Approved Comments Archived Product Manufacturer TAMKO Building Products LLC s Address/Phone/Email PO Box 97 Galena, KS 66739 (417) 624-6644 Ext 2305 kerri eden@tamko.com Authorized Signature Kerri Eden kerri_eden@tamko.com ' Technical Representative Kerri Eden `. Address/Phone/Email PO Box 1404 Joplin, MO 64802 (417) 624-6644 Ext 2305 kerei_eden@tamko.com y Quality Assurance Representative Address/Phone/Email ' Category Roofing Subcategory Underlayments Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report- Hardcopy Received Florida Engineer-or Architect Name who developed Robert Nieminen s the Evaluation Report Florida License PE-59166 f Quality Assurance Entity UL LLC Quality Assurance Contract Expiration Date 10/18/2021 ";. Validated By John W. Knezevich, PE ✓I Validation Checklist- Hardcopy Received Certificate of Independence FL1232_8 R9_ COI 2020 01 COI NIEMINEN.pf• Referenced Standard and Year of Standard �A ( ) Standard Year "$ ASTM D1970 2015 ASTM D226 2009 http://www.floridabuilding.org/pr/pr_app_dti.aspx?param=wGEVXQwtDgtF2AezuarjgOlAramDGm5elxgFDzaRb4t427TWXal7Bg°/u3d°/n3d Page 1 of 3 Florida Building Code Online 2/8{21, 9.30 PM f p� f nz ASTM D6380 2013 rsfiDl, Equivalence of Product Standards Certified By , Sections from the Code i�^�ln ��1 ��r�q�t�• fs* Product Approval Method Method 1 Option D ;i• .` ,t Date Submitted 09/29/2020 Date Validated 10/04/2020 h fir. Date Pending FBC Approval 10/12/2020 z �:, • �,�}� `,�a � Date Approved 12/15/2020 £s� ��n� � Stimma ofP oducts - _ r K Model,Number or',_Naime r1 ° 12328.1 TAMKO Roof Roof underlayments for use in FBC HVHZ jurisdictions. Underlayments x ` rh kq (HVHZ) Limits of Use Installation Instructions Approved for use in HVHZ:Yes FL12328 R9 II 2020 09 29 FINAL ER TAMKO UNDERLAYMENTS HVHZ FL12328- Y Approved for use outside R9_Qdf ` HVHZ: No Verified By; Robert Nieminen PE-59166 x` a} i Y Independent Impact Resistant: N A Created b e endentThird Part Yes P / Y rh " r Design Pressure: N/A Evaluation Reports .i, fkya Other: See ER Section 5 for Limits of FL12328_$9 AF 202o 09_29 FINAL E$ TAMKO 9 pd UNDERLAYMENTS HVHZ FL12328- s i xF rt TMh t" Use. Rf Created by Independent Third Party: Yes r�- �� 12328.2 TAMKO Roof �Roofunderlaymentsfor use in:FBC non HVHZ�urlsdlcEions �. kV� �� Underlayments(NON- .as lr"at , y HVHZ ' x vt = ifs s � Lim'its of Use Installation`Inst�uctions Approved for use;in HVHZ. No FL12328 R II`2020 09 29 FINAL ER TAMKO UNDERLAYMENTS NON r " Approved#or use outside HVHZ FL12328-R9.ydf li s= t r5 a� HVHZ:Yes Verified By ,Robert Nleminen PE 59166 t,Z 3 xPt� � Impact Resistant: N/A ,'. Created by Independent Thi rdign Party: Yes Desli 4 Other: See ER Sect on'S for Limits of EvaFL12328�Q 0 0'09. 29_EILA _EB_TAMKO UNDERLAYMENTS NON Use. HVHZ FL12328-R9. _df E IJ f Created by Independent Third Party:Yes *Q�1� a ti ,.1l ZJ y. Contact Us::2601 Blair Stone Road.Tallahassee FL 32399 Phone:850-487-1824 r t j 4 j 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 I s• 455.275 1 Florida Statutes effective October 1 2012 licenseesF.S. us��r�a� O, licensed under Chapter 455, must provide the Department with an email address if they have x yg k ,* as 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 1T 3E ;%ti yr 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 clickhffe-. jk �y �,y��t;• Product Approval Accepts: 7yt�t ® zlsil aa. H� h http://www.floridabuiIding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtF2AezuarjgO[AramDGm5elxgFDzaRb4t427TWXa17Bg°/n3d%3d Page 2 of•3